Enhancing patients' understanding of and adherence to oral anticancer medication: Results of a longitudinal pilot intervention.
Enhancing patients' understanding of and adherence to oral anticancer medication: Results of a longitudinal pilot intervention.
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DOI：
10.1177/1078155220960800
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Rodday AM
中科院分区：
文献类型：
--
作者：
Lin M;Hackenyos D;Savidge N;Weidner RA;Murphy-Banks R;Fleckner T;Parsons SK;Rodday AM
口服抗癌药物（OAM）使管理更方便的患者，但转移的责任，从临床提供者的照顾病人自己。在一项机构试点研究显示弱势患者对OAM的理解和依从性不足后，使用肿瘤学专业药剂师和药物导航员开发了纵向干预措施，以增强OAM的理解和依从性。开始OAM的患者进行了四次正式的教学和检查，并辅以药物信息表和个性化日历。在每一次会议上，与会者评估他们的OAM的理解和遵守使用教回和验证措施。一项研究评价引起了参与者对干预措施有用性的反馈。在80例合格患者中，58例（72.5%）接受了专业药剂师的正式OAM教学。其中，54例（93.1%）入组研究，39例（72%）完成干预以进行最终分析。在研究完成时，所有参与者都充分了解OAM服用，但41.0%的人对OAM处理的理解不足。在整个研究过程中，参与者报告了干预团队解决的问题（28.2%至31.6%）以及需要治疗团队额外帮助的问题（26.3%至38.5%），大多数参与者认为干预非常有益（初始评估，86.5%;最终评估，76.9%）。这一试点干预措施通过正式的OAM教学和后续行动解决了我们的机构评估所发现的差距。通过随后的研究，对服用和处理OAM的理解得到了提高，说明了多学科和多组分干预的增强效果，以更好地教育和支持患者进行OAM。
Oral anticancer medications (OAM) make administration more convenient for patients, but shifts the responsibility of care from clinical providers to the patients themselves. Following an institutional pilot study showing inadequate understanding and adherence among vulnerable patients taking OAM, a longitudinal intervention was developed using an oncology specialty pharmacist and medication navigators to enhance OAM understanding and adherence. Patients initiating OAM were approached for four formalized teaching and check-in sessions, supplemented with medication information sheets and individualized calendars. At each session, participants were assessed on their OAM understanding and adherence using teach-back and validated measures. A study evaluation elicited feedback from participants on the usefulness of the intervention. Of 80 eligible patients, 58 (72.5%) received formal OAM teaching from the specialty pharmacist. Of those, 54 (93.1%) enrolled in the study with 39 (72%) completing the intervention for final analysis. At study completion, all participants adequately understood OAM taking, but 41.0% had inadequate understanding of OAM handling. Throughout the study, participants reported issues that were addressed by the intervention team (28.2% to 31.6%) as well as those requiring additional assistance from the treatment team (26.3% to 38.5%), Most participants found the intervention to be very beneficial (initial evaluation, 86.5%; final evaluation, 76.9%). This pilot intervention addressed gaps identified by our institutional assessment through formalized OAM teaching and follow-up. Improved understanding of taking and handling OAM through this subsequent study illustrated the enhanced effect of a multidisciplinary and multicomponent intervention to better educate and support patients on OAM.
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影响因子：
45.3
作者：
Henry, N. Lynn;Azzouz, Faouzi;Storniolo, Anna Maria
通讯作者：
Storniolo, Anna Maria
影响因子：
2.7
作者：
Bartel, Sylvia B.
通讯作者：
Bartel, Sylvia B.
DOI：
10.1001/jama.296.21.joc60162
发表时间：
2006-12-06
影响因子：
120.7
作者：
Lee, Jeannie K.;Grace, Karen A.;Taylor, Allen J.
通讯作者：
Taylor, Allen J.
影响因子：
4.7
作者：
Horne, R;Weinman, J
通讯作者：
Weinman, J
影响因子：
3.9
作者：
Neven, Patrick;Markopoulos, Christos;Deschamp, Veronique
通讯作者：
Deschamp, Veronique