Applying the theory of planned behavior to examine adjuvant endocrine therapy adherence intentions.

Abstract:

OBJECTIVE:Adherence to adjuvant endocrine therapy (AET) in breast cancer survivors is suboptimal. Using the theory of planned behavior (TPB), this study aimed to identify the strongest predictors from the TPB of AET intentions and past behavior and assessed whether ambivalence and anticipatory emotions increased the predictive capacity of TPB. METHODS:Two hundred eighty women diagnosed with hormone positive (HR+) breast cancer who filled at least one prescription of AET responded to a survey measuring TPB constructs, attitudinal ambivalence, and anticipatory emotions. The outcomes were intentions to adhere to AET and past medication adherence (previous 2 weeks). RESULTS:The TPB explained 66% of intentions to adhere to AET (P < 0.001). Ambivalence did not improve the TPB model's predictive value. When emotions were included with TPB, the model explained 70% of adherence intentions F11,226  = 52.84, P < 0.001 (R2c  = .70). This increase of 4% in predictability was statistically significant (ΔR2  = 0.04), F6, 226  = 7.90, P < 0.001. Women who self-reported nonadherence in the past 2 weeks differed significantly in the TPB variables, ambivalence, and anticipatory emotions from adherent women. Nonadherent participants reported lower-future intentions to adhere F1, 236  = 5.63, P = 0.018. CONCLUSIONS:Results suggest key concepts, such as anticipatory positive emotions that should be addressed in future interventions to enhance AET adherence and survivorship.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Hurtado-de-Mendoza A,Carrera P,Parrott WG,Gómez-Trillos S,Perera RA,Sheppard VB

doi

10.1002/pon.4931

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

187-194

issue

1

eissn

1057-9249

issn

1099-1611

journal_volume

28

pub_type

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