Effect of Cognitive Behavioral Therapy on Kinesiophobia and Functional Outcomes After Total Hip Arthroplasty.

This study is testing whether cognitive behavioural therapy (CBT) — a structured talking therapy — can help people who have a fear of movement (called kinesiophobia) after a hip replacement (total hip arthroplasty). Fear of movement can prevent recovery and limit function after surgery. **You may be eligible if...** - You are 18 years old or older - You have had a first-time hip replacement surgery on one side - You score high for fear of movement on the Tampa Scale of Kinesiophobia - You have completed at least primary-level education - You are medically stable as confirmed by your orthopaedic surgeon - You agree to the intervention and 6-month follow-up **You may NOT be eligible if...** - You are having revision (repeat) hip surgery - You have severe arthritis in the opposite hip - You have a serious cardiovascular, metabolic, or neurological condition - You have a BMI above 40 - You have any other condition that would interfere with communication or participation Talk to your doctor to see if this trial is right for you.