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Healthcare Provider Perspectives on Adherence to Adjuvant Endocrine Therapy after Breast Cancer
Leah K Lambert1,2, Lynda G Balneaves3, A Fuchsia Howard1
1School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
Current Oncology (Toronto, Ont.)
|April 30, 2021
Summary
Healthcare providers find challenges in supporting breast cancer survivors with adjuvant endocrine therapy (AET) adherence. Improving care models and system innovations are crucial for better survivorship and reduced mortality.
Area of Science:
- Oncology
- Healthcare Delivery
- Patient Adherence
Background:
- Adherence to adjuvant endocrine therapy (AET) for breast cancer is a significant challenge in survivorship care.
- Suboptimal adherence can impact treatment efficacy and patient outcomes.
Purpose of the Study:
- To explore healthcare providers' (HCPs) experiences and perspectives on providing care to breast cancer survivors on AET.
- To identify social and structural factors influencing AET-related care.
- To gather HCP recommendations for optimizing AET adherence.
Main Methods:
- Individual, in-depth interviews with 14 HCPs.
- Interpretive descriptive approach and relational autonomy theoretical lens.
- Thematic and constant comparative data analysis techniques.
Main Results:
- HCPs focused on careful AET conversations, navigating care transitions, symptom management, and AET discontinuation.
- Key challenges included communication, care coordination, and managing side effects.
- HCPs emphasized the need for sustainable and efficient care models.
Conclusions:
- HCPs are pivotal in educating and supporting women on AET.
- Sustainable healthcare innovations and new models of care are essential to address system gaps.
- Optimizing AET adherence can enhance survivorship care, reduce cancer recurrence, and improve mortality rates.
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