{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:56:12Z","timestamp":1790618172155,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"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":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psychological prehabilitation aims to prepare patients for cancer treatment, yet psychological readiness is under\u2010specified and distress during and after treatment is common. A patient\u2010informed account of readiness is needed to guide readiness\u2010focused, proactive psychological support in cancer care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine patients' experiences of psychological readiness for cancer surgery across the prehabilitation\u2013treatment pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used a longitudinal qualitative design. Ten adults enroled in a tertiary cancer prehabilitation service for major elective surgery completed semi\u2010structured interviews before surgery (T1) and after surgery (T2). We analysed data using Reflexive Thematic Analysis with an inductive, semantic approach, and compared change and stability across time points using a longitudinal analytic matrix.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants described psychological readiness as developing a future\u2010focused \u201cmindset to have surgery\u201d, comprising three interrelated elements that were stable from T1 to T2: confidence, motivation, and contained anxiety, that is, anxiety that remained expected and manageable rather than absent or overwhelming. Three processes shaped this mindset.\n                      <jats:bold>Reliable and complete information<\/jats:bold>\n                      from professionals and credible peers supported clearer and more concrete expectations, increased confidence, and helped keep anxiety manageable. Participants preferred candid information about plausible difficulties over reassurance that downplayed them.\n                      <jats:bold>Reciprocal<\/jats:bold>\n                      <jats:bold>support<\/jats:bold>\n                      from family, peers, and professionals strengthened motivation and reduced loneliness. Readiness could be held back when participants found it difficult to tell loved ones about their diagnosis.\n                      <jats:bold>Agency<\/jats:bold>\n                      developed through drawing on personal resources and taking controllable steps, including making progress visible through prehabilitation activity and staff encouragement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings identify provisional, patient\u2010informed targets for psychological preparation within multimodal prehabilitation. They provide a foundation to operationalise and measure readiness and, following work on transferability, co\u2010production and feasibility, to test whether readiness\u2010focused support in prehabilitation is associated with post\u2010operative adjustment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70594","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:33:18Z","timestamp":1787981598000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Readiness for Surgery Through Prehabilitation and Treatment: A Longitudinal Qualitative Study"],"prefix":"10.1002","volume":"35","author":[{"given":"Aniqa","family":"Hussain","sequence":"first","affiliation":[{"name":"University of Lincoln  Lincoln UK"},{"name":"Lincolnshire Partnership Foundation NHS Trust  Lincoln UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6466-4960","authenticated-orcid":false,"given":"Thomas","family":"Schroder","sequence":"additional","affiliation":[{"name":"University of Nottingham  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Rennoldson","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals NHS Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8253-2208","authenticated-orcid":false,"given":"Michael","family":"Baliousis","sequence":"additional","affiliation":[{"name":"University of Lincoln  Lincoln UK"},{"name":"University of Nottingham  Nottingham UK"},{"name":"Nottingham University Hospitals NHS Trust  Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010032620\u2010031757"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2023.101155"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6205"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j108"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.22.00555"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2018.3181"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4099"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(22)00242\u20102"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.38301"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102942"},{"key":"e_1_2_13_12_1","doi-asserted-by":"crossref","unstructured":"Department of Health and Social Care.10 Year Health Plan for England: Fit for the Future (2025).","DOI":"10.12968\/jokc.2025.10.5.212"},{"key":"e_1_2_13_13_1","unstructured":"World Health Organisation.Comprehensive Mental Health Action Plan 2013\u20102030 (2021)."},{"key":"e_1_2_13_14_1","unstructured":"Department of Health and Social Care.National Cancer Plan for England (2026)."},{"key":"e_1_2_13_15_1","unstructured":"Macmillan Cancer Support \u201cPrehabilitation for People With Cancer: Clinical and Implementation Guidelines [Internet] \u201d(2025) https:\/\/www.macmillan.org.uk\/healthcare\u2010professionals\/cancer\u2010pathways\/prehabilitation."},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2022.09.016"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010023\u201014192\u2010x"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.48252\/JCR45"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.16513"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40140\u2010021\u201000505\u2010x"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14507"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010023\u201014853\u2010x"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/1750984X.2022.2081929"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010020122\u2010041854"},{"key":"e_1_2_13_25_1","unstructured":"M.Baliousis L.Calman M.Grainge et\u00a0al. Psychological Mechanisms Predicting Future Distress in Cancer: A Rapid Review of Prospective Studies (2025) https:\/\/doi.org\/10.6084\/m9.figshare.28736126."},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2022.2053106"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010022\u201001732\u20104"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/tct.13203"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME\u2010D\u201021\u201000752.1"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2017.1375091"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12288"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0963\u20107214.2005.00355.x"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2024.102392"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35182"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15949"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70594","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.70594","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.70594","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:01:39Z","timestamp":1790614899000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.70594"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":36,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/pon.70594"],"URL":"https:\/\/doi.org\/10.1002\/pon.70594","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]},"assertion":[{"value":"2026-03-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70594"}}