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- Title
Feasibility of a Text Messaging Intervention to Promote Self-Management for Patients Prescribed Oral Anticancer Agents.
- Authors
Spoelstra, Sandra L.; Given, Charles W.; Sikorskii, Alla; Coursaris, Constantinos K.; Majumder, Atreyee; DeKoekkoek, Tracy; Schueller, Monica; Given, Barbara A.
- Abstract
Purpose/Objectives: To determine proof of concept of a mobile health (mHealth) intervention delivering text messages (texts) to self-manage among patients prescribed oral anticancer agents (OAs) and to examine preliminary efficacy on symptoms and medication adherence. Design: A longitudinal randomized, controlled trial. Setting: Two community cancer centers in the midwestern United States and a national specialty pharmacy. Sample: 80 adults with cancer who were newly prescribed OAs. Methods: Adherence and symptoms were assessed weekly for 10 weeks in both groups. The intervention group received daily texts for adherence and weekly for symptoms for 21-28 days, and satisfaction with the intervention was assessed. Main Research Variables: Medication adherence and symptom severity. Findings: Mean age was 58.5 years (SD = 10.7 years), 48 participants were female, and 48 were Caucasian. Fewer symptoms were found in the intervention group with a moderate effect size. Adherence was higher in the text group using medical record and prescription data (n = 26) with greater relative dose intensity of moderate to large effect size. Regarding acceptability, 57% (83 of 145) of eligible participants consented, 39 of 40 participants completed the entire intervention, 30 participants read texts all of the time, and 34 participants were satisfied with the intervention. Conclusions: Proof of concept and preliminary efficacy of an mHealth intervention using texts to promote self-management for patients prescribed OAs was demonstrated. Patients had high satisfaction with the texts, and adherence and symptoms improved after the intervention. Implications for Nursing: Texts show promise for patients with cancer who must manage their OAs. Additional research is needed prior to use in practice.
- Subjects
MIDWEST (U.S.); PATIENT satisfaction; ANTINEOPLASTIC agents; CHI-squared test; COGNITION; STATISTICAL correlation; MENTAL depression; DRUGS; FISHER exact test; INTELLIGENCE tests; LONGITUDINAL method; PATIENT compliance; PSYCHOLOGY; RESEARCH funding; STATISTICAL sampling; HEALTH self-care; SELF-efficacy; SELF-evaluation; T-test (Statistics); TELEMEDICINE; TEXT messages; THEORY; SOCIAL support; EFFECT sizes (Statistics); RANDOMIZED controlled trials; DATA analysis software; DESCRIPTIVE statistics
- Publication
Oncology Nursing Forum, 2015, Vol 42, Issue 6, p647
- ISSN
0190-535X
- Publication type
Article
- DOI
10.1188/15.ONF.647-657