The following could promote long-term engagement in physical activity
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Many studies have demonstrated that exercise and physical activity can reduce symptoms, increase cardiopulmonary health and improve quality of life for people with multiple sclerosis (pwMS) [1–14]. Physical disability is common in pwMS because multiple sclerosis (MS) exacerbations and disease progression result in secondary impairments, such as diffuse muscle weakness and poor cardiovascular fitness [15]. Coupled with low exercise self-efficacy [16,17], fear of exercising and high levels of fatigue, physical disability can lead to a progressively sedentary lifestyle [18]. Many studies have examined the effectiveness of physical exercise provision and behaviour change interventions to increase the adherence for people with MS in a laboratory-based or health provider-based clinic [3,11–14,19–23], but few studies have explored