This paper examines the use of praise in the care of people living with dementia (PLWD) in the acute hospital. Perceptions of praise vary. 'Excessive' praise is typically classified as elderspeak, with attendant debates over whether this is patronising and/or infantilising. However, some sources suggest praise may serve useful structural functions in conversation, or should be used for encouragement of PLWD, reflecting the pervasive person-centred care ideology of supporting PLWD's existing abilities. Conversation analysis was used to examine 85 video and audio recordings of interactions involving PLWD and healthcare professionals in acute UK hospital wards. Findings suggest that although context sensitive, praise: 1) works as a supportive action to aid orientation to tasks and activities; and 2) has implications for the preservation of agency and face. Findings demonstrate the importance of sensitivity to individual interactional circumstances and have implications for healthcare practice, training and wider care of PLWD.
Adolescence is a developmental period marked by heightened sensitivity to social evaluation due to the ongoing maturation of brain regions involved in emotion regulation and social cognition. Adolescents may be more vulnerable to socially evaluative feedback, particularly criticism, than adults. Although previous studies have documented age-related differences in neural responses to social evaluation, it remains unclear how the dynamic interactions among brain regions differ between these two age groups during social evaluation. In this study, sixty-four adolescents (14-17 years) and fifty-nine adults (20-40 years) were exposed to criticism, praise, and neutral comments during fMRI scanning. Dynamic causal modeling (DCM) was used to examine functional interactions among key brain regions involved in social evaluation: the right pregenual anterior cingulate cortex (pgACC), left dorsolateral prefrontal cortex (DLPFC), and left precuneus. Compared to adults, adolescents were more sensitive to criticism as they reported higher perceived criticism and more task-induced mood disturbance following criticism. DCM results showed that adolescents had stronger excitatory DLPFC-to-pgACC connectivity, and weaker excitatory pgACC-to-DLPFC and DLPFC-to-precuneus connectivity during social evaluation in general, compared to adults. Moreover, when being criticized, adolescents showed less excitation of the DLPFC-to-pgACC connectivity, whereas when being praised, they showed less inhibition of the pgACC-to-DLPFC connectivity. These findings highlight age-related differences in the neural dynamics underlying social evaluation processing, providing insight into adolescents' heightened sensitivity to social evaluation and potential risk for developing affective disorders.
Although still controversial in some aspects, the human papillomavirus (HPV) vaccine is widely recognized as a tool for preventing cervical cancer. However, Japan has historically struggled with vaccine hesitancy due to misinformation and public concerns about side effects. This cross-sectional preliminary study investigated an emerging social media trend, the "praise movement," in which users on X (formerly Twitter) commend individuals for receiving the HPV vaccine. Although the data collection period was short in 17 d and limited volume of posts were included in the analysis (n=70), we identified the movement when the term "HPV vaccination" appeared on Japan's trending list on X. Through sentiment analysis and content categorization of posts, we found that the majority of posts (91.4%) exhibited positive sentiment, whereas 5.7% were negative. While previous studies have documented negative reactions to HPV vaccination on social media, this study highlights a shift toward positive reinforcement. The praise movement may reflect a broader shift in public attitudes toward HPV vaccination, influenced by both grassroots advocacy and official efforts, including the catch-up vaccination program. Given this study is just a snapshot of a short period and a small volume of trend, a further in-depth study should be warranted. Nevertheless, our findings suggest that online communities can play a meaningful role in influencing public health behaviors, providing insights into potential strategies for improving vaccine uptake. This study offers valuable perspectives on digital health communication and its implications for addressing vaccine hesitancy in Japan and beyond.
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Anaglyphs are displays in which the left and right eye images are presented in different colours, such as red and cyan, and they are viewed through filters of the same colours so that each eye sees a different image. They have typically been used to present slightly different images to each eye so that they are seen in relief - stereoscopic depth. Anaglyphs have become increasingly popular as a means for printing and projecting stereoscopic drawings and photographs. The general standard now is for red/left eye, cyan/right eye filters for viewing similarly coloured printed or projected images and these are recommended for viewing the anaglyphs in this article. Despite the disdain for anaglyphs in visual science, they have been used extensively in visual art and education. However, anaglyphs can be constructed that yield displays that would be difficult to produce for refracting or reflecting stereoscopes.
Antisemitism-defined as prejudice and hostility toward Jews-is traditionally studied by examining explicit negative stereotypes and historical discriminatory actions against Jewish communities. However, this article explores an often overlooked and understudied dimension: how positive stereotypes about Jewish people paradoxically reinforce antisemitism and contribute to their marginalization. While negative stereotypes about Jews are widely recognized as harmful and unwelcomed, positive stereotypes-such as perception of high intelligence and financial achievements-are frequently misunderstood as benign. We investigate how these seemingly positive traits could facilitate and reinforce negative outcomes for Jewish people. We propose, analogous to the framework built on the model minority myth literature in Asian American Studies literature, that positive stereotypes also perpetuate antisemitism through three psychological mechanisms: (a) othering, social alienation, and eroded social solidarity; (b) fostering resentment and neglecting diversity of ingroup experiences; and (c) enabling scapegoating and conspiracy narratives. We explore their consequences at the individual, group, and societal levels. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
How the public perceives the natural world matters because these emotions shape how society cares and values nature. Organisms that are perceived as useless, annoying, frightening, or uncharismatic are less likely to benefit from conservation efforts. Here, we review how parasitoids are perceived by the public in the wider context of insects; we identify aspects of their biology that could be used to effectively challenge negative perceptions, and discuss how outreach and citizen science activities can help achieve these shifts. Parasitoids are one of the least well-studied taxa on the planet, when taking into account the importance of their ecology and evolution, and that they are estimated to be the most speciose of insect Orders: they deserve to be noticed, identified, and valued by both scientists and the public. Our review, therefore, provides a much-needed synthesis of reasons to appreciate parasitoids and outlines promising avenues for public outreach and communication.
This commentary responds to arguments presented in Caspi et al.'s (see record 2026-80066-001) viewpoint article. I endorse the authors' overall argument but note that exactly how many mental disorders one needs to study at a time will likely depend on the specific research question. I also describe how transdiagnostic research requires strong norms of data and credit sharing. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Atrial functional mitral regurgitation (AFMR) characterizes a high-risk phenotype in heart failure with preserved ejection fraction (HFpEF). Although sacubitril/valsartan reduces functional mitral regurgitation (MR) in HF with reduced EF (HFrEF), its impact on exercise hemodynamics and the dynamic burden of AFMR in HFpEF remains to be elucidated. This multicenter, randomized, open-label trial with blinded primary endpoint assessment assigned 84 patients with symptomatic HFpEF and at least moderate AFMR within the previous year to sacubitril/valsartan (n=41) or standard-of-care (SOC; n=43). The primary outcome was the 6-month change in the exercise mean pulmonary arterial pressure to cardiac output (mPAP/CO) slope, assessed using cardiopulmonary exercise testing with simultaneous echocardiography (CPETecho). Secondary outcomes included changes in peak oxygen consumption (peak VO2), Kansas City Cardiomyopathy Questionnaire (KCCQ), N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels, left atrial (LA) volume and function, and AFMR severity in rest and during stress. At 6 months, sacubitril/valsartan significantly improved the mPAP/CO slope compared with SOC (adjusted between-group difference in change, -0.93 mm Hg/L/min; 95% CI, -1.80 to -0.07; P=0.035). This hemodynamic benefit was accompanied by improvements in peak VO2 (mean change, +0.9 versus -0.6mL/kg/min; P=0.002) and KCCQ (median increase, 10 versus 2 points; P=0.002). Significant reductions in NT-proBNP and LA volume were observed (P<0.001 for both), alongside a significant blunting of the dynamic MR increase during exercise (P=0.020). Target dose was achieved in 60% of patients, with symptomatic hypotension as the primary titration-limiting factor. In HFpEF and AFMR, sacubitril/valsartan was associated with improvements in exercise hemodynamics and peak VO2, along with attenuation of the exercise-induced increase in AFMR. These findings suggest a phenotype-specific benefit, warranting confirmation in larger, placebo-controlled, clinical outcome trials. URL: https://www.clinicaltrials.gov; Unique identifier: NCT05991284. EudraCT: 2023-506634-70-00.
Although incentives modulate cognitive processes, their differential effects of monetary versus social reward gradients on emotional conflict resolution in subclinical depression remain poorly understood. This study investigated how reward type and magnitude influence emotional congruency effects in this population. Two experiments used a word-face Stroop paradigm with a Latin square design. Ninety-nine undergraduates (47 with subclinical depression) completed monetary (0, 20, 100, 500 CNY) and social (no praise to university-level praise) reward tasks. A mixed-design ANOVA examined effects of reward level, emotional congruency, and group. The subclinical depression group showed reduced emotional congruency, marked by lower accuracy in congruent trials than controls. Monetary rewards exhibited a threshold effect: accuracy gains plateaued beyond 100 CNY with no further improvement at 500 CNY. Social reward modulation was similar between groups, though reaction times under class-level praise were significantly higher in incongruent trials. Notably, under high monetary rewards (500 CNY), the subclinical group demonstrated shorter reaction times in congruent trials, indicating heightened sensitivity to substantial incentives. Emotional conflict processing in subclinical depression is differentially modulated by reward type and magnitude. Monetary rewards show saturating effects, while social rewards elicit uniform nonlinear influences. These findings highlight reward sensitivity as a crucial factor for cognitive-affective profiling and targeted interventions.
Chronic kidney disease heavily burdens patients and health systems. Digital health interventions offer significant potential but face implementation challenges driven by stakeholders' emotional and practical experiences. This review synthesizes these affective dimensions to inform clinical practice. A qualitative systematic review was conducted across six databases for studies published through April 2025. Methodological quality was rigorously appraised. We integrated Python-based computational sentiment analysis to quantify stakeholder emotional polarity (positive, negative, neutral) with thematic analysis. Identified barriers were mapped to established implementation frameworks to select expert-validated implementation strategies. Twenty-three qualitative studies were included, revealing five domains: accessibility, communication, workflow, empowerment, and clinical effectiveness. Patients praised digital empowerment but highlighted socioeconomic access barriers. Nurses valued workflow efficiencies but reported role ambiguity. Clinicians expressed deep skepticism toward remote clinical effectiveness due to diagnostic limitations. To resolve these tensions, prioritized implementation strategies include identifying clinical champions, promoting intervention adaptability, and systematically assessing organizational readiness before deployment. Stakeholder emotions critically dictate digital health adoption. For clinical practice, these findings emphasize moving beyond generic deployments. Healthcare systems must address clinician diagnostic concerns via hybrid care models, resolve nurse workflow ambiguities through targeted training, and provide low-cost devices to bridge patient equity gaps. Tailoring solutions to these psychosocial needs is essential for successful integration into routine kidney care.
Although ego threat is known to influence workers' aggressive behavior, little is understood about how support and narcissism shape this relationship. Accordingly, the present study conceptualized narcissistic traits as distinct self-regulatory strategies for maintaining self-worth and examined whether the meaning of support under ego threat varies depending on these traits. An online survey was conducted with 1621 Japanese workers, and the participants were classified into three types-Self-Assertion, Need for Attention and Praise, and Sense of Superiority and Competence-based on the highest scores on the three factors of the Narcissistic Personality Inventory Short version. Hierarchical multiple regression analyses were then conducted separately for each type. The results showed that the behavioral consequences of ego threat varied substantially across narcissistic types and that support did not uniformly suppress power harassment. For the Self-Assertion type, perceived organizational support was positively associated with Invasion of Privacy. For the Need for Attention and Praise type, men and managers tended to choose Excessive Demands. For the Sense of Superiority and Competence type, supervisor support reduced harassment; however, under strong ego-threatening conditions, such support paradoxically amplified harassment. These findings suggest that support functions as a socially meaningful cue whose interpretation depends on narcissistic self-regulatory strategies.
Prostate-specific antigen (PSA) is a widely available and analytically robust biomarker, but its role in prostate cancer (PCa) screening remains controversial due to concerns regarding limited specificity, overdiagnosis of indolent tumors, and the downstream risk of overtreatment. This review provides a critical analysis of the main randomized trials, systematic reviews, and meta-analyses that have shaped current recommendations against PSA-based screening, highlighting the substantial methodological heterogeneity that complicates interpretation of aggregated outcomes. Key limitations identified across studies include variability in PSA thresholds and screening intensity, insufficient follow-up in some cases to detect long-term mortality benefits, non-comparability of PSA assays, and extensive contamination of control groups - particularly in the PLCO trial - which undermines estimates of screening efficacy. Recent updates from the ERSPC and CAP trials show that mortality reductions associated with screening increase with longer follow-up, supporting the need to reassess earlier conclusions. Parallel to the evolving evidence base, European initiatives such as the PRAISE-U consortium and several regional pilot programs following the European Council's recommendations are implementing risk-adapted pathways that combine baseline PSA stratification with multiparametric MRI triage and selective biopsy. These programs aim to minimize overdiagnosis while improving detection of clinically significant PCa and generating real-world evidence for organized screening. Additionally, the variability among PSA assays underscores the need for greater harmonization and standardized reporting. Overall, emerging data suggest that intelligently targeted, risk-stratified PSA screening may offer a more balanced approach than the traditional dichotomy of screening vs. no screening.
Background: The Cystic Fibrosis Foundation (CFF) recognizes exercise as a critical part of managing cystic fibrosis (CF). This becomes even more important in the era of highly effective modulator therapy (HEMT) due to many people with cystic fibrosis (pwCF) having decreased symptom burden and a newfound ability to tolerate exercise better. Our single-center pilot study was designed to assess the implementation of a remotely delivered, individualized, and comprehensive exercise program for pwCF. We aimed to determine the feasibility, safety and acceptance of this intervention. Methods: PwCF ≥ 18 years old were recruited and consented at the University of Alabama in Birmingham in 2022 and 2023. Basic fitness was assessed for each participant, and an individualized exercise prescription was prepared for each participant, who was expected to exercise three times weekly on a remote basis with the exercise physiologist for 12 consecutive weeks. Subjects were reassessed at 4 and 7 months for post-exercise evaluation. Patient demographics and clinical parameters, including exacerbation rate, FEV1 percent predicted, 6-min walk test (6MWT), and modified shuttle test (MST) were collected. Questionnaire data from the CFQ-R, PRAISE, and IPAQ were also recorded. The study was registered with ClinicalTrials.gov (NCT04680403) and was submitted on 17 December 2020. Results: Our goal was to enroll 12 participants over the 2-year study period. We were able to recruit nine people for the study, with four participants finishing the program. From the 36 sessions offered over the 12-week program, participants completed an average of 15 sessions. Clinical outcome data was observed, including lung function and exacerbation frequency, but not statistically analyzed due to the small sample size. Conclusions: Implementation of an individualized telehealth-based exercise program for pwCF was well received by participants, safe, and appreciated by the participants. Recruitment and adherence were challenging, which was partially due to the ongoing pandemic. Follow-up studies are needed to assess whether improvements in reducing the amount or supervision of weekly exercise sessions and/or extending the total time might help with adherence.
Maathru Samman Pants (MSP) are specially designed pants to ensure privacy, reduce preparation time, and enhance satisfaction, offering a respectful maternal birthing experience. The study evaluates the satisfaction, acceptability, and demand for Maathru Samman Pants among pregnant women during vaginal delivery in India's tertiary healthcare settings. A multicentric hospital-based study was conducted from 2023 to 2024 across four regions in India, representing diverse cultures and socioeconomic statuses. Tertiary healthcare facilities in Andhra Pradesh, Punjab, Maharashtra, and Meghalaya participated. Among pregnant women, those who gave consent, MSP dress was provided to 800 pregnant women during the active stage of labour with 4 cm cervix dilation. Data were collected through a comprehensive questionnaire in the postnatal ward. Ethical approvals were obtained from all participatory sites. Informed consent was taken at the time of admission to the hospital. Data were analyzed using IBM SPSS version 28, with statistically significant results determined at p < 0.05. The study revealed a high level of satisfaction, with 83.13% of participants expressing overall contentment. Maathru Samman Pants effectively covered the body from the waist to the ankle, provided warmth, and facilitated movement, with significant positive feedback on privacy and comfort during childbirth. The pants reduced the hassle of dressing and undressing, with 66.25% agreeing on its convenience. Acceptability was also high, with 53.75% strongly agreeing and 43.13% agreeing that MSP made them feel cared for and respected. The pants were praised for maintaining privacy and adhering to cultural norms, with 80.25% strongly agreeing on these aspects. Comfort levels were high when family and friends were present during delivery, and the pants were viewed as an appropriate traditional Indian dress. Demand for MSP was robust, with 96.63% of participants willing to recommend the pants to other pregnant women. Key factors influencing satisfaction and acceptability included age, education, occupation, parity, and history of stillbirth. The study highlighted MSP's potential to enhance maternal care by ensuring privacy, comfort, and cultural sensitivity providing respectful maternity care. The positive outcomes of the study strongly recommended that MSP be incorporated into the National Health Program for deliveries in government health facilities to provide shy free environment and respectful maternity care.
Feminism is culturally salient for adolescent girls and may be psychologically protective. Despite adolescence being a key period of identity development, little is known about how adolescent girls perceive and orient toward feminism. Using a diverse sample of 586 adolescent girls from across the US (32% Black, 28% white, 11% Latina, 5% Asian American, 21% multiracial), a mixed methods analysis was conducted to explore (1) girls' rates of feminist orientation, (2) their beliefs about feminism, and (3) the psychosocial factors related to a feminist orientation. Nearly half of girls considered themselves to be feminists and qualitative responses revealed considerable diversity and nuance in girls' beliefs about feminism, including varied praises and criticisms. Quantitative analysis showed feminist orientation to be correlated with more frequent experiences with gender discrimination, as well as indices of gender identity, including gender identity centrality and self-perceived similarity to boys (though not similarity to girls). These findings provide important insights into the ways a feminist identity can support adolescent girls' well-being.
Ethiopia has the fourth-highest number of zero-dose children globally. Negative experiences and perceptions of immunization are recognized barriers to vaccination uptake but warrant context-specific investigation. We explored barriers and enablers to immunization uptake in selected regions of Ethiopia. We conducted a formative qualitative study involving 18 focus group discussions with men and women, in-depth interviews with 23 mothers of children with varying immunization statuses, and 42 key informant interviews with religious and community leaders and health workers in eight districts in Amhara, Oromia, and Somali regions. We identified shared and regionally distinct barriers. Common barriers included limited access to services in hard-to-reach areas, low awareness of immunization, competing household responsibilities for mothers, fear of side effects, and a lack of compassionate and respectful care from health workers. Forgetting vaccination appointments was frequently reported in Amhara and Oromia. In Amhara and Somali, mistrust of vaccinators and infrequent vaccination sessions were salient challenges. In Amhara, some believed that envy or praise by vaccinators could bring harm or misfortune to children, and that vaccination should be delayed until after baptism. In Oromia, beliefs that vaccines aggravate illness and that infants should not leave home before six months of age were reported. In Somali, perceived parental negligence and beliefs that vaccines are unnecessary were described. Engaging community, traditional, and religious leaders and fathers in immunization activities in Oromia, and aligning vaccination sessions with local holidays in Amhara, emerged as promising practices. Our findings show that knowledge and perceptions of vaccines, cultural norms, service accessibility, and experiences with vaccine-preventable diseases (VPDs) and vaccination can either encourage or discourage uptake. We recommend enhancing service delivery, improving caregiver interactions, and implementing two-way community engagement involving religious and community leaders, and caregivers of fully vaccinated children, with a focus on highlighting reductions in VPD burden.
Adolescent sleep duration can substantially impact mood, behavior, and academic attainment. While hundreds of sleep-related apps are available to download, none have been cocreated with adolescents from underserved populations in the United Kingdom. This study aimed to explore adolescents' views, expectations, and experiences with a novel app to improve sleep, called Sleep Solved, to understand which features were perceived as positive and helpful, and to identify ways to further enhance its usefulness. Sleep Solved is part of a larger stepped behavior change study and was cocreated with adolescents from underserved groups to make the app accessible and engaging for this population. A total of 63 participants aged 16-18 years from across the United Kingdom completed semistructured interviews after trying the app. Interviews were analyzed using inductive thematic analysis, as outlined by Braun and Clarke, with a particular focus on the views of individuals from underserved ethnic and socioeconomic groups. Participants perceived Sleep Solved as a useful tool that provides helpful advice regarding changeable behaviors to improve sleep hygiene. Cocreated features of the app, such as the Sleep Stars gamified rewards system and the easy-read, science-based "sleep hacks," were viewed positively by participants, who reported that they had a beneficial impact on their sleep and sleep schedule. Praise was given for the app's ease of use and how the science of sleep was explained at an appropriate level, without being overwhelming. Compared to sleep advice on social media platforms, Sleep Solved was considered more reliable and trustworthy. Participants described better sleep hygiene, such as a regular sleep routine and a longer sleep duration, and increased feelings of improved mood and energy. This study found that a cocreated sleep app, designed with input from adolescents in underserved UK populations, was perceived as accessible, reliable, and effective in supporting positive sleep behavior change. Although sleep duration was not objectively tested, participants, particularly those from low socioeconomic status backgrounds and diverse ethnicities, reported improved sleep routines and mood, highlighting the potential of co-designed digital tools to engage and benefit adolescent users.
Bovine viral diarrhea virus (BVDV), a major pathogen in the global bovine industry, causes diarrhea, fever, and reproductive disorders, leading to substantial economic losses. Developing the methods for rapid and accurate detection of BVDV is crucial for epidemic control. Current detection methods have notable limitations. PCR-based nucleic acid amplification techniques rely on sophisticated instruments and complex procedures. CRISPR-Cas13a systems, despite their high specificity, still require nucleic acid pre-amplification, which results in cumbersome workflows and contamination risks. To establish a simpler and more efficient on-site detection method for BVDV, this study integrated the CRISPR-Cas13a system characterized by specific recognition with electrochemical sensing praised for efficient signal transduction to establish a novel nucleic acid amplification-free method for the detection of BVDV. Through optimization of key parameters, including CRISPR RNA (crRNA) combination, buffer components, and Cas13a/crRNA concentration ratio, the biosensor achieved a detection limit of 3 090 copies/μL-representing a 4-5 order of magnitude improvement in sensitivity compared with conventional Cas13a fluorescence-based detection-and completed the entire process from sample loading to result output within 35 min. Specificity tests demonstrated that the sensor exclusively detected BVDV without cross-reactivity to other common bovine viruses (bovine parainfluenza virus type 3, bovine respiratory syncytial virus, bluetongue virus, and foot-and-mouth disease virus). Clinical validation with 22 samples demonstrated 100% specificity and sensitivity. The developed CRISPR-Cas13a-based electrochemical biosensor offers the advantages of being nucleic acid amplification-free and operationally simple, serving as a powerful new tool for rapid on-site BVDV detection with significant potential for veterinary diagnostics and epidemic prevention and control. 牛病毒性腹泻病毒(bovine viral diarrhea virus, BVDV)是危害全球养牛业的重要病原体，可导致腹泻、发热及繁殖障碍，造成严重经济损失。建立快速、精准的BVDV检测方法对疫情防控具有重要意义。现有检测方法存在明显局限:PCR等核酸扩增技术需精密仪器且操作复杂;而CRISPR-Cas13a系统虽特异性强，却仍需核酸预扩增，导致检测流程繁琐和污染风险。为开发更简便高效的BVDV现场快速检测技术，本研究将CRISPR-Cas13a系统的特异性识别能力与电化学传感技术的高效信号转换特性相结合，建立了一种免核酸扩增的BVDV检测新方法。通过优化CRISPR RNA (crRNA)组合、反应缓冲液组分及Cas13a/crRNA浓度比等关键参数，该传感器检测限达3 090 copies/μL，较传统Cas13a荧光检测方法灵敏度提升4-5个数量级，可在35 min内完成从加样到结果输出的全过程。特异性实验表明，该方法仅对BVDV产生特异性检测信号，而对其他常见牛源病毒(包括对牛副流感病毒3型、牛呼吸道合胞病毒、蓝舌病病毒和口蹄疫病毒)均未产生可检测的交叉反应信号。22份临床样本验证结果显示，该传感器的特异性和灵敏度均达到100%。本研究建立的CRISPR-Cas13a电化学生物传感器具有免核酸扩增、操作简便等优势，为BVDV的现场快速检测提供了新型高效工具，在临床诊断和疫情防控中具有重要应用价值。.
Patient education remains an underdeveloped component of care in abdominal transplantation. Despite the benefits of improved health literacy, most educational materials remain inaccessible to the average patient. To evaluate the impact of educational booklets on comprehension, anxiety, satisfaction, and healthcare utilization among abdominal transplant recipients and donors. An observational, single-center quality improvement study was conducted in transplant recipients and living donors. Patients received booklets during transplant evaluation, preoperative clinic, or hospital admission. Booklets were developed by transplant surgeons and revised with health literacy experts. Postoperative surveys assessed comprehension, satisfaction, anxiety, and feedback. Patient-reported demographic data and post-operative outcomes were collected from the electronic medical record were analyzed. Eighty-three patients completed the survey, of which nine were excluded for duplicate entries. Satisfaction with content was high, with 81% reporting reduced feelings of overwhelm and 74% reporting less fear of surgery. The average recommendation rating was 9.4/10, with frequent praise for illustrations, glossary, and surgical explanations. Postoperative outcomes improved following booklet implementation, with reductions in readmission rates, emergency department visits, and coordinator calls. Compared with historical data, readmissions decreased significantly (12.2% vs 22.1%; P = 0.049). Illustrated educational booklets significantly improved patient comprehension, anxiety, and satisfaction, and reduced unplanned care use. Integrating tailored education into routine transplant care enhances patient experiences and outcomes.