Advanced search
1 file | 457.22 KB Add to list

Supporting adherence to oral anticancer agents : clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists

(2017) BMC CANCER. 17(1).
Author
Organization
Abstract
Background: 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. Methods: 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). Results: 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. Conclusions: 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.
Keywords
Oral anticancer agents, Medication adherence, Multidisciplinary care, Healthcare providers, Adherence management, Clinical practice, Physician, Nurse, Nurse practitioner, Pharmacist, SHARED DECISION-MAKING, BREAST-CANCER, ENDOCRINE THERAPY, PRACTICE PATTERNS, PATIENTS NEEDS, NONADHERENCE, CHEMOTHERAPY, MEDICATION, PERCEPTIONS, EXPERIENCES

Downloads

  • 12885 2017 Article 3110.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 457.22 KB

Citation

Please use this url to cite or link to this publication:

MLA
Timmers, Lonneke et al. “Supporting Adherence to Oral Anticancer Agents : Clinical Practice and Clues to Improve Care Provided by Physicians, Nurse Practitioners, Nurses and Pharmacists.” BMC CANCER 17.1 (2017): n. pag. Print.
APA
Timmers, L., Boons, C. C., Verbrugghe, M., van den Bemt, B. J., Van Hecke, A., & Hugtenburg, J. G. (2017). Supporting adherence to oral anticancer agents : clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists. BMC CANCER, 17(1).
Chicago author-date
Timmers, Lonneke, Christel CLM Boons, Mathieu Verbrugghe, Bart JF van den Bemt, Ann Van Hecke, and Jacqueline G Hugtenburg. 2017. “Supporting Adherence to Oral Anticancer Agents : Clinical Practice and Clues to Improve Care Provided by Physicians, Nurse Practitioners, Nurses and Pharmacists.” Bmc Cancer 17 (1).
Chicago author-date (all authors)
Timmers, Lonneke, Christel CLM Boons, Mathieu Verbrugghe, Bart JF van den Bemt, Ann Van Hecke, and Jacqueline G Hugtenburg. 2017. “Supporting Adherence to Oral Anticancer Agents : Clinical Practice and Clues to Improve Care Provided by Physicians, Nurse Practitioners, Nurses and Pharmacists.” Bmc Cancer 17 (1).
Vancouver
1.
Timmers L, Boons CC, Verbrugghe M, van den Bemt BJ, Van Hecke A, Hugtenburg JG. Supporting adherence to oral anticancer agents : clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists. BMC CANCER. 2017;17(1).
IEEE
[1]
L. Timmers, C. C. Boons, M. Verbrugghe, B. J. van den Bemt, A. Van Hecke, and J. G. Hugtenburg, “Supporting adherence to oral anticancer agents : clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists,” BMC CANCER, vol. 17, no. 1, 2017.
@article{8513958,
  abstract     = {Background: 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. 
Methods: 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). 
Results: 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. 
Conclusions: 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.},
  articleno    = {122},
  author       = {Timmers, Lonneke and Boons, Christel CLM and Verbrugghe, Mathieu and van den Bemt, Bart JF and Van Hecke, Ann and Hugtenburg, Jacqueline G},
  issn         = {1471-2407},
  journal      = {BMC CANCER},
  keywords     = {Oral anticancer agents,Medication adherence,Multidisciplinary care,Healthcare providers,Adherence management,Clinical practice,Physician,Nurse,Nurse practitioner,Pharmacist,SHARED DECISION-MAKING,BREAST-CANCER,ENDOCRINE THERAPY,PRACTICE PATTERNS,PATIENTS NEEDS,NONADHERENCE,CHEMOTHERAPY,MEDICATION,PERCEPTIONS,EXPERIENCES},
  language     = {eng},
  number       = {1},
  pages        = {12},
  title        = {Supporting adherence to oral anticancer agents : clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists},
  url          = {http://dx.doi.org/10.1186/s12885-017-3110-2},
  volume       = {17},
  year         = {2017},
}

Altmetric
View in Altmetric
Web of Science
Times cited: