A pilot study of an automated voice response system and nursing intervention to monitor adherence to oral chemotherapy agents.

Abstract:

:This study was designed to develop and test a system to monitor adherence with nonhormonal oral chemotherapeutic agents using an automated voice response (AVR) system plus nursing intervention. Participants were patients diagnosed with solid tumor cancers, primarily breast, colon, and lung cancers, who received the Symptom Management Toolkit and participated in an interview for symptom severity, satisfaction, and beliefs about oral agents. Patients received weekly AVR calls, which assessed adherence to oral agents and severity of 15 symptoms. Patients who reported adherence of below 100% of the prescribed oral agents or symptoms of 4 or greater (0-10 scale) for 3 consecutive weeks were called by a nurse for assistance with symptom management and adherence to oral chemotherapy medications. After the 8 weekly AVR calls, patients participated in a follow-up interview and medical record review. Participants were 30 oncology patients who were ambulatory and treated at 2 cancer centers in Midwest United States. The results indicate 23.3% nonadherence rate to oral chemotherapy medications due to symptoms and forgetting to take the medication. An association between symptom management and adherence was found. Symptom severity and beliefs about medications were not significantly different between adherent and nonadherent patients. This pilot study demonstrated the ability to accrue patients for a longitudinal trial and informed intervention design while providing guidance for future interventions and research studies.

journal_name

Cancer Nurs

journal_title

Cancer nursing

authors

Decker V,Spoelstra S,Miezo E,Bremer R,You M,Given C,Given B

doi

10.1097/NCC.0b013e3181b31114

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

E20-9

issue

6

eissn

0162-220X

issn

1538-9804

journal_volume

32

pub_type

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