Exploring behaviors, treatment beliefs, and barriers to oral chemotherapy adherence among adult leukemia patients in a rural outpatient setting
dc.contributor.author | Lea, C. Suzanne | |
dc.contributor.author | Bohra, Sulochana | |
dc.contributor.author | Moore, Tifanie | |
dc.contributor.author | Passwater, Chelsea | |
dc.contributor.author | Liles, Darla | |
dc.date.accessioned | 2020-05-05T17:12:49Z | |
dc.date.available | 2020-05-05T17:12:49Z | |
dc.date.issued | 2018-11-29 | |
dc.description.abstract | Objective: Adherence to oral chemotherapy is essential for patients with chronic myeloid leukemia (CML) and multiple myeloma (MM) to remain in remission. Few studies have used a Likert-type scale to measure medication adherence in CML and MM patients. We applied a validated treatment adherence tool, the ASK-12 (Adherence Starts with Knowledge®) survey, which assessed inconvenience and forgetfulness, treatment beliefs, and medication-taking behaviors recorded on a five-point Likert-type scale at two visits. Results: A medication adherence survey was administered to 42 newly diagnosed or pre-existing CML or MM patients at two outpatient oncology clinics affiliated with an academic medical center in rural eastern North Carolina. Thirty-one patients completed surveys at visit 1 and visit 2 (median 4.5 months apart). Most patients were treated for MM (65%), were non-Hispanic black (68%) and female (58%). Within subscales, mean adherence scores decreased between visits, signaling better adherence. Overall, visit scores were correlated (0.63, p = 0.001). Forgetting to take medication sometimes was the most common reason for non-adherence. Medication costs were not a barrier for MM patients. Greater patient–provider informed decision-making was identified as an opportunity for quality improvement among CML patients. The ASK-12 survey provided a strategy to obtain robust information on medication adherence. | en_US |
dc.identifier.doi | 10.1186/s13104-018-3935-z | |
dc.identifier.uri | http://hdl.handle.net/10342/8519 | |
dc.subject | Oral chemotherapy, Medication adherence, Survey, Adult, Hematology, Rural, ASK-12 | en_US |
dc.title | Exploring behaviors, treatment beliefs, and barriers to oral chemotherapy adherence among adult leukemia patients in a rural outpatient setting | en_US |
dc.type | Article | en_US |
ecu.journal.name | BMC Research Notes | en_US |
ecu.journal.pages | 843 | en_US |
ecu.journal.volume | 11 | en_US |
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