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Although it is important to understand their perceptions and beliefs toward disease to prevent and manage osteoarthritis (OA) through conservative care, this topic has not been investigated in Japanese people with knee OA. Therefore, this qualitative study aims to clarify how Japanese patients with knee OA experience and perceive their symptoms and disabilities, and how they face them during conservative care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were recruited by purposive sampling. Face-to-face, semi-structured interviews were conducted with nine patients (2 men and 7 women; mean age, 74.3\u2009\u00b1\u20095.5\u2009years) with knee OA until data saturation was reached. Interview data comprised participants\u2019 accounts of particular personal experiences of living with knee OA, including their perceptions and attitudes toward knee OA-related symptoms and disabilities. Two physiotherapists (one with extensive experience conducting qualitative studies) and four physiotherapy students conducted the interviews. Recorded interview data were transcribed verbatim in Japanese. Data analysis, including developing a coding scheme, was conducted based on a grounded theory approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two core categories were extracted from the data: \u2018Negative experiences\u2019 and \u2018Coping with difficulties\u2019. \u2018Negative experiences\u2019 included three main categories: \u2018Self-analysis on the cause of knee OA\u2019, \u2018Difficulties in daily life due to knee symptoms\u2019, and \u2018Psychological barrier\u2019. \u2018Coping with difficulties\u2019 included three main categories: \u2018How to deal with knee pain and difficulty in moving\u2019, \u2018Information considered useful to cope with knee OA\u2019 and \u2018Importance of connecting with others\u2019. Japanese patients with knee OA desired evidence-based information and to connect with other people in the same situation to solve problems related to their condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To address patients\u2019 concerns, medical professionals should conduct careful interviews and obtain information regarding patients\u2019 past experiences, and understand their experiences related to knee OA. Symptoms and difficulties experienced by patients with knee OA should be managed by evidence-based information integrating their perceptions and beliefs toward knee OA.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12891-021-04641-7","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T18:04:52Z","timestamp":1630692292000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Perceptions, beliefs, and needs of Japanese people with knee osteoarthritis during conservative care: a qualitative study"],"prefix":"10.1186","volume":"22","author":[{"given":"Daisuke","family":"Uritani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akane","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Shironoki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Matsubata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuto","family":"Mutsura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadashi","family":"Fujii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"4641_CR1","doi-asserted-by":"publisher","first-page":"698709","DOI":"10.1155\/2012\/698709","volume":"2012","author":"A Chen","year":"2012","unstructured":"Chen A, Gupte C, Akhtar K, Smith P, Cobb J. 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Permission to record the interviews and written informed consent were obtained from all participants before inclusion in the study. A concern when collecting data from patients is that they may feel vulnerable when sharing their experiences with medical staff of the facilities they attend. This potential harm was removed as interviews were conducted by researchers independent of the facilities, and the interview data were transcribed as anonymous data only by the researchers.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"754"}}