Feasibility Pilot on Medication Adherence and Knowledge in Ambulatory Patients With Gastrointestinal Cancer

Sommers, Robin; Miller, Katherine; Berry, Donna L.

doi:10.1188/12.onf.e373-e379

Cited by 29 publications

(31 citation statements)

References 32 publications

(33 reference statements)

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“…Patient education is the cornerstone of successful oral chemotherapy [8,15]. A feasibility pilot study of new medication adherence interventions suggests that nurses have an important role to play in education, monitoring, and follow-up [21]. A strong patient-nurse relationship is fundamental to individualized education, leading to successful management of and adherence to treatment regimens [4].…”

Section: Discussionmentioning

confidence: 99%

Current nursing practice for patients on oral chemotherapy: a multicenter survey in Japan

2014

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BackgroundWith a paradigm shift toward a chronic care model in cancer, the issue of adherence is becoming increasingly important in oncology.MethodsWe mailed two self-reported surveys on current nursing practices for patients on oral chemotherapy to all 309 designated cancer centers and 141 large general hospitals in Japan. The first survey was based on a nurse-based questionnaire containing 40 items concerning nurse’s characteristics, nurse staffing at workplace, general nursing care for new patients on oral chemotherapy and those with refilled prescriptions, follow-up, and system-based approach. The second survey was based on a patient-based questionnaire containing 10 items about patient characteristics and adherence-related nursing practice for 249 patients taking oral chemotherapy of 903 systematically sampled. We used multivariate logistic regression to identify factors that were associated with adherence-related nursing practices.ResultsA total of 62 nurses (mean age: 41.5 years) from 62 hospitals who consented participated in the both nurse-based survey and patient-based survey about 249 patients. The results of nurse-based survey indicated that practices varied, but nurses were less likely to ask adherence-related questions of patients with refilled prescriptions than of new patients. The results of patient-based survey found that questions on side effects, discussions about barriers to achieving balance between treatment and daily life activities, and medication management were all significantly related to the question about unused medicines. Logistic regression revealed that adherence-related nursing practices were associated with the nurse’s background, type of treatment, and healthcare system-related factors. Patient orientation on oral chemotherapy, interdisciplinary learning, and having a system-based approach for detecting prescription errors were identified as healthcare system-related factors.ConclusionsA more systematic approach must be developed to ensure patients receive safe and effective oral chemotherapy, while nurses should play significant roles in patient education and monitoring.

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Section: Discussionmentioning

confidence: 99%

Current nursing practice for patients on oral chemotherapy: a multicenter survey in Japan

2014

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“…In a total of 12 studies ( [44][45][46][47], treatment monitoring [48], pharmacy-based programs [42,49,50], counseling programs [51,52], prefilled pill boxes [53], and automated voice response systems [54]. Five of these studies were randomized trials, none of which demonstrated significant differences between the intervention and control groups with respect to their primary adherence outcomes [44,45,47,52,54].…”

Section: Interventions To Improve Adherence To Oral Antineoplastic Thmentioning

confidence: 99%

“…One randomized, three-arm trial did show differences in adherence, favoring the intervention groups, when the investigators conducted a post hoc pooled analysis comparing both interventions to the control group [47]. The remaining investigations included two single-group studies (i.e., a feasibility pilot study [46] and a randomized crossover study [53]) and five investigations of nonrandomized observational cohorts with control groups [42,[48][49][50][51]. Of these investigations, only two nonrandomized cohort studies showed a significant benefit of their respective interventions for adherence to oral antineoplastic therapy relative to their control groups.…”

Section: Interventions To Improve Adherence To Oral Antineoplastic Thmentioning

confidence: 99%

“…As shown in Table 2, the research team rated the majority of the intervention studies (58.3% [n 5 7 of 12]) to have high riskof bias, primarily because of use of single-group and nonrandomized study designs [42,46,[48][49][50][51]53], lack of power analyses, and/or small samples sizes [42,46,48,49,51,53], as well as missing outcome data [42,46,[48][49][50][51]53], among other factors (supplemental online Appendix 3 provides full criteria and ratings). …”

Section: Evaluation Of Study Quality and Risk Of Biasmentioning

confidence: 99%

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A Systematic Review of Adherence to Oral Antineoplastic Therapies

et al. 2016

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Background. Oral antineoplastic therapies not only improve survival but also reduce the burden of care for patients. Yet patients and clinicians face new challenges in managing adherence to these oral therapies. We conducted a systematic literature review to assess rates and correlates of adherence to oral antineoplastic therapies and interventions aimed at improving adherence. Methods. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we conducted a comprehensive literature search of the Ovid MEDLINE database from January 1, 2003 to June 30, 2015, using relevant terminology for oral antineoplastic agents. We included observational, database, and intervention studies. At least two researchers evaluated each paper to ensure accuracy of results and determine risk of bias. Results. We identified 927 records from the search and screened 214 abstracts. After conducting a full-text review of 167

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“…In nursing, mHealth-based intervention studies are growing, such as a health outcome monitoring system for patients with cancer (Bielli et al, 2004), chemotherapy-related toxicity management (Maguire, McCann, Miller, & Kearney, 2008; McCann, Maguire, Miller, & Kearney, 2009), reminders for wearing sunscreen using text messaging (Armstrong et al, 2009), and behavioral coaching for patients with diabetes (Quinn et al, 2011). In the area of smoking cessation, text messaging interventions have demonstrated positive results in increasing short-term smoking cessation rates (Bélanger, Plotnikoff, Clark, & Courneya, 2012; Coleman & Pasternak, 2012; Karvinen, Raedeke, Arastu, & Allison, 2011; Sommers, Miller, & Berry, 2012). …”

Section: Introductionmentioning

confidence: 99%

Response to a Mobile Health Decision-Support System for Screening and Management of Tobacco Use

Cato

Hyun

Bakken

2014

Oncology Nursing Forum

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Purpose/Objectives To describe the predictors of nurse actions in response to a mobile health decision support system (mHealth DSS) for guideline-based screening and management of tobacco use. Design Observational design focused on experimental arm of a randomized, controlled trial. Setting Acute and ambulatory care settings in the New York City metropolitan area. Sample 14,115 patient encounters in which 185 registered nurses enrolled in advanced practice nurse (APN) training were prompted by a mHealth DSS to screen for tobacco use and select guideline-based treatment recommendations. Methods Data were entered and stored during nurse documentation in the mHealth DSS and subsequently stored in the study database where they were retrieved for analysis using descriptive statistics and logistic regressions. Main Research Variables Predictor variables included patient gender, patient race/ethnicity, patient payer source, APN specialty, and predominant payer source in clinical site. Dependent variables included number of patient encounters in which the nurse screened for tobacco use, provided smoking cessation teaching and counseling, or referred patient for smoking cessation for patients who were to quit. Findings Screening was more likely to occur in encounters where patients were female, Black, not of Hispanic origin, received care from a nurse in the Adult Nurse Practitioner specialty or in a clinical site in which the predominant payer source was Medicare, Medicaid, or State Children’s Health Insurance Program. In encounters where patient payer source was other, nurses were less likely to provide tobacco cessation teaching and counseling. Conclusions mHealth DSS has the potential to affect nurse provision of guideline-based care. However, patient, nurse, and setting factors influence nurse actions in response to a mHealth DSS for tobacco cessation. Implications for Nursing The combination of a reminder to screen and integration of guideline-based recommendations into the mHealth DSS may reduce racial or ethnic disparities to screening, as well as clinician barriers related to time, training and familiarity with resources. Knowledge Translation A mobile health decision support system (mHealth DSS) has the potential to affect nurse provision of guideline-based care. Nurse actions in response to a mHealth DSS reminder to screen were influenced by patient gender and race as well nurse and setting factors. Payer source and NP specialty influenced provision of tobacco cessation teaching and counseling and tobacco cessation referral.

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Feasibility Pilot on Medication Adherence and Knowledge in Ambulatory Patients With Gastrointestinal Cancer

Cited by 29 publications

References 32 publications

Current nursing practice for patients on oral chemotherapy: a multicenter survey in Japan

Current nursing practice for patients on oral chemotherapy: a multicenter survey in Japan

A Systematic Review of Adherence to Oral Antineoplastic Therapies

Response to a Mobile Health Decision-Support System for Screening and Management of Tobacco Use

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