{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T06:16:49Z","timestamp":1787984209068,"version":"build-2784847793"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Treatment expectations influence patient\u2010reported outcomes in chronic conditions; however, their role in ventricular assist device (VAD) therapy remains poorly understood. This study aimed to: (i) identify treatment expectations held by individuals with a VAD, (ii) assess the extent to which these expectations have been met, and (iii) examine how treatment expectations relate to VAD\u2010specific health\u2010related quality of life (HRQoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional convergent mixed methods design with equal weighting of the qualitative and quantitative parts was employed. Quantitative questionnaire data (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200947) from adult individuals with a VAD were analyzed using descriptive statistics and Bayesian multiple linear regression. Qualitative data (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20098) were obtained through semi\u2010structured interviews and analyzed using reflexive thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported having had high positive treatment expectations and moderate negative treatment expectations, on average. Approximately half of the participants indicated that they felt better than expected, while one\u2010third felt worse than expected. Bayesian multiple linear regression analysis revealed strong evidence for several expectation domains and expectation violation as relevant for HRQoL. The thematic analysis resulted in three themes: \u201cNo choice: survival as context for expectations,\u201d \u201cShared experience and social support as mechanisms for coping and expectation adjustment,\u201d and \u201cSetting expectations through provider communication.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This mixed methods study suggests that treatment expectations play a significant role in VAD therapy and may be associated with HRQoL. Assessing and, in some cases, managing treatment expectations may improve VAD care and enable more informed decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.70175","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T05:40:27Z","timestamp":1779946827000},"page":"1305-1314","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Patients' Treatment Expectations in Ventricular Assist Device Support: Results From a Convergent Mixed Methods Study"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7869-6349","authenticated-orcid":false,"given":"Simon Felix","family":"Zerth","sequence":"first","affiliation":[{"name":"Division of Clinical Psychology and Psychotherapy, Department of Psychology Marburg University  Marburg 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Cardiac\u2010, Thoracic\u2010 and Vascular Surgery University Medical Centre Goettingen  Goettingen Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy University Medical Centre Goettingen  Goettingen Germany"},{"name":"Department of Geriatrics University Medical Centre Goettingen  Goettingen Germany"},{"name":"German Centre for Cardiovascular Research (DZHK) Partner Site Lower Saxony  Goettingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8076-3523","authenticated-orcid":false,"given":"Anna","family":"Markser","sequence":"additional","affiliation":[{"name":"Clinical Institute for Psychosomatic Medicine and Psychotherapy University Hospital Duesseldorf  Duesseldorf Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy, LVR\u2010Hospital Duesseldorf Hospital of the Heinrich Heine University Duesseldorf  Duesseldorf 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