Supporting adherence to oral anticancer agents: clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists
Healthcare provider (HCP) activities and attitudes towards patients strongly influence medication adherence. The aim of this study was to assess current clinical practices to support patients in adhering to treatment with oral anticancer agents (OACA) and to explore clues to improve the management o...
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| Veröffentlicht in: | BMC cancer 2017-02, Vol.17 (1), p.122-122, Article 122 |
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| creator | Timmers, Lonneke Boons, Christel C L M Verbrugghe, Mathieu van den Bemt, Bart J F Van Hecke, Ann Hugtenburg, Jacqueline G |
| description | Healthcare provider (HCP) activities and attitudes towards patients strongly influence medication adherence. The aim of this study was to assess current clinical practices to support patients in adhering to treatment with oral anticancer agents (OACA) and to explore clues to improve the management of medication adherence.
A cross-sectional, observational study among HCPs in (haemato-)oncology settings in Belgium and the Netherlands was conducted in 2014 using a composite questionnaire. A total of 47 care activities were listed and categorised into eight domains. HCPs were also asked about their perceptions of adherence management on the items: insight into adherence, patients' communication, capability to influence, knowledge of consequences and insight into causes. Validated questionnaires were used to assess beliefs about medication (BMQ) and shared decision making (SDM-Q-doc).
In total, 208 HCPs (29% male) participated; 107 from 51 Dutch and 101 from 26 Belgian hospitals. Though a wide range of activities were reported, certain domains concerning medication adherence management received less attention. Activities related to patient knowledge and adverse event management were reported most frequently, whereas activities aimed at patient's self-efficacy and medication adherence during ongoing use were frequently missed. The care provided differed between professions and by country. Belgian physicians reported more activities than Dutch physicians, whereas Dutch nurses and pharmacists reported more activities than Belgian colleagues. The perceptions of medication adherence management were related to the level of care provided by HCPs. SDM and BMQ outcomes were not related to the care provided.
Enhancing the awareness and perceptions of medication adherence management of HCPs is likely to have a positive effect on care quality. Care can be improved by addressing medication adherence more directly e.g., by questioning patients about (expected) barriers and discussing strategies to overcome them, by asking for missed doses and offering (electronic) reminders to support long-term medication adherence. A multidisciplinary approach is recommended in which the role of the pharmacist could be expanded. |
| doi_str_mv | 10.1186/s12885-017-3110-2 |
| format | Article |
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A cross-sectional, observational study among HCPs in (haemato-)oncology settings in Belgium and the Netherlands was conducted in 2014 using a composite questionnaire. A total of 47 care activities were listed and categorised into eight domains. HCPs were also asked about their perceptions of adherence management on the items: insight into adherence, patients' communication, capability to influence, knowledge of consequences and insight into causes. Validated questionnaires were used to assess beliefs about medication (BMQ) and shared decision making (SDM-Q-doc).
In total, 208 HCPs (29% male) participated; 107 from 51 Dutch and 101 from 26 Belgian hospitals. Though a wide range of activities were reported, certain domains concerning medication adherence management received less attention. Activities related to patient knowledge and adverse event management were reported most frequently, whereas activities aimed at patient's self-efficacy and medication adherence during ongoing use were frequently missed. The care provided differed between professions and by country. Belgian physicians reported more activities than Dutch physicians, whereas Dutch nurses and pharmacists reported more activities than Belgian colleagues. The perceptions of medication adherence management were related to the level of care provided by HCPs. SDM and BMQ outcomes were not related to the care provided.
Enhancing the awareness and perceptions of medication adherence management of HCPs is likely to have a positive effect on care quality. Care can be improved by addressing medication adherence more directly e.g., by questioning patients about (expected) barriers and discussing strategies to overcome them, by asking for missed doses and offering (electronic) reminders to support long-term medication adherence. A multidisciplinary approach is recommended in which the role of the pharmacist could be expanded.</description><identifier>ISSN: 1471-2407</identifier><identifier>EISSN: 1471-2407</identifier><identifier>DOI: 10.1186/s12885-017-3110-2</identifier><identifier>PMID: 28187759</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Administration, Oral ; Antineoplastic Agents - therapeutic use ; Belgium ; Cancer ; Chronic illnesses ; Cross-Sectional Studies ; Decision making ; Family physicians ; Female ; Humans ; Kinases ; Likert scale ; Male ; Medication Adherence - statistics & numerical data ; Multivariate Analysis ; Netherlands ; Nurse practitioners ; Nurse Practitioners - statistics & numerical data ; Nurses ; Nurses - statistics & numerical data ; Oncology ; Patient compliance ; Pharmacists - statistics & numerical data ; Physicians - statistics & numerical data ; Questionnaires ; Surveys and Questionnaires ; Toxicity</subject><ispartof>BMC cancer, 2017-02, Vol.17 (1), p.122-122, Article 122</ispartof><rights>Copyright BioMed Central 2017</rights><rights>The Author(s). 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-701aa07b993458dafd1632d3b46b54dbc1a14b89df169d61a4d0fe3056f231a3</citedby><cites>FETCH-LOGICAL-c427t-701aa07b993458dafd1632d3b46b54dbc1a14b89df169d61a4d0fe3056f231a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303208/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303208/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,27911,27912,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28187759$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Timmers, Lonneke</creatorcontrib><creatorcontrib>Boons, Christel C L M</creatorcontrib><creatorcontrib>Verbrugghe, Mathieu</creatorcontrib><creatorcontrib>van den Bemt, Bart J F</creatorcontrib><creatorcontrib>Van Hecke, Ann</creatorcontrib><creatorcontrib>Hugtenburg, Jacqueline G</creatorcontrib><title>Supporting adherence to oral anticancer agents: clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists</title><title>BMC cancer</title><addtitle>BMC Cancer</addtitle><description>Healthcare provider (HCP) activities and attitudes towards patients strongly influence medication adherence. The aim of this study was to assess current clinical practices to support patients in adhering to treatment with oral anticancer agents (OACA) and to explore clues to improve the management of medication adherence.
A cross-sectional, observational study among HCPs in (haemato-)oncology settings in Belgium and the Netherlands was conducted in 2014 using a composite questionnaire. A total of 47 care activities were listed and categorised into eight domains. HCPs were also asked about their perceptions of adherence management on the items: insight into adherence, patients' communication, capability to influence, knowledge of consequences and insight into causes. Validated questionnaires were used to assess beliefs about medication (BMQ) and shared decision making (SDM-Q-doc).
In total, 208 HCPs (29% male) participated; 107 from 51 Dutch and 101 from 26 Belgian hospitals. Though a wide range of activities were reported, certain domains concerning medication adherence management received less attention. Activities related to patient knowledge and adverse event management were reported most frequently, whereas activities aimed at patient's self-efficacy and medication adherence during ongoing use were frequently missed. The care provided differed between professions and by country. Belgian physicians reported more activities than Dutch physicians, whereas Dutch nurses and pharmacists reported more activities than Belgian colleagues. The perceptions of medication adherence management were related to the level of care provided by HCPs. SDM and BMQ outcomes were not related to the care provided.
Enhancing the awareness and perceptions of medication adherence management of HCPs is likely to have a positive effect on care quality. Care can be improved by addressing medication adherence more directly e.g., by questioning patients about (expected) barriers and discussing strategies to overcome them, by asking for missed doses and offering (electronic) reminders to support long-term medication adherence. A multidisciplinary approach is recommended in which the role of the pharmacist could be expanded.</description><subject>Administration, Oral</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Belgium</subject><subject>Cancer</subject><subject>Chronic illnesses</subject><subject>Cross-Sectional Studies</subject><subject>Decision making</subject><subject>Family physicians</subject><subject>Female</subject><subject>Humans</subject><subject>Kinases</subject><subject>Likert scale</subject><subject>Male</subject><subject>Medication Adherence - statistics & numerical data</subject><subject>Multivariate Analysis</subject><subject>Netherlands</subject><subject>Nurse practitioners</subject><subject>Nurse Practitioners - statistics & numerical data</subject><subject>Nurses</subject><subject>Nurses - statistics & numerical data</subject><subject>Oncology</subject><subject>Patient compliance</subject><subject>Pharmacists - statistics & numerical data</subject><subject>Physicians - statistics & numerical data</subject><subject>Questionnaires</subject><subject>Surveys and Questionnaires</subject><subject>Toxicity</subject><issn>1471-2407</issn><issn>1471-2407</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdUU1v1DAUtBCIlsIP4IIsceFAWj87iR0OSKjio1KlHujderGdXVeJHeyk0v4a_ipedlsVTn6aNzN64yHkLbBzANVeZOBKNRUDWQkAVvFn5BRqCRWvmXz-ZD4hr3K-Y4WomHpJTrgCJWXTnZLfP9d5jmnxYUPRbl1ywTi6RBoTjhTD4g0WJFHcuLDkT9SMPhRspHNCU7aukGxBV5f3Mj_NKd47ajA5uh-9dZb2Ozpvd9kbjyF_pGFN2R0NFh-DSw9g_us2bzFNaHxe8mvyYsAxuzfH94zcfvt6e_mjur75fnX55boyNZdLJRkgMtl3nagbZXGw0ApuRV-3fVPb3gBC3avODtB2tgWsLRucYE07cAEozsjng-289pOzpmQt-fWc_IRppyN6_e8m-K3exHvdCCY4U8Xgw9EgxV_lLxY9-WzcOGJwcc261CUboSQXhfr-P-pdXFMo6QpLlvsFY01hwYFlUsw5ueHxGGB6374-tK9LqXrfvuZF8-5pikfFQ93iD17Ur1c</recordid><startdate>20170210</startdate><enddate>20170210</enddate><creator>Timmers, Lonneke</creator><creator>Boons, Christel C L M</creator><creator>Verbrugghe, Mathieu</creator><creator>van den Bemt, Bart J F</creator><creator>Van Hecke, Ann</creator><creator>Hugtenburg, Jacqueline G</creator><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170210</creationdate><title>Supporting adherence to oral anticancer agents: clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists</title><author>Timmers, Lonneke ; 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The aim of this study was to assess current clinical practices to support patients in adhering to treatment with oral anticancer agents (OACA) and to explore clues to improve the management of medication adherence.
A cross-sectional, observational study among HCPs in (haemato-)oncology settings in Belgium and the Netherlands was conducted in 2014 using a composite questionnaire. A total of 47 care activities were listed and categorised into eight domains. HCPs were also asked about their perceptions of adherence management on the items: insight into adherence, patients' communication, capability to influence, knowledge of consequences and insight into causes. Validated questionnaires were used to assess beliefs about medication (BMQ) and shared decision making (SDM-Q-doc).
In total, 208 HCPs (29% male) participated; 107 from 51 Dutch and 101 from 26 Belgian hospitals. Though a wide range of activities were reported, certain domains concerning medication adherence management received less attention. Activities related to patient knowledge and adverse event management were reported most frequently, whereas activities aimed at patient's self-efficacy and medication adherence during ongoing use were frequently missed. The care provided differed between professions and by country. Belgian physicians reported more activities than Dutch physicians, whereas Dutch nurses and pharmacists reported more activities than Belgian colleagues. The perceptions of medication adherence management were related to the level of care provided by HCPs. SDM and BMQ outcomes were not related to the care provided.
Enhancing the awareness and perceptions of medication adherence management of HCPs is likely to have a positive effect on care quality. Care can be improved by addressing medication adherence more directly e.g., by questioning patients about (expected) barriers and discussing strategies to overcome them, by asking for missed doses and offering (electronic) reminders to support long-term medication adherence. A multidisciplinary approach is recommended in which the role of the pharmacist could be expanded.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>28187759</pmid><doi>10.1186/s12885-017-3110-2</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Administration, Oral Antineoplastic Agents - therapeutic use Belgium Cancer Chronic illnesses Cross-Sectional Studies Decision making Family physicians Female Humans Kinases Likert scale Male Medication Adherence - statistics & numerical data Multivariate Analysis Netherlands Nurse practitioners Nurse Practitioners - statistics & numerical data Nurses Nurses - statistics & numerical data Oncology Patient compliance Pharmacists - statistics & numerical data Physicians - statistics & numerical data Questionnaires Surveys and Questionnaires Toxicity |
| title | Supporting adherence to oral anticancer agents: clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists |
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