{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T00:54:23Z","timestamp":1793321663377,"version":"4.5.0"},"reference-count":74,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFB4700805"],"award-info":[{"award-number":["2022YFB4700805"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,12,20]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the potential classification of kinesiophobia in patients after cardiac surgery under extracorporeal circulation from a psychosocial perspective, and analyse the characteristic differences among different latent levels of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>This is a cross-sectional study of Chinese adults after cardiac surgery under extracorporeal circulation, aged 18 years and older, recruited from a tertiary hospital in North China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study uses latent profile analysis to identify potential classifications of kinesiophobia in questionnaires from 348 patients undergoing cardiac surgery under extracorporeal circulation. Multiple logistic regression analysis was used to evaluate the influencing factors at different latent classifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average performance of each indicator in Model 3 is best suited for analysis, Entropy=0.873\u2009and bootstrap likelihood ratio test (p)\uff1c0.0001. The result of regression equation shows postoperative time (p&lt;0.001), age, self-efficacy, pain and social support level (p&lt;0.05) were the factors influencing the potential profile classification of patients after cardiac surgery under extracorporeal circulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study identified three distinct classifications of patients: the low kinesiophobia group, the moderate kinesiophobia\u2014high-risk perceived symptoms group and the high kinesiophobia\u2014high exercise avoidance group (HK-HEAG). Addressing kinesiophobia, especially in older male patients during the early postoperative period, is crucial. Enhancing self-efficacy seems effective in reducing kinesiophobia, while increasing social support may not be as beneficial for the HK-HEAG. These findings provide a basis for implementing preventive interventions in cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>The research is registered with the Chinese Clinical Trial Registry (ChiCTR2200057895).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-083909","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T00:45:19Z","timestamp":1737679519000},"page":"e083909","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Classification of kinesiophobia in patients after cardiac surgery under extracorporeal circulation in China: latent profile and influencing factors analysis from a cross-sectional study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4898-8277","authenticated-orcid":false,"given":"Wenhui","family":"Xing","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Sixth Medical Centre of PLA General Hospital, Beijing, China"},{"name":"Hebei University of Chinese Medicine, Shijiazhuang, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2022-5947","authenticated-orcid":false,"given":"Jing Jing","family":"Piao","sequence":"additional","affiliation":[{"name":"Kobe University Graduate School of Health Sciences, Kobe, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Sixth Medical Centre of PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujing","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Sixth Medical Centre of PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5940-8428","authenticated-orcid":false,"given":"Qi","family":"Li","sequence":"additional","affiliation":[{"name":"Hebei University of Chinese Medicine, Shijiazhuang, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanmei","family":"Gu","sequence":"additional","affiliation":[{"name":"Hebei University of Chinese Medicine, Shijiazhuang, Hebei, China"},{"name":"Hebei Key Laboratory of Health Care with Traditional Chinese Medicine, Shijiazhuang, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Sixth Medical Centre of PLA General Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"2025081402520819000_15.1.e083909.1","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1080\/09593985.2016.1229828","article-title":"Kinesiophobia mediates the influences on attendance at exercise-based cardiac rehabilitation in patients with coronary artery disease","volume":"32","author":"B\u00e4ck","year":"2016","journal-title":"Physiother Theory Pract"},{"key":"2025081402520819000_15.1.e083909.2","unstructured":"Kinesiophobia as a Problem in Adherence to Physical Activity Recommendations in Elderly Polish Patients with Coronary Artery Disease. PPA 2019."},{"key":"2025081402520819000_15.1.e083909.3","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1001\/jama.2019.8604","article-title":"Although Cardiac Rehab Saves Lives, Few Eligible Patients Take Part","volume":"322","author":"Rubin","year":"2019","journal-title":"JAMA"},{"key":"2025081402520819000_15.1.e083909.4","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-017-0512-7"},{"key":"2025081402520819000_15.1.e083909.5","doi-asserted-by":"crossref","DOI":"10.1186\/1479-5868-9-140","article-title":"\u201cI don\u2019t have the heart\u201d: a qualitative study of barriers to and facilitators of physical activity for people with coronary heart disease and depressive symptoms","volume":"9","author":"Rogerson","year":"2012","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2025081402520819000_15.1.e083909.6","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1002\/clc.22682","article-title":"Scared for the scar: fearsome impact of acute cardiovascular disease on perceived kinesiophobia (fear of movement)","volume":"40","author":"Brunetti","year":"2017","journal-title":"Clin Cardiol"},{"key":"2025081402520819000_15.1.e083909.7","first-page":"63","article-title":"The status quo and influencing factors of kinesiophobia among first-onset Acute Myocardial Infarction","volume":"22","author":"WANG Yaxin","year":"2022","journal-title":"Chin Nurs Manag"},{"key":"2025081402520819000_15.1.e083909.8","first-page":"408","article-title":"The status and influencing factors of kinesiophobia in elderly patients with chronic heart failure","volume":"57","author":"Jingwen","year":"2022","journal-title":"Chin J Nurs"},{"key":"2025081402520819000_15.1.e083909.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.12.107"},{"key":"2025081402520819000_15.1.e083909.10","doi-asserted-by":"publisher","DOI":"10.5606\/TFTRD.2021.5164"},{"key":"2025081402520819000_15.1.e083909.11","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.12998\/wjcc.v9.i8.1761","article-title":"Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases","volume":"9","author":"Winnige","year":"2021","journal-title":"World J Clin Cases"},{"key":"2025081402520819000_15.1.e083909.12","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-021-00611-7"},{"key":"2025081402520819000_15.1.e083909.13","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1097\/HCO.0000000000000895","article-title":"Cardiac rehabilitation for coronary artery disease: latest updates","volume":"36","author":"Epstein","year":"2021","journal-title":"Curr Opin Cardiol"},{"key":"2025081402520819000_15.1.e083909.14","article-title":"Exercise-based cardiac rehabilitation for adults after heart valve surgery","volume":"5","author":"Abraham","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"2025081402520819000_15.1.e083909.15","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1001\/jamacardio.2019.4032","article-title":"Association of Cardiac Rehabilitation With Decreased Hospitalization and Mortality Risk After Cardiac Valve Surgery","volume":"4","author":"Patel","year":"2019","journal-title":"JAMA Cardiol"},{"key":"2025081402520819000_15.1.e083909.16","doi-asserted-by":"publisher","DOI":"10.1177\/2047487320913379"},{"key":"2025081402520819000_15.1.e083909.17","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1177\/2047487320924912","article-title":"Standardization and quality improvement of secondary prevention through cardiovascular rehabilitation programmes in Europe: The avenue towards EAPC accreditation programme: A position statement of the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology (EAPC)","volume":"28","author":"Abreu","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"2025081402520819000_15.1.e083909.18","doi-asserted-by":"crossref","first-page":"4191","DOI":"10.1093\/eurheartj\/ehaa501","article-title":"Recommendations for participation in competitive sport in adolescent and adult athletes with Congenital Heart Disease (CHD): position statement of the Sports Cardiology & Exercise Section of the European Association of Preventive Cardiology (EAPC), the European Society of Cardiology (ESC) Working Group on Adult Congenital Heart Disease and the Sports Cardiology, Physical Activity and Prevention Working Group of the Association for European Paediatric and Congenital Cardiology (AEPC)","volume":"41","author":"Budts","year":"2020","journal-title":"Eur Heart J"},{"key":"2025081402520819000_15.1.e083909.19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-072170"},{"key":"2025081402520819000_15.1.e083909.20","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1093\/eurjcn\/zvac075","article-title":"Fear of movement and its associated psychosocial factors in heart failure patients: a cross-sectional study","volume":"22","author":"Zhang","year":"2023","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2025081402520819000_15.1.e083909.21","first-page":"257","article-title":"White book of Chinese cardiovascular surgery and extracorporeal circulation in 2020","volume":"19","author":"xiaotong","year":"2021","journal-title":"Chin J Extracorp Circ"},{"key":"2025081402520819000_15.1.e083909.22","doi-asserted-by":"crossref","first-page":"111150","DOI":"10.1016\/j.jclinane.2023.111150","article-title":"The effect of driving pressure-guided versus conventional mechanical ventilation strategy on pulmonary complications following on-pump cardiac surgery: A randomized clinical trial","volume":"89","author":"Li","year":"2023","journal-title":"J Clin Anesth"},{"key":"2025081402520819000_15.1.e083909.23","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/j.bja.2020.12.039","article-title":"Lung recruitment in the prone position after cardiac surgery: a randomised controlled study","volume":"126","author":"Martinsson","year":"2021","journal-title":"Br J Anaesth"},{"key":"2025081402520819000_15.1.e083909.24","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.athoracsur.2022.12.031","article-title":"Low-Dose vs Standard Warfarin After Mechanical Mitral Valve Replacement: A Randomized Trial","volume":"115","author":"Chu","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"2025081402520819000_15.1.e083909.25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.physio.2016.08.003","article-title":"Effects of early mobilisation in patients after cardiac surgery: a systematic review","volume":"103","author":"Ramos Dos Santos","year":"2017","journal-title":"Physiotherapy"},{"key":"2025081402520819000_15.1.e083909.26","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac747"},{"key":"2025081402520819000_15.1.e083909.27","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.ijcard.2022.06.021","article-title":"Factors influencing kinesiophobia during the \u201cblanking period\u201d after radiofrequency catheter ablation in patients with atrial fibrillation by the fear-avoidance model","volume":"363","author":"Ding","year":"2022","journal-title":"Int J Cardiol"},{"key":"2025081402520819000_15.1.e083909.28","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1186\/s12891-022-05679-x","article-title":"Kinesiophobia could affect shoulder function after repair of rotator cuff tears","volume":"23","author":"Wang","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"key":"2025081402520819000_15.1.e083909.29","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-017-0575-4"},{"key":"2025081402520819000_15.1.e083909.30","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.gerinurse.2021.06.010","article-title":"Examining the relationship between elderly patients\u2019 fear of falling after spinal surgery and pain, kinesiophobia, anxiety, depression and the associated factors","volume":"42","author":"Damar","year":"2021","journal-title":"Geriatr Nurs"},{"key":"2025081402520819000_15.1.e083909.31","first-page":"1637","article-title":"Reliability and validity test of Chinese version of the Tampa Scale for Kinesiophobia Heart","volume":"19","author":"LEI Mengjie","year":"2019","journal-title":"Chin Nurs Manag"},{"key":"2025081402520819000_15.1.e083909.32","first-page":"347","article-title":"Instrument development: cardiac diet and exercise self-efficacy","volume":"41","author":"Hickey","year":"1992","journal-title":"Nurs Res"},{"key":"2025081402520819000_15.1.e083909.33","first-page":"6","article-title":"The Chinesization and reliability and validity test of the Cardiac Exercise Self-Efficacy Instrument","volume":"27","author":"Sun Yuxiao","year":"2021","journal-title":"Chin J Mod Nurs"},{"key":"2025081402520819000_15.1.e083909.34","first-page":"315","article-title":"Theoretical basis and research application of social support rating Scale","volume":"39","author":"Shuiyuan","year":"1994","journal-title":"J Clin Psychiatry"},{"key":"2025081402520819000_15.1.e083909.35","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)00125-O"},{"key":"2025081402520819000_15.1.e083909.36","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(96)00216-4"},{"key":"2025081402520819000_15.1.e083909.37","doi-asserted-by":"publisher","DOI":"10.2196\/25079"},{"key":"2025081402520819000_15.1.e083909.38","doi-asserted-by":"crossref","DOI":"10.1111\/ijn.13023","article-title":"Nurse-guided incentive spirometry use and postoperative pulmonary complications among cardiac surgery patients: A randomized controlled trial","volume":"28","author":"Alwekhyan","year":"2022","journal-title":"Int J Nurs Pract"},{"key":"2025081402520819000_15.1.e083909.39","unstructured":"Shruti Prabhakaran Nair RH , Vijayendra R . Evaluation of Fear Avoidance Belief and Kinesiophobia in Patients after Undergoing InPatient Cardiac Rehabilitation Post Cardiac Surgery. Int J Health Sci Res 2018."},{"key":"2025081402520819000_15.1.e083909.40","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/S0140-6736(20)30631-0","article-title":"Dexmedetomidine for reduction of atrial fibrillation and delirium after cardiac surgery (DECADE): a randomised placebo-controlled trial","volume":"396","author":"Turan","year":"2020","journal-title":"Lancet"},{"key":"2025081402520819000_15.1.e083909.41","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1001\/jama.2022.10725","article-title":"Effect of High- vs Low-Dose Tranexamic Acid Infusion on Need for Red Blood Cell Transfusion and Adverse Events in Patients Undergoing Cardiac Surgery: The OPTIMAL Randomized Clinical Trial","volume":"328","author":"Shi","year":"2022","journal-title":"JAMA"},{"key":"2025081402520819000_15.1.e083909.42","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2014-306463"},{"key":"2025081402520819000_15.1.e083909.43","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-021-00607-3"},{"key":"2025081402520819000_15.1.e083909.44","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.ijcard.2022.03.003","article-title":"Gender differences in secondary prevention of coronary heart disease: Far from closing the gap","volume":"355","author":"C\u00edfkov\u00e1","year":"2022","journal-title":"Int J Cardiol"},{"key":"2025081402520819000_15.1.e083909.45","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1093\/ejcts\/ezab429","article-title":"Closing the gender gap in cardiac surgery outcomes: more work to be done","volume":"61","author":"Grant","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025081402520819000_15.1.e083909.46","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s12933-021-01233-6","article-title":"Gender differences in screening for glucose perturbations, cardiovascular risk factor management and prognosis in patients with dysglycaemia and coronary artery disease: results from the ESC-EORP EUROASPIRE surveys","volume":"20","author":"Ferrannini","year":"2021","journal-title":"Cardiovasc Diabetol"},{"key":"2025081402520819000_15.1.e083909.47","doi-asserted-by":"crossref","first-page":"4033","DOI":"10.1002\/nop2.1663","article-title":"Translation and psychometric evaluation of a scale to measure the fear of activity in Chinese patients with coronary artery disease","volume":"10","author":"Chen","year":"2023","journal-title":"Nurs Open"},{"key":"2025081402520819000_15.1.e083909.48","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.1093\/ptj\/pzaa159","article-title":"Perceptions of Kinesiophobia in Relation to Physical Activity and Exercise After Myocardial Infarction: A Qualitative Study","volume":"100","author":"B\u00e4ck","year":"2020","journal-title":"Phys Ther"},{"key":"2025081402520819000_15.1.e083909.49","doi-asserted-by":"publisher","DOI":"10.1037\/a0037212"},{"key":"2025081402520819000_15.1.e083909.50","doi-asserted-by":"crossref","first-page":"3001","DOI":"10.1007\/s40279-022-01739-3","article-title":"Kinesiophobia, Knee Self-Efficacy, and Fear Avoidance Beliefs in People with ACL Injury: A Systematic Review and Meta-Analysis","volume":"52","author":"Bullock","year":"2022","journal-title":"Sports Med"},{"key":"2025081402520819000_15.1.e083909.51","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0302-6"},{"key":"2025081402520819000_15.1.e083909.52","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1123\/japa.2021-0409","article-title":"Kinesiophobia and Fear Avoidance in Older Adults: A Scoping Review on the State of Research Activity","volume":"30","author":"Alpalh\u00e3o","year":"2022","journal-title":"J Aging Phys Act"},{"key":"2025081402520819000_15.1.e083909.53","doi-asserted-by":"crossref","first-page":"1826","DOI":"10.1002\/acr.23226","article-title":"Fear of Movement and Associated Factors Among Adults With Symptomatic Knee Osteoarthritis","volume":"69","author":"Gunn","year":"2017","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"2025081402520819000_15.1.e083909.54","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.09.013"},{"key":"2025081402520819000_15.1.e083909.55","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.jsams.2021.07.010","article-title":"Transitory kinesiophobia after sport-related concussion and its correlation with reaction time","volume":"25","author":"Reinking","year":"2022","journal-title":"J Sci Med Sport"},{"key":"2025081402520819000_15.1.e083909.56","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/HCR.0000000000000265","article-title":"Relevance of Kinesiophobia in Relation to Changes Over Time Among Patients After an Acute Coronary Artery Disease Event","volume":"38","author":"B\u00e4ck","year":"2018","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2025081402520819000_15.1.e083909.57","doi-asserted-by":"crossref","first-page":"368","DOI":"10.4097\/kjae.2016.69.4.368","article-title":"An ultrasound-guided fascia iliaca catheter technique does not impair ambulatory ability within a clinical pathway for total hip arthroplasty","volume":"69","author":"Mudumbai","year":"2016","journal-title":"Korean J Anesthesiol"},{"key":"2025081402520819000_15.1.e083909.58","doi-asserted-by":"crossref","first-page":"755378","DOI":"10.3389\/fonc.2021.755378","article-title":"Retrospective Study on the Application of Enhanced Recovery After Surgery Measures to Promote Postoperative Rehabilitation in 50 Patients With Brain Tumor Undergoing Craniotomy","volume":"11","author":"Feng","year":"2021","journal-title":"Front Oncol"},{"key":"2025081402520819000_15.1.e083909.59","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2018.7673","article-title":"Association of Wearable Activity Monitors With Assessment of Daily Ambulation and Length of Stay Among Patients Undergoing Major Surgery","volume":"2","author":"Daskivich","year":"2019","journal-title":"JAMA Netw Open"},{"key":"2025081402520819000_15.1.e083909.60","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-062013"},{"key":"2025081402520819000_15.1.e083909.61","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/papr.12660","article-title":"The Influence of Self-Efficacy, Fear-Avoidance Belief, and Coping Styles on Quality of Life for Chinese Patients with Chronic Nonspecific Low Back Pain: A Multisite Cross-Sectional Study","volume":"18","author":"Du","year":"2018","journal-title":"Pain Pract"},{"key":"2025081402520819000_15.1.e083909.62","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12091"},{"key":"2025081402520819000_15.1.e083909.63","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1093\/humrep\/dex351","article-title":"Health-related knowledge, beliefs and self-efficacy in women with polycystic ovary syndrome","volume":"33","author":"Lin","year":"2018","journal-title":"Hum Reprod"},{"key":"2025081402520819000_15.1.e083909.64","unstructured":"ZYT SY . Influence Path of Self-efficacy and Coping Methods on Self-care Behaviors of Patients with Chronic Cardiac Failure. Nursing J Chin Peoples Lib Army 2017;2023\u201312."},{"key":"2025081402520819000_15.1.e083909.65","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1186\/s13018-022-03116-2","article-title":"Effectiveness of self-efficacy-enhancing interventions on rehabilitation following total hip replacement: a randomized controlled trial with six-month follow-up","volume":"17","author":"Meng","year":"2022","journal-title":"J Orthop Surg Res"},{"key":"2025081402520819000_15.1.e083909.66","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0260128","article-title":"Interaction effect of coping self-efficacy and received support in daily life of hematopoietic cell transplant patient-caregiver dyads","volume":"16","author":"Kroemeke","year":"2021","journal-title":"PLoS ONE"},{"key":"2025081402520819000_15.1.e083909.67","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1016\/j.joca.2022.05.010","article-title":"Comparative effect of two educational videos on self-efficacy and kinesiophobia in people with knee osteoarthritis: an online randomised controlled trial","volume":"30","author":"Egerton","year":"2022","journal-title":"Osteoarthr Cartil"},{"key":"2025081402520819000_15.1.e083909.68","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0254262","article-title":"Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain","volume":"16","author":"Asiri","year":"2021","journal-title":"PLoS ONE"},{"key":"2025081402520819000_15.1.e083909.69","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00242-0"},{"key":"2025081402520819000_15.1.e083909.70","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/j.pain.0000000000001999","article-title":"Psychological and psychosocial predictors of chronic postsurgical pain: a systematic review and meta-analysis","volume":"162","author":"Giusti","year":"2021","journal-title":"Pain"},{"key":"2025081402520819000_15.1.e083909.71","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.gerinurse.2022.12.011","article-title":"The effect of pain social support on kinesiophobia in older patients with rheumatoid arthritis: The mediating role of self-perceived burden","volume":"50","author":"Tan","year":"2023","journal-title":"Geriatr Nurs"},{"key":"2025081402520819000_15.1.e083909.72","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1186\/s12872-020-01783-9","article-title":"Factors related to fear of movement after acute cardiac hospitalization","volume":"20","author":"Keessen","year":"2020","journal-title":"BMC Cardiovasc Disord"},{"key":"2025081402520819000_15.1.e083909.73","first-page":"98","article-title":"The theoretical basis and application of social support questionnaire","volume":"1994","author":"SY","year":"1994","journal-title":"Clin Psychol Med"},{"key":"2025081402520819000_15.1.e083909.74","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1997.1997025095.x"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2024-083909","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T09:52:21Z","timestamp":1755165141000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2024-083909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":74,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,23]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bmjopen-2024-083909"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2024-083909","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}