Identifying the determinants of adjuvant hormonal therapy medication taking behaviour in women with stages I-III breast cancer: a systematic review and meta-analysis
Open accessAbstract
Objective This systematic review and meta-analysis aimed to identify the modifiable determinants of adjuvant hormonal therapy medication taking behaviour (MTB) in women with stage I-III breast cancer in clinical practice settings.Methods We searched PubMed EMBASE, PsycINFO and CINAHL for articles investigating determinants of adjuvant hormonal therapy. Potentially modifiable determinants were identified and mapped to the 14 domains of the Theoretical Domains Framework (TDF), an integrative framework of theories of behavioural change. Meta-analysis was used to calculate pooled odds ratios for selected determinants.Results Potentially modifiable determinants were identified in 42 studies and mapped to 9 TDF domains. In meta-analysis treatment side-effects (Domain: Beliefs about Capabilities) and follow-up care with a general practitioner (vs. oncologist) (Social Influences) were significantly negatively associated with persistence (p<0.001) and number of medications (Behaviour Regulation) was significantly positively associated with persistence (p<0.003). Studies did not examine several domains (including Beliefs about Consequences, Intentions, Goals, Social Identity, Emotion and Knowledge) which have been reported to influence MTB in other disease groups.Conclusions There is some evidence that the domains Beliefs about Capabilities, Behaviour Regulation and Social Influences influence hormonal therapy MTB.Practice implications Further research is needed to develop effective interventions to improve hormonal therapy MTB.
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A systematic review of interventions to improve adherence to endocrine therapy
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Smith, S. G., Green, S. M. C., Ellison, R., Foy, R., Graham, C. D., Mason, E., French, D. P., Hall, L. H., Wilkes, H., McNaught, E., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-069971 · Cited by 20 · see citing works
Smith, S. G., Ellison, R., Hall, L., Clark, J., Hartley, S., Mason, E., Metherell, J., Olivier, C., Napp, V., Naik, J., et al. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-00985-6 · Cited by 17 · see citing works
“A number of barriers to medication use have been reported in this setting, including medication side-effects, psychological distress and a lack of social support [4, 15].”
BackgroundGraham, C. D., Ellison, R., Hall, L. H., Clark, J., McNaught, E., Green, S. M. C., Wilkes, H., Robson, G., Lorentz, I., Holmes, L., et al. (2024) · Psycho-Oncology · doi:10.1002/pon.6349 · Cited by 8 · see citing works
- Authors
- Cahir, C., Guinan, E., Dombrowski, S. U., Sharp, L., & Bennett, K.
- Affiliations
- Trinity College Dublin (IE)
- University of Stirling (GB)
- National Cancer Registry (IE)
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 98
- Issue
- 12
- Pages
- 1524-1539
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W628474126
- Cited by
- 84
- References
- 103
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 10 · 2022: 16 · 2021: 9 · 2020: 11 · 2019: 5 · 2018: 4 · 2017: 8 · 2016: 4 · 2015: 1
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by-nc-nd)
- Funders
- Health Research Board
- Trinity College Dublin
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- adjuvant endocrine therapy, medication-taking behavior, breast cancer, treatment persistence, treatment side effects, behavioral regulation, social influence, beliefs about capabilities, Theoretical Domains Framework, behaviour change interventions
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