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A Qualitative Study on Prehabilitation before Total Hip and Knee Arthroplasties: Integration of Patients’ and Clinicians’ Perspectives

Author

Listed:
  • Somayyeh Mohammadi

    (Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
    Department of Psychology, Kingston University, London KT1 2EE, UK)

  • Holly Reid

    (Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
    Rehabilitation Research Program, GF Strong Rehabilitation Centre, Vancouver, BC V5Z 2G9, Canada)

  • Wendy Watson

    (Vancouver Coastal Health, Vancouver, BC V5Z 1A1, Canada)

  • Morag Crocker

    (Vancouver Coastal Health, Vancouver, BC V5Z 1A1, Canada)

  • Julie M. Robillard

    (BC Children’s and Women’s Hospital, Vancouver, BC V6H 3N1, Canada
    Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada)

  • Marie Westby

    (Vancouver Coastal Health, Vancouver, BC V5Z 1A1, Canada
    Centre for Hip Health and Mobility, University of British Columbia, Vancouver, BC V5Z 1M9, Canada)

  • William C. Miller

    (Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
    Rehabilitation Research Program, GF Strong Rehabilitation Centre, Vancouver, BC V5Z 2G9, Canada)

Abstract

To explore and integrate the perspectives of patients with hip and knee osteoarthritis (OA), their caregivers, and clinicians who are working with these patients about current preoperative rehabilitation (“prehab”) content and delivery. Participants were individuals with hip ( n = 46) or knee OA ( n = 14), their family caregivers ( n = 16), and clinicians working with patients with hip/knee OA ( n = 15). In semi-structured interviews and focus groups, participants answered questions regarding barriers to accessing prehab, gaps in prehab content, learning preferences, and delivery formats. Interviews were audiotaped and transcribed verbatim. Data were analyzed using Qualitative Description method. Four main themes were identified: (1) “I didn’t get any of that” discusses barriers in accessing prehab; (2) “I never got a definitive answer” highlights necessary information in prehab; (3) “better idea of what’s going to happen” emphasizes the positive and negative aspects of prehab; (4) “a lot of people are shifting to online” describes participants’ perspectives on online education. Our findings confirm the need for prehab education and the potential of online prehab education. The results inform the development of prehab educational modules based on users’ input.

Suggested Citation

  • Somayyeh Mohammadi & Holly Reid & Wendy Watson & Morag Crocker & Julie M. Robillard & Marie Westby & William C. Miller, 2021. "A Qualitative Study on Prehabilitation before Total Hip and Knee Arthroplasties: Integration of Patients’ and Clinicians’ Perspectives," Disabilities, MDPI, vol. 1(4), pages 1-16, October.
    • Handle: RePEc:gam:jdisab:v:1:y:2021:i:4:p:25-376:d:659777
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