{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:49:14Z","timestamp":1760057354700,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003246","name":"Dutch Research Council","doi-asserted-by":"publisher","award":["023.021.045"],"award-info":[{"award-number":["023.021.045"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Clinical guidelines for physiotherapy following total hip and knee arthroplasty (THA\/TKA) recommend using Patient-Reported Outcome Measures (PROMs) like the Hip disability and Knee injury Osteoarthritis Outcome Score (HOOS\/KOOS). However, it remains unclear how physiotherapists use these PROMs in daily clinical practice. Objective: To explore primary care physiotherapists\u2019 experiences with the HOOS\/KOOS in daily clinical practice following THA and TKA. Methods: Thirteen physiotherapists in the Netherlands were recruited via convenience sampling. Data were collected through semi-structured interviews, which explored HOOS\/KOOS use in clinical practice, administrative regulations, and applications beyond patient care, as well as think-aloud interviews to capture perceptions of the content of these PROMs and interpretations of hypothetical patient scores. Interviews were analysed using reflexive thematic analysis. Results: The physiotherapists\u2019 ages ranged from 25 to 54y, with annual THA\/TKA volumes from 5 to 50 patients. Three themes emerged, as follows: (1) \u201cPhysiotherapists use the HOOS\/KOOS for various purposes in daily clinical practice\u201d, including complementing history taking and monitoring patient progress; (2) \u201cPerceptions of the relevance of the HOOS\/KOOS for daily clinical practice vary per item, domain, and version,\u201d with items related to daily life activities and psychosocial factors being perceived as more valuable; and (3) \u201cPractical aspects of HOOS\/KOOS administration influence their use in daily clinical practice,\u201d with electronic health records (EHRs) that facilitate PROM administration enhancing their use, while administrative regulations limit this. Conclusions: Physiotherapists experience HOOS\/KOOS items related to daily life activities and psychosocial factors useful for history-taking and monitoring patient progress, particularly when embedded in EHRs that facilitate PROM administration.<\/jats:p>","DOI":"10.3390\/jcm14030992","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T07:41:44Z","timestamp":1738654904000},"page":"992","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physiotherapists\u2019 Experiences with the Hip Disability and Knee Injury Osteoarthritis Outcome Score Following Total Hip and Knee Arthroplasty: A Qualitative Interview Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2518-549X","authenticated-orcid":false,"given":"Dennis J.","family":"van den Berg","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"},{"name":"Amsterdam Movement Sciences Research Institute, 1081 HV Amsterdam, The Netherlands"},{"name":"Institute for Movement Studies, University of Applied Sciences Utrecht, 3584 CS Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2290-9552","authenticated-orcid":false,"given":"Esther T.","family":"Maas","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"},{"name":"Amsterdam Movement Sciences Research Institute, 1081 HV Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa-Lynn","family":"Edelaar","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathijs B.","family":"Arendsen","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth J.","family":"de Louw","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henri","family":"Kiers","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"},{"name":"Institute for Movement Studies, University of Applied Sciences Utrecht, 3584 CS Utrecht, The Netherlands"},{"name":"Dutch Association for Quality in Physiotherapy, 8031 DX Zwolle, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thea P. M.","family":"Vliet Vlieland","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Rehabilitation and Physiotherapy, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands"},{"name":"Basalt Rehabilitation, 2333 AL Leiden, The Netherlands"},{"name":"Department of Health, University of Applied Sciences Leiden, 2333 CK Leiden, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7679-7210","authenticated-orcid":false,"given":"Raymond W. J. G.","family":"Ostelo","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"},{"name":"Amsterdam Movement Sciences Research Institute, 1081 HV Amsterdam, The Netherlands"},{"name":"Department of Epidemiology and Data Science, Amsterdam UMC, Location Vrije Universiteit, 1081 HV Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0055-5431","authenticated-orcid":false,"given":"Marianne H.","family":"Donker","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, Vrije University Amsterdam, 1081 HV Amsterdam, The Netherlands"},{"name":"Amsterdam Movement Sciences Research Institute, 1081 HV Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2477","DOI":"10.1056\/NEJMp1011024","article-title":"What Is Value in Health Care?","volume":"363","author":"Porter","year":"2010","journal-title":"N. 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