Angela Buchel, Jocelyne Lemoine, James M Bolton, Jennifer M Hensel
{"title":"A Qualitative Description Study of the Patient's Experience With Community-Based Virtual Crisis Care in Canada: Illustrating the Potential Positives and Negatives of Remote Support on Recovery.","authors":"Angela Buchel, Jocelyne Lemoine, James M Bolton, Jennifer M Hensel","doi":"10.1177/23743735251360511","DOIUrl":"10.1177/23743735251360511","url":null,"abstract":"<p><p>The study's objective is to describe how individuals accessing a virtual crisis stabilization program following discharge from an emergency mental health visit perceived the service as either facilitating or hindering recovery. Interested service users were identified through feedback surveys and contacted for an interview. Demographic and service utilization variables were obtained from the survey data. Interview data were analyzed thematically using an inductive approach focused on exploring perspectives related to recovery. Twenty-one participants were interviewed; one with a support person. Four recovery thematic categories were identified: (1) connection to others is possible or lacking; (2) access to care providers/therapeutic relationship; (3) ability to remain at home; and (4) virtual service provision. Each category generated subthemes that demonstrated both positive and negative impacts of the virtual service. Lived experience highlights typical aspects of crisis intervention, as well as unique themes related to the home environment and virtual care option. It is important to identify these contextual factors when determining if virtual care is right for an individual. Some areas for service improvement were also highlighted.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251360511"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dear Breast Cancer Oncology: Where is the Behavioral Health Care?","authors":"Kelly N Gable","doi":"10.1177/23743735251383590","DOIUrl":"10.1177/23743735251383590","url":null,"abstract":"<p><p>The journey through breast cancer treatment is often complicated and can involve major surgeries and long-term hormone-altering treatment. Research indicates that nearly 50% of women with early breast cancer experience depression, anxiety, or both in the year after diagnosis. Despite the well-documented mental health impact, access to behavioral health services during breast cancer care varies greatly based on the treatment center. My patient experience highlights missed opportunities, a lack of depression and suicide screening, behavioral health access barriers, and ultimately, the positive impact of adding mental healthcare. A trauma-informed, validating, and compassionate approach to breast cancer care with integration of behavioral health is a critical component to enhancing patient quality of life, improving treatment adherence, and reducing recurrence and mortality.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383590"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnosing and Treating Venous Thoracic Outlet Syndrome: A Teenager's Experience and Perspective.","authors":"Anna Bessonette","doi":"10.1177/23743735251383608","DOIUrl":"10.1177/23743735251383608","url":null,"abstract":"<p><p>I am a 17-year-old girl and was diagnosed with venous thoracic outlet syndrome (vTOS) last year. It took 7 months and numerous visits with different doctors to receive the accurate diagnosis of vTOS, and I ultimately had a first rib resection and venogram. Reasons for the delay in my diagnosis are (1) vTOS is hard to diagnose, especially in adolescents, (2) the relation between a fever and swelling, which was later attributed to a blood clot, was overlooked, and (3) initial scans and tests were not in the right areas or were reviewed by people unfamiliar with vTOS. Raising awareness of vTOS can help pediatricians, orthopedists, and vascular surgeons diagnose and treat vTOS in earlier stages, which will help patients be treated sooner and lower the chances of permanent blockage of their vein, while also lessening the stress, fear, and frustration of a long period without a diagnosis and action plan.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383608"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Amplifying the Future of Patient Voices and Cross-Disease Networking Through the Advocacy Exchange.","authors":"Brad Love, Sheila Thorne, Laudy Robinson, Eileen Shannon, Katie Stout, David Craig, Jasmine Greenamyer","doi":"10.1177/23743735251383223","DOIUrl":"10.1177/23743735251383223","url":null,"abstract":"<p><p>Patient advocacy is essential for progress in healthcare to improve clinical practice and treatments, but advocacy is neither well understood nor supported. Advocacy work is often placed on those already negotiating social burdens, caregiving, and diagnoses. The Advocacy Exchange (TAE) rose as a community-led, public-private partnership, becoming the largest cross-cultural, cross-therapeutic, global network of health-related advocates. TAE is co-created with leaders from the nonprofit, healthcare, governmental, and business sectors as an innovative accelerator of advocacy-industry relationships, integrating patient experience into healthcare systems and supporting individuals on advocacy journeys, whether they are 3 days or 3 decades postdiagnosis. Across 4 years of online gatherings, resource sharing, and partnership-matching, TAE has reached 77,500 website visitors from 120 countries with 7100 registrants representing more than 325 organizations. Forty-five live sessions co-created with advocates show robust community participation for sessions on health equity, patient dignity, and patient voice, leading to 50-plus hours of YouTube content viewed 97,000 times with 15 million social media impressions. Survey data show an engaged community grateful for peer connections and collective problem-solving. Lessons learned can serve to accelerate public-private partnerships and amplify patient voices. Themes include: (1) individuals being forced into advocacy by need; (2) consistent presence of barriers and discrimination in healthcare; (3) importance of discussing hard subjects; (4) need for neutral meeting spaces; and (5) opportunities to bridge industries and advocacy for progress. TAE will broaden its umbrella by building more partnerships for community members, targeting access and equity in healthcare, and shaping the understanding of advocacy.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383223"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12480812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare Professionals' Perceptions of Patients' Out-of-ICU Activities: Exploring Opportunities for Humanizing ICU Care.","authors":"Nobuko Sasano, Masami Yasuda, Ryoko Takahashi, Toru Uehara","doi":"10.1177/23743735251383260","DOIUrl":"10.1177/23743735251383260","url":null,"abstract":"<p><p>Patients hospitalized in an intensive care unit (ICU) are vulnerable to dehumanization. To provide ICU patients and their family members with more enjoyable and meaningful ICU experiences, our hospital has implemented out-of-ICU activities, including outdoor excursions and whole-body shower bathing as an early rehabilitation strategy. Herein, we investigated healthcare professionals' perceptions regarding how these out-of-ICU activities affect both the patients' physical and mental conditions and the humanized care of ICU patients. We conducted a survey that asked 17 questions (benefits, harms, \"What if you or your family member were the one in the ICU?\" and humanization) and provided a free-writing section. Thirty-six physicians, 38 nurses, 9 therapists, and 7 clinical engineering technicians responded (84% response rate). Most respondents perceived that the out-of-ICU program improves patients' conditions and promotes humanized care in the ICU. These preliminary findings provide valuable insights, though larger and more rigorous studies are needed to confirm and extend the results.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383260"},"PeriodicalIF":1.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prabal Chourasia, Melissa Coffel, Jamie Lynn Conklin, William A Wood, Saif Khairat
{"title":"Acceptance and Adoption of Artificial Intelligence Among Cancer Survivors Seeking Information: A Literature Review.","authors":"Prabal Chourasia, Melissa Coffel, Jamie Lynn Conklin, William A Wood, Saif Khairat","doi":"10.1177/23743735251380949","DOIUrl":"10.1177/23743735251380949","url":null,"abstract":"<p><p>With artificial intelligence (AI) on the rise in healthcare, we investigated the acceptance and adoption of AI among cancer survivors who are seeking information. We searched 3 databases-PubMed, Scopus, and CINAHL for original research studies examining cancer survivors' acceptance and adoption of AI while seeking information. We screened 858 articles, resulting in the inclusion of 12 studies. Cancer survivors' perceived benefits of AI include diagnostic accuracy, improved healthcare access, and reduced healthcare costs. Concerns included the loss of human interaction, data loss, and privacy issues. Adoption and acceptance of AI-based Chatbots and cancer trial search tools were also demonstrated. Regarding the ethical use of AI, cancer survivors shared a desire for data de-identification, disclosure, and transparency. Cancer survivors accepted AI as an adjunct to physicians. Patients demonstrated acceptance and adoption of both AI-based educational tools and search engines. Developing AI models with better explainability and education can improve cancer survivors' acceptance and adoption of AI.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251380949"},"PeriodicalIF":1.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anindro Bhattacharya, Zhongqi Alice Hou, Abhinav Pathrabe, Aarav Sethia, Ansh Tandon, Zubin Hussain, Neil A Ray
{"title":"From Frustration to Understanding: The Effectiveness of an Emergency Department Waiting Room Video in Enhancing Patient Satisfaction.","authors":"Anindro Bhattacharya, Zhongqi Alice Hou, Abhinav Pathrabe, Aarav Sethia, Ansh Tandon, Zubin Hussain, Neil A Ray","doi":"10.1177/23743735251383265","DOIUrl":"10.1177/23743735251383265","url":null,"abstract":"<p><p>This pilot study evaluated the impact of a brief, animated educational video on patient understanding and satisfaction in a large urban academic emergency department (ED). A convenience sample of 23 patients viewed a 1-min 50-s video explaining triage, wait times, and ED workflows, then completed pre- and postintervention surveys. Statistically significant improvements were observed across all domains of understanding. Mean 4-point Likert scores rose from 2.48 to 3.93 (<i>p</i> < .0001) for understanding why patients wait, from 2.25 to 3.78 for why others may be seen first, and from 2.81 to 4.00 for overall ED processes. This intervention offers a low-cost, scalable, and staff-efficient solution to enhance communication, set expectations, and improve the overall patient experience in ED waiting rooms. These findings highlight the potential of patient-centered media to support transparency and trust in emergency care.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383265"},"PeriodicalIF":1.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Not All PID is an STD: A Patient's Perspective on Dismissal, Delay, and Diagnostic Bias.","authors":"Vaishnavi J Patel, Devki Patel, Kedar J Patel, Aakaash Duggal","doi":"10.1177/23743735251383591","DOIUrl":"10.1177/23743735251383591","url":null,"abstract":"<p><p>Pelvic inflammatory disease (PID) is often clinically associated with sexually transmitted infections, which can overshadow a broader differential diagnosis. This patient perspective explores the emotional and clinical consequences of an emergency department visit where assumptions about sexual activity delayed appropriate treatment and resulted in family conflict. As a college student from a conservative cultural background, I was disbelieved when disclosing that I had never been sexually active, and my worsening condition was attributed to denial rather than medical nuance. This piece underscores the importance of approaching patient narratives with cultural humility and avoiding premature diagnostic closure. Recommendations are made for improving history-taking, provider training, and restoring patient trust.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383591"},"PeriodicalIF":1.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michele Senni, Beth Towery Davidson, Naresh Kanumilli, Teresa Levitch, Corrado Farchioni, Cynthia Chauhan, Petrina Stevens, Elmas Malvolti, Ana Marija Gjurovic, Caroline Brigitte Katzer, James King, Javed Butler
{"title":"Empowering Heart Failure Patients: The Role, Importance, and Considerations of Active Patient Engagement in Improving Delivery of Guideline-Directed Medical Therapy.","authors":"Michele Senni, Beth Towery Davidson, Naresh Kanumilli, Teresa Levitch, Corrado Farchioni, Cynthia Chauhan, Petrina Stevens, Elmas Malvolti, Ana Marija Gjurovic, Caroline Brigitte Katzer, James King, Javed Butler","doi":"10.1177/23743735251380970","DOIUrl":"10.1177/23743735251380970","url":null,"abstract":"<p><p>Heart failure (HF) is a chronic syndrome that is associated with frequent rehospitalization. Patient-focused research suggests that increased health-management activation may lead to favorable clinical outcomes. This article introduces a case study of the development of a patient education and activation tool for use by HF-specialist clinicians, \"ENGAGE in HF,\" and advocates for wider adoption of co-creation involving people living with HF. Following a behavioral assessment of unmet needs in the HF-patient population in scientific literature, people living with HF were invited to comment on the content plan and excerpts from the tool. Afterwards, HF-specialist clinicians provided their scientific perspective and assessed the content's practical utility. The co-created tool aims to improve dialogue between clinicians and patients. It allows clinicians to personalize conversations, considering each patient's capacity to integrate information and their readiness to engage in shared decision making. Feedback from initial dissemination of the ENGAGE in HF tool among cardiologists in China suggests that use of such tools may lead to improvements in patient education, symptom management, and adherence to medication.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251380970"},"PeriodicalIF":1.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Patient Experience of Ocular Melanoma: An Interpretive Description.","authors":"Jennifer M L Stephens, Chenoa Williams","doi":"10.1177/23743735251383212","DOIUrl":"10.1177/23743735251383212","url":null,"abstract":"<p><p>The purpose of this study was to explore the patient experience of individuals diagnosed with ocular melanoma (OM). This qualitative study was guided by Interpretive Description. Nine participants (N = 9) participated in interviews. A focus group (n = 7) was conducted at the end of the study to discuss and confirm themes. WORD, EXCEL, and NVIVO were used for data collection and analysis and EQUATOR guidelines (COREQ) were followed. This study revealed three themes: the entangled self, perils of survivorship, and self-advocacy. The participants in this study described how they discovered their OM, the treatments they faced, and the deep sense of loss from the disruption of sight. The participants also highlighted the importance of understanding OM as an ongoing, lifelong cancer experience that is rarely acknowledged by healthcare providers. Understanding the journey of OM patients as cancer survivors is critical for both oncology and general healthcare providers. With improved recognition, better patient-centered care could be provided affecting both physiological and psychological health of OM patients.</p>","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251383212"},"PeriodicalIF":1.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}