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Implementing motivational interviewing to improve endocrine therapy adherence among breast cancer patients: a
Victoria J Dunsmore1, Charlotte Ellis2, Sarah Drier2
1Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA. vdunsmo@unc.edu.
Background:
This study evaluates the implementation of the GETSET (Guiding Endocrine Therapy Success through Empowerment and Teamwork) pilot, a motivational interviewing (MI) intervention aimed at improving endocrine therapy (ET) adherence among patients with breast cancer.
Methods:
Using the Consolidated Framework for Implementation Research (CFIR), qualitative interviews were conducted with site staff (N = 2), patients (N = 4), and counselors (N = 2).
Results:
The thematic analysis identified facilitators such as high-quality materials, ease of scheduling sessions, and effective communication among staff. However, barriers included lack of personalization and systemic issues like understaffing.
Conclusions:
The study underscores the need to adapt implementation of behavioral interventions in a healthcare setting to improve ET adherence. As this was a process evaluation of a pilot study, future work should evaluate the barriers and facilitators to a larger clinical trial to identify if the same strategies should be refined.
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