Exploring behaviors , treatment beliefs , and barriers to oral chemotherapy adherence among adult leukemia patients in a rural outpatient setting

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Sulochana Bohra (Creator)

C. Suzanne Lea (Creator)

Darla K. Liles (Creator)

Tiffanie Moore (Creator)

Chelsea Passwater (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: Abstract Objective Adherence to oral chemotherapy is essential for patients with chronic myeloid leukemia (CML) and multiple myeloma (MM) to remain in remission. Few studies have used a Likert-type scale to measure medication adherence in CML and MM patients. We applied a validated treatment adherence tool , the ASK-12 (Adherence Starts with Knowledge®) survey , which assessed inconvenience and forgetfulness , treatment beliefs , and medication-taking behaviors recorded on a five-point Likert-type scale at two visits. Results A medication adherence survey was administered to 42 newly diagnosed or pre-existing CML or MM patients at two outpatient oncology clinics affiliated with an academic medical center in rural eastern North Carolina. Thirty-one patients completed surveys at visit 1 and visit 2 (median 4.5 months apart). Most patients were treated for MM (65%) , were non-Hispanic black (68%) and female (58%). Within subscales , mean adherence scores decreased between visits , signaling better adherence. Overall , visit scores were correlated (0.63 , p€‰=€‰0.001). Forgetting to take medication sometimes was the most common reason for non-adherence. Medication costs were not a barrier for MM patients. Greater patient-provider informed decision-making was identified as an opportunity for quality improvement among CML patients. The ASK-12 survey provided a strategy to obtain robust information on medication adherence.

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BMC Research Notes. 2018 Nov 29;11(1):843

Language: English

Date: 2018

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