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Full-Text Articles in Medicine and Health Sciences

Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra Nov 2015

Translating Capable To Micapable In A State Waiver Program: Community Aging In Place For Better Elderly Living, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Poster Presentation


Recruitment & Enrollment Of Older Adults Into Mobile Phone Text Message Clinical Trials, Sandra Spoelstra Nov 2015

Recruitment & Enrollment Of Older Adults Into Mobile Phone Text Message Clinical Trials, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Poster Presentation


Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral anti-cancer agents (OAs), patients need to manage symptoms so that they do not become so severe that it leads to reducing or stopping the medication, rendering the cancer treatment ineffective.
 
Problem & Purpose: Cancer rates are increasing, as is the number of cancer patients treated with OAs. Therapeutic effect of the cancer treatment may depend on medication adherence. The purpose of this paper is to report on proof-of-concept and preliminary efficacy of a mHealth intervention using text messages to improve symptom management and medication adherence among cancer patients prescribed OAs.
 
Framework: Principles of Self-Efficacy …


Proof-Of-Concept And Preliminary Efficacy Of A Sms Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents: A Randomized Controlled Trial, Sandra Spoelstra Dec 2014

Proof-Of-Concept And Preliminary Efficacy Of A Sms Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents: A Randomized Controlled Trial, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Cancer rates are increasing, as is the number of cancer patients treated with oral anti-cancer agents (OAs). Therapeutic effects may depend on medication adherence. The purpose of this study was to determine proof-of-concept of SMS text messaging intervention among cancer patients prescribed OAs and examined preliminary efficacy of SMS for symptom management and OA adherence.
 
Conceptual Framework: Self-Efficacy Theory directed heightening self-efficacy to promote adherence and symptom management.
 
Method:Patients (N=80) enrolled inalongitudinal randomized controlled trial at two community cancer centers and a large specialty pharmacy. Data on adherence and symptoms were collected weekly …


Assessment And Measurement Of Medication Adherence: Ons Pep Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Assessment And Measurement Of Medication Adherence: Ons Pep Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Oral anti-cancer agent (OA) adherence is often sub-optimal and may influence cancer treatment success. Clinicians are challenged to find ways to assess and measure adherence to OAs.
 
Problem & Purpose: When assessing and measuring OA adherence, it is essential to evaluate the timing, dosage, frequency, and duration of the regimen. The purpose of this paper is to report on the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) initiative to examine tools to assess and measure medication adherence.
 
Framework: Not applicable.
 
Methods: A review of the literature on tools using MEDLINE, the National Library of …


Ons Pep Putting Evidence Into Practice: Evidence-Based Interventions For Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Ons Pep Putting Evidence Into Practice: Evidence-Based Interventions For Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: Adherence to oral anti-cancer agents is a significant clinical problem among patients who are very sick with a life threatening disease and may have a substantial impact on treatment success or failure.
 
Problem & Purpose: The limited evidence available suggests that adherence to oral anti-cancer agents is a significant clinical problem and may have a substantial impact on treatment success or failure. The purpose of this paper is to report on the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) initiative, a comprehensive examination of the current literature was conducted to identify effective interventions for patients prescribed …


Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra Dec 2014

Feasibility Of A Text Messaging Intervention To Promote Symptom Management And Medication Adherence For Patients Prescribed Oral Anti-Cancer Agents, Sandra Spoelstra

Sandra L. Spoelstra, PhD, RN, FGSA, FAAN

Significance: When taking oral anti-cancer agents (OAs), patients need to manage symptoms so that they do not become so severe that it leads to reducing or stopping the medication, rendering the cancer treatment ineffective.
 
Problem & Purpose: Cancer rates are increasing, as is the number of cancer patients treated with OAs. Therapeutic effect of the cancer treatment may depend on medication adherence. The purpose of this paper is to report on proof-of-concept and preliminary efficacy of a mHealth intervention using text messages to improve symptom management and medication adherence among cancer patients prescribed OAs.
 
Framework: Principles of Self-Efficacy …