{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:36:56Z","timestamp":1793284616097,"version":"4.5.0"},"reference-count":22,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartandlung.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart &amp; Lung"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.hrtlng.2026.102954","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:12:21Z","timestamp":1789996341000},"page":"102954","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Key elements of left ventricular assist device adjustment: A qualitative exploratory study"],"prefix":"10.1016","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9298-274X","authenticated-orcid":false,"given":"Brittany D.","family":"Rhoades","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan C.","family":"Engebretson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Casarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Sanner Beauchamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.hrtlng.2026.102954_bib0001","doi-asserted-by":"crossref","first-page":"e139","DOI":"10.1161\/CIR.0000000000000757","article-title":"Heart disease and stroke statistics\u20142020 update: a report from the American Heart Association","volume":"141","author":"Virani","year":"2020","journal-title":"Circulation"},{"issue":"8","key":"10.1016\/j.hrtlng.2026.102954_bib0002","doi-asserted-by":"crossref","first-page":"e347","DOI":"10.1161\/CIR.0000000000001209","article-title":"2024 Heart disease and stroke statistics: a report of US and global data from the American Heart Association","volume":"149","author":"Martin","year":"2024","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.hrtlng.2026.102954_bib0003","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.healun.2013.10.017","article-title":"Overall quality of life improves to similar levels after mechanical circulatory support regardless of severity of heart failure before implantation","volume":"33","author":"Grady","year":"2014","journal-title":"J Heart Lung Transpl"},{"issue":"3","key":"10.1016\/j.hrtlng.2026.102954_bib0004","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1007\/s11897-014-0201-0","article-title":"Learning self-care after left ventricular assist device implantation","volume":"11","author":"Kato","year":"2014","journal-title":"Curr Heart Fail Rep"},{"key":"10.1016\/j.hrtlng.2026.102954_bib0005","series-title":"Doing Qualitative Research","author":"Crabtree","year":"2009"},{"key":"10.1016\/j.hrtlng.2026.102954_bib0006","series-title":"The Roy Adaptation Model","author":"Roy","year":"2009"},{"key":"10.1016\/j.hrtlng.2026.102954_bib0007","series-title":"Naturalistic Inquiry","author":"Lincoln","year":"1985"},{"issue":"2","key":"10.1016\/j.hrtlng.2026.102954_bib0008","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inf"},{"issue":"3","key":"10.1016\/j.hrtlng.2026.102954_bib0009","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/ANS.0b013e318261b1ba","article-title":"A middle-range theory of self-care of chronic illness","volume":"35","author":"Riegel","year":"2012","journal-title":"ANS Adv Nurs Sci"},{"key":"10.1016\/j.hrtlng.2026.102954_bib0010","series-title":"Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead. New York","author":"Brown","year":"2015"},{"issue":"5","key":"10.1016\/j.hrtlng.2026.102954_bib0011","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.hrtlng.2020.01.015","article-title":"Influencing factors on left ventricular assist device adaptation: a systematic review","volume":"49","author":"Rhoades","year":"2020","journal-title":"Heart Lung"},{"issue":"6","key":"10.1016\/j.hrtlng.2026.102954_bib0012","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.hrtlng.2011.05.002","article-title":"Lifestyle adjustments of adults with long-term implantable left ventricular assist devices: a phenomenologic inquiry","volume":"40","author":"Casida","year":"2011","journal-title":"Heart Lung"},{"issue":"1","key":"10.1016\/j.hrtlng.2026.102954_bib0013","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.hrtlng.2013.09.004","article-title":"A conceptual definition of quality of life with a left ventricular assist device: results from a qualitative study","volume":"43","author":"Sandau","year":"2014","journal-title":"Heart Lung"},{"issue":"3","key":"10.1016\/j.hrtlng.2026.102954_bib0014","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1161\/CIRCOUTCOMES.113.000660","article-title":"Choices for patients \u201cwithout a choice\u201d: interviews with patients who received a left ventricular assist device as destination therapy","volume":"7","author":"Ottenberg","year":"2014","journal-title":"Circ Cardiovasc Qual Outcomes"},{"issue":"5","key":"10.1016\/j.hrtlng.2026.102954_bib0015","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1097\/JCN.0b013e318227f119","article-title":"Life in transition: a qualitative study of the illness experience and vocational adjustment of patients with left ventricular assist device","volume":"27","author":"Overgaard","year":"2012","journal-title":"J Cardiovasc Nurs"},{"issue":"1","key":"10.1016\/j.hrtlng.2026.102954_bib0016","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/01.JCN.0000317472.65671.e2","article-title":"A qualitative study of the psychological experience of patients during and after mechanical cardiac support","volume":"24","author":"Hallas","year":"2009","journal-title":"J Cardiovasc Nurs"},{"issue":"6","key":"10.1016\/j.hrtlng.2026.102954_bib0017","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1097\/JCN.0b013e31820e2fae","article-title":"Sex and intimacy among patients with implantable left-ventricular assist devices","volume":"26","author":"Marcuccilli","year":"2011","journal-title":"J Cardiovasc Nurs"},{"issue":"1","key":"10.1016\/j.hrtlng.2026.102954_bib0018","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4037\/ajcc2007.16.1.72","article-title":"Psychosocial issues for patients with ventricular assist devices: a qualitative pilot study","volume":"16","author":"Chapman","year":"2007","journal-title":"Am J Crit Care"},{"issue":"17\u201318","key":"10.1016\/j.hrtlng.2026.102954_bib0019","doi-asserted-by":"crossref","first-page":"2456","DOI":"10.1111\/j.1365-2702.2012.04332.x","article-title":"Modification of self-concept in patients with a left-ventricular assist device: an initial exploration","volume":"22","author":"Marcuccilli","year":"2013","journal-title":"J Clin Nurs"},{"issue":"7","key":"10.1016\/j.hrtlng.2026.102954_bib0020","first-page":"585","article-title":"Patients\u2019 experiences of living with a left ventricular assist device: a qualitative study","volume":"18","author":"Magnusson","year":"2019","journal-title":"Eur J Cardiovasc Nurs"},{"issue":"3","key":"10.1016\/j.hrtlng.2026.102954_bib0021","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/aor.12362","article-title":"Quality of life and emotional distress early after left ventricular assist device implant: a mixed-method study","volume":"39","author":"Modica","year":"2015","journal-title":"Artif Organs"},{"issue":"12","key":"10.1016\/j.hrtlng.2026.102954_bib0022","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.healun.2015.10.003","article-title":"Seventh INTERMACS annual report: 15,000 patients and counting","volume":"34","author":"Kirklin","year":"2015","journal-title":"J Heart Lung Transpl"}],"container-title":["Heart &amp; Lung"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956326002384?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0147956326002384?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:14:47Z","timestamp":1793283287000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0147956326002384"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":22,"alternative-id":["S0147956326002384"],"URL":"https:\/\/doi.org\/10.1016\/j.hrtlng.2026.102954","relation":{},"ISSN":["0147-9563"],"issn-type":[{"value":"0147-9563","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Key elements of left ventricular assist device adjustment: A qualitative exploratory study","name":"articletitle","label":"Article Title"},{"value":"Heart & Lung","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrtlng.2026.102954","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"102954"}}