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

behavior change technique taxonomy cancer decision-making endocrine therapy medication adherence oncology oral anticancer medications

Journal

Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524

Informations de publication

Date de publication:
Oct 2023
Historique:
revised: 29 06 2023
received: 20 01 2023
accepted: 28 07 2023
pubmed: 12 8 2023
medline: 12 8 2023
entrez: 12 8 2023
Statut: ppublish

Résumé

High 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. PubMed, 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. Thirty-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. The 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.

Identifiants

pubmed: 37571974
doi: 10.1002/pon.6203
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1481-1502

Subventions

Organisme : Pfizer

Informations de copyright

© 2023 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.

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Auteurs

Massimo Pezzolato (M)

Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Chiara Marzorati (C)

Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Lucilla Lanzoni (L)

Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Dario Monzani (D)

Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.

Marianna Agnese Masiero (MA)

Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Ricardo Pietrobon (R)

SporeData Inc., Durham, NC, USA.

Gabriella Pravettoni (G)

Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Classifications MeSH