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Articles 1141 - 1170 of 15519
Full-Text Articles in Entire DC Network
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Incarceration’S Impact On Young Adults’ Psychological Development, Well-Being, And Reintegration Into Society, Monica Murrell
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study explored how individuals who experienced incarceration during emerging adulthood understood and made meaning of their developmental, emotional, and psychosocial experiences. Emerging adulthood, defined as ages seventeen through twenty-five, is a critical developmental stage, and incarceration during this period may disrupt identity formation and emotional maturation. The purpose of the study was to examine the perspectives and coping mechanisms of individuals incarcerated during this stage to better understand how early adult imprisonment shapes trauma responses, identity development, and reintegration. Social learning theory served as the conceptual framework. Data was collected through interviews with six formerly incarcerated adults …
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Factors That Contribute To Lone-Wolf Terrorist Attacks In The United States, Kevin Klatte
Walden Dissertations and Doctoral Studies
Within the United States, current strategies aimed to prevent terrorism focus on terrorist organizations and international terrorism. The predominant literature on lone-wolf terrorism has focused mainly on quantitative data, and the qualitative studies that have been conducted do not uncover all factors that led to the individual committing the attack. Lone-wolf terrorism, while less frequent than international terrorism, has a significantly higher number of victims per attack and is extremely difficult to predict and prevent. The existing qualitative literature has heavily focused on the mental state, emotional status, and cognitive ability of the offender. This study explored why an individual …
Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu
Staff Education To Improve Accuracy And Consistency Of Depression Assessment Through Structured Education On The Zung Self-Rating Depression Scale, Janenita D. Chukwu
Walden Dissertations and Doctoral Studies
Inaccurate and inconsistent administration and interpretation of standardized depression screening instruments can destabilize clinical accuracy and patient safety. Despite routine administration of the ZSDS during nursing intake, informal observation and documentation review indicated a gap in nurses' understanding of how to compute raw scores, convert them to index scores, and define the severity levels. The aim of the project was to determine whether a structured staff education intervention would enhance nurses' knowledge of ZSDS administration, scoring, and interpretation. Informed by the Johns Hopkins Evidence-Based Practice model, an educational intervention based on existing evidence on the accuracy and implementation fidelity of …
Enhancing Provider Understanding Of Antidepressant Side Effects Through An Evidence-Based Educational Initiative, Karrylee Johnson
Enhancing Provider Understanding Of Antidepressant Side Effects Through An Evidence-Based Educational Initiative, Karrylee Johnson
Walden Dissertations and Doctoral Studies
The purpose of this doctoral project was to implement a quality improvement educational initiative to strengthen provider understanding of antidepressant side effects in an outpatient behavioral health setting. The project was conducted to address gaps in staff knowledge related to identifying and managing antidepressant adverse effects, which are essential skills for safe medication practices in mental health care. Addressing this gap was significant because unrecognized antidepressant side effects can contribute to poor adherence, worsening symptoms, preventable complications, and negative patient outcomes. The results of the project demonstrated meaningful improvements in provider knowledge. Six staff members completed pre- and posttest assessments. …
Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu
Determinants Of Big Data Analytics Adoption Among Small And Medium-Sized Enterprises In Ghana, Seth Owusu
Walden Dissertations and Doctoral Studies
Big data analytics (BDA) has the potential to drive sustainability through improved decision-making, innovation, and competitiveness; however, small and medium-sized enterprises (SMEs) in Ghana face significant challenges in adopting this technology. The specific research problem is whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. Grounded in the technology-organization-environment framework, the resource-based view, and institutional theory, the purpose of this descriptive survey study was to examine whether technological readiness, organizational support, and external pressures influence SMEs’ adoption of BDA in Ghana. The participants comprised 120 SMEs registered with the Ghana Enterprise Agency. They completed …
Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris
Staff Education On Integrating Holistic And Herbal Therapies For Adults With Depression, Kettelene P. Mcmorris
Walden Dissertations and Doctoral Studies
Adults with depression frequently use or inquire about holistic and herbal therapies; however, inconsistent and non-standardized staff education regarding the safe, evidence-based integration of these therapies may contribute to variable counseling practices and potential patient safety risks. The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to implement and evaluate a structured staff education intervention focused on integrating holistic and herbal therapies for adults with depression in an outpatient behavioral health practice. The practice-focused question examined whether staff education would improve staff knowledge related to commonly used holistic and herbal therapies and associated safety considerations. A …
A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije
A Quality Improvement Staff Education To Reduce Mental Health Stigma Among Healthcare Professionals, Chinwe Anthonia Chukwumerije
Walden Dissertations and Doctoral Studies
Mental health stigma among healthcare professionals remains a barrier to help-seeking behaviors, workforce well-being, and psychological safety. This Doctor of Nursing Practice project addressed a practice gap by providing standardized, evidence-based staff education to reduce mental health stigma. The practice-focused question examined whether implementing an evidence-based staff education guideline improved healthcare professionals’ knowledge, attitudes, and confidence regarding mental health stigma. An evidence-based educational intervention was developed using the ADDIE instructional design model and informed by an integrative literature review. The intervention was delivered through structured staff education sessions and evaluated using pre- and post-intervention design. Results demonstrated improved knowledge of …
Staff Education To Improve Consistent Utilization Of The Phq-9 Depression Screening Tool, Ekaette Akpabio
Staff Education To Improve Consistent Utilization Of The Phq-9 Depression Screening Tool, Ekaette Akpabio
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed the inconsistent use of standardized depression screening tools in an outpatient behavioral health setting. The purpose of the project was to implement a structured staff education intervention to improve clinician knowledge, confidence, and consistency in PHQ-9 documentation. Guided by the Johns Hopkins Evidence-Based Practice Model, the project involved delivering targeted education to behavioral health clinicians and evaluating practice implications. Findings support that staff education promotes improved documentation practices, supports accurate symptom assessment, and enhances patient safety. Incorporating standardized screening education into onboarding and ongoing professional development may contribute to sustainable, evidence-based mental …
Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky
Staff Education To Improve Burnout Awareness And Mental Health Resources Knowledge Among Acute Care Nurses, Saharnaz Haei-Stransky
Walden Dissertations and Doctoral Studies
Burnout is a significant concern in nursing practice as it is linked to emotional exhaustion, decreased job satisfaction, compromised patient safety, and increased nurse turnover—especially in high-acuity settings. Targeted education is essential to supporting nurse well-being and sustaining high-quality care This doctoral project entailed the implementation of a structured, practice-focused educational intervention to address nurse burnout and limited awareness of mental health resources in an acute care setting. The guiding question was, among acute care nurses, does participation in a one-day educational workshop on burnout and available mental health resources improve knowledge and awareness of burnout prevention compared to before …
Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown
Increasing Knowledge And Awareness In Mental Health Assessments Among Nurses, Valerie Jiles-Brown
Walden Dissertations and Doctoral Studies
Mental health conditions affect 59 million individuals annually in the United States, translating to one in every four adults. Given this, mental health has emerged as a critical component of an individual’s overall health and well-being, with nurses being pivotal in identifying and addressing mental health concerns. However, research indicates that nurses often lack the knowledge and awareness to conduct mental health assessments. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an educational intervention focused on mental health assessments increased knowledge and awareness among nurses working in a local organization. A total of …
Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel
Staff Education To Improve Timely Intake Response And Follow-Up Communication, Evelyn Noel
Walden Dissertations and Doctoral Studies
A lack of staff knowledge regarding timely intake response and follow-up communication processes resulted in inconsistent management of client follow-up at the private mental health clinic in Florida. This gap in practice guided the practice-focused question: Does educating mental health clinical staff on timely intake response and follow-up communication improve staff knowledge in managing client follow-up processes in a private mental health clinic, as evidenced by pre- and post-surveys? This educational initiative employed the analysis, design, development, implementation, and evaluation (ADDIE) model, the Johns Hopkins evidence-based practice (JHEBP) model, the Walden University DNP Project Checklist, and the DNP Project Process …
Staff Education Project Staff Education To Increase Knowledge Of The Patient Health Questionnaire-9 Screening Tool, Linda Ejem
Walden Dissertations and Doctoral Studies
This staff education doctoral project focused on educating nursing staff about the Patient Health Questionnaire-9 (PHQ-9) for depression screening in inpatient psychiatric care. Addressing this issue is crucial, as poor adherence leads to missed diagnoses and treatment, increased hospital visits, and poor patient outcomes. Low adherence to the PHQ-9 depression screening protocol has emerged as a significant practice gap. The purpose of this doctoral project was to increase nursing staff knowledge of the PHQ-9 depression screening tool in psychiatric care through staff education. The practice-focused question was: Does education on PHQ-9 depression symptoms improve nursing staff knowledge as compared pre- …
Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran
Perceived Retirement Preparedness Of Gen X Women Participating In Employer-Sponsored Retirement Plans, Tammie Moore Parran
Walden Dissertations and Doctoral Studies
As Generation X (GenX) women near full retirement age, concerns about retirement preparedness have increased due to limited time to save and greater dependence on employer-sponsored retirement plans. The purpose of this qualitative single case study was to explore Gen X women’s perceptions of their retirement preparedness and to identify themes that influence effective retirement planning. Life cycle theory, the theory of reasoned action, and vested interest theory ground the conceptual framework for this study, which together explain how individuals anticipate future needs and engage in intentional financial behaviors. The study primarily focused on participants’ perceptions of retirement preparedness and …
The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy
The Stories Of African American Mothers Working Part-Time Without Mandated Job Protections, Chantelle Sharese Yancy
Walden Dissertations and Doctoral Studies
The Family and Medical Leave Act (FMLA) provides unpaid, job‑protected leave only for eligible workers, and rules tied to hours, tenure, and employer size often exclude mothers working part-time. Research on U.S. family and medical leave has documented inequities in access to job protections. The lived experiences of African American/Black mothers navigating this gap remain underrepresented. The purpose of this narrative qualitative study was to explore the lived experiences of African American/Black mothers who worked part-time without mandated job protections, with specific attention to FMLA. General systems theory provided the theoretical framework, and an Afrocentric paradigm centered African/African American/Black voice …
Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson
Staff Education To Increase Knowledge Of Referral Completeness, Tamekia T. Lindsay Thompson
Walden Dissertations and Doctoral Studies
This staff education project addressed a practice gap in a psychiatric facility where nonclinical staff frequently submitted incomplete referral documentation for patients with co-occurring medical and psychiatric conditions. Due to the facility’s inability to provide acute medical stabilization, medical clearance is required before nurse practitioners can determine admission appropriateness. The project question was, Does educating intake staff on a standardized referral checklist improve knowledge of referral criteria, as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model informed evidence translation, and the analysis, design/development, implementation, and evaluation (ADDIE) instructional design model underpinned the development and evaluation …
Staff Education To Nurse Practitioners On Proper Std Treatment, Jolanda Monique Amey
Staff Education To Nurse Practitioners On Proper Std Treatment, Jolanda Monique Amey
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project implemented a structured staff education project to strengthen nurse practitioner knowledge related to the diagnosis and treatment of sexually transmitted diseases in a public health setting. Nurse practitioners often serve as the primary providers of sexually transmitted disease care for underserved and uninsured populations. Maintaining current knowledge of Centers for Disease Control and Prevention (CDC) treatment guidelines is essential to reducing reinfection, limiting transmission, and promoting safe, evidence-based care. When guideline knowledge is inconsistent or outdated, opportunities for appropriate treatment may be missed. The practice-focused question guiding this project was “Among nurse practitioners in …
Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu
Resilience Education To Increase Staff Knowledge Regarding Stress Management, Patricia Ngozi Egwu
Walden Dissertations and Doctoral Studies
This doctoral project implemented a staff education program to promote nursing knowledge of resilience training and stress management at an outpatient mental health clinic. Workplace stress contributes to medication errors and to poor Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Nurse Communication scores, both of which undermine patient safety. The practice-based question was: Does resilience education enhance stress management strategy knowledge from pre- to post-education? The purpose was to evaluate whether structured resilience education improved nursing knowledge of stress management, guided by the analysis, design, development, implementation, and evaluation (ADDIE) model. Using the Johns Hopkins evidence-based practice (JHEBP) …
Staff Education To Medical Surgical Nurses On Structured Discharge Checklist, Johnmary Odinigwe
Staff Education To Medical Surgical Nurses On Structured Discharge Checklist, Johnmary Odinigwe
Walden Dissertations and Doctoral Studies
Inconsistent discharge practices among medical-surgical nurses contribute to communication gaps, patient confusion, and preventable adverse outcomes following hospital discharge. Nurses, as frontline providers of discharge education, play a critical role in ensuring safe and effective transitions of care. This Doctor of Nursing Practice (DNP) project addressed a practice gap in nurses’ knowledge of implementing a structured discharge checklist. The purpose of this staff education project was to evaluate whether a structured discharge checklist education program would improve medical-surgical nurses’ knowledge of standardized discharge education practices. A pretest–posttest design was used to assess changes in knowledge among 36 medical-surgical nurses. Participants …
Solvability Factors And Psychological Stressors In Cold Case Sexual Homicides: Insights From Investigators And Detectives, Jamie Borba
Walden Dissertations and Doctoral Studies
The purpose of this qualitative phenomenological study is to explore solvability factors and psychological stressors experienced by investigators and detectives who work on cold case sexual homicides. The study includes eight participants’ perspectives of conditions that influence case solvability and psychological challenges inherent in investigating unresolved sexual homicide cases. Guided by the resource-based theory, the research involved examining how investigative techniques, organizational support, and available resources contribute to the successful closure and clearance of cold cases. Data was collected through semi-structured interviews and analyzed using coding and thematic analysis. This involved understanding how resource and institutional constraints affect their ability …
Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi
Staff Education On Evidence-Based Cognitive Behavioral Therapy For Clinicians At An Outpatient Mental Health Clinic, Ezinwanne J. Irobereachi
Walden Dissertations and Doctoral Studies
N/A
Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor
Staff Education On Implementation Of De-Escalation Techniques In An Adult Psychiatry Facility: A Quality Improvement Program To Enhance Knowledge And Reduce Aggressive Behavior, Lilian Agbonzebeta Azenabor
Walden Dissertations and Doctoral Studies
Managing aggression and violence is a persistent issue in adult psychiatric facilities. Frequent aggression and violence can cause serious harm to staff, increase absenteeism and burnout, and lower job satisfaction. Stakeholders’ reports from the project site indicated inconsistent staff use of de-escalation techniques, highlighting gaps and the need to improve staff knowledge. The practice-focused question was: Will a staff education program specifically designed to implement a comprehensive staff training on de-escalation strategies increase staff’s knowledge? The purpose of this staff education project was to evaluate the effectiveness of an evidence-based training program designed to enhance staff knowledge on de-escalation techniques. …
Educating Mental Health Staff On Standardized Intake Response And Appointment Scheduling Practices, Mercy Itesa
Educating Mental Health Staff On Standardized Intake Response And Appointment Scheduling Practices, Mercy Itesa
Walden Dissertations and Doctoral Studies
This evidence-based educational project focused on solving two problems at a private mental health clinic: Staff members used different methods to record patient intake information and schedule appointments. The methods staff used to interact with patients resulted in inaccurate documentation and longer response times. The project question was: Does educating staff on standardized intake procedures and appointment scheduling processes lead to better knowledge acquisition, as indicated by pre- and postsurvey results? The analysis, design, development, implementation, and evaluation (ADDIE) instructional design framework and the Johns Hopkins Evidence-Based Practice Models (JHEBP) were used in this educational project. A Walden University librarian …
Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott
Staff Education In Standardizing A Nurse-Led Fall Prevention Bundle To Reduce Inpatient Falls In Teleneurology Units, Tiffany Scott
Walden Dissertations and Doctoral Studies
Due to complex neurological deficits that raise the risk of falls, falls among persons admitted to inpatient tele-neurology units represent a substantial and continuous problem in nursing practice. A preliminary evaluation conducted at the project site revealed inconsistent fall prevention procedures, inconsistent use of risk assessments, and a lack of a standardized, evidence based strategy to lower fall risk in this especially susceptible group. A practice focused investigation into whether the adoption of a standardized, nurse led fall prevention bundle would improve staff adherence to fall prevention protocols and lower the incidence of inpatient falls over a six month period …
Standardized Staff Education Project For Medication Adherence, Adebukola Kayode
Standardized Staff Education Project For Medication Adherence, Adebukola Kayode
Walden Dissertations and Doctoral Studies
Psychotropic medication nonadherence is a pervasive issue in psychiatric care and one of the leading contributors to relapse, symptom destabilization, and preventable behavioral‐health crises. At the outpatient psychiatric clinic project site, inconsistent medication-adherence education and the absence of a standardized, evidence‐based approach resulted in variable patient understanding and engagement. The purpose of this doctoral project was to implement and evaluate a structured staff education program to determine its effect on staff knowledge, confidence, and consistency in delivering standardized psychotropic medication-adherence education. I developed the intervention to engage clinical staff through a structured educational session grounded in Knowles’s adult learning theory …
Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel
Staff Education To Use Mindfulness Strategies To Prevent Burnout In Psychiatric Health Settings, Rebecca Ikeoluwa Gabriel
Walden Dissertations and Doctoral Studies
There was a significant gap in practice at an outpatient psychiatric mental health clinic regarding organized, evidence-based training on mindfulness techniques to reduce stress and emotional exhaustion among psychiatric mental health staff. This project’s practice-focused question was “Does educating psychiatric mental health staff on mindfulness strategies for burnout improve their knowledge, as evidenced by pre- and post-surveys?” This educational intervention was developed, implemented, and evaluated using the Johns Hopkins Evidence-Based Practice paradigm and the ADDIE instructional design model. A literature search was conducted using CINAHL Complete, MEDLINE/PubMed, ProQuest, and the Cochrane Library, with assistance from the librarians at Walden University. …
Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota
Staff Education To Improve Tirzepatide Education And Lifestyle Counseling, Daisy Asemota
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a practice-focused staff education initiative designed to improve clinical staff knowledge, confidence, and readiness to educate adult patients enrolled in a Tirzepatide weight-management program. Tirzepatide has demonstrated superior weight-loss outcomes compared to other glucagon-like peptide-1 (GLP-1) receptor agonists; however, inconsistent staff education practices related to medication administration, adverse-event management, and lifestyle counseling present a gap in practice. Variability in staff knowledge and teaching approaches may reduce confidence, contribute to inconsistent patient education, and limit the effectiveness of evidence-based care delivery. The purpose of this DNP project was to address this practice gap …
Middle School Teachers’ Perceptions Of Integrating Technology Into Facilitating Learning In Georgia, Monia Gibbs Thomas
Middle School Teachers’ Perceptions Of Integrating Technology Into Facilitating Learning In Georgia, Monia Gibbs Thomas
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that middle school teachers in Georgia Middle School Districts (GMSD, a pseudonym) face challenges integrating technology into their teaching. Guided by Mishra and Koehler’s technological pedagogical content knowledge framework, the purpose of this qualitative study was to explore teachers' perceptions of successes, challenges, and support needed to effectively integrate technology into their teaching at GMSD. For this basic qualitative design, semistructured interviews were conducted with 11 middle school teachers who were purposively selected by emailing all GMSD teachers. Through Braun and Clarke’s thematic analysis, the following themes emerged: GMSD teachers have (1) no …
Staff Education To Improve Medication Adherence Among Nurses, Philip Nkemgang
Staff Education To Improve Medication Adherence Among Nurses, Philip Nkemgang
Walden Dissertations and Doctoral Studies
Medication nonadherence among individuals with severe mental illness (SMI) contributes to relapse, hospital readmissions, and poor patient outcomes. Psychiatric nurses are central to promoting adherence, yet many lack standardized, evidence-based training. This Doctor of Nursing Practice project evaluated the effect of a structured nurse education program on medication adherence strategies, including psychoeducation and motivational interviewing, on nurses’ knowledge and confidence. Using the Johns Hopkins nursing evidence-based practice model, an online educational intervention was developed and implemented with 18 psychiatric nurses. Pre- and post-education surveys measured changes in knowledge and self-reported confidence, with data analyzed using descriptive statistics. Results demonstrated significant …
Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung
Staff Education To Improve Detection And Treatment Of Adult Adhd In An Outpatient Psychiatric Clinic, Eveline Manyie Fohtung
Walden Dissertations and Doctoral Studies
Summary Adult attention-deficit/hyperactivity disorder (ADHD) remains significantly underdiagnosed in outpatient psychiatric settings despite its substantial impact on functioning and long-term mental health outcomes. At the project site, inconsistent screening practices, limited clinician familiarity with DSM-5-TR adult diagnostic criteria, and variable application of the Adult ADHD Self-Report Scale (ASRS) contributed to delayed or missed diagnoses, representing a clear practice gap. This Doctor of Nursing Practice (DNP) project implemented a structured, nurse-led staff education program to improve clinician knowledge, diagnostic accuracy, and standardized workflow adoption for adult ADHD screening using the ASRS. Guided by national evidence-based guidelines, the intervention emphasized DSM-5-TR criteria, …
Executive Summary: Clinical Practice Guideline Improving Medication Adherence For Adult Patients With Mental Illness, Regina Bryant Norville
Executive Summary: Clinical Practice Guideline Improving Medication Adherence For Adult Patients With Mental Illness, Regina Bryant Norville
Walden Dissertations and Doctoral Studies
Medication nonadherence among adults with mental illness remains a persistent problem in outpatient behavioral health care and contributes to psychiatric relapse, emergency department utilization, preventable hospitalizations, increased healthcare costs, and reduced quality of life. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and obtain expert panel approval of an evidence-based clinical practice guideline (CPG) to improve medication adherence among adults with mental illness receiving outpatient behavioral health services. A comprehensive review of peer-reviewed literature from 2019 to 2025 was conducted using CINAHL, PubMed, and ScienceDirect to identify effective adherence-focused interventions, including nurse-led strategies, structured psychoeducation, …