Abstract:
BACKGROUND:For women with hormone receptor positive breast cancer, long-term endocrine therapy (ET) can greatly reduce the risk of recurrence, yet adherence is low- particularly among traditionally underserved populations. METHODS:The Carolina Breast Cancer Study oversampled Black and young women (<50 years of age). Participants answered an ET-specific medication adherence questionnaire assessing reasons for non-adherence. We used principal factor analysis to identify latent factors describing ET non-adherence. We then performed multivariable regression to determine clinical and demographic characteristics associated with each ET non-adherence factor. RESULTS:1,231 women were included in analysis, 59% reported at least one barrier to ET adherence. We identified three latent factors which we defined as: habit - challenges developing medication-taking behavior; tradeoffs - high perceived side effect burden and medication safety concerns; and resource barriers - challenges related to cost or accessibility. Older age (50+) was associated with less reporting of habit (Adjusted Risk Ratio (aRR) 0.54[95% CI: 0.43-0.69] and resource barriers (aRR 0.66[0.43-0.997]), but was not associated with tradeoff barriers. Medicaid-insured women were more likely than privately-insured to report tradeoff (aRR:1.53 [1.10-2.13]) or resource barriers (aRR:4.43[2.49-6.57]). Black race was associated with increased reporting of all factors (habit: aRR 1.29[1.09-1.53]; tradeoffs: 1.32[1.09-1.60], resources: 1.65[1.18-2.30]). CONCLUSION:Barriers to ET adherence were described by three distinct factors, and strongly associated with sociodemographic characteristics. Barriers to ET adherence appear inadequately addressed for younger, Black, and publicly-insured breast cancer survivors. These findings underscore the importance of developing multi-faceted, patient-centered interventions that address a diverse range of barriers to ET adherence.
journal_name
Psychooncologyjournal_title
Psycho-oncologyauthors
Spencer JC,Reeve BB,Troester MA,Wheeler SBdoi
10.1002/pon.5289subject
Has Abstractpub_date
2020-04-01 00:00:00pages
647-654issue
4eissn
1057-9249issn
1099-1611journal_volume
29pub_type
杂志文章相关文献
PSYCHO-ONCOLOGY文献大全abstract:BACKGROUND:Psychological distress is problematic for patients and their family caregivers in the oncological setting. The level of stress is influenced by the health status of the patient and their family members as well as the support system for home care. However, it remains unclear how best to support distressed car...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3982
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:To demonstrate how formative research methods can be used to plan for implementation of evidence-based psychosocial screening in pediatric oncology. METHODS:Multidisciplinary pediatric oncology professionals participated in focus groups to adapt the distress thermometer for electronic administration and deve...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5550
更新日期:2020-09-15 00:00:00
abstract:BACKGROUND:A diagnosis of cancer is associated with an increased suicide risk, and this risk is the highest within the first year of diagnosis. The aim of the present study was to determine risk factors of suicide occurring within the first year of cancer diagnosis (early suicide). METHODS:The sampling pool consisted ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3705
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:Religious beliefs have received relatively little attention in research on coping with cancer. In this study, the relationship of religious beliefs and perceived social support with adjustment to cancer was studied in a coping model that included self-efficacy for coping as a mediator. Of particular interest wa...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1442
更新日期:2009-10-01 00:00:00
abstract::The purpose of this study was to determine the extent of interdependence on anxiety within dyads where one person was undergoing treatment for breast cancer. Perceptions of relationship quality were expected to mitigate the anxiety experienced by both members of the dyad. 96 dyads participated in a 3-wave longitudinal...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.1111
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Most quality-of-life (QoL) studies in autologous Peripheral Blood Stem Cell Transplantation (PBSCT) are descriptive and concentrate on symptom severity and functional deficits. The aim of this study is to compare individual QoL (iQoL) with health-related QoL (hrQoL) and functional status of patients before h...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.730
更新日期:2004-02-01 00:00:00
abstract:PURPOSE:Whether prognostic awareness benefits terminally ill cancer patients' psychological-existential well-being and quality of life (QOL) is unclear because of lack of well-controlled longitudinal studies. This study longitudinally evaluated the associations of accurate prognostic awareness and prognostic acceptance...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3943
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND: OBJECTIVE:Breast cancer survivors receiving hormone treatment and/or endorsing histories of receiving chemotherapy report changes in their cognitive capacity, which is often not supported by formal testing. To address these conflicting reports, this study examined survivors' applied cognitive capacity and ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3602
更新日期:2015-04-01 00:00:00
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 pr...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4931
更新日期:2019-01-01 00:00:00
abstract::With numerous studies demonstrating that psychosocial care reduces distress and improves quality of life, practitioners have an obligation to treat cancer patients in a manner consistent with this evidence. Although the rationale is straightforward, major challenges exist in achieving the goal of translating research ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1468
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Research indicates that dispositional mindfulness is associated with positive psychological functioning. Although this disposition has been linked with beneficial outcomes in the broader mental health literature, less is known about dispositional mindfulness in cancer survivors and how it may be linked with ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4065
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the process of implementing a family-oriented consultation and liaison service in various hospital-based settings, with special regard to problems and obstacles encountered. METHOD:Qualitative content analysis using categorization and sequential, phenomenological analysis of descriptive progress ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.1105
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:The aim of this review was to describe the findings and methodological quality of studies, which sought to validate the Hospital Anxiety and Depression Scale (HADS) against the Structured Clinical Interview for DSM in cancer populations. We also sought to compare the cut points recommended by these validatio...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.2057
更新日期:2012-03-01 00:00:00
abstract::The purpose of this study was to examine the role of spirituality in terminally ill cancer patients who volunteer for clinical trials of experimental agents. Information about spirituality (FACIT-Sp), quality of life (FACT-G), awareness of prognosis, and decision-making preferences was obtained from 162 advanced cance...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.829
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:We examined the interdependent, dyadic, mental health of adolescent and young adult (AYA) cancer patients and their caregivers. Our aims were as follows: (1) to investigate the degree to which patients' and caregivers' subjective perceptions of illness severity are congruent with objective severity (i.e., med...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3785
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:The couples coping with cancer together program (CCCT) is used to illustrate practical strategies to implement, evaluate, and grow a successful couples-based program in an NCI-designated CCC. CCCT is multimodal program utilizing psychoeducational, strategic, strengths-based, and problem-solving theoretical fr...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.5364
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVE:This study aimed to explore cancer survivors' level of patient activation, ie, their knowledge, skills, and confidence for self-management, and to examine its relations to their participation in paid work and work-related problems. METHODS:A total of 524 Dutch cancer survivors, 208 younger than 65 years, com...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4400
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:Melanoma is on the rise, especially in Caucasian populations exposed to high ultraviolet radiation such as in Australia. This paper examined the psychological components facilitating change in skin cancer prevention or early detection behaviours following a text message intervention. METHODS:The Queensland-b...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4007
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Thirty years after the origin of the field of psycho-oncology, limited data exist about the work practices of professionals providing psychosocial care to children with cancer and their families. METHOD:A survey was designed to assess training, work environment, theoretical orientation, services provided, s...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3064
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:This study aims to develop and test three potential models of Individual Burden of Illness for Depression (IBI-D) in prostate cancer patients. METHODS:Responses to three sets of scales measuring depressive symptoms, functional impairment, and quality of life satisfaction were collected from 191 prostate canc...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3499
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of methylphenidate for depression treatment in patients with advanced cancer. DESIGN:An 18-day randomized, double-blind, placebo-controlled clinical trial of methylphenidate for treatment of depression in selective serotonin reuptake inhibitor-treated patients with advanced can...
journal_title:Psycho-oncology
pub_type: 杂志文章,随机对照试验
doi:10.1002/pon.4220
更新日期:2017-11-01 00:00:00
abstract::This paper reviews the current literature concerning the prevalence and incidence of depression in the general population and within the population of people living with cancer where depression is defined using current standards and guidelines. Reviews of recent work where the treatment of depression was the focus of ...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/(SICI)1099-1611(199907/08)8:4<315::AID-PON
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To explore perceptions and beliefs of people in a rural community in northern Uganda regarding surgery for the diagnosis and treatment of cervical cancer. The aim of the study was to inform interventions to reduce delay and improve timely diagnosis and prompt appropriate treatments for patients with symptoms ...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4751
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Although research on social sharing suggests it could be an important factor in subsequent adjustment, it has rarely been examined in combination with the nature of the support received by patients. The goal of this study was to determine whether and to what extent social sharing concerning the disease and p...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3420
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:Colorectal cancer (CRC) patients experience considerable psychological stress because of changes brought on by their illness. Religion may be a resource for such patients. We examined the prevalence of religious beliefs and practices in CRC patients and correlation with demographic, social, psychological, and...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.3845
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To clarify the verbal communication of feelings between families and patients in Japanese palliative care units from the perspective of bereaved family members by examining (1) proportions of families' and patients' verbalization of six feelings (gratitude, love, seeking forgiveness, giving forgiveness, wishe...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4482
更新日期:2018-01-01 00:00:00
abstract::There is an increasing number of long-term survivors of cervical and endometrial cancer for whom quality of life is of major importance. We interviewed 20 women (aged 19-64) to explore the dynamics and components of post-treatment sexual adjustment and its impact on quality of life. Stratification by treatment receive...
journal_title:Psycho-oncology
pub_type: 杂志文章,多中心研究
doi:10.1002/pon.639
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this review is to describe the empirical literature on the health-related quality of life (HRQOL) in Latina breast cancer survivors by exploring the social determinants of health. In framing the key domains of survivors' quality of life within a ecological-contextual model that evaluates indiv...
journal_title:Psycho-oncology
pub_type: 杂志文章,评审
doi:10.1002/pon.1998
更新日期:2012-02-01 00:00:00
abstract::The pastoral-care interventions of chaplains at Memorial Sloan-Kettering Cancer Center were documented during two-week periods in each of three years. The study describes the pattern of referrals to and from chaplains and the kinds of interventions performed during the chaplains' contacts with patients and their famil...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.700
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:This study investigated the associations of savoring with cancer-specific physical symptoms, psychological distress, and psychological well-being and the moderating effect of savoring in the associations between physical symptoms and psychological outcomes among cancer patients. METHODS:A total of 263 Chine...
journal_title:Psycho-oncology
pub_type: 杂志文章
doi:10.1002/pon.4114
更新日期:2017-02-01 00:00:00