{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T06:19:46Z","timestamp":1783059586616,"version":"3.54.6"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the congruence and divergence in perceptions, needs, and experiences regarding kinesiophobia management among patients, caregivers, and healthcare providers following total knee arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using purposive sampling, semi-structured interviews were conducted with 12 healthcare providers, 12 patients following total knee arthroplasty, and their corresponding caregivers. Thematic analysis was used to analyze the interview data and to extract themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes and nine subthemes were identified: perceptions (divergent views on the safety of functional exercise; redistribution of authority and co-construction of trust; overcoming kinesiophobia as contingent on perceived rehabilitation improvement; and the unseen weight of financial and emotional strain); experiences (empathy and mutual growth; from understanding to accompaniment; from frustration to perseverance); and needs (guidance on rehabilitation exercises; expectations regarding communication and collaboration).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although perceptions of kinesiophobia diverged among patients, caregivers, and healthcare providers, the three groups showed convergence in their rehabilitation needs and experiences. A collaborative intervention strategy centered on shared decision-making and integrating the perspectives of patients, caregivers, and healthcare providers is recommended to optimize rehabilitation management following total knee arthroplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1861297","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:38:40Z","timestamp":1783057120000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions, needs, and experiences of kinesiophobia management after total knee arthroplasty: a qualitative study from the perspectives of patients, caregivers, and healthcare providers"],"prefix":"10.3389","volume":"14","author":[{"given":"Shuoni","family":"Ren","sequence":"first","affiliation":[{"name":"School of Nursing, Zhejiang Chinese Medical University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya'Nan","family":"Kan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine)","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Zhejiang Chinese Medical University","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine)","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuying","family":"Ye","sequence":"additional","affiliation":[{"name":"Trade Union, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine)","place":["Hangzhou, Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"C54","DOI":"10.12968\/hmed.2018.79.4.C54","article-title":"Osteoarthritis and arthroplasty of the hip and knee","volume":"79","author":"Robinson","year":"2018","journal-title":"Br J Hosp Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2858","DOI":"10.1016\/j.arth.2018.04.028","article-title":"Incidence and risk factors of kinesiophobia after total knee arthroplasty in Zhengzhou, China: a cross-sectional study","volume":"33","author":"Cai","year":"2018","journal-title":"J Arthroplast"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"3322","DOI":"10.1007\/s00167-015-3898-8","article-title":"Patient kinesiophobia affects both recovery time and final outcome after total knee arthroplasty","volume":"24","author":"Filardo","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/s0304-3959(99)00242-0","article-title":"Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art","volume":"85","author":"Vlaeyen","year":"2000","journal-title":"Pain"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.1111\/hsc.13299","article-title":"The use of control - the actions of informal carers on those at risk from falling at home. 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