Patient Education

Education addresses psychological factors such as pain catastrophizing and self-efficacy. The standard care control group receives only one standardised 1.5-hour preoperative education session approximately 2–3 weeks before surgery, with no specific preoperative exercise advice. Every education topic is discussed with each patient at least twice, and patients are encouraged to reflect and ask follow-up questions between sessions. The protocol identifies structured education as a way to address an underexplored component of care. If an additional education topic arises repeatedly across patients, it is adopted as a main topic for all future patients. Managers viewed health education as an ongoing negotiation based on communication, trust, and empathy. Education is delivered as individualised conversations between physiotherapist and patient during exercise sessions rather than as standardised lectures. Education is delivered through individualized face-to-face discussion and online written and recorded materials. Early sessions emphasize key education components that can be revisited later as needed. Because exercise and education are combined in the prehabilitation intervention, t…