Patient preference and adherence最新文献

{"title":"Potential Profile of Self-Management and Associated Factors Among Patients with Nonalcoholic Fatty Liver Disease.","authors":"Ye Xiao, Xiaoyan Ji, Yan Lin, Meifang Chen, Beili He, Qiaoxian Zhang","doi":"10.2147/PPA.S626470","DOIUrl":"10.2147/PPA.S626470","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify latent profiles of self-management capacity among patients with NAFLD and to examine how demographic characteristics and chronic illness resource utilization differ across profiles.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using convenience sampling. A total of 309 patients with NAFLD were recruited from the fatty liver health management clinic and health examination center of a Grade III-A general hospital in Fujian Province between November 2023 and March 2025. Data were collected using a general information questionnaire, the NAFLD Self-Management Scale, and the Chinese version of the Chronic Illness Resources Survey. Latent profile analysis (LPA) was performed to classify self-management capabilities. Differences between profiles in demographic and resource utilization variables were examined, and multinomial logistic regression was conducted to identify factors associated with profile membership.</p><p><strong>Results: </strong>LPA revealed two distinct self-management profiles: a \"low self-management-poor daily life management\" group (56.6%) and a \"high self-management-good lifestyle management\" group (43.4%). Profile membership was significantly associated with educational level, occupational categories, the severity of fatty liver disease, individual coping strategies, and health care team (P < 0.05). After adjustment, only education level, occupational categories, individual coping strategies, and health care team support remained independently associated with profile membership.</p><p><strong>Conclusion: </strong>Patients with NAFLD demonstrate significant heterogeneity in self-management capacity. Identifying these profiles can help healthcare providers recognize patients with lower self-management capacity early, particularly those with lower educational attainment or physically demanding occupations.</p><p><strong>Practice implications: </strong>These findings underscore the heterogeneity of self-management among patients with NAFLD and suggest that healthcare providers should prioritize early identification and tailored support for patients with lower self-management capacity, with attention to their psychosocial and coping resources.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"626470"},"PeriodicalIF":2.6,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920505","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":"Patient Satisfaction with a Virtual Reality Education Tool for Advanced Technology Intraocular Lenses: A Retrospective Multi-Center Analysis.","authors":"Kathryn Poolman, Jada Tschetter, Arij Khan, Tanner J Ferguson, Brandon J Baartman, Michael Greenwood, Daniel Terveen","doi":"10.2147/PPA.S602152","DOIUrl":"10.2147/PPA.S602152","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of a virtual reality (VR) education tool on the adoption of advanced technology intraocular lenses (ATIOLs) and patient satisfaction among individuals undergoing cataract surgery.</p><p><strong>Setting: </strong>Five ophthalmology centers across the United States.</p><p><strong>Design: </strong>Retrospective, non-randomized, multi-center study.</p><p><strong>Methods: </strong>A total of 609 patients from five surgical centers were included. Patients were divided into two groups based on the education modality utilized during their cataract evaluation appointment: a VR group (n = 289) that received education using a VR headset and a control group (n = 320) that received standard verbal education from providers. The primary outcome measured was the rate of ATIOL selection at the initial cataract evaluation. Secondary outcomes included patient feedback on the VR experience, assessed via follow-up surveys at one week after evaluation and three months post-operatively.</p><p><strong>Results: </strong>ATIOL selection was significantly higher in the VR group compared to the control group. Overall, 165 of 289 patients (57.1%) in the VR group chose an ATIOL versus 91 of 320 patients (28.4%) in the control group (p < 0.001), representing an approximately two-fold increase in adoption. In the VR group, 83.6% of patients reported that the headset was easy or very easy to use. At three months post-operatively, 90% of survey respondents stated that their vision closely resembled what they saw in the VR simulation, and 90% indicated they would recommend the VR educational tool to others.</p><p><strong>Conclusion: </strong>VR may be an effective educational tool for enhancing patient understanding and satisfaction during IOL selection for cataract surgery. Its use was associated with increased adoption of ATIOLs and increased levels of patient-reported satisfaction. VR-based education may help set more accurate expectations for postoperative vision, potentially improving overall patient satisfaction with cataract surgery.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"602152"},"PeriodicalIF":2.6,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920382","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":"Parental Preferences for Continuous Glucose Monitoring Devices in Children with Type 1 Diabetes: A Pilot Discrete Choice Experiment with Sensitivity Analysis of Decision Consistency.","authors":"Ying Liu, Junlin Huang, Congli Chen, Jin Wu","doi":"10.2147/PPA.S635823","DOIUrl":"10.2147/PPA.S635823","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Continuous glucose monitoring is increasingly used in pediatric type 1 diabetes management, but families may value device characteristics differently and may trade off convenience, safety-related functions, remote data access, sensor replacement burden, and cost.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This pilot discrete choice experiment explored parental preferences for continuous glucose monitoring device attributes among Chinese families of children with type 1 diabetes and examined the robustness of preference estimates under alternative respondent-inclusion and modeling strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients and methods: &lt;/strong&gt;Parents or legal guardians of children with type 1 diabetes completed an online discrete choice experiment. Each of ten core choice tasks presented two hypothetical continuous glucose monitoring devices and an opt-out option representing maintenance of the child's current monitoring strategy. Five attributes were included: measurement and calibration, low-glucose alert, remote monitoring, sensor replacement frequency, and monthly cost. The revised primary analysis excluded only responses with implausible or atypical completion times and retained respondents who failed the dominance task or consistently selected the opt-out option. Non-cost attributes were modeled categorically using effects-coded conditional logit models with cluster-robust standard errors at the respondent level. Sensitivity analyses applied alternative respondent-inclusion criteria.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among 79 initial responses, 75 respondents were included in the revised primary analysis, contributing 750 core choice tasks and 2250 alternative-level observations. Real-time remote monitoring with automatic push notification showed a positive association with device choice in the revised primary analysis, although the estimate did not reach conventional statistical significance. This attribute remained positive and statistically significant in sensitivity analyses excluding dominance-task failures, excluding consistent opt-out respondents, and applying the original strict quality-control criteria. A 14-day sensor replacement frequency was positively associated with device choice in the revised primary analysis, whereas 30-day replacement did not show a consistent additional preference advantage. Measurement/calibration, low-glucose alert functions, and monthly cost showed less stable associations across analyses. Exploratory relative-importance analysis suggested that remote monitoring may be an important preference driver. Willingness-to-pay estimates were exploratory and should be interpreted cautiously because of imprecision in the cost coefficient.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In this pilot study, real-time remote monitoring emerged as the most consistent positive preference signal for continuous glucose monitoring device choice among parents of children with type 1 diabetes. Preferences for sensor repla","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"635823"},"PeriodicalIF":2.6,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13557174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920419","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 Role of Perceived Social Support in the Association Between Perceived Stress and Self-Management Behaviors Among Patients with Type 2 Diabetes Mellitus and Metabolic Dysfunction-Associated Steatotic Liver Disease.","authors":"Ling Ma, Yaling Song, Wei Long, Aiqun Li","doi":"10.2147/PPA.S615429","DOIUrl":"10.2147/PPA.S615429","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether perceived social support mediates the relationship between perceived stress and self-management behaviors in patients with type 2 diabetes mellitus (T2DM) complicated by metabolic dysfunction-associated steatotic liver disease (MASLD), and to provide a theoretical basis for targeted psychosocial interventions in clinical practice.</p><p><strong>Methods: </strong>By convenience sampling, patients with T2DM and MASLD were recruited from a tertiary hospital in Changsha between April 2024 and September 2025. Data were collected using a general information questionnaire, the Chinese Perceived Stress Scale, the Perceived Social Support Scale, and the Chronic Disease Self-Management Behavior Measurement Scale.</p><p><strong>Results: </strong>The mean scores for perceived stress, perceived social support, and self-management behaviors were 25.66 ± 8.02, 56.05 ± 10.28, and 27.63 ± 8.62, respectively. Pearson correlation analysis indicated that dimensions such as loss of control and tension were significantly associated with both social support and self-management behaviors (all <i>P <</i> 0.01). Perceived stress was negatively correlated with perceived social support (<i>r</i> = -0.534, <i>P <</i> 0.01) and self-management behaviors (<i>r</i> = -0.391, <i>P <</i> 0.01), whereas perceived social support showed a positive correlation with self-management behaviors (<i>r</i> = 0.471, <i>P <</i> 0.01). Mediation analysis demonstrated that perceived social support partially mediated the association between perceived stress and self-management behaviors, accounting for 50.2% of the total effect.</p><p><strong>Conclusion: </strong>Perceived social support functions as a key mediator linking perceived stress and self-management behaviors in patients with T2DM and MASLD. These findings highlight the importance of integrating psychological assessment into routine nursing care. Interventions such as family-involved nursing care, peer support groups, and the utilization of community-based healthcare resources may help establish a coordinated support system that connects the hospital, family, and society. The proposed approach could mitigate the adverse impact of stress on self-management behaviors and ultimately improve patient outcomes.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"615429"},"PeriodicalIF":2.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930641","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 Preliminary Psychometric Evaluation of the Intradialytic Hypotension-Related Health Beliefs Scale for Patients Undergoing Maintenance Hemodialysis.","authors":"Ting Luo, Guangyi Yang, Siying Li, Zhenye Mu, Hongdan Wang, Min Yang","doi":"10.2147/PPA.S627792","DOIUrl":"10.2147/PPA.S627792","url":null,"abstract":"<p><strong>Purpose: </strong>To develop the Intradialytic Hypotension (IDH)-Related Health Beliefs Scale for patients undergoing maintenance hemodialysis (MHD) and preliminarily evaluate its psychometric properties.</p><p><strong>Methods: </strong>A multistage scale-development study combined literature review, patient interviews, Delphi consultation, and pretesting. Convenience sampling recruited 451 patients from four tertiary hospitals in China. Before item analysis, participants were randomly divided into development (n=226) and validation (n=225) samples. The development sample was used for item analysis and exploratory factor analysis (EFA), whereas the validation sample was used for confirmatory factor analysis (CFA) and evaluation of convergent and discriminant validity. Content validity, known-groups validity, internal consistency, test-retest reliability, and score distributions were also examined.</p><p><strong>Results: </strong>The final scale contained 29 items across four domains: perceived susceptibility, perceived severity, perceived benefits, and self-efficacy. EFA supported a four-factor structure explaining 65.29% of item variance. After two content-justified post hoc within-domain residual correlations were specified, CFA fit was acceptable (CFI=0.978, TLI=0.976, RMSEA=0.064, SRMR=0.061). The scale-level content validity index using the average method (S-CVI/Ave) was 0.969. Across domains, Cronbach's α ranged from 0.794 to 0.922, McDonald's ω from 0.805 to 0.961, and 2-week intraclass correlation coefficients from 0.839 to 0.894. Three of six prespecified known-groups hypotheses were supported. The self-efficacy domain showed a 34.37% ceiling effect.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first patient-reported instrument developed specifically to assess IDH-related health beliefs in this population. The findings provide preliminary evidence for its four-domain structure, reliability, and validity. Scores should be calculated and interpreted by domain. The scale may help identify priorities for patient education and risk communication but cannot replace objective clinical assessment. Independent multicenter and longitudinal validation is required before routine use.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"627792"},"PeriodicalIF":2.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913024","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":"Comprehensive Pharmaceutical Care and Service-Related Outcomes During Vonoprazan-Amoxicillin Dual Therapy in Elderly Patients: A Retrospective Cohort Study.","authors":"Hui Jiang, Mengmeng Zhang, Shuang Li, Yaqi Wang, Najing Fu, Xiwen He, Junjuan Wang","doi":"10.2147/PPA.S615523","DOIUrl":"10.2147/PPA.S615523","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the potential association between clinical pharmacist-led comprehensive pharmaceutical care and treatment outcomes in elderly patients receiving initial vonoprazan-amoxicillin dual therapy for Helicobacter pylori infection.</p><p><strong>Methods: </strong>In this single-center retrospective cohort study, a total of 100 elderly patients (≥65 years) with H. pylori infection who received initial eradication therapy between May 2023 and May 2025 were included. Based on the level of pharmaceutical care provided during treatment, patients were classified into a control group (n=50, receiving standard medication counseling) or an observation group (n=50, receiving multi-stage, pharmacist-led comprehensive pharmaceutical care). Outcomes included adverse events, H. pylori eradication rate, medication adherence, and patient satisfaction.</p><p><strong>Results: </strong>The incidence of adverse events was lower in the observation group than in the control group (12.0% vs 30.0%, P=0.027). The H. pylori eradication rate was numerically higher in the observation group (84.0% vs 74.0%, P=0.220). Medication adherence was significantly better in the observation group than in the control group (P<0.001). Overall patient satisfaction was also higher in the observation group than in the control group (86.0% vs 60.0%, P=0.007).</p><p><strong>Conclusion: </strong>Comprehensive pharmaceutical care during dual therapy for H. pylori infection in elderly patients was associated with fewer adverse events and improved medication adherence and patient satisfaction.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"615523"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900955","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":"Use and Dynamic Adjustment of Self-Control Strategies in Physical Activity Engagement Among Young and Middle-Aged Stroke Patients: A Qualitative Study.","authors":"Xingru Li, Chao Zhang, Wenguang Xie, Wenhao Zhang","doi":"10.2147/PPA.S630211","DOIUrl":"10.2147/PPA.S630211","url":null,"abstract":"<p><strong>Background: </strong>Young and middle-aged stroke patients often have poor self-control due to brain injury and limited experience in disease management, leading to conflicts between intentions to engage in physical activity (PA) and temptations. However, little is known about PA participation from a self-control perspective. This study therefore investigated how these patients use self-control to manage such conflicts.</p><p><strong>Methods: </strong>This descriptive qualitative study employed purposive sampling to recruit 16 stroke patients (10 ischemic, 6 hemorrhagic) aged 18-59 years with relatively mild disability, all of whom were living independently in the community. The majority were married and resided in urban areas. Thematic analysis was employed for data analysis. This report follows the Consolidated Criteria for Reporting Qualitative Research checklist.</p><p><strong>Results: </strong>Three themes were identified: (1) conflict between PA intentions and temptations, (2) adaptive self-control strategies in PA contexts, and (3) temporal and contextual dynamics of self-control motivation in PA. Participants' PA intentions were driven by health cognitions and identity roles. However, knowledge gaps and symptom interpretation biases led them to rationalize temptations. Participants adopted various adaptive self-control strategies (eg, self-motivation, establishing external supervision, and daily habits). Furthermore, self-control motivation varied across different stages and contexts of PA, and was primarily influenced by anticipated and actual fatigue, as well as body image concerns.</p><p><strong>Conclusion: </strong>This study offers insight into how young and middle-aged stroke patients navigate the conflict between PA intentions and temptations from a self-control perspective. Healthcare professionals may consider offering motivational interviewing and guidance on PA safety to reduce stroke patients' tendency to rationalize temptations. Furthermore, attention should be paid to patients' psychological resources and external environmental support, in order to deliver individualized self-control strategies that promote PA participation and long-term adherence.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"630211"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901086","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 of an Evaluation Indicator System for Discharge Preparation Services for First-Time Insulin Injection Patients Based on the Delphi Method.","authors":"Yaru Li, Yao Yu, Fenglian Zhang, Meng Wang, Zhiqiang Kang, Haixia Han, Xiyu Wang, Zhigang Shi, Shiyi Zhang, Caixia Xing, Yaojie Niu","doi":"10.2147/PPA.S613527","DOIUrl":"10.2147/PPA.S613527","url":null,"abstract":"<p><strong>Objective: </strong>To establish a scientific, systematic, and operational assessment framework for discharge preparation services of patients initiating insulin therapy, providing a standardised tool for regulating and evaluating transitional care quality for this patient group.</p><p><strong>Methods: </strong>Based on the \"structure-process-outcome\" <i>three-dimensional quality model</i>, drawing on literature, and after two rounds of Delphi expert consultation, a preliminary Delphi-based indicator system was established for the evaluation of the nursing quality of discharge preparation services for patients with first-time insulin injections.</p><p><strong>Results: </strong>Both rounds of expert questionnaire responses achieved 100% valid return rates. Expert authority coefficients were 0.953 and 0.934, with Kendall's W values of 0.101 and 0.096. Coefficients of variation ranged from 0.048 to 0.320 and 0.066 to 0.269 (all p < 0.05). The study ultimately established three primary indicators, ten secondary indicators, and thirty tertiary indicators.</p><p><strong>Conclusion: </strong>Grounded in the \"structure-process-outcome\" theoretical framework, this framework comprehensively covers service foundations, implementation processes, and health outcomes. It offers a practical reference for evaluating and continuously improving discharge preparation services for first-time insulin injection patients in clinical endocrinology settings, thereby supporting the enhancement of transitional care quality.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"613527"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900948","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":"Empowering Adherence Assessment: Translating and Validating the 15-STARS Questionnaire for Use in Taiwanese Community Pharmacies.","authors":"Yung-Hsuan Chang, Yen-Ming Huang, Yu-Meng Yang, Tzu Wang, Hsun-Yu Chan, Chia-Chen Yang, Isabelle Arnet, Christiane Eickhoff, Yunn-Fang Ho","doi":"10.2147/PPA.S634977","DOIUrl":"10.2147/PPA.S634977","url":null,"abstract":"<p><strong>Background: </strong>Medication adherence is a key determinant of treatment effectiveness, yet few brief, freely available, and culturally appropriate adherence assessment tools are available in Traditional Chinese for use in routine community pharmacy practice. The 15-item Screening Tool for AdheRence to medicineS (15-STARS) is a pharmacy-based questionnaire designed to identify medication non-adherence and its underlying barriers.</p><p><strong>Objective: </strong>To translate, culturally adapt, and validate the 15-STARS in Traditional Chinese and evaluate its utility for screening medication non-adherence and identifying barriers to adherence among patients with type 2 diabetes (T2D) in Taiwanese community pharmacies.</p><p><strong>Methods: </strong>This cross-sectional study comprised two sequential phases: translation and cross-cultural adaptation, followed by field testing. Translation involved forward-backward translation and cognitive debriefing with pharmacists and patients. The Traditional Chinese 15-STARS was administered to adults with T2D recruited from six community pharmacies in Taiwan. Psychometric evaluation included content validity, item-level criterion validity against the Traditional Chinese Adherence to Refills and Medications Scale (ChARMS-T), and internal consistency assessed using McDonald's omega (ω). Associations among adherence, medication-related factors, and glycemic control were examined.</p><p><strong>Results: </strong>Ten pharmacists and ten patients participated in cognitive debriefing, and 215 patients completed field testing. Content validity was excellent, with item-level and scale-level content validity indices of 1.00 after revision. Items 6-9 demonstrated good internal consistency (ω = 0.831), and selected 15-STARS items were significantly correlated with corresponding ChARMS-T measures. Among the participants, 53.0% of participants reported no missed medication doses during the previous two weeks, whereas 47.0% reported missing at least one dose. The most common reasons for non-adherence were forgetfulness (33.0%), concerns about taking too many medications (18.6%), and concerns about side effects (15.3%). Greater regimen complexity and higher dosing frequency were associated with lower adherence and poorer glycemic control.</p><p><strong>Conclusion: </strong>The Traditional Chinese 15-STARS demonstrated satisfactory content validity, evidence of criterion validity for selected items, and internal consistency among conceptually related belief-based items in Taiwanese community pharmacies. The instrument may serve as a practical screening tool for identifying patients at risk of non-adherence and exploring adherence-related barriers, thereby supporting targeted pharmacist-led interventions.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"634977"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901093","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":"Patient Preference and Adherence in Mammography Screening: A Narrative Review.","authors":"Yina Wang, Haiou Qi, Yanhua Zheng, Wanping Zhu","doi":"10.2147/PPA.S627908","DOIUrl":"10.2147/PPA.S627908","url":null,"abstract":"<p><strong>Objective: </strong>To examine how mammography-related pain, anxiety, compression experience, perceived control, and patient-centered interventions influence patient preference and screening adherence.</p><p><strong>Methods: </strong>A structured literature search of PubMed, CINAHL, PsycINFO, Scopus, and the Cochrane Library was conducted for peer-reviewed English- and Chinese-language studies published between January 2000 and October 2025. Eligible studies examined mammography-related pain, anxiety, compression experience, perceived control, patient-assisted compression, psychosocial interventions, patient preference, patient experience, or screening adherence.</p><p><strong>Key findings: </strong>Mammography-related pain is multifactorial and is influenced by compression force and pressure, breast morphology, positioning, prior negative experiences, and anxiety-mediated pain sensitization. Pressure-standardized compression may reduce severe pain, particularly among women with smaller breast volumes, while patient-assisted compression may increase patients' perceived ability to influence the compression process and improve tolerance without compromising diagnostic image quality. Psychosocial interventions, including structured education, patient-centered communication, and music-based interventions, may reduce anxiety and improve satisfaction by interrupting the anxiety-pain feedback loop. Qualitative evidence further suggests that patient-centered communication tailored to diverse ethnic backgrounds may help reduce anxiety and pain during mammography.</p><p><strong>Conclusion: </strong>Technical and psychosocial dimensions of the mammography experience may influence patient preference and screening tolerance; however, evidence directly linking these factors to future screening re-attendance remains limited. A multimodal, patient-centered strategy combining optimized compression, patient participation in the compression process, clear communication, and low-resource psychosocial support may improve screening tolerance, but whether these improvements translate into actual repeat screening participation requires further investigation.</p><p><strong>Implications for practice: </strong>Screening programs should consider integrating pain assessment, patient education, patient-centered communication tailored to diverse ethnic backgrounds, and patient-assisted or pressure-guided compression where feasible to enhance patient-centered mammography care.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"627908"},"PeriodicalIF":2.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13546667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901004","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}