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Do patients on oral chemotherapy have sufficient knowledge for optimal adherence? A mixed methods study.

Arber, A, Odelius, A, Williams, P, Lemanska, A and Faithfull, S (2015) Do patients on oral chemotherapy have sufficient knowledge for optimal adherence? A mixed methods study. Eur J Cancer Care (Engl).

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Abstract

A new treatment paradigm has emerged with many patients now receiving oral chemotherapy (OC) as first-line treatment for cancer. Treatment with OC has resulted in reduced hospital costs, more autonomy for patients but with added responsibilities for patient self-management. Little is known about patient's knowledge following patient education to enable optimal adherence with OC. A mixed methods study was carried out using a self-report questionnaire to patients on OC for multiple myeloma (MM) followed by semi-structured interviews with patients at home. Analysis identifies high rates of adherence (92.2%) with OC for MM. However, statistically significant knowledge deficits were identified, which were related to patient ethnicity and to gender. There is the potential for non-intentional non-adherence with OC due to deficits in knowledge of OC. Support at home needs to include primary care practitioners such as GPs, practice nurses and pharmacists so that timely support is easily accessible especially in the early phase of treatment.

Item Type: Article
Subjects : Cancer care
Divisions : Faculty of Health and Medical Sciences
Authors :
AuthorsEmailORCID
Arber, AUNSPECIFIEDUNSPECIFIED
Odelius, AUNSPECIFIEDUNSPECIFIED
Williams, PUNSPECIFIEDUNSPECIFIED
Lemanska, AUNSPECIFIEDUNSPECIFIED
Faithfull, SUNSPECIFIEDUNSPECIFIED
Date : 25 November 2015
Identification Number : 10.1111/ecc.12413
Uncontrolled Keywords : haematopoietic, oral chemotherapy, patient information
Related URLs :
Additional Information : This is the peer reviewed version of the following article: Arber, A, Odelius, A, Williams, P, Lemanska, A and Faithfull, S (2015) Do patients on oral chemotherapy have sufficient knowledge for optimal adherence? A mixed methods study. Eur J Cancer Care (Engl), which has been published in final form at http://dx.doi.org/10.1111/ecc.12413. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Depositing User : Symplectic Elements
Date Deposited : 09 Mar 2016 13:49
Last Modified : 25 Nov 2016 02:08
URI: http://epubs.surrey.ac.uk/id/eprint/810093

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