{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:13:37Z","timestamp":1788416017310,"version":"build-2803163510"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"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>Background<\/jats:title>\n                    <jats:p>This study aimed to investigate postoperative patients\u2019 knowledge, attitudes, and practice (KAP) regarding spinal degenerative diseases and rehabilitation training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center cross-sectional study was conducted from July 1, 2025, to September 30, 2025, at Beijing Jishuitan Hospital, Capital Medical University. The questionnaire was developed through two rounds of Delphi consultation with seven experts, pilot-tested in 35 patients, and evaluated using confirmatory factor analysis (CFA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 382 included patients (median age, 59\u202fyears [P25, P75: 49, 66]; 54.5% male), the median (P25, P75) knowledge, attitude, and practice scores were 21 (14, 28) (possible range: 0\u201339), 43 (40, 49) (10\u201350), and 33 (26, 40) (10\u201350), respectively. CFA supported the three-factor structure (CMIN\/DF\u202f=\u202f2.607, IFI\u202f=\u202f0.915, TLI\u202f=\u202f0.905, CFI\u202f=\u202f0.915, and RMSEA\u202f=\u202f0.065). SEM showed positive path coefficients from knowledge to attitude (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.707,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.011), knowledge to practice (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.493,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.014), and attitude to practice (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.269,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.008). A positive indirect association between knowledge and practice through attitude was also observed (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.190,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants demonstrated moderate knowledge, positive attitudes, and moderate practice behaviors. The findings identify an attitude\u2013practice gap and support evaluating structured follow-up and practical barrier-focused strategies to help patients sustain rehabilitation behaviors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1885115","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:23:05Z","timestamp":1788412985000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practice regarding rehabilitation among postoperative patients with spinal degenerative diseases: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Mingming","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoye","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Jinan Third People's Hospital","place":["Jinan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutong","family":"Bi","sequence":"additional","affiliation":[{"name":"School of Nursing, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doudou","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic, Miyun Hospital, Peking University First Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Nursing, Beijing Jishuitan Hospital, Capital Medical University","place":["Beijing, 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