Rationale and usability findings of an e-health intervention to improve oral anticancer adherence among breast cancer survivors: The My Journey mindfulness study

Yanez, Betina R.; Oswald, Laura B.; Denburg, Alyssa Van; Baik, Sharon H.; Czech, Katherine A.; Buitrago, Diana; Maletich, Carly; Wortman, Katy; Penedo, Frank J.; Victorson, David

doi:10.1016/j.conctc.2022.100898

Cited by 8 publications

(6 citation statements)

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“…These interventions did not lead to significant improvements in patients' adherence levels. Among the reviewed studies, there were also eight protocols 36,37,43,46,49,53,58,61 containing the description of interventions implementing eHealth‐based strategies to improve medication adherence.…”

Section: Resultsmentioning

confidence: 99%

“…All the examined studies were published between 2009 and 2022. Of these, 19 studies were conducted in North America, 35–53 10 were conducted in Europe, 54–63 one was an international study in which data were collected in 18 different countries, 64 one was conducted in Africa, 65 and the remaining five took place in Asia 66–70 …”

Section: Resultsmentioning

confidence: 99%

“…Among these, social cognitive theory 71 was the more frequently applied, 36,37,46,48,49 followed by Cognitive Behavioral Therapy. 47,52,62,[72][73][74] Other interventions were based on the models of concordance and shared decision making, 66,75 the theory of planned behavior, 59,68,76 the health belief model, 38,53,77 the common-sense model of self-regulation, 59,78 the Acceptance and Commitment Therapy, 51,61,79 the Mindfulness-Based Stress Reduction, 53,80 and the self-affirmation theory. 51,81 Across the articles examined, the sample size varied between 27 and 7867, with a total of 28,528 BC patients.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

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“Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy”

Pezzolato,

Marzorati,

Lanzoni

et al. 2023

Psycho-Oncology

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ObjectiveHigh rates of non‐adherence to oral medications in breast cancer (BC) patients have been reported. Here we provide an up‐to‐date systematic review of the interventions aimed at increasing adherence to oral medication in BC patients, with a particular focus on the content of the interventions.MethodsPubMed, Scopus, Embase and Ovid databases and reference lists of relevant studies were searched through October 2022. Studies which (1) described an intervention aimed at increasing adherence to oral anticancer medication, (2) included (or planned to include) at least one sub‐group of BC patients, (3) were written in English, and (4) with full‐text available were included. The contents of the interventions were coded using the Behavior Change Technique Taxonomy. Quality assessment was conducted using Downs and Black scale.ResultsThirty‐six studies met the inclusion criteria and involved a total sample of 28,528 BC patients. Interventions were mainly delivered with eHealth devices (n = 21) and most of them used mobile app. Other studies used in‐person modalities (e.g., CBT, relaxation technique) or written materials (e.g., psycho‐educational booklet). The behavior change techniques most frequently implemented were “problem solving,” “social support,” “information about health consequences,” and “prompts/cues”. Quality assessment revealed that the higher risk of bias refers to the selection process.ConclusionsThe use of reminders, monitoring patients' medication‐taking behaviors and giving feedback were the most frequently implemented techniques in those interventions that resulted significant. If these preliminary observations were to be confirmed by future comparative studies, they should be taken into account when developing new interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

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“Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy”

Pezzolato,

Marzorati,

Lanzoni

et al. 2023

Psycho-Oncology

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“…Few interventions designed to deliver oral anti-cancer medication support have been tested to date, and those that exist have had limited success [ 23 , 24 , 25 , 26 ] or are in the early stages of development [ 23 , 27 , 28 , 29 ]. Some evidence suggests that mindfulness-based stress reduction and relaxation training can promote long-term adherence to ET [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Motivational Interviewing Counseling to Increase Endocrine Therapy Adherence in Diverse Patients

Wheeler

Spencer²,

Drier

et al. 2023

Cancers

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Background: Oral endocrine therapy (ET) is an inexpensive and effective therapy for hormone receptor-positive (HR+) breast cancer that prevents recurrence but relies upon long-term adherence for up to ten years. More than 80% of breast cancer patients have an HR+ phenotype and are candidates for ET, but approximately half discontinue or become non-adherent by five years. ET underuse is more prevalent in Black and young (<50 yrs) women, which may contribute to outcome disparities in these groups. The objective of this study was to evaluate the feasibility, acceptability, and utility of a patient-centered counseling intervention to enhance ET adherence, with a focus on the needs of Black and younger women. Methods: We conducted a single-arm pilot study of a twelve-month motivational interviewing (MI) intervention consisting of five MI counseling sessions, an interactive workbook, a resource guide, and an educational video developed and revised with iterative patient and clinician input. The eligible participants were >18 years old, English speaking, and with stage I–III HR+ breast cancer. Participants were recruited across a large academic medical center and four community sites. Feasibility and acceptability were assessed by measures of participant recruitment, retention, session participation, and patient-reported satisfaction. ET adherence at 12 months was assessed by self-report and medication event monitoring system (MEMS) caps using a continuous measure of the proportion of days covered (PDC) as well as a dichotomous measure of the optimal adherence, defined as >80% PDC. Results: Forty-two women initiated the intervention, of whom thirty-five participants (83%) completed outcome assessments at 12 months, including thirteen Black and twenty-two non-Black participants. The average participant age was 54.8 years (range: 25–73). Overall, 97% completed at least three MI sessions and 83% completed at least four sessions. Participant retention and satisfaction were high, particularly among Black women. Self-reported adherence at 12 months was 88% overall (100% in Black women and 81% in non-Black women). The majority of women also achieved 80% of days adherent using MEMS caps, with a greater adherence in Black women. Conclusions: This study demonstrates the feasibility, acceptability, and early promise of the effectiveness of an MI counseling-based intervention to promote ET adherence and prevent breast cancer recurrence in diverse populations.

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“…In PubMed, the keywords “e-Health” and “oral cancer” were used, 19 articles were located. Articles that developed, tested or analyzed App s or software that helped in the diagnosis or monitoring of cancer patients were considered, selecting 4 articles 15 , 16 , 17 , 18 , but none of these articles had the same proposal as this study.…”

Section: Methodsmentioning

confidence: 99%

Development and professional validation of an App to support Oral Cancer Screening

et al. 2022

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The objective of this study was to develop and validate an App for identifying risk factors for oral cancer. To this end, we developed an App (OCS: Oral Cancer Screening) with predictors of Oral Cancer (OC) and algorithm assembly to estimate the risk of its development. Methodology: Simulated clinical cases were designed so that 40 professionals with expertise in oral diagnostics could validate the algorithm and test its usability (SUS: System Usability Score) and acceptability (TAM: Technology Acceptance Model). Cronbach's alpha coefficient, Friedman/Dunn tests, and Spearman correlation evaluated the SUS and TAM scales. ROC curve was plotted to estimate the cutoff point of the algorithm in suggesting a high risk for OCS of the simulated cases. Chi-square and Fisher's exact tests were additionally used (p<0.05, SPSS v20.0). Results: Professionals with expertise in oral diagnosis had usability of 84.63±10.66 and acceptability of 84.75±10.62, which correlated positively (p<0.001, r=0.647). Acting in clinical areas of dentistry (p=0.034) and history of performing OC risk factor orientation (p=0.048) increased acceptability while acting in higher education increased usability (p=0.011). The cutoff point suggested by the App after validation of the simulated clinical cases showed high sensitivity of 84.8% and lower specificity of 58.4%. Conclusion: The OCS was effective and with adequate sensitivity, usability, and acceptability and may contribute to the detection of early oral lesions.

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Rationale and usability findings of an e-health intervention to improve oral anticancer adherence among breast cancer survivors: The My Journey mindfulness study

Cited by 8 publications

References 61 publications

“Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy”

“Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy”

Motivational Interviewing Counseling to Increase Endocrine Therapy Adherence in Diverse Patients

Development and professional validation of an App to support Oral Cancer Screening

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