Policy Implications of Oral Agents

Spoelstra, Sandra L.; Given, Barbara; Given, Charles W.; Grant, Marcia

doi:10.1016/j.soncn.2011.02.008

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…[ 46 ] Education should include name of the drugs, appearance, dose, and schedule, how its work, how to take the drug, what to do if doses are missed, how to contact members of the health-care team, side effects management, and how to store and handle medication safely. [ 3 46 ] Nurses are uniquely positioned within the oncology medical team to educate patients about the goals of treatment, how to take their medication and how to manage side effects, should they occur. Patients should take home information in the form of diaries, guidelines for dose reduction in case of adverse events, and side-effect support kits.…”

Section: Discussionmentioning

confidence: 99%

The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy

Tokdemir

Kav

2017

Asia-Pacific Journal of Oncology Nursing

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Objective:This study was conducted to examine the effect of structured education on medication adherence and self-efficacy through the use of the MASCC Oral Agent Teaching Tool (MOATT) for patients receiving oral agents for cancer treatment.Methods:This quasi-experimental study has been conducted at two hospitals; 41 patients were included in the study. Data were obtained using a questionnaire, medication adherence self-efficacy scale (MASES), memorial symptom assessment scale, and a follow-up form (diary). Patients were educated through the use of the MOATT at a scheduled time; drug-specific information was provided along with a treatment scheme and follow-up diary. Phone interviews were completed 1 and 2 weeks after the educational session. At the next treatment cycle, the patients completed the same questionnaires.Results:Majority of the patients were receiving capecitabine (90.2%; n = 37) as an oral agent for breast (51.2%; n = 21) and stomach cancer (24.6%; n = 10) treatment. About 90.2% of patients (n = 37) stated that they did not forget to take their medication and experienced medication-related side effects (78%; n = 32). The total score of MASES was increased after the education (66.39 vs. 71.04, P < 0.05).Conclusions:It was shown that individual education with the MOATT and follow-up for patients receiving oral agents for cancer treatment increased patient medication adherence self-efficacy.

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Section: Discussionmentioning

confidence: 99%

The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy

Tokdemir

Kav

2017

Asia-Pacific Journal of Oncology Nursing

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“…As a result of its complexity, however, the educational interventions need to be further investigated 19 . The characteristics and essential elements that patient education in the field of anticancer treatment should provide are well highlighted 7,14 . In particular, the Multinational Association of Supportive Care in Cancer (MASCC) Teaching Tool for Patients Receiving Oral Agents for Cancer (MOATT) summarizes and structures these elements, thus providing a practical guide for the action (www.mascc.org).…”

Section: Introductionmentioning

confidence: 99%

“…If properly performed, it is an essential element to promote patient safety and therapeutic adherence, implement self-care interventions, and thereby determine optimal outcomes and high-quality care. 2,4,6,7,[12][13][14][15] n Background…”

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confidence: 99%

“…19 The characteristics and essential elements that patient education in the field of anticancer treatment should provide are well highlighted. 7,14 In particular, the Multinational Association of Supportive Care in Cancer (MASCC) Teaching Tool for Patients Receiving Oral Agents for Cancer (MOATT) summarizes and structures these elements, thus providing a practical guide for the action (www.mascc.org). This tool, created on the basis of scientific evidence, is easy to use in different contexts and geographical realities.…”

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confidence: 99%

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Patients’ and Nurses’ Perceptions of the Effectiveness of an Oral Cancer Agent Education Process

et al. 2020

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Background The increase in the use of oral cancer drugs implies that nurses take on new roles for which education and support to patients and family members become fundamental for promoting therapeutic adherence. Objective To describe the patients’ and nurses’ perceptions on the effectiveness of the educational process in oral cancer treatment. Methods A mixed method with a convergent design was used. Data were collected using a questionnaire (structured according to the Multinational Association of Supportive Care in Cancer Teaching Tool for Patients Receiving Oral Agents for Cancer guidelines) and semistructured interviews with patients. Focus groups were used with the nurses. Quantitative data were analyzed with SPSS 22.0 (IBM SPSS 22.0, Armonk, New York). Qualitative data were analyzed using semantic analysis. Results One hundred forty-two questionnaires were analyzed. Patients were usually informed by physicians and nurses (81%), alone (33%) or in the presence of an informal carer (29.6%). Language comprehension was high, with a significant difference between those 70 years or older (P = .04) and those younger than 70 years. From the interviews (n = 16), 3 themes were identified: emotions during communication, feeling reassured by the presence of family members and nurses, feeling welcomed and an active part of the educational process. Three themes were identified from the focus groups (n = 4): prerequisites for an effective therapeutic education, nurses’ skills, and educational process barriers. Conclusions Overall, patients were satisfied with the education received. They perceived nurses as people who can help them understand the information they have received and manage their treatment and adverse effects. Implications for Practice This study highlighted some important points for an effective educational process: having a nurse to refer to, technical relationship competences, joint visits with physicians, and being available by phone.

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“…Policies about the safe handling of IV chemotherapeutic and biologic agents in the traditional setting of the office or hospital are common to ensure minimal exposure to cytotoxic and hazardous substances. Less common are policies related to the safe handling of oral therapies (SHPA, 2007;Spoelstra, Given, Given, & Grant, 2011). Oral chemotherapy carries the same risk as parenteral preparations in terms of toxicity and the potential for harm because of a narrow therapeutic index (SHPA, 2007).…”

Section: Policiesmentioning

confidence: 99%

Safe Handling and Administration Considerations of Oral Anticancer Agents in the Clinical and Home Setting

Lester¹

2012

Clinical Journal of Oncology Nursing

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The use of hormonal, chemotherapeutic, and targeted biologic oral agents has exponentially increased since the early 2000s. Oral therapies have the advantage of persistent exposure of the cytotoxic drug to tumor cells and the tumor environment. The use of oral anticancer agents provides therapeutic drug treatment for patients with cancer in the comfort of their home or alternative settings, such as retirement homes and assisted living or extended-care facilities. Practices to ensure safe storage, handling, administration, and disposal of oral agents are necessary to prevent additional exposure of hazardous substances to the environment, professionals, patients, family members, and caretakers. Providers should consider potential barriers to adherence and compliance, and develop strategies to ensure optimal therapeutic benefit prior to initiation of oral agents.

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Policy Implications of Oral Agents

Cited by 8 publications

References 10 publications

The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy

The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy

Patients’ and Nurses’ Perceptions of the Effectiveness of an Oral Cancer Agent Education Process

Safe Handling and Administration Considerations of Oral Anticancer Agents in the Clinical and Home Setting

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