Exploring behaviors, treatment beliefs, and barriers to oral chemotherapy adherence among adult leukemia patients in a rural outpatient setting

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dc.contributor.authorLea, C. Suzanne
dc.contributor.authorBohra, Sulochana
dc.contributor.authorMoore, Tifanie
dc.contributor.authorPasswater, Chelsea
dc.contributor.authorLiles, Darla
dc.date.accessioned2020-05-05T17:12:49Z
dc.date.available2020-05-05T17:12:49Z
dc.date.issued2018-11-29
dc.description.abstractObjective: 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.doi10.1186/s13104-018-3935-z
dc.identifier.urihttp://hdl.handle.net/10342/8519
dc.subjectOral chemotherapy, Medication adherence, Survey, Adult, Hematology, Rural, ASK-12en_US
dc.titleExploring behaviors, treatment beliefs, and barriers to oral chemotherapy adherence among adult leukemia patients in a rural outpatient settingen_US
dc.typeArticleen_US
ecu.journal.nameBMC Research Notesen_US
ecu.journal.pages843en_US
ecu.journal.volume11en_US

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