{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:31:53Z","timestamp":1793475113255,"version":"4.5.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Esophagus"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1007\/s10388-026-01253-9","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T23:44:49Z","timestamp":1789861489000},"page":"994-1002","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of educational pamphlet in achalasia care: education as therapy among Pakistani patients"],"prefix":"10.1007","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7260-3973","authenticated-orcid":false,"given":"Sameen","family":"Abbas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayyab Saeed","family":"Akhtar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Hameed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gul","family":"Nisar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8713-3193","authenticated-orcid":false,"given":"Saima","family":"Mushtaq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6006-4159","authenticated-orcid":false,"given":"Amjad","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"issue":"3","key":"1253_CR1","doi-asserted-by":"publisher","first-page":"e70041","DOI":"10.1002\/jgh3.70041","volume":"9","author":"S Abbas","year":"2025","unstructured":"Abbas S, Akhtar TS, Chinnam S, Mushtaq S, Ahmad N, Fang Y, et al. Optimizing achalasia diagnosis in the era of high-resolution manometry: a Pakistani perspective. JGH Open. 2025;9(3):e70041.","journal-title":"JGH Open"},{"issue":"1","key":"1253_CR2","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1038\/s41572-022-00356-8","volume":"8","author":"E Savarino","year":"2022","unstructured":"Savarino E, Bhatia S, Roman S, Sifrim D, Tack J, Thompson SK, et al. Achalasia. Nat Rev Dis Primers. 2022;8(1):28. https:\/\/doi.org\/10.1038\/s41572-022-00356-8.","journal-title":"Nat Rev Dis Primers"},{"issue":"3","key":"1253_CR3","doi-asserted-by":"publisher","first-page":"47081","DOI":"10.26717\/BJSTR.2024.55.008717","volume":"55","author":"K Elmakki","year":"2024","unstructured":"Elmakki K, Akhtar TS, Abbas S, Shahid S, Ashraf B, Zahid K. Role of high-resolution manometry in diagnosing esophageal motility disorders\u2014a literature review in line with Chicago classification V4. 0. Biomed J Sci Tech Res. 2024;55(3):47081\u201396. https:\/\/doi.org\/10.26717\/BJSTR.2024.55.008717.","journal-title":"Biomed J Sci Tech Res"},{"issue":"1","key":"1253_CR4","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1111\/hex.13160","volume":"24","author":"M Kalantari","year":"2021","unstructured":"Kalantari M, Hollywood A, Lim R, Hashemi M. Mapping the experiences of people with achalasia from initial symptoms to long-term management. Health Expect. 2021;24(1):131\u20139.","journal-title":"Health Expect"},{"issue":"1","key":"1253_CR5","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1186\/s40814-024-01574-5","volume":"10","author":"M Kalantari","year":"2024","unstructured":"Kalantari M, Hollywood A, Lim R, Hashemi M. A co-designed intervention to support people living with achalasia to eat in a social setting: a feasibility study. Pilot Feasibility Stud. 2024;10(1):152.","journal-title":"Pilot Feasibility Stud"},{"issue":"2","key":"1253_CR6","doi-asserted-by":"publisher","first-page":"e056294","DOI":"10.1136\/bmjopen-2021-056294","volume":"12","author":"KH Urstad","year":"2022","unstructured":"Urstad KH, Andersen MH, Larsen MH, Borge CR, Helseth S, Wahl AK. Definitions and measurement of health literacy in health and medicine research: a systematic review. BMJ Open. 2022;12(2):e056294.","journal-title":"BMJ Open"},{"issue":"1","key":"1253_CR7","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s40814-020-00603-3","volume":"6","author":"SA Moore","year":"2020","unstructured":"Moore SA, Avery L, Price CIM, Flynn D. A feasibility, acceptability and fidelity study of a multifaceted behaviour change intervention targeting free-living physical activity and sedentary behaviour in community dwelling adult stroke survivors. Pilot Feasibility Stud. 2020;6(1):58.","journal-title":"Pilot Feasibility Stud"},{"issue":"12","key":"1253_CR8","doi-asserted-by":"publisher","first-page":"1800","DOI":"10.2337\/dc17-0462","volume":"40","author":"KA Cradock","year":"2017","unstructured":"Cradock KA, \u00d3Laighin G, Finucane FM, McKay R, Quinlan LR, Martin Ginis KA, et al. Diet behavior change techniques in type 2 diabetes: a systematic review and meta-analysis. Diabetes Care. 2017;40(12):1800\u201310.","journal-title":"Diabetes Care"},{"issue":"1","key":"1253_CR9","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1111\/hir.12475","volume":"40","author":"A Rehman","year":"2023","unstructured":"Rehman A, Bin Naeem S, Faiola A. The prevalence of low health literacy in undergraduate students in Pakistan. Health Info Libr J. 2023;40(1):103\u20138.","journal-title":"Health Info Libr J"},{"key":"1253_CR10","doi-asserted-by":"crossref","unstructured":"Fetene BM, Wondiye H, Yigzaw ZA. Predictors of Intention to use Health Literacy Strategies in Patient Education among Health Care Professionals at Public Hospitals of Bahir Dar City: Application of Theory of Planned Behavior. Am J Health Promotion. 2024;08901171241282586.","DOI":"10.1177\/08901171241282586"},{"issue":"7","key":"1253_CR11","doi-asserted-by":"publisher","first-page":"1112","DOI":"10.3390\/ijerph16071112","volume":"16","author":"FR Choudhry","year":"2019","unstructured":"Choudhry FR, Ming LC, Munawar K, Zaidi STR, Patel RP, Khan TM, et al. Health literacy studies conducted in Australia: a scoping review. Int J Environ Res Public Health. 2019;16(7):1112.","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"1253_CR12","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1080\/14635240.2017.1421866","volume":"56","author":"W Ahmed","year":"2018","unstructured":"Ahmed W, Shaikh ZN, Soomro JA, Qazi HA, Soomro AK. Assessment of health literacy in adult population of Karachi: a preliminary investigation for concept-based evidence. Int J Health Promot Educ. 2018;56(2):95\u2013104.","journal-title":"Int J Health Promot Educ"},{"issue":"12","key":"1253_CR13","first-page":"1901","volume":"67","author":"SR Sabzwari","year":"2017","unstructured":"Sabzwari SR. Health literacy in Pakistan: exploring new ways of addressing an old challenge. J Pak Med Assoc. 2017;67(12):1901.","journal-title":"J Pak Med Assoc"},{"key":"1253_CR14","doi-asserted-by":"publisher","unstructured":"Slone S, Kumar A, Jacobs J, Velanovich V, Richter JE. Accuracy of achalasia quality of life and eckardt scores for assessment of clinical improvement post treatment for achalasia. Dis Esophagus. 2021;34(2). https:\/\/doi.org\/10.1093\/dote\/doaa080.","DOI":"10.1093\/dote\/doaa080"},{"issue":"4","key":"1253_CR15","doi-asserted-by":"publisher","first-page":"e0321933","DOI":"10.1371\/journal.pone.0321933","volume":"20","author":"S Abbas","year":"2025","unstructured":"Abbas S, Shah SS, Akhhtar TS, Hameed K, Mushtaq S, Khan A. Urdu adaptation and validation of a disease-specific quality-of-life questionnaire in a Pakistani population of achalasia. PLoS One. 2025;20(4):e0321933. https:\/\/doi.org\/10.1371\/journal.pone.0321933.","journal-title":"PLoS One"},{"key":"1253_CR16","unstructured":"Kontogianni M. Gastrointestinal diseases. Clinical nutrition and practice, 1st ed; Katsilambros, N, Dimosthenopoulos, C, Kontogianni, MD, Manglara, E, Poulia, KA, Eds. 2010;93\u2013126."},{"issue":"4","key":"1253_CR17","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1517\/21678707.2015.1021779","volume":"3","author":"JE Richter","year":"2015","unstructured":"Richter JE. Achalasia: new diagnostic tests and treatments. Expert Opin Orphan Drugs. 2015;3(4):403\u201317.","journal-title":"Expert Opin Orphan Drugs"},{"key":"1253_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-015-0812-5","volume":"15","author":"E Maimela","year":"2015","unstructured":"Maimela E, Van Geertruyden JP, Alberts M, Modjadji SEP, Meulemans H, Fraeyman J, et al. The perceptions and perspectives of patients and health care providers on chronic diseases management in rural South Africa: a qualitative study. BMC Health Serv Res. 2015;15:1\u201312.","journal-title":"BMC Health Serv Res"},{"key":"1253_CR19","doi-asserted-by":"crossref","unstructured":"Kenny T, Stone J. Psychological support at diagnosis of a rare disease. Rev literature Rare Dis Res Partners. 2022; 1:1\u201325.","DOI":"10.20517\/rdodj.2022.04"},{"issue":"2","key":"1253_CR20","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1007\/s10826-024-02790-6","volume":"33","author":"JC Atkins","year":"2024","unstructured":"Atkins JC, Padgett CR. Living with a rare disease: psychosocial impacts for parents and family members\u2014a systematic review. J Child Fam Stud. 2024;33(2):617\u201336.","journal-title":"J Child Fam Stud"},{"issue":"2","key":"1253_CR21","first-page":"e1138","volume":"11","author":"R Neff","year":"2009","unstructured":"Neff R, Fry J. Periodic prompts and reminders in health promotion and health behavior interventions: systematic review. J Med Internet Res. 2009;11(2):e1138.","journal-title":"J Med Internet Res"},{"issue":"Suppl1","key":"1253_CR22","first-page":"315","volume":"18","author":"BF Farsad","year":"2019","unstructured":"Farsad BF, Dastan F, Salamzadeh J, Moghadamnia Z, Eskandari R, Fahimi F. Assessment of outpatients\u2019 knowledge and adherence on warfarin: the impact of a simple educational pamphlet. Iran J Pharm Res. 2019;18(Suppl1):315.","journal-title":"Iran J Pharm Res"},{"issue":"6","key":"1253_CR23","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1177\/0272989X16638330","volume":"36","author":"LM Mackey","year":"2016","unstructured":"Mackey LM, Doody C, Werner EL, Fullen B. Self-management skills in chronic disease management: what role does health literacy have? Med Decis Mak. 2016;36(6):741\u201359.","journal-title":"Med Decis Mak"},{"issue":"12","key":"1253_CR24","doi-asserted-by":"publisher","first-page":"2186","DOI":"10.1016\/j.pec.2018.08.021","volume":"101","author":"EJ P\u00e9rez-Stable","year":"2018","unstructured":"P\u00e9rez-Stable EJ, El-Toukhy S. Communicating with diverse patients: how patient and clinician factors affect disparities. Patient Educ Couns. 2018;101(12):2186\u201394.","journal-title":"Patient Educ Couns"},{"issue":"2","key":"1253_CR25","doi-asserted-by":"publisher","first-page":"e2439","DOI":"10.2196\/jmir.2439","volume":"15","author":"M Stellefson","year":"2013","unstructured":"Stellefson M, Chaney B, Barry AE, Chavarria E, Tennant B, Walsh-Childers K, et al. Web 2.0 chronic disease self-management for older adults: a systematic review. J Med Internet Res. 2013;15(2):e2439.","journal-title":"J Med Internet Res"},{"key":"1253_CR26","doi-asserted-by":"crossref","unstructured":"Abbas S, Zahid K, Ashraf B, Akhtar TS, Mushtaq S, Wahid A, Khan A. Evaluating long-term functional and symptomatic outcomes of pneumatic dilatation in achalasia: an experience from Pakistan. Z Gastroenterol. 2026;64(02):147-156","DOI":"10.1055\/a-2707-1799"}],"container-title":["Esophagus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10388-026-01253-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10388-026-01253-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10388-026-01253-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:17:23Z","timestamp":1793474243000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10388-026-01253-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,20]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["1253"],"URL":"https:\/\/doi.org\/10.1007\/s10388-026-01253-9","relation":{},"ISSN":["1612-9059","1612-9067"],"issn-type":[{"value":"1612-9059","type":"print"},{"value":"1612-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,20]]},"assertion":[{"value":"24 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The research was deemed as low risk and, as such, was reviewed by the Institutional Research and Ethics Forum of Holy Family Hospital, Rawalpindi, with protocol approval number 269\/IREF\/RMU\/2022, and the Institutional Ethical Review Board of Quaid-i-Azam University, Islamabad. (Protocol number: BEC-FBS-QAU2022-381).","order":1,"name":"Ethics","label":"Ethical statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that the research was conducted without any commercial or financial relationships that could potentially create a conflict of interest.","order":2,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}