Dustin Willis, Everett Lohman, Lida Gharibvand, Andrew Sullivan, Lee Berk
{"title":"The Compassionate HEART Patient Questionnaire: Validation and Reliability of a Novel Measure of Relationship-Centered Care.","authors":"Dustin Willis, Everett Lohman, Lida Gharibvand, Andrew Sullivan, Lee Berk","doi":"10.17294/2330-0698.2194","DOIUrl":"10.17294/2330-0698.2194","url":null,"abstract":"<p><strong>Purpose: </strong>To establish the validity and reliability of the Compassionate HEART Patient Questionnaire (CHPQ) for measuring relationship-centered care and exploring associations between patient ratings and mood state changes in patients with persistent pain.</p><p><strong>Methods: </strong>Thirty-nine adults with persistent pain (>3 months) completed pre-/post-interaction Profile of Mood States assessments and rated providers using the Consultation and Relational Empathy (CARE) measure and the novel CHPQ following physical therapy evaluations. Psychometric properties were assessed through factor analysis, concurrent validity (correlation with CARE), and internal reliability (Cronbach's alpha). Pre-post mood changes were analyzed using Wilcoxon signed-rank test.</p><p><strong>Results: </strong>The CHPQ demonstrated good internal consistency (α = 0.86) and moderate correlation with CARE (r = 0.673, p < 0.001). Factor analysis revealed three factors explaining 85.9% of variance: Connected Compassionate Competence (54.3%), Genuine Therapeutic Presence (18.1%), and Relational Alliance (13.5%). Total Mood Disturbance decreased significantly post-interaction (-17.41 points, p < 0.001) with reductions in anger, tension, confusion, depression, and fatigue. Vigor also decreased significantly (-8.70, p < 0.001). CHPQ scores negatively correlated with fatigue reduction (r = -0.493, p = 0.001).</p><p><strong>Conclusions: </strong>The CHPQ shows promising psychometric properties as a comprehensive measure of relationship-centered care. The paradoxical vigor decrease alongside reduced negative affect suggests complex emotional processing during therapeutic encounters. The correlation between CHPQ scores and fatigue reduction indicates that compassionate care may mitigate specific distress aspects in patients with persistent pain. Future research should explore longitudinal outcomes and incorporate qualitative methods.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 2","pages":"76-87"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13209157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Lourdes Guerra-Anzaldo, Arturo Emmanuel Espinosa-Picos, Karen Itzel Sánchez-Ramírez, Ana Jimena Hernández-Medrano, Amin Cervantes-Arriaga, Ariadna Domínguez-García, Mayela Rodríguez-Violante
{"title":"Development and Psychometric Analysis of an Instrument to Assess Social Stigma Associated with Parkinson's Disease.","authors":"Ana Lourdes Guerra-Anzaldo, Arturo Emmanuel Espinosa-Picos, Karen Itzel Sánchez-Ramírez, Ana Jimena Hernández-Medrano, Amin Cervantes-Arriaga, Ariadna Domínguez-García, Mayela Rodríguez-Violante","doi":"10.17294/2330-0698.2202","DOIUrl":"10.17294/2330-0698.2202","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and report the psychometric properties of a comprehensive scale designed to measure stereotypes and attitudes of the general population towards people with Parkinson's disease (PwP).</p><p><strong>Methods: </strong>The development and analysis of the Parkinson's Disease Stigma Perception scale (PDSP) included four phases: 1) literature review, 2) item development, 3) tests of validity and reliability, and 4) dissemination of a preliminary version. Internal consistency was assessed using Cronbach's alpha, exploratory factor analysis (EFA) to explore underlying structures, and confirmatory factor analysis to test the model's fit.</p><p><strong>Results: </strong>Six (2%) of the 294 survey respondents were disqualified because of incomplete data. The mean age was 38.3±15.9 years, 70.1% were women, and mean education was 16.5±3.37 years. EFA identified three factors with eigenvalues >1 (social avoidance and negative attitudes, prejudice and discrimination, and stereotypes). A root mean square error of approximation of 0.07 indicated acceptable fit, while a comparative fit index of 0.90 suggested adequate fit. Cronbach's alpha and McDonald's omega yielded 0.74 and 0.83, respectively, with low floor effects (2.4%) and no ceiling effect. Item-total correlations ranged from 0.30 to 0.60 (p<0.001).</p><p><strong>Conclusions: </strong>The PDSP demonstrated reliability and validity in assessing stigmatizing attitudes towards PwP. Future studies can further explore the scale's impact and its applicability across various contexts.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 2","pages":"88-97"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13209155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chirag K Patel, Jimmy J Hwang, Mohamed E Salem, Kunal C Kadakia
{"title":"Comparison of Early-, Average-, and Late-Onset Pancreatic Cancer in a Multi-Site Cancer Center: Treatment Patterns and Outcomes.","authors":"Chirag K Patel, Jimmy J Hwang, Mohamed E Salem, Kunal C Kadakia","doi":"10.17294/2330-0698.2191","DOIUrl":"10.17294/2330-0698.2191","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to investigate treatment and outcomes differences, as well as predictors of early mortality, among early-onset pancreatic adenocarcinoma (EOPC, ≤50 years), average-onset pancreatic adenocarcinoma (AOPC, 51-69 years), and late-onset pancreatic adenocarcinoma (LOPC, ≥70 years).</p><p><strong>Methods: </strong>We retrospectively analyzed 333 patients with pancreatic adenocarcinoma at a multi-site center between 2011-2018. Clinical, demographic, and treatment variables were compared by age group. Predictors of early mortality (death ≤6 months from diagnosis) were assessed using multivariable logistic regression. Survival outcomes were evaluated using Kaplan-Meier analyses.</p><p><strong>Results: </strong>Among the 333 patients, 56% were male, and the mean age was 61.5 years. EOPC patients had higher rates of tobacco use (68% vs 54%, p=0.0094) and higher histological grade (57% vs, 41%, p=0.048) than older cohorts. In non-metastatic patients, EOPC patients were more likely to undergo curative intent surgery (70% vs 38%, p≤0.0001) and receive adjuvant radiation (40% vs 15%, p=0.002). Early mortality occurred in 28% of non-metastatic and 59% of metastatic patients, with lower rates in EOPC. Predictors of early mortality included older age, higher neutrophil-to-lymphocyte ratio, lack of surgery, and absence of radiation therapy in univariable analysis; however, none of these factors remained significant in multivariable analysis. Median survival was 11.1 months in EOPC, 8.7 months in AOPC, and 4.3 months in LOPC.</p><p><strong>Conclusions: </strong>EOPC patients demonstrate better survival and receive more treatments than older cohorts. Despite these differences, PC outcomes remain poor across all groups. Further research is warranted to validate early mortality predictors and inflammatory biomarkers in EOPC.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 2","pages":"65-75"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13209154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Higher Education Health Insurance Trap: How Underinsurance Fuels Health Inequity and Educational Inaccessibility.","authors":"Hallie E Vanney, David J Satin","doi":"10.17294/2330-0698.2217","DOIUrl":"10.17294/2330-0698.2217","url":null,"abstract":"<p><p>Purpose Higher education institutions are increasingly committed to recruiting more diverse students. As these efforts succeed, institutions face the parallel challenge of meeting an evolving student body's broader and more complex healthcare needs. This article highlights how student health insurance is a critical need that may be unmet by institutions traditionally designed for young, healthy, able-bodied students. Graduate and professional students are particularly vulnerable to a \"health insurance trap\"; they may discover, only after enrollment, that their plan does not cover essential care, they can no longer work full-time to gain commercial insurance, they have aged out or do not have access to their parent's insurance, and they cannot afford care. This creates significant educational and financial risks that disproportionately affect students already marginalized in healthcare systems. We explore how this \"higher education insurance trap\" perpetuates health inequities and educational barriers. To address these challenges, we present institutional, policy, and research-based strategies to improve transparency, promote accountability, and expand access to comprehensive student coverage.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 2","pages":"98-103"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13209153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chris Gillette, Jan Ostermann, Sarah O'Neal, Aylin A Aguilar, Kandice Lacci-Reilly, Jessica Valente, Chris Everett, Robin Gibson, Sonia Crandall, Laiton Steele
{"title":"Choosing a Primary Care Provider: A Formative Qualitative Study to Identify Patient Preferences.","authors":"Chris Gillette, Jan Ostermann, Sarah O'Neal, Aylin A Aguilar, Kandice Lacci-Reilly, Jessica Valente, Chris Everett, Robin Gibson, Sonia Crandall, Laiton Steele","doi":"10.17294/2330-0698.2186","DOIUrl":"10.17294/2330-0698.2186","url":null,"abstract":"<p><strong>Purpose: </strong>(1) Identify what characteristics patients evaluate when choosing their primary care provider (PCP), (2) characterize how provider characteristics factor into patients' choice of PCP, and (3) develop a list of features for a quantitative preference study in the form of a discrete choice experiment (DCE).</p><p><strong>Methods: </strong>We used a cross-sectional, qualitative study to accomplish the objectives. We recruited participants from an internal medicine clinic and the general public in North Carolina. We used convenience and purposive sampling to recruit participants as a single sample. All participants completed a semi-structured interview. We then used a reflexive thematic analysis to analyze the data. We conducted a focus group to confirm and refine the interview findings. Finally, we created and prioritized a list of attributes and attribute levels for use in a future DCE study.</p><p><strong>Results: </strong>We conducted 12 interviews to reach data saturation. Participants mostly identified as female (75%, n=9), white (67%, n=8), and non-Hispanic/Latino (83%, n=10), with a mean age of 39 years (SD=15). Participants reported examining factors across several domains when deciding on their PCP: (1) knowledge/experience/age, (2) gender alignment, (3) convenience, and (4) cost. Based on the results of the interviews, we selected five preference-sensitive attributes and confirmed these with the focus group. Attributes that will be included in a future study include provider profession, provider race and gender, an attribute describing what the provider is known for, appointment availability, and driving time.</p><p><strong>Conclusions: </strong>We found that participants reported evaluating several important factors when deciding on selecting a PCP. Elucidating patients' willingness to accept different types of PCPs has policy implications for provider integration, cost-savings, and workload optimization.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 2","pages":"56-64"},"PeriodicalIF":2.5,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13209159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle Simpson, Suzanne Ryer, Christopher Rubach, Joseph Chase
{"title":"Comparison of Three Coordination Methods to Increase Outpatient Follow Up Among Older Adults Discharged From the Emergency Department: A Pilot Study.","authors":"Michelle Simpson, Suzanne Ryer, Christopher Rubach, Joseph Chase","doi":"10.17294/2330-0698.2125","DOIUrl":"10.17294/2330-0698.2125","url":null,"abstract":"<p><strong>Purpose: </strong>Older adults are among the highest users of the emergency department (ED), comprising over 50% of those discharged home from the ED. The Geriatric Emergency Department (GED) guidelines recommend addressing transitions of care that connect older adults with timely outpatient services to decrease adverse events. The purpose of outpatient follow up is to evaluate and adjust patient treatment, if necessary, following an ED visit to prevent adverse events.</p><p><strong>Methods: </strong>A prospective, descriptive pilot study was conducted to gather preliminary data on the potential impact of follow-up outpatient appointment coordination types (standard care, point-of-care scheduling, and portal reminder message). Older adults 65 years and over, who were discharged from six accredited GEDs within one healthcare system from October 2023 to May 2024, were included. The primary outcomes were follow up on outpatient appointment within 30 days. Secondary outcomes were 30-day ED revisit and 30-day unplanned hospitalization.</p><p><strong>Results: </strong>The point-of-care method/scheduling the outpatient appointment prior to GED discharge resulted in the highest outpatient follow up (63%) within 30 days of GED discharge compared to standard care (44%) and portal reminder message (35%). None of the coordination follow-up methods impacted 30-day GED revisits or hospital admission statistically.</p><p><strong>Conclusions: </strong>This study provided important preliminary data about the benefit of point-of-care scheduling for older adults. More research is needed to determine which older adults could benefit from point-of-care scheduling and the impact on healthcare utilization.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 1","pages":"21-28"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pelvic Inflammatory Disease: A Narrative Review of Disparities Between Black and White Women in the United States and Strategies for Improvement.","authors":"Lynne Li, Jessica Schlewitt","doi":"10.17294/2330-0698.2167","DOIUrl":"10.17294/2330-0698.2167","url":null,"abstract":"<p><p>Pelvic Inflammatory Disease (PID) is an inflammatory syndrome of the upper female reproductive organs caused by infection, most commonly via <i>Neisseria gonorrhoeae</i> or <i>Chlamydia trachomatis</i>, spreading to one or more reproductive organs. With PID responsible for many of the major morbidities of sexually transmitted infections (STIs), such as ectopic pregnancy and chronic pelvic pain, the urgency is high to mitigate the impacts of untreated PID, especially in higher-risk populations. This paper discusses the current disparities in PID diagnosis, treatment, and management between Black and white women and proposes interventions to reduce health inequalities involving PID. To conduct this narrative review, a broad literature search was performed across the databases, PubMed and Google Scholar, using a combination of relevant keywords and headings. Current literature reports higher PID rates in Black versus white women, although disparities were shown to be attenuated after controlling for factors such as socioeconomic status and STI rate. These results may suggest that Black women are more likely to experience an asymptomatic or undiagnosed STI, supported by studies showing that Black women are less likely to report STI testing than white women. Public health efforts should focus on culturally sensitive messaging and interventions that improve sexual health awareness and behavior. Provider education interventions can also help mitigate bias and improve adherence to CDC guidelines for PID diagnosis and management, with the goal of reducing healthcare disparities and improving patient outcomes.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 1","pages":"14-20"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mixed Methods Evaluation of a Shipped Medically Tailored Meal Pilot Intervention.","authors":"Shelly Palmer, Laura E Balis, Amy L Yaroch","doi":"10.17294/2330-0698.2175","DOIUrl":"10.17294/2330-0698.2175","url":null,"abstract":"<p><strong>Purpose: </strong>Medically tailored meal (MTM) programs generally demonstrate meaningful health outcomes for patients. There is a need to evaluate novel MTM delivery methods to understand participant and organizational-level impacts. The objectives of this study were to assess a shipped MTM pilot intervention, including 1) initial and ongoing client reach, 2) effects on clients' health and behaviors, and 3) staff members' perceptions of factors that influence intervention maintenance.</p><p><strong>Methods: </strong>Based on the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework, the mixed methods design included quantitative data collected from participants and qualitative data collected from MTM provider staff. The pilot took place in San Diego County, California, through one MTM provider. The 12-week pilot intervention included 21 MTMs per week and two virtual nutrition education sessions with a registered dietitian. Initial and ongoing reach measures included enrollment and completion rates, disenrollment rationale, and participant demographics. Measures of effectiveness included dietary patterns, chronic disease management, perceptions of food-related programming, and intervention satisfaction. Factors influencing intervention maintenance were assessed qualitatively.</p><p><strong>Results: </strong>The MTM provider surpassed their goal of enrolling >50 clients, but only 40% completed at least nine weeks of the pilot. There were statistically significant increases in intake of vegetables excluding potatoes and number of meals per day from pre- to post-implementation. Clients perceived that MTMs and food-related programming helped them to achieve or maintain a healthy weight, eat healthier foods, improve their health, and feel better. Interview results with staff showed that some but not all factors leading to sustainability were present.</p><p><strong>Conclusions: </strong>Overall, this evaluation of a pilot MTM program in San Diego County revealed mixed findings in intervention reach, effectiveness, and potential intervention maintenance.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 1","pages":"29-41"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eshwar Karupakula, Clara Nemr, Justin Chen, Ashwin Hampole
{"title":"Cryoablation as a Treatment Option for Early-Stage Primary Non-Small Cell Lung Cancer and Lung Metastases: A Narrative Review of Recent Literature.","authors":"Eshwar Karupakula, Clara Nemr, Justin Chen, Ashwin Hampole","doi":"10.17294/2330-0698.2143","DOIUrl":"10.17294/2330-0698.2143","url":null,"abstract":"<p><p>Cryoablation has emerged as a promising treatment option for early-stage non-small cell lung cancer (NSCLC) and lung metastases. This narrative review examines recent literature on cryoablation's efficacy, safety, and outcomes in treating lung tumors. The review analyzes data from multiple clinical trials and observational studies, focusing on local tumor control rates, overall survival, and complications. Results indicate that cryoablation achieves high local tumor control rates, ranging from 85% to 97% at one year, for both primary NSCLC and pulmonary metastases. Overall survival rates are comparable to surgical resection, with one-year rates up to 97.7% reported in some studies. Cryoablation offers several advantages over traditional treatments, including cost-effectiveness, shorter hospital stays, and the ability to treat multiple tumors in a single session. It is particularly beneficial for patients who are poor surgical candidates or those who have previously undergone lung surgery. While pneumothorax remains a notable complication, its occurrence is generally manageable. The review concludes that cryoablation is a viable alternative to surgery and radiation therapy for select patients with lung tumors. However, further research is needed to establish its long-term efficacy and optimize patient selection criteria.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 1","pages":"4-13"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Corinne N Kacmarek, Hannah C Smith, Alicia Lucksted, Lan Li, Laché Wilkins, Gabriella Coakley, Peter Phalen, Deborah Medoff, Faith Dickerson, Julie Kreyenbuhl, Melanie E Bennett
{"title":"Efficacy, Acceptability, and Feasibility of StayQuit for Sustaining Smoking Abstinence After Psychiatric Hospitalization: A Pilot Study.","authors":"Corinne N Kacmarek, Hannah C Smith, Alicia Lucksted, Lan Li, Laché Wilkins, Gabriella Coakley, Peter Phalen, Deborah Medoff, Faith Dickerson, Julie Kreyenbuhl, Melanie E Bennett","doi":"10.17294/2330-0698.2184","DOIUrl":"10.17294/2330-0698.2184","url":null,"abstract":"<p><strong>Purpose: </strong>Veterans with mental illness have high rates of tobacco use and psychiatric hospitalization in the Veterans Health Administration (VA). VA is smoke-free, and guidelines recommend that smoking cessation medication and counseling be delivered during and one month after hospitalization to sustain abstinence. Little is known about how patients experience this intervention. This pilot study evaluated the acceptability, feasibility, and efficacy of an evidence-informed, novel smoking intervention, StayQuit, for psychiatric inpatients.</p><p><strong>Methods: </strong>Participants were recruited from an inpatient VA psychiatric unit. Changes in self-reported cigarettes smoked per day, nicotine dependence, and abstinence self-efficacy were evaluated between baseline and 12-week follow up. Participants were interviewed about their experiences.</p><p><strong>Results: </strong>The sample (<i>n</i> = 26) was predominantly white, male, and diagnosed with a depressive disorder. Fifteen (58%) participants completed at least one counseling session and the follow-up assessment. Among them, there was a statistically significant reduction in mean cigarettes smoked per day and increase in abstinence self-efficacy. Participants appreciated the knowledge and supportiveness of interventionists and reported that StayQuit helped them make progress towards their smoking goals.</p><p><strong>Conclusions: </strong>Evidence-informed interventions like StayQuit are acceptable to Veterans, but implementation-focused research is needed to maximize feasibility in real-world settings.</p>","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"13 1","pages":"42-50"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}