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. 2022 Jun 17;49(4):279-295.
doi: 10.1188/22.ONF.279-295.

ONS Guidelines™ to Support Patient Adherence to Oral Anticancer Medications

Sarah M Belcher  1 , Emily Mackler  2 , Benyam Muluneh  3 , Pamela K Ginex  4 , Mary K Anderson  5 , Elizabeth Bettencourt  6 , Ryan K DasGupta  7 , Jennifer Elliott  8 , Erica Hall  9 , Michelle Karlin  10 , Diana Kostoff  7 , Victoria K Marshall  11 , Vanessa E Millisor  12 , Maegan Molnar  13 , Susan M Schneider  14 , Janelle Tipton  15 , Susan Yackzan  16 , Kristine B LeFebvre  4 , Kapeena Sivakumaran  17 , Haya Waseem  17 , Rebecca L Morgan  18
Affiliations

ONS Guidelines™ to Support Patient Adherence to Oral Anticancer Medications

Sarah M Belcher et al. Oncol Nurs Forum. .

Abstract

Purpose: This evidence-based guideline intends to support patients, clinicians, and others regarding interventions and processes to support patient adherence to oral anticancer medications (OAMs).

Methodologic approach: A panel of healthcare professionals and patient representatives developed a clinical practice guideline to support patients taking OAMs. GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology and criteria for trustworthy guidelines were followed. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool. A quantitative or narrative synthesis of the evidence was completed. Certainty of the evidence was assessed using GRADE.

Findings: The panel agreed on recommendations and suggested an adherence risk assessment, education addressing adherence, ongoing assessment, proactive follow-up, coaching, and motivational interviewing in addition to usual care. The panel suggested the implementation of a structured OAM program.

Implications for nursing: As cancer treatment shifts from clinic to home settings, interventions and programs to support patients on OAMs are needed.

Keywords: medication adherence; nursing; oncology care; oral anticancer medication; scoping review.

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Figures

FIGURE 1.
FIGURE 1.
Research Priorities Identified by the ONS Guidelines™ Panel OAM—oral anticancer medication; ONS—Oncology Nursing Society
See this image and copyright information in PMC

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