Abstract
Objective Up to 50% of women prescribed tamoxifen do not take it as prescribed for the full duration, which increases risk of
recurrence and mortality. The current paper describes the development of a self-management intervention aiming to improve
adherence in breast cancer survivors taking tamoxifen.
Methods The intervention was developed following an Intervention Mapping approach. The content of the intervention was
determined by theories of health behaviour and empirical evidence. Development was an iterative process involving input from
expert researchers, clinicians and patient representatives.
Results The intervention was designed to improve both intentional and unintentional non-adherence. Key features included
modifying unhelpful illness and treatment beliefs, improving confidence for coping with side effects and developing strategies
for remembering to take tamoxifen.
Conclusion Intervention Mapping proved a useful tool for developing an intervention which is grounded in theory and empirical
evidence. The intervention has the potential to improve adherence in breast cancer survivors but needs to be trialled before the
effectiveness of the intervention can be determined
recurrence and mortality. The current paper describes the development of a self-management intervention aiming to improve
adherence in breast cancer survivors taking tamoxifen.
Methods The intervention was developed following an Intervention Mapping approach. The content of the intervention was
determined by theories of health behaviour and empirical evidence. Development was an iterative process involving input from
expert researchers, clinicians and patient representatives.
Results The intervention was designed to improve both intentional and unintentional non-adherence. Key features included
modifying unhelpful illness and treatment beliefs, improving confidence for coping with side effects and developing strategies
for remembering to take tamoxifen.
Conclusion Intervention Mapping proved a useful tool for developing an intervention which is grounded in theory and empirical
evidence. The intervention has the potential to improve adherence in breast cancer survivors but needs to be trialled before the
effectiveness of the intervention can be determined
| Original language | English |
|---|---|
| Journal | Supportive Care in Cancer |
| DOIs | |
| Publication status | Published - 30 Oct 2020 |
Keywords
- Adherence
- Breast cancer
- Intervention Mapping
- Tamoxifen
