Patient perspectives on home-based rehabilitation exercise and general physical activity after total hip arthroplasty: A qualitative study (PHETHAS-2) [version 2; peer review: 2 approved with reservations]

Anne Grøndahl Poulsen ; Janni Dahlgaard Gravesen ; et al.

In: F1000Research, Jg. 10 (2022-02-04), S. 382

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Zugriff:

Background: Home-based rehabilitation exercise following Total Hip Arthroplasty (THA) shows similar outcomes compared to supervised outpatient rehabilitation exercise. Little is known about patients' experiences with home-based rehabilitation, and this study aimed to investigate how patients perceived home-based rehabilitation exercise and general physical activity after THA, focusing on facilitators and barriers. Methods: Semi-structured interviews of qualitative design were conducted with 22 patients who had undergone THA and who had performed home-based rehabilitation exercise. The study took place in a regional hospital in Denmark between January 2018 and May 2019. Data were analyzed using an interpretive thematic analysis approach, with theoretical underpinning from the concept ‘conduct of everyday life’. The study is embedded within the Pragmatic Home-Based Exercise Therapy after Total Hip Arthroplasty-Silkeborg trial (PHETHAS-1). Results: The main theme, ‘wishing to return to the well-known everyday life’, and the subtheme ‘general physical activity versus rehabilitation exercise’ were identified. Generally, participants found the home-based rehabilitation exercise boring but were motivated by the goal of returning to their well-known everyday life and performing their usual general physical activities. Participants enrolled in the PHETHAS-1 study used the enrollment as part of their motivation for doing the exercises. Both pain and the absence of pain were identified as barriers for doing home-based rehabilitation exercise. Pain could cause insecurity about possible medical complications, while the absence of pain could lead to the rehabilitation exercise being perceived as pointless. Conclusions: The overall goal of returning to the well-known everyday life served as a facilitator for undertaking home-based rehabilitation exercise after THA along with the flexibility regarding time and place for performing exercises. Boring exercises as well as both pain and no pain were identified as barriers to the performance of home-based rehabilitation exercise. Participants were motivated towards performing general physical activities which were part of their everyday life.

Titel:	Patient perspectives on home-based rehabilitation exercise and general physical activity after total hip arthroplasty: A qualitative study (PHETHAS-2) [version 2; peer review: 2 approved with reservations]
Autor/in / Beteiligte Person:	Anne Grøndahl Poulsen ; Janni Dahlgaard Gravesen ; Merete Nørgaard Madsen ; Lone Ramer Mikkelsen ; Bandholm, Thomas ; Camilla Blach Rossen
Link:	View record at F1000Research (Volltext)
Zeitschrift:	F1000Research, Jg. 10 (2022-02-04), S. 382
Veröffentlichung:	London, UK: F1000 Research Limited, 2022
Medientyp:	academicJournal
ISSN:	2046-1402 (print)
DOI:	10.12688/f1000research.51684.2
Schlagwort:	Research Article Articles total hip arthroplasty rehabilitation qualitative research patient perspective
Sonstiges:	Nachgewiesen in: F1000Research Document Type: research-article Author Affiliations: 1 = Research Unit, Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, 8600, Denmark ; 2 = Department of Clinical Medicine, Aarhus University, Aarhus, 8000, Denmark ; 3 = Physical Medicine & Rehabilitation Research – Copenhagen (PMR-C), Department of Physical and Occupational Therapy, Clinical Research Center and Department of Orthopedic Surgery, Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, 2650, Denmark Rights: Copyright: © 2022 Poulsen AG et al. Notes: Revised Amendments from Version 1 The article has been adjusted to meet reviewer's comments on the article. The aim is slightly reworded and a more detailed description of the recruitment process is added. We have added a table (table 2) to the results section presenting more clearly the barriers and facilitators towards home-based rehabilitation exercise after THA, that were identified in the data. Also we have generally supplemented the results section with clarifications regarding barriers and facilitators. The discussion section is extensively edited. We have supplemented with a passage regarding motivation theory and a passage regarding pain/no pain as barriers for home-based rehabilitation exercise. Also, a perspectives section have been added to the discussion including implications for practice as well as for further research. The strengths and limitations section has been elaborated on, focusing on transferability and possible implications on different settings for the interviews conducted. ; [version 2; peer review: 2 approved with reservations]

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