{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:51:11Z","timestamp":1785887471007,"version":"3.56.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["313308\/2021-7"],"award-info":[{"award-number":["313308\/2021-7"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Prog Transpl"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Study aims<\/jats:title>\n                    <jats:p>To examine the association of psychological and cognitive indicators with treatment nonadherence following heart transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional exploratory study was conducted in a single heart transplant center. The study included 74 heart transplant patients (42 men, 56.8%), with a mean age of 54.1 (SD\u00b112.7), assessed at least 6 months after transplantation. The instruments used were GAD-7 (anxiety symptoms), PHQ-9 (depression symptoms), MoCA-B (cognitive screening), the Inventory of perceived barriers related to self-care after heart transplantation, and BAASIS (adherence to the immunosuppressant meds).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Based on the past 4 weeks' recall, nonadherence behavior was observed in 59.5% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =44) of the participants. Difficulties of adherence to immunosuppressant therapy occurred during the adherence process in the initiation phase (8.1%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20096), implementation phase (52.7%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200939), and persistence phase (2.7%,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092) of the BAASIS model. Nineteen patients (25.7%) missed doses of immunosuppressant medication, and 44.6% (33 patients) altered their medication schedule in the past month. Anxiety symptoms (GAD-7) and patient-level perceived barriers were associated with nonadherence (BAASIS). Mild cognitive impairment was found in 10.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098) but did not associate with nonadherence. Among participants, 64.9% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      =48) experienced complications after their transplant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anxiety, perceived barriers to treatment and self-care, may all contribute to nonadherence. These findings underscore the importance of screening for psychological and cognitive indicators in the post-cardiac transplant period. Healthcare professionals must proactively evaluate and support the psychological concerns of patients after heart transplantation, as they play a potential role in nonadherence behavior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15269248261469263","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T13:45:51Z","timestamp":1784036751000},"page":"99-108","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychological and Cognitive Factors Associated With Nonadherence to Post-Cardiac Transplant Treatment"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2616-1761","authenticated-orcid":false,"given":"Rosemary In\u00e1cio","family":"Viana","sequence":"first","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre"},{"name":"Postgraduate Program in Health Sciences: Cardiology and Cardiovascular Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5393-8700","authenticated-orcid":false,"given":"Eduardo","family":"Remor","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Social Work, Health and Human Communication, Universidade Federal do Rio Grande do Sul"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00edvia Adams","family":"Goldraich","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Clausell","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas de Porto Alegre"},{"name":"Postgraduate Program in Health Sciences: Cardiology and Cardiovascular Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.36660\/abc.20201194"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2023.104191"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1980-220X2019009203644"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2012.04167.x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000004574"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S223837"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1474515120937838"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13280"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14611"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2021.100651"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/01939459231220283"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd8060068"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003669"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14870"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.15337"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10286-025-01124-w"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13143"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003732"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000833"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/ti.2023.11308"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.15448\/1980-8623.2023.1.39902"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.25061\/2527-2675\/ReBraM\/2021.v24i2.980"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1590\/2237-6089-2018-0085"},{"key":"e_1_3_3_25_2","volume-title":"Levantamento de barreiras percebidas relacionadas ao autocuidado de sa\u00fade p\u00f3s transplante card\u00edaco [Survey of perceived barriers related to self-care after heart transplantation]Paper presented at: 15\u00b0 Congresso nacional de psicologia da sa\u00fade","author":"Remor E","unstructured":"Remor E. Levantamento de barreiras percebidas relacionadas ao autocuidado de sa\u00fade p\u00f3s transplante card\u00edaco [Survey of perceived barriers related to self-care after heart transplantation]. Paper presented at: 15\u00b0 Congresso nacional de psicologia da sa\u00fade; January 31\u2013February 3, 2024; Almada, Portugal."},{"key":"e_1_3_3_26_2","volume-title":"Inventory of perceived barriers related to self-care after heart transplantationPaper presented at: 38th Annual Conference of the European Health Psychology Society","author":"Remor E","unstructured":"Remor E. Inventory of perceived barriers related to self-care after heart transplantation. Paper presented at: 38th Annual Conference of the European Health Psychology Society; September 3\u20136, 2024; Cascais, Portugal."},{"key":"e_1_3_3_27_2","volume-title":"BAASIS The Basel Assessment of Adherence to Immunosuppressive Medication Scale\u2014Explanation (version 29.08.2023)","author":"Leuven-Basel Research Group","year":"2023","unstructured":"Leuven-Basel Research Group. BAASIS The Basel Assessment of Adherence to Immunosuppressive Medication Scale\u2014Explanation (version 29.08.2023). Institute of Nursing Science, Department of Public Health, University of Basel; 2023."},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/15269248221087435"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13050844"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14204"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14323"}],"container-title":["Progress in Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15269248261469263","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15269248261469263","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15269248261469263","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:17:12Z","timestamp":1785885432000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15269248261469263"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,14]]},"references-count":30,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/15269248261469263"],"URL":"https:\/\/doi.org\/10.1177\/15269248261469263","relation":{},"ISSN":["1526-9248","2164-6708"],"issn-type":[{"value":"1526-9248","type":"print"},{"value":"2164-6708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,14]]}}}