ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Interventions to improve adherence to oral endocrine therapy for prevention or treatment of breast cancer in Black women of low socioeconomic status.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeOur study aimed to design patient-centered interventions and test their feasibility, acceptability, and effectiveness in improving oral endocrine therapy (OET) adherence in underserved Black women.
methodsThis prospective study included adult, Black women on OET for either the prevention or treatment of breast cancer (BC) at Harris Health in Houston, TX, USA. The first intervention was a motivational interviewing (MI)-based telephone intervention consisting of six monthly calls. The second intervention was a one-time viewing of a theater-based educational video. OET adherence 6 months before and during the MI intervention was measured using the proportion of days covered (PDC) and compared using a paired t-test. Participants also completed a survey at the end of both interventions to determine their acceptability. The survey responses were summarized descriptively.
resultsThe majority of participants in MI (n = 20) and video (n = 25) interventions were satisfied with the intervention they received. During MI, the most common barriers identified were adverse drug reactions (hot flashes and muscle/joint pain) and forgetfulness. Three major cultural themes arose in our qualitative analysis: religion/spirituality, family, and trust in healthcare providers. Sixty-five percent of patients showed improved PDC during the intervention, while 24% of individuals who did not complete all 6 MI phone calls did not show improved PDC. There was no significant difference in OET adherence during the MI intervention.
conclusionA 6-month telephonic MI intervention and a one-time educational video were each feasible and acceptable approaches for promoting OET adherence in underserved Black women for prevention or treatment of BC.
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