Perceptions, needs, and experiences of kinesiophobia management after total knee arthroplasty: a qualitative study from the perspectives of patients, caregivers, and healthcare providers.

AIM: To explore the congruence and divergence in perceptions, needs, and experiences regarding kinesiophobia management among patients, caregivers, and healthcare providers following total knee arthroplasty.

METHODS

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.

RESULTS

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).

CONCLUSION

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.