{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:10:12Z","timestamp":1786122612301,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005111","name":"Rigshospitalet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005111","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007437","name":"TrygFonden","doi-asserted-by":"publisher","award":["125410"],"award-info":[{"award-number":["125410"]}],"id":[{"id":"10.13039\/501100007437","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004928","name":"Danske Fysioterapeuter","doi-asserted-by":"publisher","award":["16200"],"award-info":[{"award-number":["16200"]}],"id":[{"id":"10.13039\/501100004928","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008368","name":"Gigtforeningen","doi-asserted-by":"publisher","award":["R155\u2010A4833"],"award-info":[{"award-number":["R155\u2010A4833"]}],"id":[{"id":"10.13039\/100008368","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008368","name":"Gigtforeningen","doi-asserted-by":"publisher","award":["R161\u2010A5294"],"award-info":[{"award-number":["R161\u2010A5294"]}],"id":[{"id":"10.13039\/100008368","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008218","name":"Gangstedfonden","doi-asserted-by":"publisher","award":["A40261"],"award-info":[{"award-number":["A40261"]}],"id":[{"id":"10.13039\/501100008218","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Purpose<\/jats:title>\n                    <jats:p>In patients undergoing lumbar spinal fusion, a randomised controlled trial examined the effect of an early cognitive behavioural rehabilitation intervention designed to reduce sedentary behaviour. The intervention consisted of graded activity and pain education (GAPE). The objective of this qualitative study was to explore participants' experiences with GAPE following the three\u2010month intervention period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed an interpretive qualitative design. Participants were purposefully recruited 3\u00a0months post\u2010surgery. Semi\u2010structured individual interviews were conducted, and data were analysed using a Template Analysis approach by a research group adopting an intermediate epistemological stance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 11 participants were included. Based on the data, a final template was developed comprising four themes and associated subthemes: (1)\n                      <jats:italic>An angel in the house post\u2010surgery<\/jats:italic>\n                      , (2)\n                      <jats:italic>Embodied experiences and regaining control<\/jats:italic>\n                      , (3)\n                      <jats:italic>Master in my own house<\/jats:italic>\n                      , and (4)\n                      <jats:italic>Bridging personalised rehabilitation across settings<\/jats:italic>\n                      . The study showed that GAPE provided meaningful support during the early post\u2010surgical period after lumbar spinal fusion. Important factors included individually formulated goals, a strong therapeutic alliance, appropriate timing, and graded activity. These components helped participants understand their bodies and pain, thereby enhancing their safety and bodily confidence. Trusting relationships with physiotherapists and home\u2010based sessions made rehabilitation both manageable and personally meaningful.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Overall, GAPE supported participants' early recovery after lumbar spinal fusion by combining personalised goals, trusting therapeutic relationships, and home\u2010based, graded activity, thereby enhancing bodily confidence and making rehabilitation manageable and meaningful. Strengths of the study include participant diversity and a reflexive, multidisciplinary research team, which strengthened data richness and transparency. However, the overrepresentation of highly educated participants and researcher involvement in intervention development may limit generalisability and introduce potential bias.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70282","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T23:25:42Z","timestamp":1783985142000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018It Felt Safe\u2019. Experiences With an Early Cognitive Behavioural Approach After Lumbar Spinal Surgery: A Qualitative Study of Participants' Perspectives"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3408-353X","authenticated-orcid":false,"given":"Heidi","family":"Tegner","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy Rigshospitalet  Glostrup Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6060-2148","authenticated-orcid":false,"given":"Ida Wentzel","family":"Winther","sequence":"additional","affiliation":[{"name":"Educational Anthropology Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9195-7278","authenticated-orcid":false,"given":"Nanna","family":"Rolving","sequence":"additional","affiliation":[{"name":"Physical and Occupational Therapy Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Public Health Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8948-9863","authenticated-orcid":false,"given":"Dorte Barfred","family":"Stisen","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy Rigshospitalet  Glostrup Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7100-9044","authenticated-orcid":false,"given":"Mette","family":"Errebo","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy and Physiotherapy Rigshospitalet  Glostrup Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5331-8221","authenticated-orcid":false,"given":"Bente Appel","family":"Esbensen","sequence":"additional","affiliation":[{"name":"Copecare (Copenhagen Center for Arthritis Research), Centre for Rheumatology and Spine Diseases Rigshospitalet  Glostrup Denmark"},{"name":"Department of Clinical Medicine Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1365\u20102648.1996.TB00041.X"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00586\u2010022\u201007158\u20102"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2014.955224"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard\u20102024\u2010225566"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_12_7_1","first-page":"1","volume-title":"Fordyce\u2019s Behavioral Methods for Chronic Pain and Illness\u2014Republished With Invited Commentaries","author":"Fordyce W. 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