Strengths and limitations
To our knowledge, this is the first cultural adaptation of WWE outside of a North American context. Whilst numerous studies have demonstrated the effectiveness of this programme, no study to-date has undertaken such a detailed qualitative exploration of participant experience with WWE. While this project was undertaken in a single major UK city with a population of over 200,000 residents, we believe that our findings are generalizable to other areas of Scotland and the UK more widely. There is scope for further exploration of WWE-UK in remote and rural areas, particularly among island-dwelling adults living with arthritis/MSK conditions. However, we have demonstrated that WWE is feasible and acceptable in a UK context and positively impacts on the physical health and well-being of participants, mirroring findings from the USA [This study is not without limitations. Our study participants were predominantly White British, and future research among Black, Asian and Minority Ethnic (BAME) communities would be warranted to better understand relevance and acceptability in these populations [