ArticleJournal of clinical nursing2019
A qualitative exploration of social and environmental factors affecting diet and activity in knee replacement patients.
Article in Journal of clinical nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01814072 (Opt-IN), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Opt-IN: Optimization of Remotely Delivered Intensive Lifestyle Treatment for Obesity
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Facilitators and barriers to rehabilitation exercise adherence among patients after total hip and total knee arthroplasty: a qualitative meta-synthesis.BMC musculoskeletal disorders · 2026Pooled it
- "I'm a paper and pencil person": a qualitative descriptive study of potential barriers and facilitators to engagement with pre-operative total knee replacement education and prehabilitation digital interventions.BMC musculoskeletal disorders · 2025Article
- Effects of nutrition management combined with specialized nursing on nutritional status, immune function and wound healing after joint replacement.Pakistan journal of medical sciences · 2025Article
- Preoperative strategies to prevent periprosthetic joint infection after knee replacement: evidence-based recommendations for multidisciplinary practice.Orthopedic reviews · 2025Article
- An exploratory study of factors in disordered eating behavior in diabetes self-management in Japan.Journal of diabetes investigation · 2024Article
- Enhanced walking function and quality of life in unicondylar knee replacement patients through continuous nursing intervention: A clinical study.Journal of back and musculoskeletal rehabilitation · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
AIMS AND
objectivesTo examine perceived social and environmental barriers and facilitators for healthy eating and activity before and after knee replacement.
backgroundMany patients undergoing knee replacement surgery are overweight or obese. While obesity treatment guidelines encourage diet and activity modifications, gaps exist in understanding social and environmental determinants of these behaviours for knee replacement patients. Identifying these determinants is critical for treatment, as they are likely amplified due to patients' mobility limitations, the nature of surgery and reliance on others during recovery.
designThis qualitative study used semi-structured interviews.
methodsTwenty patients (M = 64.7 ± 9.8 years, 45% female, 90% Caucasian, body mass index 30.8 ± 5.5 kg/m
resultsIdentified social and environmental healthy eating barriers included availability of unhealthy food and attending social gatherings; facilitators included availability of healthy food, keeping unhealthy options "out of sight," and social support. Weather was the primary activity barrier, while facilitators included access to physical activity opportunities and social support.
conclusionsResults provide salient factors for consideration by clinicians and behavioural programmes targeting diet, activity, and weight management, and patient variables to consider when tailoring interventions. RELEVANCE TO CLINICAL PRACTICE: Practitioners treating knee replacement patients would be aided by an understanding of patients' perceived social and environmental factors that impede or facilitate surgical progress. Particularly for those directly interacting with patients, like nurses, physiotherapists, or other professionals, support from health professionals appears to be a strong facilitator of adherence to diet and increased activity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.