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Background: Home-based rehabilitation exercise following Total Hip Arthroplasty (THA) shows similar outcomes compared to supervised outpatient rehabilitation exercise. Little is known about patients' experiences with home-based rehabilitation, and this study aimed to investigate how patients perceived home-based rehabilitation exercise and general physical activity after THA, focusing on facilitators and barriers. Methods: Semi-structured interviews of qualitative design were conducted with 22 patients who had undergone THA and who had performed home-based rehabilitation exercise. The study took place in a regional hospital in Denmark between January 2018 and May 2019. Data were analyzed using an interpretive thematic analysis approach, with theoretical underpinning from the concept ‘conduct of everyday life’. The study is embedded within the Pragmatic Home-Based Exercise Therapy after Total Hip Arthroplasty-Silkeborg trial (PHETHAS-1). Results: The main theme, ‘wishing to return to the well-known everyday life’, and the subtheme ‘general physical activity versus rehabilitation exercise’ were identified. Generally, participants found the home-based rehabilitation exercise boring but were motivated by the goal of returning to their well-known everyday life and performing their usual general physical activities. Participants enrolled in the PHETHAS-1 study used the enrollment as part of their motivation for doing the exercises.  Both pain and the absence of pain were identified as barriers for doing home-based rehabilitation exercise. Pain could cause insecurity about possible medical complications, while the absence of pain could lead to the rehabilitation exercise being perceived as pointless. Conclusions: The overall goal of returning to the well-known everyday life served as a facilitator for undertaking home-based rehabilitation exercise after THA along with the flexibility regarding time and place for performing exercises. Boring exercises as well as both pain and no pain were identified as barriers to the performance of home-based rehabilitation exercise. Participants were motivated towards performing general physical activities which were part of their everyday life.

Background: Home-based rehabilitation exercise following Total Hip Arthroplasty (THA) shows similar outcomes compared to supervised outpatient rehabilitation exercise. Little is known about patients' experiences with home-based rehabilitation, and this study aimed to investigate how patients perceived home-based rehabilitation exercise and general physical activity after THA, focusing on facilitators and barriers. Methods: Semi-structured interviews of qualitative design were conducted with 22 patients who had undergone THA and who had performed home-based rehabilitation exercise. The study took place in a regional hospital in Denmark between January 2018 and May 2019. Data were analyzed using an interpretive thematic analysis approach, with theoretical underpinning from the concept ‘conduct of everyday life’. The study is embedded within the Pragmatic Home-Based Exercise Therapy after Total Hip Arthroplasty-Silkeborg trial (PHETHAS-1). Results: The main theme, ‘wishing to return to the well-known everyday life’, and four subthemes were identified. Generally, participants found the home-based rehabilitation exercise boring but were motivated by the goal of returning to their well-known everyday life and performing their usual general physical activities, though some lacked contact to physiotherapist. Participants enrolled in the PHETHAS-1 study used the enrollment as part of their motivation for doing the exercises.  Both pain and the absence of pain were identified as barriers for doing home-based rehabilitation exercise. Pain could cause insecurity about possible medical complications, while the absence of pain could lead to the rehabilitation exercise being perceived as pointless. Conclusions: The overall goal of returning to the well-known everyday life served as a facilitator for undertaking home-based rehabilitation exercise after THA along with the flexibility regarding time and place for performing exercises. Boring exercises as well as both pain and no pain were identified as barriers to the performance of home-based rehabilitation exercise. Participants were motivated towards performing general physical activities which were part of their everyday life.

Background. Recent systematic reviews suggest that outpatient supervised and home-based rehabilitation exercise after total hip arthroplasty (THA) are equally effective. But there is a lack of knowledge concerning patients perspectives on rehabilitation after THA. Objectives. To explore patient-perceived facilitators and barriers to home-based rehabilitation exercise and general physical activity after THA. The aim of this study is to contribute to the scientific basis for future organization of rehabilitation after THA. Design. A qualitative study embedded in the trial: Pragmatic Home-based Exercise after Total Hip Arthroplasty, Silkeborg (PHETHAS-1), which was pre-registered on March 27, 2017 at Clinical Trials.gov (ID:NCT03109821). Methods. Twenty-two semi-structured individual interviews were conducted with patients who had undergone THA surgery. Thematic analysis was undertaken, and emergent themes and subthemes were categorized using the lens of critical psychology. Findings. Facilitating factors were related to Return to the well-known everyday life. A natural orientation toward general physical activity. Interaction with nature, and An obligation to health professionals and to oneself. Barriers were related to Pain. Boring exercises, and A feeling of distant rehabilitation. Conclusions. Our findings indicate that everyday life is of great importance to the participants and that they have a desire to return to living the way they did before their hips restricted their functioning. Home-based rehabilitation exercise can be used as a means to reach this goal. Contact with health professionals has a beneficial impact on participants adherence to home-based rehabilitation exercise because their participation is facilitating by being a part of a mandatory co-operation. All participants in this study favored general physical activity over home-based rehabilitation exercise.