دورية أكاديمية
أعرض في EDS

Medication adherence decision-making among adolescents and young adults with cancer.

التفاصيل البيبلوغرافية
العنوان: Medication adherence decision-making among adolescents and young adults with cancer.
المؤلفون: McGrady ME; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA; Patient and Family Wellness Center, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA. Electronic address: Meghan.McGrady@cchmc.org., Brown GA; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA; Patient and Family Wellness Center, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA., Pai AL; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA; Patient and Family Wellness Center, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, MLC 7039, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA.
المصدر: European journal of oncology nursing : the official journal of European Oncology Nursing Society [Eur J Oncol Nurs] 2016 Feb; Vol. 20, pp. 207-14. Date of Electronic Publication: 2015 Sep 12.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 100885136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2122 (Electronic) Linking ISSN: 14623889 NLM ISO Abbreviation: Eur J Oncol Nurs Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Edinburgh ; New York : Churchill Livingstone, c1998-
مواضيع طبية MeSH: Decision Making*, Anti-Bacterial Agents/*administration & dosage , Antineoplastic Agents/*administration & dosage , Medication Adherence/*psychology , Neoplasms/*drug therapy , Patients/*psychology, Administration, Oral ; Adolescent ; Adult ; Female ; Humans ; Male ; Midwestern United States ; Young Adult
مستخلص: Purpose: Nearly half of all adolescents and young adults (AYAs) with cancer struggle to adhere to oral chemotherapy or antibiotic prophylactic medication included in treatment protocols. The mechanisms that drive non-adherence remain unknown, leaving health care providers with few strategies to improve adherence among their patients. The purpose of this study was to use qualitative methods to investigate the mechanisms that drive the daily adherence decision-making process among AYAs with cancer.
Methods: Twelve AYAs (ages 15-31) with cancer who had a current medication regimen that included oral chemotherapy or antibiotic prophylactic medication participated in this study. Adolescents and young adults completed a semi-structured interview and a card sorting task to elucidate the themes that impact adherence decision-making. Interviews were transcribed verbatim and coded twice by two independent raters to identify key themes and develop an overarching theoretical framework.
Results: Adolescents and young adults with cancer described adherence decision-making as a complex, multi-dimensional process influenced by personal goals and values, knowledge, skills, and environmental and social factors. Themes were generally consistent across medication regimens but differed with age, with older AYAs discussing long-term impacts and receiving physical support from their caregivers more than younger AYAs.
Conclusions: The mechanisms that drive daily adherence decision-making among AYAs with cancer are consistent with those described in empirically-supported models of adherence among adults with other chronic medical conditions. These mechanisms offer several modifiable targets for health care providers striving to improve adherence among this vulnerable population.
(Copyright © 2015 Elsevier Ltd. All rights reserved.)
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معلومات مُعتمدة: T32 HD068223 United States HD NICHD NIH HHS; T32HD068223 United States HD NICHD NIH HHS
فهرسة مساهمة: Keywords: Adolescent; Decision making; Medication adherence; Young adult
المشرفين على المادة: 0 (Anti-Bacterial Agents)
0 (Antineoplastic Agents)
تواريخ الأحداث: Date Created: 20150916 Date Completed: 20161011 Latest Revision: 20190109
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC4706784
DOI: 10.1016/j.ejon.2015.08.007
PMID: 26372619
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-2122
DOI:10.1016/j.ejon.2015.08.007