The effect of structured education to patients receiving oral agents for cancer treatment on medication adherence and self-efficacy

Abstract

Objective:This study was conducted to examine the effect of structured education on medication adherence and self-efficacy through the use of the MASCC Oral Agent Teaching Tool (MOATT) for patients receiving oral agents for cancer treatment.Methods:This quasi-experimental study has been conducted at two hospitals; 41 patients were included in the study. Data were obtained using a questionnaire, medication adherence self-efficacy scale (MASES), memorial symptom assessment scale, and a follow-up form (diary). Patients were educated through the use of the MOATT at a scheduled time; drug-specific information was provided along with a treatment scheme and follow-up diary. Phone interviews were completed 1 and 2 weeks after the educational session. At the next treatment cycle, the patients completed the same questionnaires.Results:Majority of the patients were receiving capecitabine (90.2%; n = 37) as an oral agent for breast (51.2%; n = 21) and stomach cancer (24.6%; n = 10) treatment. About 90.2% of patients (n = 37) stated that they did not forget to take their medication and experienced medication-related side effects (78%; n = 32). The total score of MASES was increased after the education (66.39 vs. 71.04, P < 0.05).Conclusions:It was shown that individual education with the MOATT and follow-up for patients receiving oral agents for cancer treatment increased patient medication adherence self-efficacy.

Effects of message‐framed informational videos on diabetes management knowledge and self‐efficacy

“…The level of self-efficacy of the patients in this study (Table 3) was found to be similar to that from some studies in Asian countries (Masoudiyekta et al, 2018;Tokdemir & Kav, 2017). The increasing F-DMSES scores corroborated the effectiveness of the two message-framed videos on diabetes-management self-efficacy.…”

“…Numerous factors have been identified as related to nonadherence to treatment regimens, such as complexity of regimens, beliefs regarding drug efficacy, side effects, and drug cost (Fennimore & Ginex, 2017). Although participants in this study reported moderate self-efficacy at the baseline, it is noteworthy that the information delivered in the videos about self-management increased their selfefficacy levels after the intervention (Masoudiyekta et al, 2018;Tokdemir & Kav, 2017).…”

“…The F-DMSES scores of the two video groups were significantly higher when compared with the lecture-type groups (Table 4). Educational interventions for patients are known to be effective in increasing self-efficacy, which is vital to influence the adequacy of patients' diabetes self-management (Masoudiyekta et al, 2018;Tokdemir & Kav, 2017). Numerous factors have been identified as related to nonadherence to treatment regimens, such as complexity of regimens, beliefs regarding drug efficacy, side effects, and drug cost (Fennimore & Ginex, 2017).…”

Deprived social status is associated with decreased use of oral chemotherapy in patients with metastatic colorectal cancer: A retrospective cohort study on administrative databases in a French University Hospital

“…Nonadherence is more frequent in patients of older age, lower level of education, or lower income and may increase with the distance between home and cancer care facilities. 14 Patient education may be proposed to improve adherence to treatment 15 , 16 but is not available in all areas. 17 , 18 In cases where both oral and intravenous treatment are feasible, 71% of practitioners reported a preference for oral CT in a palliative situation.…”

The Effect of Educational Intervention on Care Dependency and Symptom Management After Hematopoietic Stem Cell Transplantation: A Theory-Based Randomized Controlled Study

“…According to Bandura, the development of self-efficacy is the way to create a target behavior in patients [18]. Educational interventions have been reported as an effective way to improve patients' self-efficacy in specific groups of diseases such as asthma, diabetic foot, chronic kidney disease, and some types of cancer [21][22][23][24][25]. However, there is a gap in studies evaluating the effect of educational intervention on self-management in post-HSCT patients.…”