{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:53:52Z","timestamp":1791903232428,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007312","name":"Cleveland Clinic Foundation","doi-asserted-by":"publisher","award":["3477"],"award-info":[{"award-number":["3477"]}],"id":[{"id":"10.13039\/100007312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pulm. circ."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pulmonary arterial hypertension (PAH) is a chronic and progressive disease with substantial physiological and psychosocial burden. Effective patient education is essential for self\u2010management and improved outcomes, yet access to reliable information remains limited by brief clinic visits and variable\u2010quality external resources. Although video\u2010assisted learning has been used in other chronic diseases, patient perceptions of video education in PAH have not been studied. To address this gap, we developed the SMART\u2010PAH Library, a web\u2010based learning management platform featuring 12 concise, expert\u2010developed videos on key aspects of PAH management. This qualitative pilot explored patient perceptions, feasibility, and perceived impact of the SMART\u2010PAH library. After completing the SMART\u2010PAH course, 13 PAH patients participated in semi\u2010structured virtual interviews exploring user experience, unmet educational needs, and the impact of the content on knowledge and self\u2010management. Transcripts were analyzed iteratively by multiple reviewers using an inductive grounded theory\u2010informed approach until thematic saturation was reached. Transcript analysis identified four domains in which patients sought support from a PAH\u2010focused educational platform: emotional, physical, educational, and structural. Patients valued credible, relatable content, practical disease\u2010management guidance, and education on under\u2010addressed topics such as sexual health and palliative care. The platform helped address barriers including limited specialist access, financial complexity, and provider trust through accessible, repeatable reinforcement of clinical guidance. The SMART\u2010PAH video library was perceived as a feasible and impactful approach to PAH education. Video\u2010assisted learning can complement traditional PAH care by addressing informational gaps and supporting self\u2010management. Larger studies are needed to evaluate effects on mental health, patient knowledge, and outcomes.<\/jats:p>","DOI":"10.1002\/pul2.70427","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:36:40Z","timestamp":1791902200000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Perceptions of a Video\u2010Based Educational Platform for Pulmonary Arterial Hypertension: A Qualitative Study of the SMART\u2010PAH Course"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3222-0940","authenticated-orcid":false,"given":"Denise G.","family":"Sese","sequence":"first","affiliation":[{"name":"Division of Pulmonary, Critical Care, Allergy and Sleep Medicine Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6566-0956","authenticated-orcid":false,"given":"Purnadeo","family":"Persaud","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine Integrated Hospital Care Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauryn","family":"Durham","sequence":"additional","affiliation":[{"name":"Squire Patton Boggs Law Office Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Neuendorf","sequence":"additional","affiliation":[{"name":"Department of Hospital Medicine Integrated Hospital Care Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1424-0251","authenticated-orcid":false,"given":"Logan J.","family":"Harper","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine Integrated Hospital Care Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5072-0725","authenticated-orcid":false,"given":"Kristin B.","family":"Highland","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine Integrated Hospital Care Institute, Cleveland Clinic Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"1","key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1093\/eurheartj\/ehv317","article-title":"2015 ESC\/ERS Guidelines for the Diagnosis and Treatment of Pulmonary Hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT)","volume":"37","author":"Gali\u00e8 N.","year":"2016","journal-title":"European Heart Journal"},{"issue":"138","key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1183\/16000617.0063-2015","article-title":"Pulmonary Arterial Hypertension: The Burden of Disease and Impact on Quality of Life","volume":"24","author":"Delcroix M.","year":"2015","journal-title":"European Respiratory Review"},{"issue":"8","key":"e_1_2_14_4_1","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1159\/000524369","article-title":"Anxiety, Depression and Quality of Life in Pulmonary Hypertension: A Comparison of Incident and Prevalent Cases","volume":"101","author":"Pfeuffer\u2010Jovic E.","year":"2022","journal-title":"Respiration"},{"issue":"1","key":"e_1_2_14_5_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jpainsymman.2015.07.012","article-title":"Symptom Interference Severity and Health\u2010Related Quality of Life in Pulmonary Arterial Hypertension","volume":"51","author":"Matura L. A.","year":"2016","journal-title":"Journal of Pain and Symptom Management"},{"key":"e_1_2_14_6_1","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2021.781532","article-title":"Impact of Pulmonary Arterial Hypertension on Employment, Work Productivity, and Quality of Life\u2014Results of a Cross\u2010Sectional Multi\u2010Center Study","volume":"12","author":"Fuge J.","year":"2021","journal-title":"Frontiers in Psychiatry"},{"issue":"3","key":"e_1_2_14_7_1","doi-asserted-by":"crossref","first-page":"1647","DOI":"10.1007\/s10508-022-02284-w","article-title":"Sexual and Reproductive Health in Women With Pulmonary Hypertension: A Qualitative Study","volume":"51","author":"Cipolletta S.","year":"2022","journal-title":"Archives of Sexual Behavior"},{"issue":"4","key":"e_1_2_14_8_1","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01129-2024","article-title":"Exploring the Patient Perspective in Pulmonary Hypertension","volume":"64","author":"Ford H. J.","year":"2024","journal-title":"European Respiratory Journal"},{"issue":"1","key":"e_1_2_14_9_1","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01919-2018","article-title":"The Importance of Patient Perspectives in Pulmonary Hypertension","volume":"53","author":"McGoon M. D.","year":"2019","journal-title":"European Respiratory Journal"},{"issue":"1","key":"e_1_2_14_10_1","doi-asserted-by":"crossref","DOI":"10.1002\/pul2.70264","article-title":"The Pulmonary Hypertension Global Patient Survey: Physical and Psychosocial Impacts on Health\u2010Related Quality of Life","volume":"16","author":"Bunclark K.","year":"2026","journal-title":"Pulmonary Circulation"},{"issue":"6","key":"e_1_2_14_11_1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1001\/jamapsychiatry.2020.4783","article-title":"Efficacy of a Brief, Peer\u2010Delivered Self\u2010Management Intervention for Patients with Rare Chronic Diseases: A Randomized Clinical Trial","volume":"78","author":"Depping M. K.","year":"2021","journal-title":"JAMA Psychiatry"},{"key":"e_1_2_14_12_1","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2022.996528","article-title":"Effectiveness of Therapeutic Patient Education Interventions for Chronic Diseases: A Systematic Review and Meta\u2010Analyses of Randomized Controlled Trials","volume":"9","author":"Correia J. 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