The effectiveness of therapeutic patient education on adherence to oral anti-cancer medicines in adult cancer patients in ambulatory care settings: a systematic review

Arthurs, Gilly; Simpson, Janice; Brown, Andrea; Kyaw, Ohnma; Shyrier, Sharon; Concert, Catherine

doi:10.11124/jbisrir-2015-2057

Cited by 29 publications

(48 citation statements)

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“…[ 20 21 27 34 35 36 37 38 ] Although increased attention to the issues related oral agents for cancer treatment, few evidence exist for interventions to promote medication adherence. In the recent systematic review[ 25 ] on the effectiveness of therapeutic patient education on adherence to oral anticancer medicines in adult cancer patients in ambulatory care setting, only two studies were reported. In a randomized trial,[ 35 ] a nurse-led, tailored standard education, and coaching plan approach showed adherence benefits for study participants.…”

Section: Discussionmentioning

confidence: 99%

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

Tokdemir

Kav

2017

Asia-Pacific Journal of Oncology Nursing

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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.

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Section: Discussionmentioning

confidence: 99%

“…Therapeutic patient education when utilized effectively may maximize health outcomes and positively affect the quality of life of adult patients with cancer. [ 25 ]…”

Section: Introductionmentioning

confidence: 99%

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

Tokdemir

Kav

2017

Asia-Pacific Journal of Oncology Nursing

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“…Healthcare is shifting towards person-centered care and patient empowerment, and physician–patient relations are evolving towards shared decision-making. 1 Part of the effort to improve care outcomes involves educating patients with regard to disease and treatment processes through the use of various approaches aimed at improving self-care, 2 health literacy, 3 treatment adherence, 4 and health outcomes. 5 – 8 Along with patient empowerment, medical education is shifting towards professional roles for students in patient care.…”

Section: Introductionmentioning

confidence: 99%

Involving Medical Students in Providing Patient Education for Real Patients: A Scoping Review

Vijn¹,

Fluit

Kremer³

et al. 2017

J GEN INTERN MED

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BackgroundStudies suggest that involving students in patient education can contribute to the quality of care and medical education. Interventions and outcomes in this field, however, have not yet been systematically reviewed. The authors examined the scientific literature for studies on interventions and outcomes of student-provided patient education.MethodsFour databases (MEDLINE, EMBASE, ERIC, PsycINFO) were searched for studies reporting patient education, undergraduate medical students, and outcomes of patient education, published between January 1990 and October 2015. Facilitators of and barriers to educational interventions were assessed using the Learning Transfer System Inventory. The learning yield, impact on quality of care, and practical feasibility of the interventions were rated by patients, care professionals, researchers, and education professionals.ResultsThe search resulted in 4991 hits. Eighteen studies were included in the final synthesis. Studies suggested that student-provided patient education improved patients’ health knowledge, attitude, and behavior (nine studies), disease management (three studies), medication adherence (one study), and shared decision-making (one study). In addition, involving students in patient education was reported to enhance students’ patient education self-efficacy (four studies), skills (two studies), and behavior (one study), their relationships with patients (two studies), and communication skills (two studies).DiscussionOur findings suggest that student-provided patient education—specifically, student-run patient education clinics, student-provided outreach programs, student health coaching, and clerkships on patient education—has the potential to improve quality of care and medical education. To enhance the learning effectiveness and quality of student-provided patient education, factors including professional roles for students, training preparation, constructive supervision, peer support on organizational and individual levels, and learning aids should be taken into account. Future research should focus on further investigating the effects found in this study with high-level evidence.

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“…Patients with cancer prescribed OOAs experience unique challenges when compared to patients receiving IV chemotherapy. Although trained healthcare professionals administer IV chemotherapy in a controlled environment, OOAs lack such firsthand monitoring, thereby shifting responsibility to patients and their caregivers (Arthurs et al, 2015;Bassan et al, 2014;Hall et al, 2016;Mathes, Antoine, Pieper, & Eikermann, 2014;Zerillo et al, 2017). OOA regimens provide a sense of convenience for patients via home administration.…”

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confidence: 99%

Temporary Stoppages and Burden of Treatment in Patients With Cancer

Vachon

Given

et al. 2019

ONF

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The effectiveness of therapeutic patient education on adherence to oral anti-cancer medicines in adult cancer patients in ambulatory care settings: a systematic review

Abstract: Clinical trials with larger sample sizes, standardization of content, comparing specific adherence education or tailored education interventions are needed.

Cited by 29 publications

References 30 publications

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

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

Involving Medical Students in Providing Patient Education for Real Patients: A Scoping Review

Temporary Stoppages and Burden of Treatment in Patients With Cancer

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