1. Few people with MS know the PAGs exist
1.1. MS organizations to disseminate information
1.2. Desire for a multi-discipline team approach to promoting PAGs
1.2.1. HCPs (not just doctors)
1.2.2. Fitness professionals
1.3. Active dissemination
1.3.1. Email
1.3.2. Creating a website to provide more guidance
1.3.3. Podcasts
1.3.4. Webinars
1.3.5. Mobile app
1.4. Current sources of PA information
1.4.1. health insurance company
1.4.2. Internet/social media
1.4.3. People with MS inform people with MS
1.4.4. Conflicting recommendations from HCPs
1.4.5. No prior knowledge of PAGs
2. Using the guidelines
2.1. PAGs provide centralized physical activity information
2.2. Frequency prescribed allows for rest days
2.3. Aerobic exercise guideline of 30 minutes difficult
2.3.1. Gradual increase in PA will increase self-efficacy
2.4. Type of exercise
2.4.1. PAGs are generalizable to all exercise settings
2.4.2. Current exercise environment
2.5. Modifying current exercise routine to meet guidelines/Incorporating PAGs into current physical activity routine
3. What about PAGs for those with severe MS?
3.1. Guidelines will be daunting to those with higher PDDS
3.2. Guidelines are more feasible for those with lower PDDS
4. PAGs not enough to elicit uptake
4.1. PAGs should be promoted as an essential strategy
4.2. Behavior change strategies for maintaining PA
4.2.1. social support
4.2.2. overcoming barriers
4.2.3. focus on what you can do/self-efficacy
4.2.4. action planning/self-monitoring
4.2.5. importance of enjoying exercise
4.3. PAGs provide outline for creating an exercise plan
4.3.1. Provide exercise program based on PAGs
4.3.2. Professional guidance important
4.4. Ease of following depends on availability of resources
4.4.1. Resistance bands are an easily accessible resource
4.4.2. Fitness tracker to monitor physical activity
4.4.3. Using household items for strength training
5. PAGs require further refinement
5.1. terminology confusing (i.e., MVPA, arm cycle, etc.)
5.1.1. More guidance on performing MVPA
5.1.2. more information on equipment and use
5.2. Limiting PAGs to under 64 unnecessary
5.3. PAGs should highlight consulting with physician before beginning
5.4. Branding
5.4.1. Confusion surrounding ‘Canadian’ in title
5.4.2. Perceived impact of ‘Canadian’ title on uptake