{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:30:24Z","timestamp":1787499024577,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["F32 DK124962\u201002"],"award-info":[{"award-number":["F32 DK124962\u201002"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["5K01DK114388\u201005"],"award-info":[{"award-number":["5K01DK114388\u201005"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["F32 DK124962\u201002"],"award-info":[{"award-number":["F32 DK124962\u201002"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["5K24AI144954\u201008"],"award-info":[{"award-number":["5K24AI144954\u201008"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medication non\u2010adherence contributes to post\u2010transplant graft rejection and failure; however, limited knowledge about the reasons for non\u2010adherence hinders the development of interventions to improve adherence. We conducted focus groups with solid organ transplant recipients regarding overlooked challenges in the process of transplant medication self\u2010management and examined their adherence strategies and perceptions towards the post\u2010transplant medication regimen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted four focus groups with\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a031 total adult transplant recipients. Participants had received kidney, liver, or combined liver\/kidney transplant at Johns Hopkins Hospital between 2014 and 2019. Focus groups were audio\u2010recorded and transcribed. Transcripts were analyzed inductively, using the constant comparative method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses generally fell into two major categories: (1) barriers to adherence and (2) \u201cadherence landscape\u201d. We define the former as factors directly labeled as barriers to adherence by participants and the latter as factors that heavily influence the post\u2010transplant medication self\u2010management process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We propose a shift in the way healthcare providers and researchers, address the question of medication non\u2010adherence. Rather than asking why patients are non\u2010adherent, we suggest that constructing and understanding patients\u2019 \u201cadherence landscape\u201d will provide an optimal way to align the goals of patients and providers and boost health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.14962","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T03:30:00Z","timestamp":1679542200000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Factors impacting the medication \u201cAdherence Landscape\u201d for transplant patients"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2214-4761","authenticated-orcid":false,"given":"Victoria A.","family":"Bendersky","sequence":"first","affiliation":[{"name":"Department of Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrita","family":"Saha","sequence":"additional","affiliation":[{"name":"Rotman School of Management University of Toronto  Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn N.","family":"Sidoti","sequence":"additional","affiliation":[{"name":"Department of Surgery New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Ferzola","sequence":"additional","affiliation":[{"name":"Department of Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Max","family":"Downey","sequence":"additional","affiliation":[{"name":"Department of Surgery New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica M.","family":"Ruck","sequence":"additional","affiliation":[{"name":"Department of Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen B.","family":"Vanterpool","sequence":"additional","affiliation":[{"name":"Department of Surgery New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Young","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Shegelman","sequence":"additional","affiliation":[{"name":"Renaissance School of Medicine Stony Brook University  Stony Brook NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorry L.","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"},{"name":"Department of Surgery New York University Grossman School of Medicine  New York New York USA"},{"name":"Department of Population Health New York University Grossman School of Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macey L.","family":"Levan","sequence":"additional","affiliation":[{"name":"Department of Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"},{"name":"Department of Surgery New York University Grossman School of Medicine  New York New York USA"},{"name":"Department of Population Health New York University Grossman School of Medicine  New York New York USA"},{"name":"Department of Acute and Chronic Care Johns Hopkins School of Nursing  Baltimore Maryland 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