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.
Highlights
Patients can experience high levels of anxiety before and after major elective surgeries [1]
The evidence showed that prehab for patients with hip and knee OA can reduce the length of stay and hospitalization
The second sample consisted of 14 participants with knee OA
Summary
Patients can experience high levels of anxiety before and after major elective surgeries [1]. The main aim of prehab is to alleviate the anxiety before surgery and increase feelings of control in patients by prepare patients for surgery, surgical procedures, potential complications, and pre- and postoperative care and rehabilitation [3,4,5]. While various forms of prehab exist, the most common form of prehab involves exercise training and education [3,4]. Osteoarthritis (OA) is the most common joint disorder and one of the leading causes of pain and disability in adults [6]. When patients do not benefit from conservative treatments, total hip/knee arthroplasty (THA/TKA) is recommended [9]. The evidence showed that prehab for patients with hip and knee OA can reduce the length of stay and hospitalization
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