Table 2.

Themes, subthemes and definitions generated through the analysis process

Themes and subthemes		Definition
PA is a continuum		Statements describing the range of structured and unstructured activities that PwMS and their family caregivers consider PA
Cycle of disengagement	Awareness of limitations	Statements that reflect personal awareness or insights about how issues with body structure and function limit the type of activities PwMS and their caregivers engage in or how to go about engaging in such activities.
	Mourning loss	Statements where PwMS or family caregivers talk about missing or wishing they could still do activities they used to enjoy but can no longer do because of the presence of MS
	Drivers of the cycle of disengagement	Statements about factors that make it difficult for PwMS and their family caregivers to break out of the cycle of disengagement
	Inhibitors of the cycle of disengagement	Statements about factors that enable PwMS and their family caregivers to break out of the cycle of disengagement
Cycle of adjustment	Acceptance	Statements about coming to terms with the disease and accepting their new identity
	Innovation and modification	Statements reflecting how PwMS continues to work independently or together with their family caregivers to find new options or modify previously enjoyed activities

PwMS, people with MS; PA, Physical activity; MS, multiple sclerosis.