Patient preference and adherence最新文献

{"title":"Emotional Suppression Characteristics and Influencing Factors of Ovarian Cancer Patients - Latent Profile Analysis.","authors":"Yaru Wu, Yuting Zhang, Jing Yuan, Juan Yang, Ling Chen, Wei Zhu, Chunyan Xu","doi":"10.2147/PPA.S534058","DOIUrl":"https://doi.org/10.2147/PPA.S534058","url":null,"abstract":"<p><strong>Background: </strong>This quantitative study aimed to analyze the potential categories of emotional suppression characteristics and explore the influencing factors of different categories among ovarian cancer chemotherapy patients in Western Region of China.</p><p><strong>Methods: </strong>From September 2024 to March 2025, a convenience sampling method was used to administer a questionnaire to ovarian cancer chemotherapy patients at a gynecology center within a university hospital situated in the Northwest region of China. The investigation employed general information questionnaires, the Emotional Inhibition Scale (EIS), Social Constraint Scales (SCS), Family APGAR Index (APGAR), and the Hospital Anxiety and Depression Scale (HADS). Latent profile analysis (LPA) was conducted to identify the profiles of emotional suppression levels in patients with ovarian cancer undergoing chemotherapy. Multinomial logistic regression was used to investigate the correlations among these profiles in ovarian cancer chemotherapy patients.</p><p><strong>Results: </strong>A total of 228 ovarian cancer chemotherapy patients participated, yielding an average score of 26.76 ± 5.71 on the emotional suppression. The LPA identified three emotion suppression profiles: high level emotional inhibition-low verbal inhibition (Profile 1,13.0%), high level emotional inhibition-high verbal inhibition (Profile 2,46.1%) and low level emotional inhibition-medium verbal inhibition (Profile 3,40.8%); Multiple Logistic regression analysis revealed that educational attainment (high/low), anxiety symptoms, severe family dysfunction, disease recurrence (yes), marital status (divorced/widowed), and social constraint were significant contributing factors.</p><p><strong>Conclusion: </strong>Our research findings reveal significant heterogeneity in emotional suppression among ovarian cancer patients, which provides valuable information for tailoring intervention measures to meet individual needs, especially for patients in the high-level emotional inhibition group. To enhance patients' emotional management capabilities and alleviate their levels of emotional inhibition, healthcare practitioners should fully consider how the emotional regulation subgroup is influenced by factors such as disease recurrence, educational background, marital status, anxiety levels, family support and patients' perceived social constraints in the medical environment.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2189-2199"},"PeriodicalIF":2.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12302986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Pharmacist-Led Intervention on Medication Adherence in Chronic Diseases: A Systematic Review of Randomized Controlled Trials.","authors":"Lubna Farhana, Fima Perdani Rahayu, Shofuro Sholihah, Waleed Sweileh, Rizky Abdulah, Sofa D Alfian","doi":"10.2147/PPA.S530503","DOIUrl":"https://doi.org/10.2147/PPA.S530503","url":null,"abstract":"<p><strong>Background: </strong>Managing chronic diseases often requires long-term treatment to prevent complications. However, the effectiveness of treatment is often reduced due to poor medication adherence. Poor medication adherence has been associated with 1.1 million hospital days in France and contributes to 200,000 premature deaths in Europe. As primary providers of pharmaceutical care, pharmacists have implemented various intervention strategies to address the problem. Therefore, this study aims to systematically examine the effectiveness of pharmacist-led interventions in improving medication adherence among patients with chronic diseases.</p><p><strong>Methods: </strong>Literature search was conducted using 2 databases (PubMed and EBSCO), focusing on RCTs published until October 2024. These RCTs analyzed the impact of pharmacist-led interventions on medication adherence in chronic diseases, such as hypertension, diabetes, dyslipidemia, asthma, cardiovascular disease, and COPD. Studies on multiple chronic, acute, or mental conditions were excluded. The Risk of Bias 2 tool (RoB2) was used to assess the quality of the studies.</p><p><strong>Results: </strong>Among 75 studies, a total of 26 were included, with the majority conducted in Europe (42%). In addition, 4 types of interventions were identified, including counseling (53.8%), tailored (26.9%), technology-based monitoring (3.85%), and multiple interventions (15.4%). A total of 18 studies (69.2%) demonstrated a significant association between pharmacist-led interventions and medication adherence. The majority measured adherence using self-reported questionnaires. Bias assessment results showed that 7 studies had low risk of bias, 10 had high risk, and 9 had some concerns.</p><p><strong>Conclusion: </strong>Pharmacist-led interventions, such as counseling, tailored, and multiple interventions, can improve medication adherence in chronic diseases. Although pharmacist-led interventions show promising potential, their effectiveness varies depending on the type of intervention and adherence measurements. Further studies are needed to focus on tailored interventions that address patient-specific barriers, ensuring higher efficiency in time, resources, and costs.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2161-2178"},"PeriodicalIF":2.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Theme-Based Nursing Education on Disease Awareness, Serum Uric Acid Control, Quality of Life, and Acute Attacks in Patients with Gout: A Randomized Controlled Study at a Tertiary Hospital in Beijing.","authors":"Zhenlei Gao, Juan Meng","doi":"10.2147/PPA.S514475","DOIUrl":"https://doi.org/10.2147/PPA.S514475","url":null,"abstract":"<p><strong>Objective: </strong>Patients with gout commonly face issues such as insufficient disease awareness and poor management outcomes. The innovative introduction of theme-based nursing education aims to enhance patients' disease awareness, reduce acute attacks, and improve quality of life.</p><p><strong>Methods: </strong>This study is a randomized controlled trial, A total of 72 patients with gout admitted to Beijing Chaoyang Hospital between 1 January 2023 and 31 November 2023 were randomly divided into the intervention group and the traditional nursing health education group. The traditional nursing health education group received traditional nursing health education, whereas the intervention group received theme-based nursing education. Both groups were continuously nursed for 12 weeks. Disease cognition, blood uric acid levels, QoL and frequency of acute attacks were assessed before and after the intervention. Statistical analysis was conducted using independent sample <i>t</i>-tests for between-group comparisons and paired <i>t</i>-tests for within-group comparisons.</p><p><strong>Results: </strong>After the intervention, the gout knowledge score in the intervention group was significantly higher than that in the traditional nursing health education group. The blood uric acid level at 12 weeks in the intervention group was significantly lower than that in the traditional nursing health education group, and the blood uric acid compliance rate was significantly higher than that in the traditional nursing health education group. The intervention group scored higher in four dimensions of the SF-36 scale: physical function, bodily pain, general health and vitality. The frequency of acute attacks in the intervention group was significantly lower than that in the traditional nursing health education group.</p><p><strong>Conclusion: </strong>Theme-based nursing education demonstrated superior outcomes in enhancing disease cognition, controlling blood uric acid, improving QoL and reducing acute attacks compared with traditional nursing health education.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2119-2128"},"PeriodicalIF":2.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Perception of Consumers Towards Generic Medicines in Saudi Arabia: A Prospective Cross-Sectional Survey.","authors":"Monira Alwhaibi, Mashael Alshammari, Noha Al Aloola, Nouf Aloudah, Aliyah Almomen, Tariq M Alhawassi","doi":"10.2147/PPA.S532513","DOIUrl":"https://doi.org/10.2147/PPA.S532513","url":null,"abstract":"<p><strong>Background: </strong>Brand-to-generic medicine substitution has been a common practice worldwide as one of the strategies to reduce pharmaceutical expenditure and sustain health care systems. The perspective of patients as end-users of these medicines is one of crucial factors in enhancing generic medicines' utilization. Therefore, this study aimed to evaluate the consumers' knowledge, perception, and current use of generic medicines in Saudi Arabia.</p><p><strong>Methods: </strong>A prospective cross-sectional study using a purposive sampling technique was conducted among adults aged 18 years and above in Saudi Arabia from December 2023 to January 2024. The study participants comprised the adult population aged 18 years and above living in Saudi Arabia. Descriptive statistics was used to describe the data, and all statistical analyses were carried out using SPSS.</p><p><strong>Results: </strong>In total, 691 adults participated in this study. About fifty percent of the participants had used generic medications and knew what generic medications meant (41.0%). There was a relatively positive perception towards generic medication in only about one-third of the participants; they either perceive that generics relieve symptoms as brand medication, generics would provide significant savings, or the physicians should always prescribe a generic medication if it's available.</p><p><strong>Conclusions: </strong>While there was some knowledge of generic medications' cost advantages, still significant gaps in knowledge and trust might hinder their widespread adoption. Addressing these challenges through targeted educational and policy interventions is crucial to promote the use of generic medications. By doing so, we can ensure that consumers have the information and confidence they need to make informed decisions about their medications.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2179-2187"},"PeriodicalIF":2.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of the CHD-PEBBS: A Scale to Assess Perceived Exercise Benefits and Barriers in Coronary Heart Disease Patients.","authors":"Yu Liu, Linmei Feng, Luyao Wang, Hongyan Li, Hui Tu, Xin Li, Xiaotian Zhang, Lingzhu Zhang, Minhui Yang, Xin Sun, Tingting Huang, Yuxin Xiong","doi":"10.2147/PPA.S524436","DOIUrl":"https://doi.org/10.2147/PPA.S524436","url":null,"abstract":"<p><strong>Background: </strong>The level of perceived exercise benefits and barriers is one of the key influencing factors of cardiac exercise rehabilitation (CER). There is a lack of validated tools to assess coronary heart disease (CHD) patients' exercise perception.</p><p><strong>Purpose: </strong>The aim of this study is to develop a scale assessing CHD patients' perceived exercise benefits and barriers (CHD-PEBBS) and test its reliability and validity.</p><p><strong>Methods: </strong>A total of 205 CHD patients were recruited for a cross-sectional survey. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to extract factors, delete items and evaluate construct validity. The Cronbach's alpha coefficient and test-retest reliability were used to test the reliability of the scale.</p><p><strong>Results: </strong>Based on the health belief model, this study developed a perceived benefits and barriers framework. CFA showed that the fit indices (such as χ²/df=2.281, CFI=0.93, RMSEA=0.079) were all acceptable A total of 6 factors were extracted through EFA, with a cumulative variance contribution rate of 75.52%. The perceived benefits subscale included 3 dimensions: \"improving physiological indicators\", \"improving quality of life\" and \"improving physiological function\" with a total of 12 items. The perceived barriers subscale also included 3 dimensions: \"lacking of exercise support\", \"worrying about adverse consequences\" and \"poor exercise experience or perception\" with a total of 10 items. The Cronbach's alpha coefficient of the scale was 0.917, and the test-retest reliability was 0.941.</p><p><strong>Conclusion: </strong>The CHD-PEBBS shows good reliability and validity, which may be used to evaluate the CER perception level of CHD patients, offering precise targets and pathways for exercise rehabilitation interventions in nursing.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2147-2159"},"PeriodicalIF":2.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Effects of Self-Acceptance and Self-Evaluation on Mindfulness and Benefit -Finding in a Sample of Chinese Systemic Lupus Erythematous Patients.","authors":"Fei Xu, Xu Tong, Yanping Niu, Qin Lin, Anling Yao, Feng Yang, Ling Li","doi":"10.2147/PPA.S529674","DOIUrl":"https://doi.org/10.2147/PPA.S529674","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the relationship between mindfulness, self-acceptance and benefit-finding in SLE patients. Through structural equation models, we examined the mediating role of self-acceptance and self-evaluation between mindfulness and benefit-finding.</p><p><strong>Patients and methods: </strong>We used a convenient sampling method to investigate the demographics characteristics, mindfulness, self-acceptance, and benefit-finding of 319 SLE patients who were admitted to the rheumatology and immunology departments of tertiary, and Grade-A hospitals from December 2019 to December 2020.</p><p><strong>Results: </strong>Educational Levels, age, presence of other diseases besides SLE, medical expense payment method can affect mindfulness, and benefit-finding in SLE patients (p<0.05), monthly salary can also influence mindfulness (p<0.05), marital status also have impact on benefit-finding (p<0.05). Educational Levels, age and monthly salary can affect the self-acceptance of SLE patients (p<0.05). Mindfulness is positively correlated with the benefit-finding and has a significant positive impact on it (r=0.379, p<0.01). Mindfulness is positively correlated with self-acceptance, and self-evaluation (r = 0.124 and 0.130, p < 0.05), which are positively correlated with the benefit-finding (r = 0.256 and 0.255, p < 0.05) in turn. Self-acceptance, and self-evaluation played a partially mediating role in the relationship between mindfulness, and the benefit-finding in SLE patients, with the mediating effect accounting for 7.95% (The path coefficient was 0.0391, p < 0.01), and 7.74% of the total effect (The path coefficient was 0.0384, p < 0.01), respectively.</p><p><strong>Conclusion: </strong>Mindfulness, self-acceptance, and benefit-finding in SLE patients are influenced by various sociodemographic factors. Self-acceptance and self-evaluation can mediate the relationship between mindfulness and benefit-finding in SLE patients. Clinical caregivers should pay more attention to improving patients' levels of mindfulness and their self-acceptance of the disease, and guide patients in cognitive reappraisal, so that they can benefit from the struggle with the disease.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2129-2146"},"PeriodicalIF":2.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative Assessment of Psychological Stress Changes Before and After Ureteral Stent Placement: A Prospective Observational Study.","authors":"Yijun Fu, Puzhao Liang, Xin Gao, Zimei Mo, Yongtong Ruan, Jie Pan","doi":"10.2147/PPA.S530289","DOIUrl":"10.2147/PPA.S530289","url":null,"abstract":"<p><strong>Background: </strong>Ureteral stents are commonly used in urological procedures, with approximately 2 million placements annually worldwide. While physical complications are well-documented, psychological impacts remain understudied. This study aimed to quantitatively evaluate psychological stress changes before and after ureteral stent placement in order to better understand patients' psychological needs during this common urological procedure.</p><p><strong>Methods: </strong>This prospective observational study with paired before-after measurements was conducted at Yangjiang Hospital of Traditional Chinese Medicine between November 2024 and March 2025. We enrolled 82 patients who underwent ureteral stent placement following ureteroscopic lithotripsy. Psychological assessments using the Chinese version of the Perceived Stress Scale and Emotional Distress Inventory were performed at two time points: immediately before stent insertion and during the stent indwelling period. Data were analyzed using paired <i>t</i>-tests, ANOVA, and multiple linear regression.</p><p><strong>Results: </strong>Total perceived stress scores increased significantly from baseline to stent indwelling period (14.40±9.85 vs 23.90±10.06, p<0.001), representing a 66.0% increase. The tension dimension demonstrated the most pronounced change (77.8% increase: from 6.40±3.32 to 11.38±5.12, p<0.001), while helplessness increased by 56.5% (from 8.00±7.09 to 12.52±6.62, p<0.001). Secondary analyses showed significant gender differences, with females reporting higher helplessness scores than males (12.32±8.00 vs 4.44±3.37, p<0.001). Stent duration ≥1 month was associated with greater helplessness compared to <1 month (12.97±6.95 vs 9.64±2.66, p=0.006). Emotional distress analysis revealed anhedonia in 75.6-79.3% of patients, while emotional fluctuations were less common (14.6-45.1%). Multiple regression confirmed gender as an independent predictor of helplessness (β=-0.371, p=0.001).</p><p><strong>Conclusion: </strong>Ureteral stent placement significantly increases psychological stress, particularly tension and helplessness dimensions. Female patients and those with prolonged stent duration are at higher risk for psychological distress. Clinicians should proactively address patients' psychological needs through targeted patient education, especially for high-risk populations, to improve patient experience during the stent indwelling period.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2095-2106"},"PeriodicalIF":2.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Second Eye Syndrome: Patients' Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery.","authors":"Asem Alqudah, Rami Al-Dwairi, Abdallah Sharayah, Nour Sufyan Al-Qudah, Yazan Salah Almustafa, Ahmad Al-Qudah, Diya' Alharahsheh, Rahma Kamal Al Awam, Hashim Al-Qudah, Abdelwahab Aleshawi","doi":"10.2147/PPA.S534166","DOIUrl":"10.2147/PPA.S534166","url":null,"abstract":"<p><strong>Background: </strong>\"Second eye syndrome\" is a term used to reflect the feeling of more pain, anxiety, and longer duration of second eye cataract surgery than first eye cataract surgery. Many theories were elaborated to explain this phenomenon. This study aims to assess the subjective responses of pain, anxiety, duration of surgery, and recovery of patients who underwent bilateral uncomplicated cataract surgery.</p><p><strong>Methods: </strong>A cross-sectional design utilizing a well-structured questionnaire was adopted in this study. All patients who underwent bilateral uncomplicated cataract surgery through phacoemulsification and intraocular lens implant, with similar best-corrected visual acuity in both eyes, were interviewed through and after each surgery. Demographics, medical history, and preoperative and operative details were collected.</p><p><strong>Results: </strong>In this study, 347 patients were included; 199 (57.3%) were males. The operations were without intraoperative complications for both eyes. The mean value of the VAS score of the first eye was 1.95 and was 2.37 for the second eye (P = 0.02). Seventy (20.2%) patients reported that second eye surgery was more painful in comparison to 26 (7.5%) patients who reported the first eye to be more painful. The overall experience for the second eye was better in 56 (16.1%) cases and worse in 141 (40.6%). No medical or operative factor was found to affect the responses.</p><p><strong>Conclusion: </strong>This study revealed that patients perceived more pain and less quality of visual recovery in the second eye surgery, which could be associated with psychological factors. We would suggest that all cataract surgeons pay attention to informing and reassuring patients that they are likely to feel more pain during the second eye operation.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2081-2094"},"PeriodicalIF":2.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medication Adherence and Perceptions According to the Presence or Absence of a Migration Background in a Dialysis Unit (DIANA Qualitative Study).","authors":"Jennifer Dotta-Celio, Mélanie Lelubre, Sabrina Bolzon, Georges Halabi, Michel Burnier, Patrick Bodenmann, Menno Pruijm, Marie P Schneider","doi":"10.2147/PPA.S503025","DOIUrl":"10.2147/PPA.S503025","url":null,"abstract":"<p><strong>Purpose: </strong>Migration status has received little attention in the context of medication adherence. This qualitative study aims to consolidate the findings of the quantitative DIANA study by: 1) exploring medication management, medication knowledge and perceptions and 2) identifying whether there are differences in medication management, knowledge and perceptions between patients according to the patients' migration status.</p><p><strong>Patients and methods: </strong>This monocentric qualitative study was part of the research protocol DIANA (<i>Dialyse chronique et adhésion thérapeutique</i>). Patients were recruited at the chronic dialysis unit of the Lausanne University Hospital. In-depth, face-to-face interviews were conducted; for allophone patients, an interpreter was present. Each interview was recorded and transcribed verbatim. A content analysis was performed.</p><p><strong>Results: </strong>Eighteen interviews were performed. Nine patients were Swiss, 3 had a residence/settlement permit, 6 were provisionally admitted/asylum seekers. Six interviews were performed with an interpreter. Core themes were: (1) treatment management (medication intake had become a habit, forgetting was rare), (2) heterogeneous treatment knowledge but highly perceived necessity, (3) reported medication disadvantages were pill burden and side effects, (4) role of the patient in the medical environment (trust in physicians but patients making decisions regarding their treatment on their own, without consulting healthcare professionals). Swiss patients engaged more in shared decision-making and were more likely to talk about side effects than migrant patients. Provisionally admitted foreign nationals/asylum seekers talked more about their gratitude to the healthcare system.</p><p><strong>Conclusion: </strong>More studies are needed to understand how shared decision-making can be established between health professionals and patients, taking into account their migration status. To provide tailored education, it is essential to evaluate patients' health literacy and to use the teach-back method to find the best way to convey health messages. The acquisition of transcultural clinical skills by health professionals is necessary to support medication adherence.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2107-2118"},"PeriodicalIF":2.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Study of Virtual Reality in Hemodialysis for Mitigating Pain and Anxiety: User Experiences and Perceptions.","authors":"Solmar Rodríguez de Galvis, Elena Guerrero Rodríguez, Julia Audije-Gil, Sandra Hernández Hernández, Marta Argilés-Huguet, Ana Botella, Marina Burgos Villulas, Ana Casaux-Huertas, Isabel González Sánchez, María Teresa Marín López, Paula Manso, David Hernán, Fabiola Dapena, María Dolores Arenas Jiménez","doi":"10.2147/PPA.S517622","DOIUrl":"10.2147/PPA.S517622","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) helps control symptoms during procedures in chronic patients. This study analyzes VR's effect on pain and anxiety in hemodialysis (HD) patients at two points: the vascular access puncture and disconnection.</p><p><strong>Methods: </strong>A prospective, non-randomized, crossover, multicenter pilot study assessing pre- and post-intervention outcomes with VR headsets. The intervention group used VR for up to 13 sessions, around the puncture, and at the end of the session. Pain was measured with the Faces Pain Scale - Revised (FPS-R) and anxiety with the Visual Analogue Scale for Anxiety (VAS-A). Usability and patient satisfaction with VR were also evaluated.</p><p><strong>Results: </strong>A total of 73 patients (66.2 ± 13.3 years, 67% men) were included. At the start, 8.2% declined to wear the VR headset. The average number of sessions with the headset was 6.5 ± 4.8, with 23.3% completing all 13 sessions. Pain during punctures significantly improved with VR (1.26 vs 0.97; p = 0.039), while anxiety improved non-significantly. Anxiety during disconnection slightly increased, but also not significantly. Patients with higher initial pain and anxiety levels during puncture and disconnection showed significant improvement, while those with lower initial levels worsened (p < 0.05 in all cases). The HD population showed varying levels of acceptance of VR.</p><p><strong>Conclusion: </strong>VR headsets help reduce pain during punctures, especially in patients with more intense pain. The effect on anxiety reduction during punctures or at the end of the session is inconclusive, with better results in those with higher anxiety levels. VR acceptance in the HD population is variable.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2069-2079"},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}