"Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy".

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Title: "Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy".
Authors: Pezzolato, Massimo (AUTHOR), Marzorati, Chiara (AUTHOR), Lanzoni, Lucilla (AUTHOR), Monzani, Dario (AUTHOR), Masiero, Marianna Agnese (AUTHOR), Pietrobon, Ricardo (AUTHOR), Pravettoni, Gabriella (AUTHOR)
Source: Psycho-Oncology. Oct2023, Vol. 32 Issue 10, p1481-1502. 22p. 1 Diagram, 11 Charts.
Subjects: Oral medication, Cancer patients, Breast cancer, Patient compliance, Taxonomy, Cancer treatment
Abstract: Objective: High rates of non‐adherence to oral medications in breast cancer (BC) patients have been reported. Here we provide an up‐to‐date systematic review of the interventions aimed at increasing adherence to oral medication in BC patients, with a particular focus on the content of the interventions. Methods: PubMed, Scopus, Embase and Ovid databases and reference lists of relevant studies were searched through October 2022. Studies which (1) described an intervention aimed at increasing adherence to oral anticancer medication, (2) included (or planned to include) at least one sub‐group of BC patients, (3) were written in English, and (4) with full‐text available were included. The contents of the interventions were coded using the Behavior Change Technique Taxonomy. Quality assessment was conducted using Downs and Black scale. Results: Thirty‐six studies met the inclusion criteria and involved a total sample of 28,528 BC patients. Interventions were mainly delivered with eHealth devices (n = 21) and most of them used mobile app. Other studies used in‐person modalities (e.g., CBT, relaxation technique) or written materials (e.g., psycho‐educational booklet). The behavior change techniques most frequently implemented were "problem solving," "social support," "information about health consequences," and "prompts/cues". Quality assessment revealed that the higher risk of bias refers to the selection process. Conclusions: The use of reminders, monitoring patients' medication‐taking behaviors and giving feedback were the most frequently implemented techniques in those interventions that resulted significant. If these preliminary observations were to be confirmed by future comparative studies, they should be taken into account when developing new interventions. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: "Interventions to increase adherence to oral therapies in breast cancer patients: A systematic review based on the behavior change technique taxonomy".
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  Data: <searchLink fieldCode="AR" term="%22Pezzolato%2C+Massimo%22">Pezzolato, Massimo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marzorati%2C+Chiara%22">Marzorati, Chiara</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lanzoni%2C+Lucilla%22">Lanzoni, Lucilla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Monzani%2C+Dario%22">Monzani, Dario</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Masiero%2C+Marianna+Agnese%22">Masiero, Marianna Agnese</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pietrobon%2C+Ricardo%22">Pietrobon, Ricardo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pravettoni%2C+Gabriella%22">Pravettoni, Gabriella</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Oct2023, Vol. 32 Issue 10, p1481-1502. 22p. 1 Diagram, 11 Charts.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Oral+medication%22">Oral medication</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Breast+cancer%22">Breast cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Taxonomy%22">Taxonomy</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+treatment%22">Cancer treatment</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Objective: High rates of non‐adherence to oral medications in breast cancer (BC) patients have been reported. Here we provide an up‐to‐date systematic review of the interventions aimed at increasing adherence to oral medication in BC patients, with a particular focus on the content of the interventions. Methods: PubMed, Scopus, Embase and Ovid databases and reference lists of relevant studies were searched through October 2022. Studies which (1) described an intervention aimed at increasing adherence to oral anticancer medication, (2) included (or planned to include) at least one sub‐group of BC patients, (3) were written in English, and (4) with full‐text available were included. The contents of the interventions were coded using the Behavior Change Technique Taxonomy. Quality assessment was conducted using Downs and Black scale. Results: Thirty‐six studies met the inclusion criteria and involved a total sample of 28,528 BC patients. Interventions were mainly delivered with eHealth devices (n = 21) and most of them used mobile app. Other studies used in‐person modalities (e.g., CBT, relaxation technique) or written materials (e.g., psycho‐educational booklet). The behavior change techniques most frequently implemented were "problem solving," "social support," "information about health consequences," and "prompts/cues". Quality assessment revealed that the higher risk of bias refers to the selection process. Conclusions: The use of reminders, monitoring patients' medication‐taking behaviors and giving feedback were the most frequently implemented techniques in those interventions that resulted significant. If these preliminary observations were to be confirmed by future comparative studies, they should be taken into account when developing new interventions. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6203
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        Text: English
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        Type: general
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      – SubjectFull: Breast cancer
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      – SubjectFull: Taxonomy
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              Text: Oct2023
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              Y: 2023
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