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Semin Oncol Nurs. 2021 Apr;37(2):151140. doi: 10.1016/j.soncn.2021.151140. Epub 2021 Mar 22.

The Effect of Educational Follow-Up with the Motivational Interview Technique on Self-Efficacy and Drug Adherence in Cancer Patients Using Oral Chemotherapy Treatment: A Randomized Controlled Trial.

Seminars in oncology nursing

Huri Seval Gönderen Çakmak, Sevgisun Kapucu

Affiliations

  1. Eldivan Vocational School of Health Services, Çank?r? Karatekin University, Çank?r?, Turkey. Electronic address: [email protected].
  2. Faculty of Nursing, Internal Medicine Nursing Department, Hacettepe University, Ankara, Turkey.

PMID: 33766423 DOI: 10.1016/j.soncn.2021.151140

Abstract

OBJECTIVES: This study aimed to determine the effect of educational follow-up with the motivational interview technique on drug adherence and self-efficacy in patients with cancer using at least one oral chemotherapy drug.

DATA SOURCES: A total of 80 patients with cancer were randomly allocated to the intervention group or the control group. Educational follow-up with the motivational interview technique was applied to the patients with phone calls during weeks 1, 3, 6, and 9. Patients in the intervention and control groups were evaluated during both the first interview and at week 12 using a questionnaire, the medication adherence self-efficacy scale (MASES), and oral chemotherapy adherence scale (OCAS).

CONCLUSION: At the end of the study, the level of drug adherence and self-efficacy of patients who received educational follow-up with the motivational interview technique by phone call increased significantly (P < .001). Additionally, the level of drug self-efficacy of patients increased (P < .001).

IMPLICATIONS FOR NURSING PRACTICE: This study emphasizes treatment compliance problems of patients with cancer using oral chemotherapy. Designed with communication techniques that will be added to our counseling process, interventions can allow nurses to use their time effectively.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: Adherence; Cancer; Coaching; Motivational interview; Oral chemotherapy; Self-efficacy

Conflict of interest statement

Conflict of interest statement The authors declare no conflicts of interest.

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