High Satisfaction Research Articles

Unveiling overall satisfaction of metro: Integrating quantitative and qualitative approaches

This study aims to employ a novel hybrid approach based on partial least squares structural equation models (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA) to assess how satisfaction with different combinations of attributes is associated with high metro satisfaction by analyzing survey data from Nanjing. For daily commuting by metro, three stages are considered: the access stage, on-metro, and egress stage. Corresponding attributes related to these three stages are selected. The quantitative results demonstrate that all the selected attributes positively affect satisfaction. Qualitative analysis shows that satisfaction with egressing trips is a necessary condition for high overall satisfaction. Four configurations of satisfaction with attributes at different stages are sufficient to result in high overall satisfaction. Low satisfaction with certain attributes is offset by high satisfaction with others. Besides, to experience high overall satisfaction, commuters don’t need to experience high satisfaction with all attributes.

Enhancing dental education with a 3D point cloud comparison and augmented reality for auto-evaluation of fixed prosthodontic practice: An in vitro study.

Traditional fixed prosthodontic training evaluations are time-consuming and subjective. This study aimed to introduce and evaluate a novel 3D auto-evaluate tooth preparation with an augmented reality (3DAR) visualization algorithm to enhance dental education for students and improve the efficiency of fixed prosthodontic training evaluations. Fifty maxillary central incisors and first molars prepared by 50 dental students on typodont models were scanned with a 3D scanner to capture STL files and evaluated using the 3DAR algorithm, which calculated Euclidean distances and root mean square error (RMSE) for accuracy assessment and assigned scores based on RMSE, using an augmented reality (AR) app for interactive evaluation and visualization. These scores were compared to manual scoring with computer assistance (MSCA method), which also used RMSE but required manual alignment and model scoring. Intrarater and interrater reliability of the 3DAR scoring method was assessed using intraclass correlation coefficients (ICC) and compared with the MSCA method. Additionally, the feasibility of 3DAR was evaluated based on evaluation time and user satisfaction. The 3DAR method demonstrated good-to-excellent interrater agreement (ICC = 0.75-0.95) and perfect intrarater reliability (ICC = 1), while the MSCA method showed moderate-to-good reliability (ICC = 0.74-0.89). 3DAR significantly reduced evaluation time (10.514 s vs. 2 h required for MSCA) and received high user satisfaction ratings (average score = 4.66±0.24). The 3DAR algorithm offers a reliable and efficient assessment method for prosthodontic training. It showed strong agreement with traditional methods, significantly reduced evaluation time, and achieved high user satisfaction. The integration of a 3D augmented reality-based auto-evaluation algorithm into tooth preparation training enhances reliability and provides interactive, real-time feedback on performance, highlighting its potential to advance dental education practices.

Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Cardiology Physicians and Fellows in Training.

The number of practicing lesbian, gay, bisexual, transgender, and queer (LGBTQ+) cardiologists is unknown despite diversity initiatives focused on understanding workforce demographics. The aim of this study was to evaluate the prevalence, sources of mistreatment, and measures of wellness among the LGBTQ+cardiology community. An online survey was sent to the American College of Cardiology Fellow in Training and Early Career Professional Listservs and shared on social media sites. The survey included the Short-Negative Acts Questionnaire and LGBTQ+-specific harassment questions. Chi-square analysis and Fisher exact tests were performed to compare responses between LGBTQ+ and non-LGBTQ+respondents. A total of 188 respondents completed the survey (56% Fellow in Training). One-third (33%) identified as LGBTQ+. Gender identity data included: transgender (3%), nonbinary (2%), gender queer (1%), and agender (1%). LGBTQ+physicians were less likely to agree with the statements 'LGBTQ+patients were treated fairly' (40% vs 66%, P<0.001), and 'leadership dealt with people demonstrating poor behavior fairly' (34% vs 51%, P=0.029) compared to heterosexual peers. LGBTQ+physicians were more likely to report gender policing and heterosexist harassment compared to heterosexual peers (P=0.002). The majority of physicians (91%) were satisfied with their decision to become a cardiologist. This current analysis of LGBTQ+cardiologists in the workplace identifies opportunities to address mistreatment impacting the LGBTQ+community. Despite experiencing mistreatment, LGBTQ+cardiologists report high job satisfaction. Further work is necessary to create a safe space and diverse cohort of physicians required to meet the needs of LGBTQ+patients at risk for cardiovascular disease.

Comparing silicone-coated self-adhesive absorbent polyurethane films with transparent absorbent films for bilateral hip dressing: a prospective randomized controlled trial

BackgroundSilicone-coated self-adhesive absorbent (SSA) and transparent films with absorbent (TFA) dressings are reportedly effective postoperative knee surgery dressings; however, there have been no direct comparative studies on these two innovative dressings over the hip areas. In this study, we aimed to compare user satisfaction and potential complications between TFA and SSA dressings for the hip area.MethodsThis prospective randomized controlled trial was conducted at a tertiary hospital. The hip side to receive the polyurethane film with SSA dressing (Mepilex® Border Post-Op) was randomly allocated. The other side of the hip was covered with TFA (OPSITE Post-Op). Participants were scheduled for follow-ups 7 and 14 days after the initial application. Between-group outcomes were compared using a two-sample t-test or Wilcoxon signed-rank test for continuous variables and McNemar’s chi-square test for categorical variables.ResultsThirty-two participants (30 − 60 years) without a history of hip surgery were included in the study. The participants were predominantly female, with a mean age of 42.8 years. Pain, difficulties in daily activities, and satisfaction scores were similar between the groups. However, moisture accumulation was significantly higher with the TFA dressing (37.9% vs. 13.8%, p < 0.01), with more dressing failures (34.5% vs. 20.7%, p = 0.016) and complications (37.9% vs. 17.2%, p = 0.012) at the 14-day follow-up than with the SSA dressing.ConclusionsSSA dressings are preferable for hip wound care because of better moisture management, fewer dressing changes required, and fewer complications if applied for > 7 days. Both dressings offered high user satisfaction, minimal pain, and minor difficulties in daily activities.

A Rapid-Cycle Intervention to Enhance Patient and Family Satisfaction in the Intensive Care Unit.

Patient and family satisfaction with care in intensive care units is not reflected in Hospital Consumer Assessment of Healthcare Providers and Systems surveys. Gaps may be unknown. In a cardiothoracic intensive care unit, patient satisfaction scores were not assessed and gaps could not be addressed. The primary aim was to obtain baseline data on patient and family satisfaction. The secondary aim was to improve identified gaps in satisfaction. A preintervention-postintervention, 2-cycle quality improvement project and a 12-month sustainability assessment were conducted to evaluate patient and family satisfaction in a cardiothoracic intensive care unit in a large academic health system from August 2022 to August 2023. The Nursing Intensive Care Satisfaction Scale was used to measure patients' satisfaction and the European Quality Questionnaire was used to measure family members' satisfaction with intensive care unit nursing care. Standardized scripting, processes for patient and family engagement during rounds, and structured communication were used to enhance patient and family engagement. At baseline (47 patients, 35 family members), overall patient and family satisfaction was high (mean [SD] satisfaction scores: patients, 87.6 [19.3]; family members, 94.6 [9.7]; P = .06). After intervention cycle 2, family members (n = 50) had high mean satisfaction scores on the Information Needs sub-scale of the European Quality Questionnaire. Family participation in rounds improved from 18.5% of rounds at baseline to 76.5% after intervention cycle 2 and was 61.5% at 12 months. Strategies that engage family members in rounds improve communication and satisfaction.

Efficacy and safety of platelet-rich fibrin combined with diced cartilage in rhinoplasty: a systematic review and meta-analysis.

The purpose of this study was to evaluate the efficacy and safety of combining platelet-rich fibrin (PRF) with diced cartilage (DC) in patients undergoing rhinoplasty. A systematic search of MEDLINE/PubMed, Cochrane Library, Web of Science, and Scopus was conducted, including studies published through August 9, 2024. We included observational studies and clinical trials of rhinoplasty using the DC technique with PRF. Primary outcomes were cartilage resorption, nasal dorsum/tip irregularity, and patient satisfaction. Secondary outcomes included postoperative complications such as edema, hematoma, infection, erythema, displacement, and extrusion. Risk of bias (ROB) was assessed using the ROB2 tool for randomized trials and the MINORS checklist for observational studies. Seven studies with 286 participants were included. Results showed minimal cartilage resorption in five studies. The pooled incidences of nasal dorsum/tip irregularity, erythema, and displacement were 0.43% [95% CI: 0.00-1.95%], 1.63% [95% CI: 0.00-4.99%], and 0.63% [95% CI: 0.00-2.22%], respectively. Patient satisfaction was high, with a pooled rate of 94.33% [95% CI: 89.28-99.38%]. The addition of PRF to DC in rhinoplasty was associated with favorable postoperative outcomes and high patient satisfaction, with a low incidence of complications. However, the lack of comparative studies makes it difficult to determine whether PRF provides significant benefits over DC alone. Larger randomized controlled trials with longer follow-up are needed to further validate these findings.

Dual Clinical Practice (DCP) policy to improve the retention of human resources for health in Rwanda: a mid-term review using a cross-sectional and retrospective study design

BackgroundDespite the high demand for public services globally, ensuring the quality of services provided by public health facilities is challenging. Poor remuneration of public sector health care providers (HCPs) drives their migration to private health facilities. The Dual Clinical Practice (DCP) Policy in Rwanda represents a strategic initiative aimed at retaining healthcare professionals in public health facilities, allowing them to engage in private practice concurrently. This study assesses the implementation challenges and identifies opportunities for potential reformulation of DCP schemes.MethodsThis study employed a mixed methods approach, incorporating both cross-sectional and retrospective designs across six Rwandan public hospitals. Quantitative and qualitative data were collected through key informant interviews (KIIs) and joint interviews (JIs), as well as through the analysis of health facility records obtained from the Health Management Information System (HMIS) and the Electronic Medical Record (EMR). Qualitative data were analyzed using Atlas.ti software, while quantitative data were analyzed using Microsoft Excel.ResultsThe study involved participants from six Rwandan hospitals, including 20 healthcare providers and 32 patients. Qualitative results revealed that a substantial majority of health care providers supported the DCP policy, with a high patient satisfaction rate of 81% regarding DCP services. However, challenges emerged, including limited awareness of the policy and difficulties in tracking DCP engagements. Quantitative data from the HMIS and EMR indicated an increase in patient enrollment across most facilities, with DCP outpatient visits accounting for a significant percentage of total visits in some hospitals. While the DCP contributed positively to hospital revenues, concerns about the sustainability of the scheme and the adequacy of health care remuneration were highlighted, calling for a review of DCP policy involving stakeholders beyond the Ministry of Health.ConclusionThis study found that the DCP policy in Rwanda positively impacted healthcare provider retention, patient satisfaction, and hospital revenues. Providers expressed strong support for the policy, and patient satisfaction was high, with 81% of patients reporting positive experiences with DCP services. The scheme contributed to increased patient enrollment and hospital revenue, particularly in urban facilities. However, challenges, such as limited awareness of the policy among healthcare providers and difficulties in tracking DCP engagements, were noted. Additionally, concerns about the sustainability of the DCP and the adequacy of healthcare remuneration highlighted the need for policy revisions. To address these challenges, a collaborative approach involving stakeholders such as tax authorities, hospital administrations, and health insurance companies is necessary. Additionally, our study highlights the critical role of investments in physical infrastructure to support the long-term success of DCP. Enhancing infrastructure would not only ensure better healthcare quality but also support the retention of providers in both urban and rural settings.

Longitudinal observational digital analysis of occlusion in Hall Technique.

To evaluate volumetric changes over time in teeth treated with the Hall Technique (HT) and their opposing teeth. Secondary aims included assessing occluso-vertical dimension (OVD), temporomandibular joint (TMJ) function, and children's treatment perceptions. Twenty-eight children (5-9 years-old) requiring HT treatment for one first primary molar were recruited. Dental impressions were taken. Mean volume differences were digitally calculated from scanned models (Rapidform2006) between HT-treated and opposing teeth over time. Canine overlap (to measure OVD) was assessed with digital calipers. TMJ function was evaluated using Helkimo Clinical Dysfunction Index and AAPD Temporomandibular Disorders guidance. Data were collected pre-treatment (T0), immediately post-treatment (T1), at one-month (T2), and three-months (T3) after. Children's perceptions were assessed at T3. The mean volume differences (mm³)±Standard error of the mean(SEM),(min-max) for HT teeth were:T0-T1:71.0 ± 3.2, (43.18 to 113.3mm³); T1-T2:10.1 ± 1.2 (0.02 to 23.52mm³); T2-T3:4.3 ± 1.0 (-4.11 to 15.43mm³) and for opposing teeth: T1-T2:6.8 ± 1.1 (-4.30 to 21.51mm³); T2-T3:0.5 ± 0.9 (-11.12 to 15.24mm³). Crowns and canine overlap measurements resolved within one month (p < 000.1), reflecting occlusion re-establishment. TMJ assessments showed mild-dysfunction in two children (8 %), resolved by T3, Children's perceptions: 26 children (93 %) "strongly agreed" or "agreed" they were happy with their crowned-tooth; one child preferred not to show it, and 26 (93 %) reported no discomfort or pain. The volumetric changes in HT-treated and opposing teeth, along with canine overlap, indicate gradual occlusion re-establishment, primarily within one month. OVD changes resolved, there was minimal TMJ dysfunction and high patient satisfaction. This study demonstrates that occlusal adjustments in Hall Technique-treated teeth mainly occur within one month of crown placement, with minimal effects on TMJ function and occlusion. Results support the Hall-Technique as a child-friendly option for managing carious primary molars with high acceptance and limited clinical adverse effects.

Aesthetic Rib Cage Remodeling with Osteosynthesis: Body Structural High-Definition Reshaping (Rib Osteotomy with Osteosynthesis Stabilization).

Rib cage remodeling has shown promising aesthetic results as a new technique for body contouring, and yet risks and complications associated with the procedure have not been well established. The aim of the authors' study was to assess safety, efficacy, and patient satisfaction rate associated with a new surgical technique for waistline definition. The authors looked into their records for patients who underwent waist narrowing through a new rib remodeling procedure with osteosynthesis of ribs XI and XII from October of 2022 to June of 2023. Follow-up was carried out at 1 and 3 months after surgery. Outcomes were evaluated based on waist and hip measurements, body image, pain, and a patient satisfaction survey. A total of 27 consecutive patients were included in the analysis. The authors' technique resulted in a significant reduction in waist circumference, as evidenced by a decrease of 12.1 cm and 13.0 cm at the first and third months, respectively ( P < 0.005). A reduction of hip circumference of 6.2 cm and 8.7 cm at the first and third months, respectively, was also reported. A high patient satisfaction rate was reported. Postoperative complications included only 1 case of wound dehiscence and 1 case of mild pain. Pain levels were also reduced, with a mean pain score of 2.4 at week 1 and 0.26 at month 1. Rib osteotomy with osteosynthesis emerges as an innovative, safe, and reliable approach for waist narrowing. The authors' results suggest that this technique can be applied to a wide variety of patients, and it might entail significant advantages compared with other techniques. Therapeutic, IV.

Améliorer la qualité de l’information en chirurgie ambulatoire de cataracte via l’envoi automatisé de SMS : une étude prospective

Cataract surgery, generally performed on an outpatient basis, is the most common surgical procedure in France. Patients are contacted the day before and the day after by telephone, which is time-consuming and subject to great inter-operator variability. Automated SMS allows standardized information to be sent instantaneously to a large number of patients. Our goal was to assess the impact of SMS messaging on patient satisfaction and compliance. Our prospective study consisted of two arms: an intervention group receiving SMS, and a control group. We recorded patient satisfaction using a questionnaire and compared compliance with preoperative instructions. Mean patient satisfaction with SMS was 9.3±0.9 out of 10. For 96% of patients, SMS messages strengthened the relationship with professionals, and 99% found them useful for following preoperative recommendations, with no significant difference between groups in terms of compliance. The very high satisfaction rate shows that patients are eager for information. The feeling of an improved relationship in this older population overcomes the fear of dehumanization of the relationship. SMS messages enable information to be sent and collected efficiently, and are easily accepted. Automated SMS messaging is an alternative to telephone calls for informing patients before and after a procedure, without the pitfall of the digital gap created by mobile applications. Studies are underway to extend the indications and confirm the benefits in terms of compliance and freeing up nursing time.

Exploring the experiences of cardiovascular perfusionists during philanthropic cardiac surgery in low-income countries.

Background: Medical mission trips address the global burden of cardiac disease, particularly in Sub-Saharan Africa, where limited access to cardiac surgery exacerbates challenges faced by affected individuals. However, a lack of literature exists on the experiences of perfusionists involved in these missions, despite their crucial role in delivering cardiac surgery services. Therefore, the purpose of this descriptive study was to evaluate the experiences of cardiovascular perfusionists involved in philanthropic cardiac surgery in low-income countries.Methods: A descriptive survey research design was conducted among perfusionists who have participated in cardiac mission trips. The survey link was distributed in February 2024 via the Liv Perfusion LLC social media account. The survey included questions regarding years of experience, countries visited, adequacy of equipment and personnel, language and cultural barriers, and establishment of long-term care.Results: A total of 23 respondents completed the survey, 15 of which were included in the study. All of the survey takers were perfusionists with a mean clinical experience of 10.67 ± 7.96 years and 67% held a master's degree. All of the survey respondents were either very satisfied or satisfied with their cardiac mission trip experience. Despite high satisfaction, 60% reported language differences, and 40% reported cultural barriers and legal restrictions as significant challenges in their delivery of care. Additionally, 67% reported having adequate medical equipment and 80% reported having adequate personnel during the mission trip.Conclusion: In summary, cardiovascular perfusionists reported high satisfaction with philanthropic cardiac missions but faced challenges such as language barriers, and cultural and legal constraints. Addressing these issues could improve mission effectiveness and patient care in low-income countries.

User evaluation of clinical simulation-based learning developed by FORCE (Framework for Online Radiographer Clinical Education).

The FORCE initiative, funded by the EU, was created in response to the COVID-19 pandemic's impact on radiography education. It offers a virtual learning environment (VLE) filled with clinical simulation scenarios targeting Diagnostic Imaging, Nuclear Medicine, and Radiotherapy. These scenarios are designed to provide open-access, simulation-based learning (SBL) resources that help radiography undergraduates engage in problem-based learning across relevant clinical knowledge and professional awareness. This study presents the results of an online survey aimed at evaluating the FORCE VLE and SBL resources to guide future development. The survey targeted academic and clinical staff in Radiography and student Radiographers. It was based on the Course Experience Questionnaire (CEQ) and modified to include topics relevant to online learning, using a five-point Likert Scale (LS). The questionnaire consisted of four sections: research information and consent; socio-demographic data; LS-based questions on case structure, content, interactivity, technical aspects, multimedia quality, and overall experience; and open-text responses. Of the 407 invited participants, 109 (27%) responded, with 77% being students and 23% clinical or academic radiographers from 13 countries. English proficiency was reported by 76% of respondents. The median LS was consistently 4 across all categories, indicating high satisfaction. Content analysis of 159 open-text comments revealed 139 positive opinions on the SBL resources. The FORCE VLE SBL resources were highly regarded for their interactivity, applicability, and support in consolidating knowledge and enhancing patient care. Suggestions for improvement were minor, mainly focusing on navigation and specific content preferences. Expanding the availability of online SBL cases could enhance Radiographer education and promote inclusivity across the field.

Informed Consent in Pelvic Reconstructive Surgery: Patients' Perspective of a Tertiary Service Process.

Obtaining informed consent to surgery is essential for ethical, legal, and quality-care reasons. This study evaluates patients' understanding, experience, and satisfaction with the informed consent process prior to pelvic reconstructive surgery. A prospective study was conducted from April 2021 to April 2022, registered as a service evaluation project. It included all consenting women undergoing pelvic reconstructive surgery. A standardised questionnaire with closed and open-ended questions assessed patients' experiences and decision-making evaluated using the Decisional Conflict Scale (DCS). Satisfaction was evaluated through a five-point Likert scale and a ten-point visual analogue scale (VAS) for response reliability. The study included 87 patients with a mean age of 61.4years (SD 11.4). A significant 96.6% read the consent form thoroughly, 98% affirmed detailed explanations by staff, and 88.5% found the explanation clear. Although 83.9% considered the surgery details sufficient, 16.1% found the information overly detailed or too brief. Most patients (91.9%) felt that they had ample time to think before signing, and 75.9% deemed both oral and written information helpful. Only 13.8% preferred medical staff to decide for them, whereas 55.2% valued being included in decision making. Key factors influencing satisfaction were detailed procedure information (72.4%) and reading the consent form (51.7%). The mean DCS score was 7, indicating a high level of satisfaction. Overall, 85% were very satisfied or satisfied with the consent process, with 89.7% scoring 8-10 on the VAS scale. A thorough consent process is associated with high patient satisfaction and facilitates shared decision making.

A randomized feasibility trial of Managing Your Health: a self-management and peer mentoring intervention for young adult survivors of childhood cancer.

Although childhood cancer survivors require lifelong "risk-based" follow-up care, most adult survivors do not receive such care, and many are lost during the transition from pediatric to adult follow-up care. The goal of this study was to evaluate the feasibility and acceptability of the "Managing Your Health" self-management and peer mentoring intervention to improve transition readiness and self-management skills among young adult survivors of childhood cancer. Survivors of childhood cancer ages 18-25years were randomized 1:1 to the Managing Your Health intervention (six video/phone calls with a peer mentor, another young adult survivor, and five online educational modules) or usual care. Feasibility was measured through enrollment rates, retention rates, and engagement and satisfaction with the intervention. Participants completed measures of transition readiness, self-efficacy, and perceived support at baseline and 2-, 6-, and 12-months post-enrollment. A total of 50 participants (Mage = 21.1 years; 60% male) enrolled (32% of the total pool was contacted; 76% of those were screened; 94% of those screening eligible enrolled). Twenty-two (88%) of the 25 intervention participants completed the peer mentor calls. On average, participants completed 96% of the online modules, often closely timed to peer mentor calls. Participants indicated high satisfaction and acceptability of the intervention and suggested some improvements to the online modules. Managing Your Health was feasible and acceptable to young adult survivors and mentors. Peer mentors appeared to serve as supportive accountability agents encouraging engagement with the online modules. Additional refinements will be made to the intervention prior to efficacy testing.

Student attitudes to, and achievement, in an innovative and authentic biotechnology assessment based on a ‘consultancy Response to Tender’

ABSTRACT In recent years, there has been a significant reappraisal of assessment in HE, with increased attention towards authentic assessments, which are defined as those that are ‘authentic or work relevant’, or that ‘change the nature of student engagement or participation’. This paper investigates the design, implementation, and evaluation of an undergraduate unit based around an authentic assessment – the delivery of which was atypical to previous student experience. The unit had a modular structure with three separate mini-projects, each student writing up one for the consultancy style ‘Response to Tender’ assessment. Quantitative data were analysed for in-person attendance, online engagement, and assessment mark, while student attitudes towards the assessment were collected via questionnaires. Students reported high satisfaction, appreciated the real-world applicability, and identified the unit as providing useful skills for the future, including employability. They appreciated the active learning approach employed, stating that the design and approach of the unit encouraged attendance. The evidence provided here shows that the adoption of authentic assessment approaches, with assessments clearly linked to real-world applicability, can lead to high student satisfaction and engagement, and a positive student and staff experience.

Direct Neck Skin Excision for Correction of Aging Signs Confined to Skin Laxity and Sagging Skin in the Neck: A Local Anesthesia-Based Day Surgery Optimal for Younger Women.

The removal of excessive neck skin is considered the key parameter in the best postoperative outcome after a neck rejuvenation surgery. To evaluate the utility of a local anesthesia-based direct neck skin excision surgery in patients with skin laxity and sagging skin in the neck in terms of postoperative aesthetic outcome and patient satisfaction within a 12-month follow-up period. A total of 47 female patients who underwent local anesthesia-based direct neck skin excision surgery for the rejuvenation of skin laxity and sagging skin in the cervical neck were included. Data on complications and patient-reported outcomes were recorded at the 12th month postoperatively. Postoperatively, none of the patients developed suture breakage or loosening, infection, or bleeding, while ecchymosis (21.3%) and hypertrophic scar (17.0%) were manageable. At the 12th postoperative month, 93.6% of patients reported improved appearance and high satisfaction with the postoperative outcome in terms of a sustained tighter appearance in the neck. The local anesthesia-based direct neck skin excision surgery in patients with skin laxity and sagging skin in the neck enables achievement and maintenance of a tighter appearance in the neck, with minor and manageable complications and high patient satisfaction.

A holistic approach is needed for women with an inflammatory arthritis in the different phases around pregnancy; the results of the CAPRI study

IntroductionWomen with inflammatory arthritis (IA) face significant challenges throughout preconception, pregnancy, and postpartum phases, including concerns about disease management and medication safety. The Reproductive Rheumatology care pathway at Erasmus University Medical Center integrates specialized care from rheumatologists and specialized nurses to address both medical, nursing, practical and emotional needs during these phases. This study evaluates patient satisfaction, identifies unmet needs, and explores opportunities for enhancing support within this integrated care model.MethodsThis was a cross-sectional study. We designed a customized questionnaire for women 18 years and older who were treated following the Reproductive Rheumatology care pathway and had given birth between 2019 and 2021. These women were invited to fill in the questionnaire. The survey assessed satisfaction with care, challenges experienced, and information needs across preconception, pregnancy, and postpartum phases. Descriptive statistics and paired t-tests were used for data analysis.ResultsParticipants reported high satisfaction with care, rating rheumatologists an average of 8.8/10 and specialized nurses 9.2/10. While 78.9% experienced no major issues, some faced problems such as managing disease flares and difficulties around conception. Information needs varied by phase: preconception needs focused on medication safety and fertility, while pregnancy and postpartum concerns included disease management and emotional support. Specialized nurses were pivotal in offering personalized care and practical advice.ConclusionThe integrated Reproductive Rheumatology care pathway effectively supports women with IA through their reproductive journey. Despite high satisfaction, improvements could be made in personalized care and addressing challenges related to confidence and help acceptance. Future research should investigate the long-term impact of such care pathways on reproductive outcomes and patient well-being.

P-537. PAIRED - PAtIent Reported Experiences and perceiveD benefit of treatment with dolutegravir/lamivudine (DTG/3TC): a diverse sample of people with HIV-1 reporting high treatment satisfaction, good adherence, and high quality of life

Abstract Background Understanding the real-world experiences of people with HIV-1 (PWH) is essential to tailoring HIV treatment to PWH needs. PAtIent Reported Experiences and perceiveD benefit of treatment with dolutegravir/lamivudine (DTG/3TC) (PAIRED) examined PWH experiences in the United States. Methods PAIRED comprised a cross-sectional survey and in-depth qualitative interviews of stable-switch PWH ≥ 18 years, receiving DTG/3TC for ≥ 3 months. A mixed recruitment methodology (site-led and community outreach) was employed, and the survey included validated instruments [HIV-Treatment Satisfaction Questionnaire (HIV-TSQs), Adelphi Adherence Questionnaire™ (ADAQ), PoZQoL]. The survey results presented here are descriptive. Results PAIRED represented a diverse sample of 474 participants (31% female sex at birth, 48% non-White, and 50% ≥ 50 years) (Table 1). Median time since HIV diagnosis was 13.5 years (IQR: 7.0-23.0) and most (74%) had taken ≥ 2 previous antiretroviral (ART) regimens. The majority switched from either bictegravir/emtricitabine/tenofovir alafenamide (28%) or abacavir/dolutegravir/lamivudine (28%) to DTG/3TC, and 73% had taken their immediate previous treatment for &amp;gt; 12 months. Majority of participants (62%) had taken DTG/3TC for &amp;gt; 12 months. When asked to rank factors influencing switch to DTG/3TC, PWH reported avoidance of side effects and minimizing long-term impact as top 2 factors (Figure 1). Using the HIV-TSQs, PWH reported high satisfaction with dolutegravir/lamivudine. Out of a maximum score of 60, the median total HIV-TSQs score was 57.0 (IQR: 52.0-60.0). Out of a maximum score of 65, participants had an overall median PozQoL score of 47.0 (IQR: 38.5-55.0), indicative of high quality of life. PWH reported improved treatment satisfaction with DTG/3TC compared with their previous ART regimen (68% vs 31% very satisfied) (Figure 2) and reducing the number of medicines was extremely or very important to 79% of PWH (Figure 3). Good adherence was observed using the ADAQ [median ADAQ© score 0.4 (IQR: 0.2-0.5); possible scores 0-4], with 89% of PWH reporting never or rarely missing a DTG/3TC dose. Conclusion PAIRED represented a diverse sample of PWH switching to DTG/3TC who were highly satisfied with treatment resulting in good adherence and high quality of life. Disclosures Jihad Slim, MD, FACP, AbbVie: Grant/Research Support|AbbVie: Honoraria|AbbVie: Speaker Bureau|Gilead Sciences, Inc.: Grant/Research Support|Gilead Sciences, Inc.: Honoraria|Gilead Sciences, Inc.: Speaker Bureau|Merck: Grant/Research Support|Merck: Honoraria|Merck: Speaker Bureau|Theratechnologies: Advisor/Consultant|Theratechnologies: Honoraria|ViiV Healthcare: Advisor/Consultant|ViiV Healthcare: Grant/Research Support|ViiV Healthcare: Speaker Bureau Andrew P. Brogan, PhD, GSK: Stocks/Bonds (Public Company)|ViiV Healthcare: Employee Gavin Harper, BA, Adelphi Real World: Employee|ViiV Healthcare: Contract for this analysis Katie L. Mycock, MChem, Adelphi Real World: employee|ViiV Healthcare: Contract for this analysis Abigail McMillan, MSc, Adelphi Real World: employee|ViiV Healthcare: Contract for this analysis Deanna Merrill, PharmD, MBA, AAHIVP, GSK: Stocks/Bonds (Public Company)|ViiV Healthcare: Employee Gustavo Verdier, BSc, BPharm, MBA, ViiV Healthcare: Employee

Effectiveness and patient satisfaction with the new sildenafil oral suspension formulation compared to sildenafil oro-dispersible film: a real-life study.

Sildenafil is one of the most used phosphodiesterase type 5 inhibitor (PDE5i) for the treatment of erectile dysfunction (ED) in clinical practice. A new oral suspension formulation (OSF) of sildenafil has been introduced to overcome the drawbacks of previous formulations. We assess the efficacy and patients' experience with sildenafil 50 mg OSF in men with ED who were taking the sildenafil oro-dispersible film (ODF). Demographics and clinical data from 70 consecutive men with mild-moderate ED were analysed. Patients were treated with sildenafil 50 mg ODF for 12 weeks (follow-up 1), then, after 2-week washout, were administered sildenafil 50 mg OSF for 12 weeks (follow-up 2). At each follow-up, patients completed the International Index of Erectile Function (IIEF), the Patient Global Impression of Improvement (PGI-I), and the Psychological and Interpersonal Relationship Scales-Short Form (PAIRS-SF) questionnaires. Descriptive statistics described the whole cohort. The Wilcoxon Signed Rank Test assessed potential differences in psychometric scores at different follow-up assessments. Logistic regression analyses tested the associations between study variables and satisfaction after sildenafil OSF treatment. Overall, median age was 56 (51-62) years, and median IIEF-EF score was 14 (12-17). Compared to baseline, IIEF-EF scores significantly improved after sildenafil ODF and OSF treatment (all p < 0.01) with no differences between the two formulations. IIEF-overall satisfaction (OS) was higher after sildenafil OSF than ODF (p < 0.001). Similarly, median PGI-I score were better after sildenafil OSF than ODF (p < 0.001). The PAIRS-SF spontaneity scores were significantly higher after OSF than ODF (p < 0.01). At multivariable logistic regression analysis, younger age (p = 0.02) and lower baseline IIEF-EF scores (p = 0.01) were independent predictors of improved satisfaction with OSF compared to ODF. The sildenafil OSF and ODF had similar efficacy, however the new OSF provides higher satisfaction and spontaneity scores compared to the oro-dispersible film.

It is Time to Address Fear of Cancer Recurrence in Family Caregivers: Feasibility and Acceptability of a Randomized Pilot Study of the Family Caregiver Version of the Fear of Recurrence Therapy (FC-FORT).

Fear of cancer recurrence (FCR) is common, persistent, and associated with lower quality of life, impaired functioning, and psychological distress in family caregivers (FC) of individuals with a cancer diagnosis. Interventions are needed to specifically target FCR in FC. This study aimed to pilot test the adapted Family Caregiver-Fear Of Recurrence Therapy (FC-FORT) to establish its feasibility, acceptability, and clinical significance. This pilot study used a mixed-method, parallel, two-group randomized control trial (FC-FORT vs. waitlist control group) design. Women FC were recruited through Canadian hospitals, community partners, and social media. FC in the intervention group completed 7 weekly sessions of virtual group therapy (FC-FORT) and an exit interview. All participants completed questionnaires at baseline, post-intervention, and 3-month follow-up. Feasibility (e.g., recruitment, allocation, fidelity), acceptability (e.g., dropout, completion, satisfaction) and clinical significance of secondary outcomes were evaluated. Descriptive statistics, mixed ANOVAs, and conventional content analyses were used. Regarding feasibility, 22 FC were recruited, 18 were randomized and therapist fidelity was 87%. As to acceptability, 67% of participants completed 5 sessions (33% dropout). Questionnaire completion rate was 92%. FC satisfaction was 80%. Analyses did not reveal any significant differences on the secondary outcomes between groups. Qualitative analyses revealed high importance, helpfulness, satisfaction, and group cohesion. Suggestions were made by FC for improvements. This is one of the first interventions to address FCR in FC. While acceptability of FC-FORT was good, important feasibility issues need to be addressed before moving forward with a larger randomized control trial. NCT, NCT05441384. Registered July 1st, 2022, https://classic. gov/ct2/show/NCT05441384.