Evidence map›Paper›PMID 36883245›Full record

ArticleJournal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners2023

Improving palbociclib adherence among women with metastatic breast cancer using a CONnected CUstomized Treatment Platform: A pilot study.

Gelareh Sadigh, Jane L Meisel, Kristina Byers, Andrew Robles, Leslie Serrano, Olivia S Jung, Debrua Coleman, Katherine A Yeager, Ilana Graetz

Abstract read
In one paragraph

Article in Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gelareh SadighDepartment of Radiological Sciences, University of California Irvine, Orange, CA, USA.ORCID 0000-0003-3233-1878
Jane L MeiselDepartment of Hematology and Oncology, Emory University Winship Cancer Institute, Atlanta, GA, USA.
Kristina ByersDepartment of Pharmaceutical Services, Emory University Hospital Midtown, Atlanta, GA, USA.
Andrew RoblesDepartment of Health Policy and Management, Emory Rollins School of Public Health, Atlanta, GA, USA.
Leslie SerranoDepartment of Behavioral, Social, and Health Education Sciences, Emory Rollins School of Public Health, Atlanta, GA, USA.
Olivia S JungDepartment of Health Policy and Management, Emory Rollins School of Public Health, Atlanta, GA, USA.
Debrua ColemanDepartment of Radiological Sciences, University of California Irvine, Orange, CA, USA.
Katherine A YeagerNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Ilana GraetzDepartment of Pharmaceutical Services, Emory University Hospital Midtown, Atlanta, GA, USA.

Funding

Improving medication adherence using a CONnected CUstomized Treatment Platform (CONCURxP)R01CA262312 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Ilana Graetz, Gelareh Sadigh · 2022 to 2026
$2.5M
NCI NIH HHS R01 CA262312
6 · The paper itself

Abstract

objectiveTo pilot test a mobile health intervention using a CONnected CUstomized Treatment Platform that integrates a connected electronic adherence monitoring smartbox and an early warning system of non-adherence with bidirectional automated texting feature and provider alerts.

methodsIn total, 29 adult women with hormone-receptor-positive, human epidermal growth factor receptor 2-negative metastatic breast cancer and a prescription for palbociclib were asked to complete a survey and participate in a CONnected CUstomized Treatment Platform intervention, including use of a smartbox for real-time adherence monitoring, which triggered text message reminders for any missed or extra dose, and referrals to (a) participant's oncology provider after three missed doses or an episode of over-adherence, or (b) a financial navigation program for any cost-related missed dose. Use of smartbox, number of referrals, palbociclib adherence, CONnected CUstomized Treatment Platform usability measured by System Usability Scale, and changes in symptom burden and quality of life were assessed.

resultsMean age was 57.6 and 69% were white. The smartbox was used by 72.4% of participants, with palbociclib adherence rate of 95.8%±7.6%. One participant was referred to oncology provider due to missed doses and one was referred to financial navigation. At baseline, 33.3% reported at least one adherence barrier including inconvenience to get prescription filled, forgetfulness, cost, and side effects. There were no changes in self-reported adherence, symptom burden or quality of life over 3 months. CONnected CUstomized Treatment Platform usability score was 61.9 ± 14.2.

conclusionThe CONnected CUstomized Treatment Platform interventions is feasible, resulting in a high palbociclib adherence rate without any decline in overtime. Future efforts should focus on improving usability.

Indexed as

Breast NeoplasmsAdultAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedPilot ProjectsPiperazinesPyridinesQuality of LifeErb-b2 Receptor Tyrosine KinasespalbociclibPiperazinesPyridinesadherenceMetastatic breast cancermobile healthpalbociclib

Identifiers

PMID36883245
PMCPMC10483024

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.