Exploring needs, barriers to, and facilitators of rehabilitation exercise following revision hip replacement - A grounded theory study

Martin B Stisen; Inger Mechlenburg; Lindsay M Bearne; Emma Godfrey; Alma B Pedersen; Dorthe Sørensen

doi:10.1080/09638288.2023.2295008

Exploring needs, barriers to, and facilitators of rehabilitation exercise following revision hip replacement - A grounded theory study

Martin B Stisen^*, Inger Mechlenburg, Lindsay M Bearne, Emma Godfrey, Alma B Pedersen, Dorthe Sørensen

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

1 Citation (Scopus)

Abstract

PURPOSE: Evidence on rehabilitation after revision total hip replacement (THR) is inadequate and development of rehabilitation interventions is warranted. Even so, little is known about patients' experiences with revision THR rehabilitation. This study aimed to explore patients' rehabilitation exercise experiences after revision THR.

MATERIALS AND METHODS: Using constructivist grounded theory, we conducted semi-structured qualitative interviews with twelve patients with completed or almost completed rehabilitation exercise after revision THR. Data collection and analysis were a constant comparative process conducted in three phases; initial, focused, and theoretical.

FINDINGS: From the data, we generated a substantial theory of the participant's circumstances and ability to integrate rehabilitation exercise into their everyday life after revision THR. Four categories were constructed based on patients' experiences in different contexts: hesitance, fear avoidance, self-commitment, and fidelity.

CONCLUSIONS: This study highlighted that patients' expectations, past experiences, attitudes, trusts, and circumstances interact to influence engagement and adherence to rehabilitation exercise and described four categories relating to the integration of revision THR rehabilitation exercise into their everyday life. Clinicians should be aware of and account for these categories during rehabilitation exercise. Tailored individual rehabilitation exercise interventions and clinician approaches to optimize engagement and adherence are needed among patients with revision THR.

Original language	English
Journal	Disability and Rehabilitation
Volume	46
Issue	21
Pages (from-to)	5012-5020
Number of pages	9
ISSN	0963-8288
DOIs	https://doi.org/10.1080/09638288.2023.2295008
Publication status	Published - Oct 2024

Keywords

Experiences
motivation
physiotherapy
qualitative research
rehabilitation
revision total hip replacement
therapeutic relationship

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10.1080/09638288.2023.2295008

Cite this

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title = "Exploring needs, barriers to, and facilitators of rehabilitation exercise following revision hip replacement - A grounded theory study",

abstract = "PURPOSE: Evidence on rehabilitation after revision total hip replacement (THR) is inadequate and development of rehabilitation interventions is warranted. Even so, little is known about patients' experiences with revision THR rehabilitation. This study aimed to explore patients' rehabilitation exercise experiences after revision THR.MATERIALS AND METHODS: Using constructivist grounded theory, we conducted semi-structured qualitative interviews with twelve patients with completed or almost completed rehabilitation exercise after revision THR. Data collection and analysis were a constant comparative process conducted in three phases; initial, focused, and theoretical.FINDINGS: From the data, we generated a substantial theory of the participant's circumstances and ability to integrate rehabilitation exercise into their everyday life after revision THR. Four categories were constructed based on patients' experiences in different contexts: hesitance, fear avoidance, self-commitment, and fidelity.CONCLUSIONS: This study highlighted that patients' expectations, past experiences, attitudes, trusts, and circumstances interact to influence engagement and adherence to rehabilitation exercise and described four categories relating to the integration of revision THR rehabilitation exercise into their everyday life. Clinicians should be aware of and account for these categories during rehabilitation exercise. Tailored individual rehabilitation exercise interventions and clinician approaches to optimize engagement and adherence are needed among patients with revision THR.",

keywords = "Experiences, motivation, physiotherapy, qualitative research, rehabilitation, revision total hip replacement, therapeutic relationship",

author = "Stisen, {Martin B} and Inger Mechlenburg and Bearne, {Lindsay M} and Emma Godfrey and Pedersen, {Alma B} and Dorthe S{\o}rensen",

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doi = "10.1080/09638288.2023.2295008",

language = "English",

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Exploring needs, barriers to, and facilitators of rehabilitation exercise following revision hip replacement - A grounded theory study. / Stisen, Martin B ; Mechlenburg, Inger; Bearne, Lindsay M et al.
In: Disability and Rehabilitation, Vol. 46, No. 21, 10.2024, p. 5012-5020.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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AU - Stisen, Martin B

AU - Mechlenburg, Inger

AU - Bearne, Lindsay M

AU - Godfrey, Emma

AU - Pedersen, Alma B

AU - Sørensen, Dorthe

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N2 - PURPOSE: Evidence on rehabilitation after revision total hip replacement (THR) is inadequate and development of rehabilitation interventions is warranted. Even so, little is known about patients' experiences with revision THR rehabilitation. This study aimed to explore patients' rehabilitation exercise experiences after revision THR.MATERIALS AND METHODS: Using constructivist grounded theory, we conducted semi-structured qualitative interviews with twelve patients with completed or almost completed rehabilitation exercise after revision THR. Data collection and analysis were a constant comparative process conducted in three phases; initial, focused, and theoretical.FINDINGS: From the data, we generated a substantial theory of the participant's circumstances and ability to integrate rehabilitation exercise into their everyday life after revision THR. Four categories were constructed based on patients' experiences in different contexts: hesitance, fear avoidance, self-commitment, and fidelity.CONCLUSIONS: This study highlighted that patients' expectations, past experiences, attitudes, trusts, and circumstances interact to influence engagement and adherence to rehabilitation exercise and described four categories relating to the integration of revision THR rehabilitation exercise into their everyday life. Clinicians should be aware of and account for these categories during rehabilitation exercise. Tailored individual rehabilitation exercise interventions and clinician approaches to optimize engagement and adherence are needed among patients with revision THR.

AB - PURPOSE: Evidence on rehabilitation after revision total hip replacement (THR) is inadequate and development of rehabilitation interventions is warranted. Even so, little is known about patients' experiences with revision THR rehabilitation. This study aimed to explore patients' rehabilitation exercise experiences after revision THR.MATERIALS AND METHODS: Using constructivist grounded theory, we conducted semi-structured qualitative interviews with twelve patients with completed or almost completed rehabilitation exercise after revision THR. Data collection and analysis were a constant comparative process conducted in three phases; initial, focused, and theoretical.FINDINGS: From the data, we generated a substantial theory of the participant's circumstances and ability to integrate rehabilitation exercise into their everyday life after revision THR. Four categories were constructed based on patients' experiences in different contexts: hesitance, fear avoidance, self-commitment, and fidelity.CONCLUSIONS: This study highlighted that patients' expectations, past experiences, attitudes, trusts, and circumstances interact to influence engagement and adherence to rehabilitation exercise and described four categories relating to the integration of revision THR rehabilitation exercise into their everyday life. Clinicians should be aware of and account for these categories during rehabilitation exercise. Tailored individual rehabilitation exercise interventions and clinician approaches to optimize engagement and adherence are needed among patients with revision THR.

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Exploring needs, barriers to, and facilitators of rehabilitation exercise following revision hip replacement - A grounded theory study

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