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Identifying patient-centered support needs in aortic aneurysm care
Maeve M Sargeant1, Elizabeth W Jordan1, Ekin Uzunoglu2
1Department of Psychology, East Carolina University, Greenville, NC, United States.
Patients with thoracic aortic aneurysm (TAA) desire support for stress, sleep, and activity. However, practical barriers like distance and time limit their participation in crucial psychosocial and behavioral programs.
Area of Science:
- Cardiology
- Psychology
- Behavioral Science
Background:
- Thoracic aortic aneurysm (TAA) poses significant medical and psychosocial challenges.
- Understanding the supportive care needs of TAA patients is crucial despite medical advancements.
Purpose of the Study:
- To identify the psychosocial and behavioral supportive care needs and priorities of individuals living with TAA.
- To assess patient interest, attendance likelihood, and barriers to various supportive care domains.
Main Methods:
- 106 patients with TAA completed a Needs Evaluation survey.
- Participants were grouped by treatment (surgery vs. surveillance) and distress severity (high vs. low).
- The Depression Anxiety Stress Scales (DASS-21) was used to assess distress levels.
Main Results:
- Strong patient interest (≥80%) in physical activity, sleep, and stress management programs.
- Significant gap between perceived helpfulness and willingness to attend, with distance and time as primary barriers.
- Patients with higher distress were more likely to engage with psychological and symptom-management services.
Conclusions:
- TAA patients show consistent interest in psychosocial and behavioral interventions focused on stress, sleep, and activity.
- Structural and motivational barriers impede participation in supportive care programs.
- Integrating accessible programs into routine TAA care can improve patient engagement and quality of life.
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