Xingyuan Li, Fenghao Yang, Nan Li, Yong Xu, Fang Liu
Background: Diabetic kidney disease (DKD) patients require comprehensive disease education and mutual support to cope with various challenges. Social media platforms provide opportunities for DKD patients to access information and interact with peers. However, qualitative analysis of DKD patients’ real-world concerns and needs on social media is lacking. Methods: A qualitative study was conducted to analyze DKD patients’ posts on Facebook and Baidu DKD-specific forums from June 2013 to June 2023. Posts were retrieved, and the forum with the most DKD-related posts from each platform was selected using stratified random sampling. Thematic analysis was performed to identify common themes, which were categorized and quantified. Results: In total, 746 DKD-related posts were analyzed, generating 203 keyword categories with 954 tags. Three main themes emerged: Diagnosis and Comorbidities (50.2%), Treatment and Prevention (29.7%), and Lifestyle and Psychology (20.1%). Patients were most concerned about DKD diagnosis, staging, comorbidities, and interpreting diagnostic indicators. They also sought information on treatment advancements, medications, renal replacement therapies, and traditional Chinese medicine. Diet, exercise, work-life balance, family planning, and mental well-being were key lifestyle and psychological concerns. Conclusion: This study reveals DKD patients’ primary needs and concerns on social media, which can guide healthcare professionals in providing targeted education and support. Meeting patients’ needs through comprehensive education and counseling can improve treatment adherence and prognosis, though challenges remain in addressing all issues in real-world practice.
{"title":"Common Needs of Patients with Diabetic Kidney Disease: Qualitative Analysis Based on Disease-Specific Social Media Platforms","authors":"Xingyuan Li, Fenghao Yang, Nan Li, Yong Xu, Fang Liu","doi":"10.2147/ppa.s459550","DOIUrl":"https://doi.org/10.2147/ppa.s459550","url":null,"abstract":"<strong>Background:</strong> Diabetic kidney disease (DKD) patients require comprehensive disease education and mutual support to cope with various challenges. Social media platforms provide opportunities for DKD patients to access information and interact with peers. However, qualitative analysis of DKD patients’ real-world concerns and needs on social media is lacking.<br/><strong>Methods:</strong> A qualitative study was conducted to analyze DKD patients’ posts on Facebook and Baidu DKD-specific forums from June 2013 to June 2023. Posts were retrieved, and the forum with the most DKD-related posts from each platform was selected using stratified random sampling. Thematic analysis was performed to identify common themes, which were categorized and quantified.<br/><strong>Results:</strong> In total, 746 DKD-related posts were analyzed, generating 203 keyword categories with 954 tags. Three main themes emerged: Diagnosis and Comorbidities (50.2%), Treatment and Prevention (29.7%), and Lifestyle and Psychology (20.1%). Patients were most concerned about DKD diagnosis, staging, comorbidities, and interpreting diagnostic indicators. They also sought information on treatment advancements, medications, renal replacement therapies, and traditional Chinese medicine. Diet, exercise, work-life balance, family planning, and mental well-being were key lifestyle and psychological concerns.<br/><strong>Conclusion:</strong> This study reveals DKD patients’ primary needs and concerns on social media, which can guide healthcare professionals in providing targeted education and support. Meeting patients’ needs through comprehensive education and counseling can improve treatment adherence and prognosis, though challenges remain in addressing all issues in real-world practice.<br/><br/>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"44 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141547755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: This qualitative study, part of a prospective mixed-methods research, aimed to gain insights into the medical experiences and disease perceptions of Chinese patients living with rheumatoid arthritis (RA). Specifically, the study examined how RA patients’ perceptions of their disease were influenced by the diagnosis and treatment they receive. Methods: RA patients undergoing treatment were invited to participate in this qualitative study. Face-to-face semi-structured interviews were conducted among 18 patients, and the collected data were analyzed using thematic analysis. Results: The 18 participants in this study had a mean (SD) age of 58, a median disease duration of 6.5 years, and a predominance of female subjects (17 out of 18). The qualitative analysis identified two themes with six sub-themes: 1. Patients’ experiences of treatment: discovery of the disease, misdiagnosis and mistreatment, and patients’ treatment choices; 2. Feelings about the disease: psychological impact, reflections on the disease, and expectations of treatment. Conclusion: This study provides valuable perspectives and data to enhance the understanding of the relationship between patients’ illness perceptions and their healthcare choices.
{"title":"Experiences of Chinese Rheumatoid Arthritis Patients Who Chose Western Medicine, Traditional Chinese Medicine, and a Combination of Treatments: A Study Based on Interviews and Thematic Analysis","authors":"Ying Hu, Wenhui Zhu, Xiaocong Wang, Yuefan Yu, Kangle Shi, Qinggang Meng","doi":"10.2147/ppa.s463218","DOIUrl":"https://doi.org/10.2147/ppa.s463218","url":null,"abstract":"<strong>Background:</strong> This qualitative study, part of a prospective mixed-methods research, aimed to gain insights into the medical experiences and disease perceptions of Chinese patients living with rheumatoid arthritis (RA). Specifically, the study examined how RA patients’ perceptions of their disease were influenced by the diagnosis and treatment they receive.<br/><strong>Methods:</strong> RA patients undergoing treatment were invited to participate in this qualitative study. Face-to-face semi-structured interviews were conducted among 18 patients, and the collected data were analyzed using thematic analysis.<br/><strong>Results:</strong> The 18 participants in this study had a mean (SD) age of 58, a median disease duration of 6.5 years, and a predominance of female subjects (17 out of 18). The qualitative analysis identified two themes with six sub-themes: 1. Patients’ experiences of treatment: discovery of the disease, misdiagnosis and mistreatment, and patients’ treatment choices; 2. Feelings about the disease: psychological impact, reflections on the disease, and expectations of treatment.<br/><strong>Conclusion:</strong> This study provides valuable perspectives and data to enhance the understanding of the relationship between patients’ illness perceptions and their healthcare choices.<br/><br/>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"08 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141552662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Qingran Sun, Yi Wang, Pei Wang, Yuankai Huang, Xiaoyu Xi
Purpose: This study aimed to survey and analyze the preferences for pharmacist-managed clinic among urban residents in China. Materials and Methods: A discrete choice experiment was conducted in Nanjing, China. A D-efficient fractional factorial design was used to generate the questionnaire. Three models were used to investigate each patient’s strength of preference and preference heterogeneity. The relative importance for each treatment attribute was also determined. Results: 156 usable questionnaires (of 228 questionnaires sent out) were received. Respondents preferred pharmacist-managed clinics with the following characteristics: good pharmacists’ knowledge and clinical medication practice competency, lower consultation fees, a dedicated consultation room, physician-pharmacist joint clinic, with pharmacists’ knowledge competency receiving the highest priority. Latent class analysis revealed three classes (Experiential Type, Content Type and Economic Type) were identified based on respondents’ preferences for pharmacist-managed clinics. Conclusion: The respondents were willing to choose a PMC relative to the current situation. When deciding on a pharmacist-managed clinic, residents are driven by pharmacists’ competency, consultation fee, availability of consultation rooms and collaborative care or independent pharmacist service. Differences in patients’ preferences identified in the study provide information on pharmacist-managed clinics that meet residents’ expectations.
目的：本研究旨在调查和分析中国城市居民对药师管理诊所的偏好：在中国南京进行了离散选择实验。采用 D 效分数因子设计来生成问卷。采用三种模型来调查每位患者的偏好强度和偏好异质性。同时还确定了每个治疗属性的相对重要性：结果：共收到 156 份可用问卷（共发出 228 份问卷）。受访者倾向于药剂师管理的诊所具有以下特点：药剂师知识丰富、临床用药实践能力强、诊费较低、有专门的诊室、医生与药剂师联合门诊，其中药剂师的知识能力最受重视。潜类分析显示，根据受访者对药师管理诊所的偏好，确定了三个类别（经验类型、内容类型和经济类型）：结论：相对于现状，受访者愿意选择由药剂师管理的诊所。在决定是否选择药剂师管理的诊所时，居民会考虑药剂师的能力、诊费、诊室的可用性以及合作护理或独立药剂师服务。研究中发现的患者偏好差异为药剂师管理诊所提供了符合居民期望的信息。 关键词：联合分析、离散选择实验、药剂师管理诊所、偏好研究、患者
{"title":"Residents Preferences for Pharmacist-Managed Clinic in China: A Discrete Choice Experiment","authors":"Qingran Sun, Yi Wang, Pei Wang, Yuankai Huang, Xiaoyu Xi","doi":"10.2147/ppa.s457655","DOIUrl":"https://doi.org/10.2147/ppa.s457655","url":null,"abstract":"<strong>Purpose:</strong> This study aimed to survey and analyze the preferences for pharmacist-managed clinic among urban residents in China.<br/><strong>Materials and Methods:</strong> A discrete choice experiment was conducted in Nanjing, China. A D-efficient fractional factorial design was used to generate the questionnaire. Three models were used to investigate each patient’s strength of preference and preference heterogeneity. The relative importance for each treatment attribute was also determined.<br/><strong>Results:</strong> 156 usable questionnaires (of 228 questionnaires sent out) were received. Respondents preferred pharmacist-managed clinics with the following characteristics: good pharmacists’ knowledge and clinical medication practice competency, lower consultation fees, a dedicated consultation room, physician-pharmacist joint clinic, with pharmacists’ knowledge competency receiving the highest priority. Latent class analysis revealed three classes (Experiential Type, Content Type and Economic Type) were identified based on respondents’ preferences for pharmacist-managed clinics.<br/><strong>Conclusion:</strong> The respondents were willing to choose a PMC relative to the current situation. When deciding on a pharmacist-managed clinic, residents are driven by pharmacists’ competency, consultation fee, availability of consultation rooms and collaborative care or independent pharmacist service. Differences in patients’ preferences identified in the study provide information on pharmacist-managed clinics that meet residents’ expectations.<br/><br/><strong>Keywords:</strong> conjoint analysis, discrete choice experiment, pharmacist-managed clinic, preference study, patients<br/>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"11 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141500838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jasmine Cheuk Ying Ho, Hollis Haotian Chai, Edward Chin Man Lo, Michelle Zeping Huang, Chun Hung Chu
Abstract: The effectiveness of high-quality dental care predominantly lies on the communication between dentist and patient. However, little literature has reported the importance of these “soft skills” in dental practice. The aim of this literature review is to explore strategies for effective dentist-patient communication. Dentist-patient communication is a bidirectional process involving the exchange of ideas that should be clear (easy to understand), correct (accurate), concise (to the point), complete (with essential information), and cohesive (well-organized). Effective communication empowers patients with the knowledge required to make an informed decision about their own oral health. It not only improves the dentist’s efficiency and boosts patient confidence, but also alleviates patients’ dental anxiety and fear, addresses patients’ needs and preferences, increases patients’ adherence, and enhances patient satisfaction. To enhance dentist-patient communication, dentists should take the patient-centered approach as a premise. The approach comprises understanding patients’ illnesses, shared decision-making, and mindful intervention at the patient’s own pace. In addition, dentists should use simple, succinct language, proper body posture, gestures, facial expressions, and eye contact when interacting with patients. Dentists should show empathy, encourage questions and feedback, employ visual aids, and give ample time to patients. Nowadays, dentists and their patients use messaging applications in their communication. This form of telecommunication is not only a convenient way of communication but also reduces the costs associated with a dentist visit. In conclusion, effective dentist-patient communication is vital for the success of dental practice. Dentists who prioritize communication and build positive relationships with their patients are more likely to achieve positive outcomes and foster the expansion of their dental practice.
Keywords: dentist-patient communication, medical communication, communication strategies, dentist-patient interaction
{"title":"Strategies for Effective Dentist-Patient Communication: A Literature Review","authors":"Jasmine Cheuk Ying Ho, Hollis Haotian Chai, Edward Chin Man Lo, Michelle Zeping Huang, Chun Hung Chu","doi":"10.2147/ppa.s465221","DOIUrl":"https://doi.org/10.2147/ppa.s465221","url":null,"abstract":"<strong>Abstract:</strong> The effectiveness of high-quality dental care predominantly lies on the communication between dentist and patient. However, little literature has reported the importance of these “soft skills” in dental practice. The aim of this literature review is to explore strategies for effective dentist-patient communication. Dentist-patient communication is a bidirectional process involving the exchange of ideas that should be clear (easy to understand), correct (accurate), concise (to the point), complete (with essential information), and cohesive (well-organized). Effective communication empowers patients with the knowledge required to make an informed decision about their own oral health. It not only improves the dentist’s efficiency and boosts patient confidence, but also alleviates patients’ dental anxiety and fear, addresses patients’ needs and preferences, increases patients’ adherence, and enhances patient satisfaction. To enhance dentist-patient communication, dentists should take the patient-centered approach as a premise. The approach comprises understanding patients’ illnesses, shared decision-making, and mindful intervention at the patient’s own pace. In addition, dentists should use simple, succinct language, proper body posture, gestures, facial expressions, and eye contact when interacting with patients. Dentists should show empathy, encourage questions and feedback, employ visual aids, and give ample time to patients. Nowadays, dentists and their patients use messaging applications in their communication. This form of telecommunication is not only a convenient way of communication but also reduces the costs associated with a dentist visit. In conclusion, effective dentist-patient communication is vital for the success of dental practice. Dentists who prioritize communication and build positive relationships with their patients are more likely to achieve positive outcomes and foster the expansion of their dental practice.<br/><br/><strong>Keywords:</strong> dentist-patient communication, medical communication, communication strategies, dentist-patient interaction<br/>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"290 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141522018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Asthma and Chronic obstructive pulmonary disease (COPD) are chronic respiratory conditions characterized by airflow obstruction and respiratory symptoms. Adherence to prescribed inhaler therapy and correct inhalation technique are essential for effective disease management and optimal disease control. However, non-adherence and incorrect inhalation technique are common challenges faced by patients with asthma and COPD, leading to suboptimal treatment outcomes and increased healthcare burden. Purpose: To study the impact of a pharmacist-led intervention on inhaler adherence, inhalation technique, and disease control among patients with asthma and COPD. Patients and Methods: A pre-post interventional design assessed the effects of pharmacist-led intervention on inhaler adherence, inhalation techniques, and disease control in asthma and COPD patients at Dhulikhel Hospital in Nepal. Inclusion criteria: adult patient clinically diagnosed with asthma or COPD patients of all genders. The intervention comprised counseling patients with aids like videos, and informational leaflets. Impact was measured using checklist method for inhalation technique, the Test of Adherence to Inhaler (TAI) questionnaire for adherence to inhaler, and “Asthma Control Test (ACT)” or “COPD Assessment Test (CAT)” for disease control. Results: The pharmacist-led intervention significantly increased adherence to inhalers, evidenced by a notable rise in the proportion of patients with good adherence (P< 0.001). Sporadic, deliberate, and unwitting noncompliance pattern also improved significantly after the intervention (P< 0.001, P< 0.001 and P=0.001). Inhalation technique exhibited substantial improvement after intervention (P< 0.001). The analysis indicated significant moderate negative correlations between “TIA” and “CAT” [ρ=− 0.31; P=0.01], and between “inhalation technique score” and “CAT score” [ρ=− 0.31; P=0.01] suggesting that as adherence to inhaler usage and inhalation technique improve, CAT scores tend to decrease, indicating reduced disease impact on the patient. Conclusion: This study shows the potential efficacy of pharmacist-led intervention in enhancing adherence to inhaler, inhalation technique, and disease control in respiratory conditions such as asthma and COPD.
{"title":"Impact of Pharmacist-Led Intervention on Adherence to Inhalers, Inhalation Technique, and Disease Control Among Asthma/COPD Patients in a Resource Limited Center: An Interventional Study","authors":"Aashish Bhattarai, Rajani Shakya, Durga Bista","doi":"10.2147/ppa.s460810","DOIUrl":"https://doi.org/10.2147/ppa.s460810","url":null,"abstract":"<strong>Background:</strong> Asthma and Chronic obstructive pulmonary disease (COPD) are chronic respiratory conditions characterized by airflow obstruction and respiratory symptoms. Adherence to prescribed inhaler therapy and correct inhalation technique are essential for effective disease management and optimal disease control. However, non-adherence and incorrect inhalation technique are common challenges faced by patients with asthma and COPD, leading to suboptimal treatment outcomes and increased healthcare burden.<br/><strong>Purpose:</strong> To study the impact of a pharmacist-led intervention on inhaler adherence, inhalation technique, and disease control among patients with asthma and COPD.<br/><strong>Patients and Methods:</strong> A pre-post interventional design assessed the effects of pharmacist-led intervention on inhaler adherence, inhalation techniques, and disease control in asthma and COPD patients at Dhulikhel Hospital in Nepal. Inclusion criteria: adult patient clinically diagnosed with asthma or COPD patients of all genders. The intervention comprised counseling patients with aids like videos, and informational leaflets. Impact was measured using checklist method for inhalation technique, the Test of Adherence to Inhaler (TAI) questionnaire for adherence to inhaler, and “Asthma Control Test (ACT)” or “COPD Assessment Test (CAT)” for disease control.<br/><strong>Results:</strong> The pharmacist-led intervention significantly increased adherence to inhalers, evidenced by a notable rise in the proportion of patients with good adherence (<em>P</em>< 0.001). Sporadic, deliberate, and unwitting noncompliance pattern also improved significantly after the intervention (<em>P</em>< 0.001, <em>P</em>< 0.001 and <em>P</em>=0.001). Inhalation technique exhibited substantial improvement after intervention (<em>P</em>< 0.001). The analysis indicated significant moderate negative correlations between “TIA” and “CAT” [<em>ρ</em>=− 0.31; P=0.01], and between “inhalation technique score” and “CAT score” [<em>ρ</em>=− 0.31; <em>P</em>=0.01] suggesting that as adherence to inhaler usage and inhalation technique improve, CAT scores tend to decrease, indicating reduced disease impact on the patient.<br/><strong>Conclusion:</strong> This study shows the potential efficacy of pharmacist-led intervention in enhancing adherence to inhaler, inhalation technique, and disease control in respiratory conditions such as asthma and COPD.<br/><br/>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"14 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141522019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-27eCollection Date: 2024-01-01DOI: 10.2147/PPA.S457746
Young-Ran Kweon, Keum-Seong Jang, Myeong Back, Mikyoung Lee
Purpose: In South Korea, hospitalized patients' experiences significantly impact satisfaction and treatment outcomes. This study developed and evaluated the Inpatients Experience Measurement Scale (IEMS) for its psychometric properties.
Patients and methods: Participants from three hospitals were recruited using convenience sampling. Scale item generation involved patient interviews and a Delphi survey with experts. Psychometric testing used Exploratory Factor Analysis (EFA) with 150 participants and Confirmatory Factor Analysis (CFA) with 151 participants.
Results: A total of 301 patients participated, resulting in a 20-item scale across four factors: "Care Quality and Information Provision", "Patient Safety and Dietary Services", "Facility and Comfort Infrastructure", and "Comprehensive Patient Support Services". Rated on a 5-point Likert scale, the scale showed a high Content Validity Index (CVI) over 0.80. EFA explained 61.43% of the variance. The four-factor model was validated using CFA with favorable fit indices. The IEMS demonstrated strong convergent validity, supported by high composite reliability (CR) and average variance extracted (AVE) values. Significant correlations with the Patient Satisfaction Scale reinforced its convergent validity. Discriminant validity was confirmed, and all reliability measures exceeded the minimum threshold of 0.80.
Conclusion: The IEMS effectively captures inpatients' experiences, demonstrating robust reliability and validity. This scale is a valuable tool for assessing patient experiences, facilitating enhancements in patient care and satisfaction within hospital settings.
{"title":"Development and Psychometric Test of the Inpatients Experiences Measurement Scale (IEMS).","authors":"Young-Ran Kweon, Keum-Seong Jang, Myeong Back, Mikyoung Lee","doi":"10.2147/PPA.S457746","DOIUrl":"10.2147/PPA.S457746","url":null,"abstract":"<p><strong>Purpose: </strong>In South Korea, hospitalized patients' experiences significantly impact satisfaction and treatment outcomes. This study developed and evaluated the Inpatients Experience Measurement Scale (IEMS) for its psychometric properties.</p><p><strong>Patients and methods: </strong>Participants from three hospitals were recruited using convenience sampling. Scale item generation involved patient interviews and a Delphi survey with experts. Psychometric testing used Exploratory Factor Analysis (EFA) with 150 participants and Confirmatory Factor Analysis (CFA) with 151 participants.</p><p><strong>Results: </strong>A total of 301 patients participated, resulting in a 20-item scale across four factors: \"Care Quality and Information Provision\", \"Patient Safety and Dietary Services\", \"Facility and Comfort Infrastructure\", and \"Comprehensive Patient Support Services\". Rated on a 5-point Likert scale, the scale showed a high Content Validity Index (CVI) over 0.80. EFA explained 61.43% of the variance. The four-factor model was validated using CFA with favorable fit indices. The IEMS demonstrated strong convergent validity, supported by high composite reliability (CR) and average variance extracted (AVE) values. Significant correlations with the Patient Satisfaction Scale reinforced its convergent validity. Discriminant validity was confirmed, and all reliability measures exceeded the minimum threshold of 0.80.</p><p><strong>Conclusion: </strong>The IEMS effectively captures inpatients' experiences, demonstrating robust reliability and validity. This scale is a valuable tool for assessing patient experiences, facilitating enhancements in patient care and satisfaction within hospital settings.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"1359-1372"},"PeriodicalIF":2.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477178","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}
Pub Date : 2024-06-27eCollection Date: 2024-01-01DOI: 10.2147/PPA.S465918
Pan Shu, Lijuan Xuan, Xiaolian Jiang
Aim: The aim of this study is to describe the readiness of hospital discharge of patients with coronary heart disease (CHD) who have undergone coronary stent implantation and explore its influencing factors.
Methods: This is a cross sectional single center study. Convenient sampling was used to select patients who underwent coronary stent implantation in the Cardiovascular Department of a tertiary hospital in Chengdu from October 2021 to April 2022 as the research subjects. Data were collected using the General Information Questionnaire, which included domains such as uncertainty in illness, the quality of discharge teaching, perceived social support, and health locus of control. The Readiness for Hospital Discharge Scale (RHDS) was used to assess readiness for hospital discharge. Multiple regression adjusted for relevant confounders was used to determine the associations.
Results: A total of 276 questionnaires were distributed, and 263 valid questionnaires were collected. The average item score of RHDS is 7.66 ± 1.13. Multiple regression analysis indicated that the influential factors of RHDS of patients who underwent coronary stent implantation included: deliver skill (β = 0.43), marital status (β = 0.12), living alone (β = -0.14), inconsistency (β = -0.22) and household income per capita (β = -0.12) (all P<0.05). The RHDS score of patients with CHD after coronary stent implantation were at a moderate level.
Conclusion: Discharge readiness was significantly associated with delivery skill, marital status, living alone, inconsistency of information, and household income per capita. The present study highlights the need for improved educational interventions and tailored discharge planning.
{"title":"Discharge Readiness and Associated Factors Among Patients with Coronary Heart Disease After Stent Implantation: A Cross-Sectional Single Center Study.","authors":"Pan Shu, Lijuan Xuan, Xiaolian Jiang","doi":"10.2147/PPA.S465918","DOIUrl":"10.2147/PPA.S465918","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to describe the readiness of hospital discharge of patients with coronary heart disease (CHD) who have undergone coronary stent implantation and explore its influencing factors.</p><p><strong>Methods: </strong>This is a cross sectional single center study. Convenient sampling was used to select patients who underwent coronary stent implantation in the Cardiovascular Department of a tertiary hospital in Chengdu from October 2021 to April 2022 as the research subjects. Data were collected using the General Information Questionnaire, which included domains such as uncertainty in illness, the quality of discharge teaching, perceived social support, and health locus of control. The Readiness for Hospital Discharge Scale (RHDS) was used to assess readiness for hospital discharge. Multiple regression adjusted for relevant confounders was used to determine the associations.</p><p><strong>Results: </strong>A total of 276 questionnaires were distributed, and 263 valid questionnaires were collected. The average item score of RHDS is 7.66 ± 1.13. Multiple regression analysis indicated that the influential factors of RHDS of patients who underwent coronary stent implantation included: deliver skill (β = 0.43), marital status (β = 0.12), living alone (β = -0.14), inconsistency (β = -0.22) and household income per capita (β = -0.12) (all <i>P</i><0.05). The RHDS score of patients with CHD after coronary stent implantation were at a moderate level.</p><p><strong>Conclusion: </strong>Discharge readiness was significantly associated with delivery skill, marital status, living alone, inconsistency of information, and household income per capita. The present study highlights the need for improved educational interventions and tailored discharge planning.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"1373-1383"},"PeriodicalIF":2.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477179","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}
Pub Date : 2024-06-27eCollection Date: 2024-01-01DOI: 10.2147/PPA.S440339
Jim Z Li, Joanna Asia Lem, Muhammad Younus, Shaantanu S Donde, Janine Collins, Kelly H Zou
Purpose: A national additional risk minimization measures (aRMMs) program was implemented to train pharmacists for safe supply of non-prescription Viagra Connect® (VC) to erectile dysfunction (ED) patients in United Kingdom (UK). A survey aimed to evaluate the effectiveness of aRMMs.
Methods: A cross-sectional, web-based survey enrolled ED patients who purchased at least 1 supply of VC in UK, using a structured self-administered questionnaire. Patients were assessed for the suitability of VC and received appropriate advice from pharmacists. Descriptive statistics were used.
Results: The final sample had 297 patients, who reported that pharmacists inquired about blood pressure and heart comorbidities (91.9%), relevant illnesses (87.9%), medications (86.5%), ED diagnosis (82.2%), and were advised to consult their doctor regarding ED (51.2%). Furthermore, 85.5% of patients were advised on how to take VC correctly, 82.2% on possible side effects for which they might have to discontinue taking VC and consult their doctor, 80.1% on being informed that ED could be caused by underlying conditions. About 65.0% reported that they had visited (19.2%) or planned to visit (45.8%) their doctor. A majority (68.7%) also indicated that they had received advice on lifestyle modifications to manage their ED-related health risks.
Conclusion: This survey provided a reasonable confirmation of the effectiveness of the VC aRMMs program and assurance that ED patients, when requesting and purchasing VC in UK pharmacies, are assessed appropriately for suitability of VC and receive the appropriate advice from pharmacists.
目的：英国实施了一项全国性的额外风险最小化措施（aRMMs）计划，以培训药剂师向勃起功能障碍（ED）患者安全供应非处方药伟哥连接®（VC）。一项调查旨在评估 aRMMs 的有效性：一项基于网络的横断面调查使用结构化自填问卷调查了在英国至少购买过一次 VC 的勃起功能障碍患者。患者接受了VC适用性评估，并得到了药剂师的适当建议。调查使用了描述性统计方法：最终样本中有 297 名患者，他们表示药剂师询问了血压和心脏合并症（91.9%）、相关疾病（87.9%）、药物（86.5%）、ED 诊断（82.2%），并建议他们就 ED 问题咨询医生（51.2%）。此外，85.5%的患者被告知如何正确服用 VC，82.2%的患者被告知 VC 可能产生的副作用，他们可能需要停止服用 VC 并咨询医生，80.1%的患者被告知 ED 可能是由潜在疾病引起的。约 65.0%的受访者表示已经（19.2%）或计划（45.8%）去看医生。大多数人（68.7%）还表示，他们曾接受过有关调整生活方式的建议，以控制与 ED 相关的健康风险：这项调查合理地证实了 VC aRMMs 计划的有效性，并保证了 ED 患者在英国药房申请和购买 VC 时，药剂师会对 VC 的适用性进行适当评估，并提供适当的建议。
{"title":"A Web-Based Survey of Patients Dispensed Viagra Connect<sup>®</sup> Behind the Counter in UK: An Evaluation of Effectiveness of Additional Risk Minimization Measures.","authors":"Jim Z Li, Joanna Asia Lem, Muhammad Younus, Shaantanu S Donde, Janine Collins, Kelly H Zou","doi":"10.2147/PPA.S440339","DOIUrl":"10.2147/PPA.S440339","url":null,"abstract":"<p><strong>Purpose: </strong>A national additional risk minimization measures (aRMMs) program was implemented to train pharmacists for safe supply of non-prescription Viagra Connect<sup>®</sup> (VC) to erectile dysfunction (ED) patients in United Kingdom (UK). A survey aimed to evaluate the effectiveness of aRMMs.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey enrolled ED patients who purchased at least 1 supply of VC in UK, using a structured self-administered questionnaire. Patients were assessed for the suitability of VC and received appropriate advice from pharmacists. Descriptive statistics were used.</p><p><strong>Results: </strong>The final sample had 297 patients, who reported that pharmacists inquired about blood pressure and heart comorbidities (91.9%), relevant illnesses (87.9%), medications (86.5%), ED diagnosis (82.2%), and were advised to consult their doctor regarding ED (51.2%). Furthermore, 85.5% of patients were advised on how to take VC correctly, 82.2% on possible side effects for which they might have to discontinue taking VC and consult their doctor, 80.1% on being informed that ED could be caused by underlying conditions. About 65.0% reported that they had visited (19.2%) or planned to visit (45.8%) their doctor. A majority (68.7%) also indicated that they had received advice on lifestyle modifications to manage their ED-related health risks.</p><p><strong>Conclusion: </strong>This survey provided a reasonable confirmation of the effectiveness of the VC aRMMs program and assurance that ED patients, when requesting and purchasing VC in UK pharmacies, are assessed appropriately for suitability of VC and receive the appropriate advice from pharmacists.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"1345-1358"},"PeriodicalIF":2.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492987","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}
Pub Date : 2024-06-25eCollection Date: 2024-01-01DOI: 10.2147/PPA.S482739
[This corrects the article DOI: 10.2147/PPA.S437969.].
[此处更正了文章 DOI：10.2147/PPA.S437969]。
{"title":"Erratum: An Assessment of Individual Preference for a Novel Capillary Blood Collection System [Corrigendum].","authors":"","doi":"10.2147/PPA.S482739","DOIUrl":"https://doi.org/10.2147/PPA.S482739","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/PPA.S437969.].</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"1323-1324"},"PeriodicalIF":2.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11214562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141470023","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}
Pub Date : 2024-06-25eCollection Date: 2024-01-01DOI: 10.2147/PPA.S431378
Elizabeth H Golembiewski, Montserrat Leon-Garcia, Derek Loy Gravholt, Juan P Brito, Erica S Spatz, Markus A Bendel, Victor M Montori, Andrea P Maraboto, Sandra A Hartasanchez, Ian G Hargraves
Purpose: To compare three methods for identifying patient preferences (MIPPs) at the point of decision-making: analysis of video-recorded patient-clinician encounters, post-encounter interviews, and post-encounter surveys.
Patients and methods: For the decision of whether to use a spinal cord stimulator device (SCS), a video coding scheme, interview guide, and patient survey were iteratively developed with 30 SCS decision-making encounters in a tertiary academic medical center pain clinic. Burke's grammar of motives was used to classify the attributed source or justification for a potential preference for each preference block. To compare the MIPPs, 13 patients' encounters with their clinician were video recorded and subsequently analyzed by 4 coders using the final video coding scheme. Six of these patients were interviewed, and 7 surveyed, immediately following their encounters.
Results: For videos, an average of 66 (range 33-106) sets of utterances potentially indicating a patient preference (a preference block), surveys 33 (range 32-34), and interviews 25 (range 18-30) were identified. Thirty-eight unique themes (75 subthemes), each a preference topic, were identified from videos, surveys 19 themes (12 subthemes), and interviews 39 themes (54 subthemes). The proportion of preference blocks that were judged as expressing a preference that was clearly important to the patient or affected their decision was highest for interviews (72.8%), surveys (68.0%), and videos (27.0%). Videos mostly attributed preferences to the patient's situation (scene) (65%); interviews, the act of receiving or living with SCS (43%); surveys, the purpose of SCS (40%).
Conclusion: MIPPs vary in the type of preferences identified and the clarity of expressed preferences in their data sets. The choice of which MIPP to use depends on projects' goals and resources, recognizing that the choice of MIPP may affect which preferences are found.
{"title":"Comparing Methods for Identifying Post-Market Patient Preferences at the Point of Decision-Making: Insights from Patients with Chronic Pain Considering a Spinal Cord Stimulator Device.","authors":"Elizabeth H Golembiewski, Montserrat Leon-Garcia, Derek Loy Gravholt, Juan P Brito, Erica S Spatz, Markus A Bendel, Victor M Montori, Andrea P Maraboto, Sandra A Hartasanchez, Ian G Hargraves","doi":"10.2147/PPA.S431378","DOIUrl":"10.2147/PPA.S431378","url":null,"abstract":"<p><strong>Purpose: </strong>To compare three methods for identifying patient preferences (MIPPs) at the point of decision-making: analysis of video-recorded patient-clinician encounters, post-encounter interviews, and post-encounter surveys.</p><p><strong>Patients and methods: </strong>For the decision of whether to use a spinal cord stimulator device (SCS), a video coding scheme, interview guide, and patient survey were iteratively developed with 30 SCS decision-making encounters in a tertiary academic medical center pain clinic. Burke's grammar of motives was used to classify the attributed source or justification for a potential preference for each preference block. To compare the MIPPs, 13 patients' encounters with their clinician were video recorded and subsequently analyzed by 4 coders using the final video coding scheme. Six of these patients were interviewed, and 7 surveyed, immediately following their encounters.</p><p><strong>Results: </strong>For videos, an average of 66 (range 33-106) sets of utterances potentially indicating a patient preference (a preference block), surveys 33 (range 32-34), and interviews 25 (range 18-30) were identified. Thirty-eight unique themes (75 subthemes), each a preference topic, were identified from videos, surveys 19 themes (12 subthemes), and interviews 39 themes (54 subthemes). The proportion of preference blocks that were judged as expressing a preference that was clearly important to the patient or affected their decision was highest for interviews (72.8%), surveys (68.0%), and videos (27.0%). Videos mostly attributed preferences to the patient's situation (scene) (65%); interviews, the act of receiving or living with SCS (43%); surveys, the purpose of SCS (40%).</p><p><strong>Conclusion: </strong>MIPPs vary in the type of preferences identified and the clarity of expressed preferences in their data sets. The choice of which MIPP to use depends on projects' goals and resources, recognizing that the choice of MIPP may affect which preferences are found.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"18 ","pages":"1325-1344"},"PeriodicalIF":2.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477177","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}
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