Evidence map›Paper›PMID 42106740›Full record

ArticleBMC musculoskeletal disorders2026

Exploring home-based rehabilitation experiences after reverse total shoulder arthroplasty: a health belief model-guided qualitative study.

Yi Ye, Fang Tang, Xiao Xue Li, Xiao Yun Li, Fei Lan, Kun Zhang, Bing Lu

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Article in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yi Ye *Department of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Fang Tang *Department of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Xiao Xue LiDepartment of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Xiao Yun LiDepartment of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Fei LanDepartment of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Kun Zhang *Department of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. 18708159189@163.com.
Bing Lu *Department of Orthopedic, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. binglu2002@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReverse total shoulder arthroplasty (RTSA) is increasingly performed among older adults, and postoperative functional recovery is closely associated with patients' engagement in rehabilitation. However, participation in home-based rehabilitation varies widely, posing ongoing challenges for nurses involved in discharge education and post-discharge support. This study applied the Health Belief Model (HBM) to explore patients' lived experiences and self-management behaviors during home-based rehabilitation.

methodsA qualitative descriptive study was conducted at a tertiary hospital in southwest China. Purposive sampling with maximum variation was used to recruit patients within six months after primary unilateral RTSA. Data were collected through face-to-face semi-structured interviews and analyzed using directed content analysis guided by the HBM.

resultsFive themes were identified: perceived threats to recovery, anticipated benefits of rehabilitation, perceived barriers to home-based rehabilitation, cues to action, and dynamic changes in self-efficacy. Patients interpreted health threats holistically, encompassing physical, functional, and psychosocial concerns. Perceived benefits were primarily related to regaining independence and resuming valued daily activities. Barriers operated across individual, familial, and healthcare system contexts. Cues to action were embedded in ongoing interpersonal interactions. Self-efficacy evolved over time, increasing as patients accumulated successful rehabilitation experiences.

conclusionPatients' engagement in home-based rehabilitation after RTSA is influenced by dynamic and context-specific health beliefs, and applying a HBM-informed perspective may inform the development of individualized nursing strategies to support sustained rehabilitation engagement.

Indexed as

Arthroplasty, Replacement, ShoulderHealth Knowledge, Attitudes, PracticeHome Care ServicesAgedChinaFemaleHumansMaleMiddle AgedQualitative ResearchRecovery of FunctionSelf EfficacyHealth Belief ModelHome-based rehabilitationQualitative researchReverse total shoulder arthroplasty

Identifiers

PMID42106740
PMCPMC13459455

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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.