Design and Implementation of a Social Cognitive Theory-based Medication Adherence Intervention
UNC Lineberger Comprehensive Cancer Center
Summary
The goal of this study is to evaluate the effectiveness and usability of a newly developed oral anticancer agent adherence program implemented across 6 cancer clinics (two academic, two urban, and two rural). The study will include 160 adult participants with either solid tumors or hematologic malignancies who have been taking oral anticancer agents for at least six months. This study will have two groups of participants, a pre- and post-implementation group. In the pre-implementation of the program group, investigators will administer a survey to the 80 participants and gather information about their medication prior to their enrollment of the program. Similarly, 80 participants who have been enrolled into this program for at least 6 months will serve as the post-implementation group. These patients will be administered the same survey. The results from both groups will be analyzed to see how effective the medication adherence program is.
Description
Participants enrolled in this adherence program will have individualized counseling sessions with their clinical pharmacists regarding their oral anticancer agent. The pharmacists will review with all their patients, information including proper administration, side effects, symptom management, and treatment plans. Participants will continue to have these counseling sessions with their pharmacists, until the patient becomes stable on the oral anticancer agent. Once stable, the participant will be placed into one of three monitoring risk categories (low risk, medium risk, high risk), by the ph…
Eligibility
- Age range
- 21+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adult (age ≥21 years-old) patients * Diagnosed with a solid or hematologic malignancy * Monotherapy on oral anticancer agent on treatment for at least 6 months Exclusion criteria: * Patients on time-limited or intermittent therapy (non-continuous) * Patients on comfort (end-of-life) care * Patients enrolled on hospice
Interventions
- BehavioralMultilevel Adherence Intervention
Participants enrolled in this adherence program will have individualized counseling sessions with their clinical pharmacists regarding their oral anticancer agent based on their risk-stratified monitoring category. Participants will be followed longitudinally and will receive tailored support.
Location
- UNC Chapel HillChapel Hill, North Carolina