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202.1 Evaluating Responsive Shift in Total Knee Arthroplasty Patients Ademola Itiola 1 , Tolulope Sajobi 2 , Deborah Marshall 2 , Jeffrey Johnson 1 1 School of Public Health, University of Alberta, Edmonton, Alberta, Canada, 2 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada Journal of Patient-Reported Outcomes 2026 , 10(Suppl 1) :202.1 Aims After undergoing total knee arthroplasty (TKA), patients may adjust their internal standards (recalibration), reframe how they conceptualize certain questions (reconceptualization) and even shift their priorities (reprioritization) over time