Testing a behavioral intervention to improve adherence to adjuvant endocrine therapy (AET).
Contemp Clin Trials
; 76: 120-131, 2019 01.
Article
em En
| MEDLINE
| ID: mdl-30472215
ABSTRACT
Adjuvant endocrine therapy (AET) is used to prevent recurrence and reduce mortality for women with hormone receptor positive breast cancer. Poor adherence to AET is a significant problem and contributes to increased medical costs and mortality. A variety of problematic symptoms associated with AET are related to non-adherence and early discontinuation of treatment. The goal of this study is to test a novel, telephone-based coping skills training that teaches patients adherence skills and techniques for coping with problematic symptoms (CST-AET). Adherence to AET will be assessed in real-time for 18â¯months using wireless smart pill bottles. Symptom interference (i.e., pain, vasomotor symptoms, sleep problems, vaginal dryness) and cost-effectiveness of the intervention protocol will be examined as secondary outcomes. Participants (Nâ¯=â¯400) will be recruited from a tertiary care medical center or community clinics in medically underserved or rural areas. Participants will be randomized to receive CST-AET or a general health education intervention (comparison condition). CST-AET includes ten nurse-delivered calls delivered over 6â¯months. CST-AET provides systematic training in coping skills for managing symptoms that interfere with adherence. Interactive voice messaging provides reinforcement for skills use and adherence that is tailored based on real-time adherence data from the wireless smart pill bottles. Given the high rates of non-adherence and recent recommendations that women remain on AET for 10â¯years, we describe a timely trial. If effective, the CST-AET protocol may not only reduce the burden of AET use but also lead to cost-effective changes in clinical care and improve breast cancer outcomes. Trials registration ClinicalTrials.gov, NCT02707471, registered 3/3/2016.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Telefone
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Neoplasias da Mama
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Adaptação Psicológica
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Antineoplásicos Hormonais
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Inibidores da Aromatase
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Adesão à Medicação
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Autogestão
Tipo de estudo:
Clinical_trials
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Guideline
Limite:
Female
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Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article