{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:07:45Z","timestamp":1761664065437,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&R"],"published-print":{"date-parts":[[2025,10]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Surgical intervention for lumbar spinal stenosis (LSS) is common and associated with high rates of postoperative side effects or complications. Prehabilitation programs aim to reduce postoperative complications and enhance outcomes. However, the clinical effectiveness of prehabilitation programs for patients undergoing LSS surgery has yet to be fully investigated. A key part of this investigation is to gain insight into how to design these programs through an iterative process that includes feedback from patients' experiences.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To explore patients' experiences with a novel prehabilitation program: Pre\u2010Operative Spinal Education for Lumbar Spinal Stenosis (POSE\u2010LSS).<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Individual structured telephone interviews with pragmatic qualitative analysis.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Academic medical center.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Patients (\n n<\/jats:italic>\n \u2009=\u200910) who underwent lumbar spinal stenosis surgery and completed the POSE\u2010LSS program prior to their surgery were included (six women; four men, mean age: 62.3\u2009years).\n <\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n POSE\u2010LSS is a novel multimodal, education\u2010focused, time\u2010efficient prehabilitation program for patients undergoing LSS surgery. Participants received the following: (1) educational booklet and video, (2) in\u2010person physical therapy (PT) session, and (3) telemedicine visit with a physiatrist.<\/jats:p>\n <\/jats:sec>\n \n Outcome Measures<\/jats:title>\n One\u2010on\u2010one structured interviews to understand patients' experiences with a LSS prehabilitation program.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Participants in this qualitative study described a favorable, unique, and feasible experience associated with participation in the POSE\u2010LSS program. Three main themes were developed from these interviews about POSE\u2010LSS: (1) it helped patients to better prepare for their surgery and improved postoperative expectations, (2) it addressed modifiable psychological factors associated with the surgical intervention, and (3) it fits into a larger support system necessary to meet patients' needs.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The perspectives gained from this qualitative study can inform improved design and evaluation of LSS prehabilitation programs.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.13388","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T08:37:16Z","timestamp":1745224636000},"page":"1170-1177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative spinal education for lumbar spinal stenosis (\n POSE<\/scp>\n \u2010\n LSS<\/scp>\n ): A qualitative analysis of patient experiences"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2108-0524","authenticated-orcid":false,"suffix":"Jr","given":"James E.","family":"Eubanks","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine and Rehabilitation, Division of Physical Medicine and Rehabilitation Medical University of South Carolina (MUSC) Charleston South Carolina USA"},{"name":"Department of Physical Medicine and Rehabilitation University of Pittsburgh Medical Center (UPMC) Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9344-4537","authenticated-orcid":false,"given":"Jordan A.","family":"Gliedt","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary A.","family":"Cupler","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitative Services Butler VA Health Care System Butler Pennsylvania USA"},{"name":"Institute for Clinical Research Education, University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geronimo","family":"Bejarano","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther R. C.","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery VieCuri Medical Center Venlo The Netherlands"},{"name":"IQ Healthcare Radboud University Medical Center Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Skolasky","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery and Physical Medicine and Rehabilitation Surgical Outcomes Research Center, Johns Hopkins University Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob J. E. M.","family":"Smeets","sequence":"additional","affiliation":[{"name":"Research School CAPHRI, Department of Rehabilitation Medicine Maastricht University and CIR Revalidatie Eindhoven The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmed.2019\u20100257"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945914551006"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00015"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12956"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2013.08.008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzz020"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010020\u201006339\u20101"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010264.pub2"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.014420"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.13140"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010011\u20101102\u2010x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/2059799120937242"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/socsci8090255"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010020\u201006661\u20108"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974\u20108237.161589"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.3344\/kjp.2020.33.1.40"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2020.0402"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010019\u201048736\u20107"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201090537\u20104"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arrct.2022.100227"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.47.4.258"}],"container-title":["PM&R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.13388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T14:54:27Z","timestamp":1761663267000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.13388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,21]]},"references-count":24,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/pmrj.13388"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.13388","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"type":"print","value":"1934-1482"},{"type":"electronic","value":"1934-1563"}],"subject":[],"published":{"date-parts":[[2025,4,21]]},"assertion":[{"value":"2024-06-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}