{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T19:23:04Z","timestamp":1785266584843,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001563","name":"Otago Medical Research Foundation","doi-asserted-by":"publisher","award":["Summer Studentship 2023"],"award-info":[{"award-number":["Summer Studentship 2023"]}],"id":[{"id":"10.13039\/501100001563","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Compression stocking therapy is the gold standard of treatment for conditions associated with lower limb venous dysfunction. The benefits in symptom relief and preventing disease progression are well documented. Despite this, adherence to compression stocking therapy is poor. This project aimed to identify factors affecting compression stocking adherence in Aotearoa New Zealand through qualitative evaluation of interviews of patients with chronic venous insufficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this mixed\u2010methods study, 25 participants were recruited, and semi\u2010structured interviews were carried out until thematic saturation was reached. All participants also took part in surveys recording characteristics and Quality of Life questionnaires. Common interview themes were summarized and quality of life scores were compared between respondents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Interview respondents were a median of 64\u2009years old, and were prescribed compression therapy a median of 8\u2009years prior. The cohort spent a median of 8\u2009h a day standing. Qualitative interviews identified three main themes influencing compression stocking use: physical factors, psychological factors and external factors. Subthemes included the influence of age and sex on participant perceptions of the stockings' appearance, and how comorbidities contribute to donning difficulty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Understanding factors influencing patient adherence can enable clinicians to provide a multidimensional approach, mitigating barriers and emphasizing facilitators for the individual patient to improve adherence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19318","type":"journal-article","created":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T12:44:17Z","timestamp":1732711457000},"page":"778-783","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A qualitative study of barriers and facilitators to compression stocking use in patients with chronic venous insufficiency"],"prefix":"10.1111","volume":"95","author":[{"given":"Lucy","family":"Simmonds","sequence":"first","affiliation":[{"name":"Surgical Outcomes Research Centre Otago, Department of Surgical Sciences Dunedin School of Medicine  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolanta","family":"Krysa","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre Otago, Department of Surgical Sciences Dunedin School of Medicine  Dunedin New Zealand"},{"name":"Department of Surgery Dunedin Public Hospital  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Currie","sequence":"additional","affiliation":[{"name":"Department of Surgery Dunedin Public Hospital  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4908-7413","authenticated-orcid":false,"given":"Kari A.","family":"Clifford","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre Otago, Department of Surgical Sciences Dunedin School of Medicine  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004631"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnaa032"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002303.pub3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2008.12.012"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2013.18.Sup12.S35"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14833"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.33235\/wpr.27.1.6-20"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S323766"},{"key":"e_1_2_9_10_1","first-page":"19","article-title":"Ethnic differences in those presenting for outpatient management of venous leg ulcers","volume":"13","author":"Blackmore S","year":"2022","journal-title":"NZ Med. J."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1258\/phleb.2011.011091"},{"key":"e_1_2_9_12_1","article-title":"Factors influencing concordance with compression stockings after venous leg ulcer healing","author":"Jull AB","journal-title":"J. Wound Care"},{"key":"e_1_2_9_13_1","article-title":"Reasons for patient non\u2010compliance with compression stockings as a treatment for varicose veins in the lower limbs: a qualitative study","volume":"15","author":"Gong JM","journal-title":"PLoS One"},{"key":"e_1_2_9_14_1","first-page":"1","article-title":"CEAP classification system and reporting standard, revision 2020","volume":"8","author":"Lurie F","year":"2020","journal-title":"J. Vasc. Surg. Venous Lymphat. Disord."},{"key":"e_1_2_9_15_1","volume-title":"Interviewing as Qualitative Research: A Guide for Researchers in Education and the Social Sciences","author":"Seidman I","year":"2013"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00008"},{"key":"e_1_2_9_17_1","unstructured":"Lumivero.NVivo (Version 14).2023."},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199912)36:6<653::AID-AJIM8>3.0.CO;2-P"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001116"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2020.92277"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03151.x"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.19318","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T06:51:57Z","timestamp":1747291917000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.19318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,27]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/ans.19318"],"URL":"https:\/\/doi.org\/10.1111\/ans.19318","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,27]]},"assertion":[{"value":"2024-05-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}