{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:58:46Z","timestamp":1791467926399,"version":"4.3.4"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prehabilitation aims to increase functional capacity and physiological reserve prior to surgery, to improve post\u2010operative outcomes. Despite growing research on prehabilitation for total hip arthroplasty (THA) and total knee arthroplasty (TKA), its acceptability and barriers and enablers to implementation in clinical settings are not well understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study, involving patients and healthcare professionals (HCPs), aimed to explore the acceptability of prehabilitation, identify factors affecting prehabilitation access, uptake and delivery, and investigate perspectives on feasible and preferred care models, and prehabilitation content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with patients who had undergone or were awaiting THA or TKA and HCPs involved in their care at a public hospital in Melbourne, Australia. Interview guides were informed by the Theoretical Framework of Acceptability and the Theoretical Domains Framework. Data were analysed using an inductive\u2010deductive approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty interviews were completed with patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a015) and HCPs (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a015). Three major concepts emerged: (1)\n                      <jats:italic>Understanding and beliefs<\/jats:italic>\n                      \u2014while knowledge varied, prehabilitation was generally viewed as acceptable and beneficial; (2)\n                      <jats:italic>Barriers and enablers<\/jats:italic>\n                      \u2014factors influencing uptake and delivery were identified at three levels of care; patient\u2010level (e.g.,\u00a0mindset), HCP\u2010level (e.g.,\u00a0confidence discussing prehabilitation with patients), and system\u2010level (e.g.,\u00a0long surgical waitlists making prehabilitation timing challenging); (3)\n                      <jats:italic>Strategies for success<\/jats:italic>\n                      \u2014both groups emphasised tailored prehabilitation, multi\u2010modal delivery, and support throughout the surgical pathway as important intervention components.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study identified factors influencing acceptability, uptake, and delivery of prehabilitation at various care levels. The findings will inform the development of a flexible, stakeholder\u2010informed prehabilitation model to empower and optimise patients prior to THA and TKA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70266","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T13:16:09Z","timestamp":1791465369000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Prehabilitation Should Adapt to the Person, not the Other Way Around\u2019: A Qualitative Study Exploring Stakeholder Perceptions of Prehabilitation for Total Hip and Knee Arthroplasty"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8791-761X","authenticated-orcid":false,"given":"N.","family":"Burgess","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Melbourne School of Health Sciences University of Melbourne  Melbourne Victoria 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