Table 2.

Reasons for non-participation

Barriers to participation (number of patients)	Examples of reasons given
Thoughts about attending the course (25)	Difficult to sit and concentrate during course because of pain/age/other health conditions
	Dislike of group format
	Found previous pain management course unhelpful
	Can already manage pain
	Course would not be helpful as pain not too bad
	Difficult to attend because of other health conditions
	Would rather spend time doing other things
Difficulty getting to hospital (22)	Unable to drive/use public transport due to hip problems
	Distance to hospital perceived as too far
	Would have to rely on family/friends for transport
	Limited mobility or uses wheelchair
Other commitments (13)	Carer for family member
	Employment
	Children
Questionnaires (8)	Dislike of completing questionnaires
	Difficult to complete because of other health conditions
	Lack of time because of other commitments
Other hospital appointments (6)	Lack of time for additional visits to hospital
	Inconvenient to make additional visits to hospital
Feels already has enough knowledge (6)	Previous hip replacement
	Knows people who have had hip replacement
	Has attended physiotherapy/exercise session
Healthcare-related (6)	Operation may not be going ahead
	Dissatisfied with co-ordination of care
Other (5)	Emigrating
	Recently widowed
	Has taken part in research before