Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 7 of 7
Full-Text Articles in Medicine and Health Sciences
Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra
Feasibility Of Text Messaging To Improve Oral Anti-Cancer Adherence In Older Cancer Patients, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
BACKGROUND
More than 50 oral chemotherapy agents in pill form are on the market, with projections that in 3 years, 25% of cancer treatment will be in pill form. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. However, adherence is often less than 80%, which may be inadequate for treating the cancer. There are more than 285 million wireless subscribers in the US with an estimated 67.5% of adults owning cell phones and 98% of those phones having text messaging capability. A recent review of 12 trials on interventions …
Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Motivational Interviewing & Cognitive Behavioral Therapy To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: Patients with cancer miss as much as one-third of the prescribed doses of oral anti-cancer agents required for treatment of their disease.
Problem & Purpose: This shift in treatment results in care at home, placing responsibility on patients. This review will discuss the foundation for developing a combined motivational interviewing (MI) and brief cognitive behavioral therapy (CBT) intervention and will examine evidence on MI/CBT interventions that improved adherence.
Framework: Not applicable.
Methods: Whittemore and Knafl’s review method was used, identifying studies via a search in CINAHL and PubMed using key words of MI/CBT; and reviewing of references.
Findings: 2822 …
Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra
Symptom Severity, Symptom Attribution, And Preference For Assistance While Taking Chemotherapy Or Targeted Agents, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: When taking oral agents, patients need to manage symptoms so that they do not become so severe that it leads to decreased function and difficulty with activities of daily living, and reducing or stopping the medication, rendering the cancer treatment ineffective.
Problem & Purpose: Over fifty oral anti-cancer agents are currently on the market, and within three years, 25% of treatment will be delivered in pill form, shifting treatment to the responsibility of patients. This study describes symptoms from oral agents, attribution of symptoms, and preference for assistance.
Framework: Not applicable.
Methods: Thirty cancer patients taking …
Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Text Messaging To Promote Adherence In Cancer Patients Taking Oral Agent Medications: An Integrative Review, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Significance: A review of oral agent studies indicates less than an 80% rate of adherence; and 10% of those newly prescribed oral agents stop taking their medication. Lack of adherence to oral anti-cancer agents is a significant clinical problem that may result in treatment failure, hospitalization, loss of work, and, in some instances, death.
Problem & Purpose: Treatment is primarily the responsibility of patients who are prescribed oral agents. This review will discuss the foundation for developing a text message intervention and will examine evidence on text message interventions that improved adherence.
Framework: Not applicable.
Methods: Whittemore and …
Development Of A Risk Index To Predict Transfers From Home And Community-Based Waiver Programs To Nursing Homes: Can Care Managers Assist Older Adults To Delay Nursing Home Placement?, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Purpose: This research examines the risk of nursing home placement (NHP) among an inception cohort of 6525 older adults entering a statewide home and community-based waiver program between 2002—2007.
Background: With adults aged 65 and older currently comprising 15% of the population and growing exponentially, concern is mounting as to how to care for this group. It will be important to deliver high-quality care tailored to the needs of clients in order to allow these individuals to remain living in the community. Most older adults prefer to remain in their homes but are forced to transfer to NHs because …
A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra
A Multi-Disciplinary Collaboration To Promote Adherence In Cancer Patients Taking Oral Agent Medications, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Problem and State of the Science: Over 50 oral agents in pill form are currently on the market, with projections that in three years, 25% of cancer treatment will be delivered in pill form with patients assuming responsibility for self-management at home. For oral agents to achieve a therapeutically effective level for cancer treatment, patients must strictly adhere to the regimen. Adherence to oral cancer agents is often less than 80%, which may be inadequate for treating the cancer. Many barriers exist to promoting medication adherence for cancer patients in fast-paced office settings. This include time demands, focusing on physical …
Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra
Determining Preferences For Symptom Management Assistance While Taking Oral Anti-Cancer Agent Pills, Sandra Spoelstra
Sandra L. Spoelstra, PhD, RN, FGSA, FAAN
Nearly 50 oral anti-cancer agents are on the market, and it’s projected that in 3 years, 25% of chemotherapy will be delivered in pill form. Thus, patients must take responsibility for managing symptoms at home. This was an 8-week exploratory study of cancer patients on oral agents from 3 cancer centers in the Midwest. Baseline interviews collected characteristics, type/stage of cancer, symptoms, and comorbid conditions. Patients were asked preference for information to help manage symptoms. Mean age was 65.2 years, 50% were Female, 87% Caucasian and 13% African American. Preference for obtaining symptom management information included: 37% phone calls, 27% …