Patient preference and adherence最新文献

{"title":"Assessment of Patient Satisfaction with TB Care Services in Southern Afghanistan.","authors":"Muhammad Haroon Stanikzai, Hazratullah Bariz, Zabihullah Anwary, Ahmad Haroon Baray, Jawad Shirzad, Omid Dadras","doi":"10.2147/PPA.S602353","DOIUrl":"https://doi.org/10.2147/PPA.S602353","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is an important measure of high-quality TB care. However, no study has investigated patient satisfaction with TB care services in Afghanistan. Therefore, this study aims to assess patient satisfaction with TB care services in Southern Afghanistan.</p><p><strong>Methods: </strong>Between October and December 2025, a cross-sectional study was carried out among adult TB patients, who were randomly selected from six TB care centers in Southern Afghanistan. The outcome variable was patient satisfaction, assessed by the Patient Satisfaction Questionnaire-18 (PSQ-18). Bivariate and multivariable logistic regression models were fitted to identify factors associated with patient dissatisfaction.</p><p><strong>Results: </strong>Of 413 patients, 44.5% (95% CI: 39.6%-49.4%) were dissatisfied. The domains with the lowest satisfaction scores were financial aspects, followed by time spent with doctors. Patients living in rural areas (AOR = 1.72; 95% CI: 1.07-2.77), with lower household income (AOR = 1.73; 95% CI: 1.07-2.79), incurring out-of-pocket treatment costs (AOR = 1.68; 95% CI: 1.06-2.67), being in the continuation phase (AOR = 1.83; 95% CI: 1.12-2.98), not receiving counselling (AOR = 7.25; 95% CI: 3.86-13.61), and currently smoking (AOR = 2.05; 95% CI: 1.16-3.60) had greater odds of dissatisfaction with TB care.</p><p><strong>Conclusion: </strong>Nearly half of the TB patients were not satisfied with TB care. Policymakers and healthcare providers should address the determinants of dissatisfaction, particularly socioeconomic barriers, healthcare inequities, limited counselling, and regional disparities, to improve TB care programs in Southern Afghanistan.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"602353"},"PeriodicalIF":2.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819420","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":"Treatment-Related Factors for Medication Non-Adherence Among Patients with Major Depressive Disorder: An Explanatory Sequential Mixed-Methods Study.","authors":"Sohail Riaz, Fazli Khuda, Asif Jan, Aqeel Nasim, Atif Ali Khan Khalil, Basmah Abdulaziz Albabtain, Sultan Mehtap Büyüker, Asmat Ullah","doi":"10.2147/PPA.S554649","DOIUrl":"https://doi.org/10.2147/PPA.S554649","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine treatment-related factors influencing antidepressant non-adherence among patients with Major depressive disorder in Pakistan.</p><p><strong>Methods: </strong>An explanatory sequential mixed-methods cross-sectional design was employed. The study first conducted questionnaire-based quantitative research to assess non-adherence and its treatment-related predictors. This was followed by semi-structured interviews with a purposively selected subset of participants who were poorly adherent to explore their contextual experiences. Quantitative and qualitative findings were integrated using narrative synthesis and joint displays.</p><p><strong>Results: </strong>A total of 2,513 participants with recurrent major depressive disorder (MDD) were surveyed. Among them, 812 (32.3%) were classified as poorly adherent, 719 (28.6%) as moderately adherent, and 982 (39.1%) as highly adherent, based on the UMGLS-4. High ADR burden, low DAI-10 scores, unemployment, low income, and age above 55 years were significantly associated with non-adherence (p <0.05). Participants with high ADR burden were 1.42 times more likely to be non-adherent (AOR = 1.42, p < 0.001). Qualitative findings from 17 interviews supported and expanded these associations, revealing how sedation, weight gain, cultural interpretations of medication as \"hot\", lack of treatment timelines, and poor pharmacy support discouraged routine antidepressant use.</p><p><strong>Conclusion: </strong>A combination of physiological, cognitive, and systemic treatment-related barriers drives antidepressant non-adherence among Pakistani MDD patients. Addressing these factors through culturally sensitive ADR counselling, consistent follow-up, and pharmacist-led support may improve adherence and treatment outcomes in low-resource mental health settings.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"554649"},"PeriodicalIF":2.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819530","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":"Prioritisation of Factors Influencing Outpatient Satisfaction in Chinese Public Hospitals: A Dominance Analysis.","authors":"Wei Liu, Guoping Li, Kunli Ding, Sike Wang, Zixuan Fan, Zhenbo Wang, Qian Zhuang, Yang Liu, Lihua Liu, Lin Li","doi":"10.2147/PPA.S553147","DOIUrl":"https://doi.org/10.2147/PPA.S553147","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the current status of outpatient satisfaction with their healthcare experience and its influencing factors, providing a basis for improving medical service quality.</p><p><strong>Methods: </strong>Utilizing data from a 2021-2024 national survey by Doctor-Patient Experience Research Base, National Health Commission of the people's Republic of China across 20 hospitals (n=49,371 outpatients), this study analyzed the impact of hospital characteristics, patient demographics, and care process factors (registration time, consultation time, payment time, waiting time, perceived value of consultation) on satisfaction. Chi-square tests and Logistic regression identified significant factors; the innovative application of dominance analysis was then used to assess their relative importance contribution and establish a clear priority for intervention.</p><p><strong>Results: </strong>Hospital characteristics, care process factors, and most patient demographics showed significant associations with satisfaction (p<0.05). Logistic regression identified consultation time, perceived value of consultation, payment time, registration time, and waiting time as significant predictors of satisfaction (p<0.001). The dominance analysis revealed a distinct hierarchy of influence: consultation time had the highest relative contribution to satisfaction, followed by perceived value of consultation, payment time, registration time, and waiting time.</p><p><strong>Conclusion: </strong>This study analyses the key sequences for enhancing patient satisfaction and healthcare experience, providing healthcare managers with precise actionable guidance.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"553147"},"PeriodicalIF":2.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819551","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":"Disparities in Knowledge, Attitudes, and Practices Regarding Rheumatoid Arthritis Between Han and She Ethnic Groups in Ningde City, Eastern Fujian, China: A Cross-Sectional Study.","authors":"Sijia Chen, Shihan Chen, Hua Chen, Yadong Zhou, Yuling Chen, Shuling Chen, Jiliang Chen, Jin Guo, Pang Chen","doi":"10.2147/PPA.S594063","DOIUrl":"https://doi.org/10.2147/PPA.S594063","url":null,"abstract":"<p><strong>Background: </strong>Rheumatoid arthritis (RA) poses significant health challenges worldwide. However, little is known about disparities in knowledge, attitudes, and practices (KAP) regarding RA among ethnic minorities in China. This study aimed to compare KAP outcomes between Han and She ethnic groups and to explore the influencing factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among residents of Ningde City, Fujian Province, China, between June 2023 and January 2024.</p><p><strong>Results: </strong>A total of 546 valid questionnaires were collected. The mean knowledge, attitude, and practice scores for the total sample were 8.85±5.85, 41.10±6.56, and 16.47±3.91, respectively. Han participants exhibited significantly higher attitude (44.02±6.49 vs. 40.46±6.40, P<0.001) and practice scores (17.41±4.15 vs. 16.25±3.82, P=0.005) than She participants, although knowledge scores were slightly lower among Han (7.85±3.60 vs. 9.06±6.21, P=0.119), although this difference was not statistically significant (P = 0.119). Structural equation modeling analysis revealed that education was positively associated with knowledge (β = 1.53, P < 0.001), while knowledge (β = 0.40, P < 0.001) and ethnicity (β = 4.04, P < 0.001) showed direct paths to attitudes. Furthermore, attitudes (β = 0.25, P < 0.001) and income (β = 0.64, P < 0.001) were independently associated with practices.</p><p><strong>Conclusion: </strong>Residents in Ningde City demonstrated generally adequate knowledge and positive attitudes towards RA but only moderate levels of proactive practices. Ethnic disparities were observed, with Han participants showing better attitudes and practices than She participants. Targeted educational interventions that consider ethnic and socioeconomic differences are warranted to enhance RA management outcomes in minority communities.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"594063"},"PeriodicalIF":2.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819423","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":"Impact of Scrub Color on Patient Perceptions of Oral and Maxillofacial Surgeons: A Cross-Sectional Study.","authors":"Mehmet Emre Yurttutan, Ömer Faruk Kocamaz, Berivan Deniz","doi":"10.2147/PPA.S594237","DOIUrl":"https://doi.org/10.2147/PPA.S594237","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate how the use of five different colored scrubs by male and female surgeons in oral and maxillofacial surgery affects patients' perceptions of trust, experience, respect, cleanliness, and comfort.</p><p><strong>Patients and methods: </strong>A cross-sectional survey was completed by 500 adults attending a university OMS clinic. Participants viewed standardized photographs of one male and one female surgeon wearing scrubs in five colors: black, navy blue, green, red, and white. All non-attire factors were kept constant. Each image was rated on a five-point Likert scale for trustworthiness, experience, respectability, cleanliness, and comfort. Group differences were analyzed using Chi-square and Kruskal-Wallis tests, followed by Bonferroni-adjusted post-hoc comparisons.</p><p><strong>Results: </strong>Scrub color showed significant associations with all evaluated traits (p < 0.001). Green, black, and navy blue received the highest ratings across most dimensions, while red consistently ranked lowest. Demographic factors produced only minor variations, and post-hoc results revealed little difference among the three best-rated colors.</p><p><strong>Conclusion: </strong>Scrub color contributes to how patients perceive OMS surgeons, particularly in a field where anxiety is already common. Darker, traditional tones may support more reassuring impressions, while red appears less favorable. These findings may help guide attire preferences and institutional dress policies.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"594237"},"PeriodicalIF":2.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13128499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819428","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":"Evidence Summary for Self-Management Education in Patients with Non-Alcoholic Fatty Liver Disease.","authors":"Yuying Yang, Jinjin Cao, Lu Zhang, Jing Liu, Mei Li","doi":"10.2147/PPA.S590068","DOIUrl":"https://doi.org/10.2147/PPA.S590068","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically summarize domestic and international evidence on self-management education for patients with non-alcoholic fatty liver disease (NAFLD), and to provide an evidence base for nurses to deliver health education and guide patient self-management.</p><p><strong>Patients and methods: </strong>The evidence summary adhered to the standards issued by the Fudan University Center for Evidence-based Nursing.Guided by the \"6s\" evidence pyramid, a top-down search was conducted of evidence related to self-management education in patients with NAFLD. Sources included clinical decision-support tools, guidelines, best practice documents, systematic reviews, evidence summaries, expert consensus statements and randomized controlled trials. The following databases and resources were systematically searched: BMJ Best Practice, Up To Date, PubMed, Web of Science, the Cochrane Library, CINAHL, CNKI, the Wanfang Database and relevant guideline websites. The search period covered the time from the beginning of the database up to August 2025.</p><p><strong>Results: </strong>19 articles met the inclusion criteria, comprising 6 guidelines, 4 systematic reviews, 5 expert consensus statements, 2 randomized controlled trials and 2 evidence summaries. Thirty pieces of evidence were generated in five domains: (1) disease monitoring and assessment; (2) weight and nutritional management; (3) exercise and physical activity management; (4) self-monitoring and health education; and (5) social support systems. Most evidence was of moderate-to-high quality and showed good consistency.</p><p><strong>Conclusion: </strong>The synthesized evidence on self-management education for patients with NAFLD provides a reference for clinical practice. It can support nurses in developing scientific, individualized self-management education plans according to patients' characteristics, thereby improving the quality of long-term disease management and health outcomes.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"590068"},"PeriodicalIF":2.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13123548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778269","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":"5G Bedside Interactive Terminal Health Education to Enhance Treatment Adherence in Elderly Patients with Chronic Diseases: The Mediating Role of Self-Efficacy.","authors":"Saijun Zhang, Xiaoxiao Ruan","doi":"10.2147/PPA.S596556","DOIUrl":"https://doi.org/10.2147/PPA.S596556","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the acceptance of 5G-enabled bedside interactive terminal health education among elderly patients with chronic diseases and analyze its impact on treatment adherence, focusing on the mediating role of self-efficacy.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 294 elderly inpatients with chronic diseases (January 2022-January 2023). Acceptance was measured using a technology acceptance model (TAM)-based Health Education Acceptance Scale, self-efficacy with the Chronic Disease Self-Efficacy Scale (CDSES), and adherence via the 5-item Medication Adherence Report Scale, Exercise Adherence Rating Scale, and self-developed Dietary Adherence Scale. Hierarchical linear regression was constructed to analyze the impact of acceptance on adherence, controlling for demographics/clinical variables. The mediating effect of self-efficacy was examined by Bootstrap testing.</p><p><strong>Results: </strong>Participants reported moderately high acceptance (TAM_score: 64.29 ± 17.26) and moderate self-efficacy (CDSES score: 6.95 ± 1.97). Adherence scores were 19.99 ± 3.22 (medication), 16.29 ± 4.30 (exercise), and 27.93 ± 5.73 (diet). Acceptance was significantly associated with all adherence domains (all <i>P</i> < 0.001). Self-efficacy partially mediated the effects on medication (indirect effect = 0.0159, <i>95% CI</i>: 0.0075-0.0252) and exercise adherence (indirect effect = 0.0218, <i>95% CI</i>: 0.0098-0.0360). Among TAM dimensions, perceived usefulness most stably predicted adherence, independently and positively influencing exercise adherence (B = 0.212, 95% CI: 0.062-0.361, <i>P</i> = 0.006).</p><p><strong>Conclusion: </strong>5G terminal-based health education was significantly associated with better treatment adherence among elderly patients with chronic diseases. Self-efficacy serves as a crucial mediator, particularly for medication and exercise behaviors. Optimizing terminal interactivity and enhancing self-efficacy are crucial for improving long-term disease management outcomes.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"596556"},"PeriodicalIF":2.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13118710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778352","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":"Changes in Dyadic Coping and Health Behaviors Across Pregnancy in Gestational Hypertension: A Three-Wave Dyadic Cross-Lagged Actor-Partner Interdependence Model Study.","authors":"Shao-Hong Yu, Gui-Hua Chen, Xiao-Min Sheng, Ren-Lan Li, Cheng-Lin Wang, Xiao-Hong Liang, Xiu-Ni Gan","doi":"10.2147/PPA.S597849","DOIUrl":"https://doi.org/10.2147/PPA.S597849","url":null,"abstract":"<p><strong>Objective: </strong>Based on the Actor-Partner Interdependence Model, this study longitudinally explores the dynamic interactions between dyadic coping and health behaviors among patients with gestational hypertension and their spouses, providing a basis for promoting health behaviors in both partners.</p><p><strong>Methods: </strong>Using the convenience sampling method, 260 cases of patients with gestational hypertension were selected. Dyadic Coping Inventory (DCI) and the Health Promoting Lifestyle Profile (HPLP) were used to conduct investigations at 20-21⁺⁶ weeks of gestation (T1), 28 weeks of gestation (T2), and 36 weeks of gestation (T3).</p><p><strong>Results: </strong>The actor effects of dyadic coping between patients with gestational hypertension and their spouses on health behaviors were significant. That is, the dyadic coping of both patients (T1→T2: β = 0.11, T2→T3: β = 0.10, all p < 0.01) and spouses (T1→T2: β = 0.09, T2→T3: β = 0.08, all p < 0.01) could be positively and prospectively associated with their own health behaviors at the next time point. The actor effects of health behaviors of patients and spouses on dyadic coping were also significant. Specifically, the health behaviors of both patients (T1→T2: β = 0.14, T2→T3: β = 0.11, all p < 0.001) and spouses (T1→T2: β = 0.12, P < 0.001; T2→T3: β = 0.10, p < 0.01) could be positively and prospectively associated with their own dyadic coping at the next time point. Furthermore, significant partner effects of health behaviors were found: the health behaviors of both patients (T1→T2: β = 0.13, T2→T3: β = 0.12, all p < 0.001) and spouses (T1→T2: β = 0.09, T2→T3: β = 0.07, all p < 0.01) could be positively and prospectively associated with the other's health behaviors at the next time point.</p><p><strong>Conclusion: </strong>Dyadic coping and health behaviors interact between patients with gestational hypertension and their spouses.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"597849"},"PeriodicalIF":2.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778302","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":"Demand Analysis of Mobile Health Applications for Patients with Chronic Kidney Disease Across Different E-Health Literacy Levels.","authors":"Yan Gao, Li-Jia Pu, Yu Yan, Di-Fei Duan, Min Liu, Lin-Jia Yan, Ling Li, Deng-Yan Ma, Yi Chen","doi":"10.2147/PPA.S582991","DOIUrl":"https://doi.org/10.2147/PPA.S582991","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic kidney disease (CKD) requires innovative strategies to support long-term self-management. This study is novel in applying the Kano model to examine preferences for mobile health (mHealth) apps among Chinese patients with CKD and to compare these preferences across different levels of e-health literacy.</p><p><strong>Patients and methods: </strong>A multicenter cross-sectional survey was conducted among 484 patients with CKD in China. Face-to-face questionnaires were used to assess self-management needs and user interface (UI) preferences for CKD-related mHealth apps. App attributes were classified using the Kano model, and their priorities were further evaluated using Better-Worse coefficients and ranking analysis.</p><p><strong>Results: </strong>Low e-health literacy users prioritized foundational features: must-be attributes included disease knowledge, while one-dimensional attributes were symptom and medication management. High e-literacy users emphasized medical insurance information (must-be) and disease management (one-dimensional). Both groups valued an intuitive UI, in addition to considering privacy protection as must-be attributes, low e-health literacy users required simplified navigation, whereas high e-health literacy users preferred efficient data entry.</p><p><strong>Conclusion: </strong>Preferences for CKD mHealth apps varied by e-health literacy level. Patients with lower e-health literacy may benefit more from basic health education and simplified interfaces, whereas those with higher e-health literacy expect more advanced and efficient functionalities. These findings highlight the value of the Kano model in identifying differentiated user needs and can inform the development of tailored mHealth apps to support equitable CKD self-management.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"582991"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778294","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":"Preoperative Educational Video Viewing is Associated with a Reduced Incidence of Subconjunctival Hemorrhage Following Intravitreal Anti-VEGF Injection.","authors":"Haiyan Cai, Jingjie Xu, Jingliang He, Ailing Sui, Pei Zhang, Yingchun Tang, Jieqing Ding, Pingfen Hua, Weixin Zheng, Mingzhi Su, Panpan Ye, Xiaoyun Fang, Fang Zheng","doi":"10.2147/PPA.S583463","DOIUrl":"https://doi.org/10.2147/PPA.S583463","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether preoperative viewing of an educational procedural video reduces the incidence and severity of subconjunctival hemorrhage (SCH) following intravitreal anti-VEGF injections (IVI), and improves patient experience.</p><p><strong>Methods: </strong>In this surgeon-blind randomized controlled trial conducted at a single tertiary care center (NCT07002372), treatment-naïve patients scheduled for their first IVI were prospectively enrolled and randomized to either an intervention group (video viewing) or a control group (no video viewing). All participants completed the State-Trait Anxiety Inventory-State (STAI-S) before and after the injection. SCH incidence and area were assessed via standardized post-injection photographs analyzed using ImageJ software. Additional outcomes included patient-reported pain scores, heart rate, procedure time, and surgeon-rated cooperation.</p><p><strong>Results: </strong>A total of 108 patients were enrolled, of whom 103 completed the study, which was fewer than the initially planned sample size. Baseline demographics were similar between groups. SCH occurred in 21/51 (41.2%) patients in the intervention group versus 36/52 (69.2%) in the control group (<i>P</i> = 0.004), though SCH area did not differ significantly. Logistic regression analysis revealed that the use of anticoagulant medication was positively associated with the occurrence of SCH (OR = 3.252; 95% CI, 1.166-9.071; <i>P</i> = 0.024), whereas watching an educational video prior to IVI was associated with a lower risk of SCH (OR = 0.275; 95% CI, 0.115-0.656; <i>P</i> = 0.004). Anxiety scores decreased post-procedure in both groups. In the intervention group, anxiety decreased modestly after video viewing (28.54 ± 10.40 to 27.00 ± 8.78, <i>P</i> = 0.052). Patients rated the video as helpful for understanding (8.75/10), calming nerves (8.44/10), and improving cooperation (8.55/10). No significant differences were observed in pain scores, heart rate, procedure time, or surgeon-rated cooperation.</p><p><strong>Conclusion: </strong>Preoperative procedural video viewing reduces the incidence of SCH and improves patients' understanding of IVI. Given its simplicity and ease of implementation, this approach may serve as a practical adjunct to enhance patient experience in clinical practice.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"583463"},"PeriodicalIF":2.0,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778299","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}