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Perceptions, needs, and experiences of kinesiophobia management after total knee arthroplasty

A qualitative study from the perspectives of patients, caregivers, and healthcare providers

Bibliographic Data

ID22066527
AuthorsShuoni Ren (Zhejiang Chinese Medical University), Ya'Nan Kan (Zhejiang Chinese Medical University), Lin Chen (0000-0001-5135-3998, Zhejiang Chinese Medical University), Xi Zhang (0009-0004-8281-1030, Zhejiang Chinese Medical University), Xiaolan Zhang (0000-0002-6343-3116, Department of Nursing, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine)), Fuying Ye (Zhejiang Chinese Medical University, corresponding author)
Year2026
Volume14
Publication date2026-07-03
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1861297
OpenAlexW7167214457
LanguageEN
References cited31

Aim To explore the congruence and divergence in perceptions, needs, and experiences regarding kinesiophobia management among patients, caregivers, and healthcare providers following total knee arthroplasty. Methods Using purposive sampling, semi-structured interviews were conducted with 12 healthcare providers, 12 patients following total knee arthroplasty, and their corresponding caregivers. Thematic analysis was used to analyze the interview data and to extract themes. Results Three themes and nine subthemes were identified: perceptions (divergent views on the safety of functional exercise; redistribution of authority and co-construction of trust; overcoming kinesiophobia as contingent on perceived rehabilitation improvement; and the unseen weight of financial and emotional strain); experiences (empathy and mutual growth; from understanding to accompaniment; from frustration to perseverance); and needs (guidance on rehabilitation exercises; expectations regarding communication and collaboration). Conclusion Although perceptions of kinesiophobia diverged among patients, caregivers, and healthcare providers, the three groups showed convergence in their rehabilitation needs and experiences. A collaborative intervention strategy centered on shared decision-making and integrating the perspectives of patients, caregivers, and healthcare providers is recommended to optimize rehabilitation management following total knee arthroplasty.

Health care · Intervention (counseling) · Modalities · Perception · Qualitative research · Thematic analysis · Knee injuries and reconstruction techniques · Osteoarthritis Treatment and Mechanisms · Rehabilitation · Total Knee Arthroplasty Outcomes

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