Improving Adherence to Adjuvant Endocrine Therapy in Sub-Saharan Africa: Challenges and Innovative Nurse-Driven Solutions

Fadelu, Temidayo; Buswell, Lori; Anderson, Benjamin O.

doi:10.1093/oncolo/oyac112

Cited by 2 publications

(1 citation statement)

References 21 publications

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“…Recent reviews of global studies had identified several factors that are associated with non-adherence to AET. These factors include personal demographic factors; sideeffects and quality of life; knowledge of cancer, forgetfulness, beliefs, depressive symptoms and attitudes; socio-behavioral factors like selfefficacy (the belief in one's own capacity to achieve a health goal through behavior modification); and structural health-system factor (healthcare provider relationship) and social support (Fadelu et al, 2022).…”

Section: Significance Of the Studymentioning

confidence: 99%

Factors affecting Adherence to Adjuvant Hormonal Therapy among Women with Breast Cancer

Elmaadawy

Hassan

Mohamed

et al. 2022

Egyptian Journal of Health Care

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Background: Breast cancer is the most common cancer in women worldwide. Also, is the leading cause of death in women, Adjuvant endocrine therapy is a treatment that significantly reduces recurrence and mortality in women with hormone receptor-positive breast cancer. Aim of the study: Assess factors affecting adherence to adjuvant hormonal therapy among women with breast cancer. Study Design: A descriptive design was used to achieve the aim of this study. Setting: Oncology center and nuclear medicine affiliated to Ain shams university hospitals. Subjects: A purposive sample of 60 women diagnosed with breast cancer and treated with hormonal therapy. Data Collection: tool І) Structured Interview Questionnaire for Women with Breast Cancer on Hormonal Therapy, which is divided into 3 parts-Part 1: Socio-demographic Data of studied Women. Part 2: Medical Health Profile. Part 3: Knowledge Regarding to Breast Cancer and Hormonal Therapy. Tool ІІ) the morisky medication adherence scale. Tool ІІІ) factors affecting adherence to adjuvant hormonal therapy among women with breast cancer. Result: less than two thirds of the studied women had unsatisfactory level of total knowledge about breast cancer and hormonal therapy. Less than half of them had high level of adherence. Less than three quarters of them had sever physical symptoms and fatigue, more than two thirds of them had sever pain, half of them had sever depression, half of them had low self-efficacy, more than two thirds of them had severe stress and less than three quarters of them had high level of social support. Conclusion: Near two thirds of women had unsatisfactory level of total knowledge about breast cancer and hormonal therapy. Less than half of them had high level of medication adherence. The Study had identified several factors that are associated with non-adherence to adjuvant hormonal therapy; these factors include side-effects of treatment especially musculoskeletal pain, fatigue, knowledge, forgetfulness, beliefs, depressive symptoms, attitudes, and self-efficacy. Recommendations: Educational programs should be planned to encourage women to adhere to medication. Also, Women need a simplified and comprehensive Arabic booklet including information about the medication. In addition, Replication of the current study on a larger probability sample is recommended to achieve generalization of the results.

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Section: Significance Of the Studymentioning

confidence: 99%

Factors affecting Adherence to Adjuvant Hormonal Therapy among Women with Breast Cancer

Elmaadawy

Hassan

Mohamed

et al. 2022

Egyptian Journal of Health Care

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A Systematic Review of Patient Education Strategies for Oncology Patients in Low- and Middle-Income Countries

2022

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Introduction Patient education can facilitate early cancer diagnosis, enhance treatment adherence, and improve outcomes. While there is increasing cancer burden in low- and middle-income countries (LMICs), there is little research to inform successful patient education in these regions. This systematic review summarizes the existing literature on oncology education and evaluation strategies in LMICs, identifies best practices, and highlights areas which require further investigation. Methods The review was conducted using PRISMA guidelines and an a priori protocol. Four databases (Ovid Medline, Cochrane Libraries, Embase, and Cabi) were searched in December 2021. Two independent reviewers evaluated studies for inclusion. Using a coded data extraction form, information was collected about the study site, intervention characteristics, and evaluation methods. Results Of the 2047 articles generated in the search, 77 met the inclusion criteria. Twenty-four countries were represented; only 6 studies (8%) were in low-income countries. The most common education methods included technology-based interventions (31, 40%) and visual pamphlets or posters (20, 26%). More than one education method was used in 57 (74%) studies. Nurses were the most frequent educators (25, 33%). An evaluation was included in 74 (96%) studies, though only 41 (55%) studies used a validated tool. Patient knowledge was the most common measured outcome in 35 (47%) studies. Conclusions There is limited empiric research on oncology patient education in LMICs. The available data show heterogeneity in education approaches and gaps in evaluation. Further research to determine successful patient education and evaluation strategies is urgently needed to improve treatment cancer outcomes in LMICs.

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Improving Adherence to Adjuvant Endocrine Therapy in Sub-Saharan Africa: Challenges and Innovative Nurse-Driven Solutions

Cited by 2 publications

References 21 publications

Factors affecting Adherence to Adjuvant Hormonal Therapy among Women with Breast Cancer

Factors affecting Adherence to Adjuvant Hormonal Therapy among Women with Breast Cancer

A Systematic Review of Patient Education Strategies for Oncology Patients in Low- and Middle-Income Countries

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