The Effect of Educational Follow-Up with the Motivational Interview Technique on Self-Efficacy and Drug Adherence in Cancer Patients Using Oral Chemotherapy Treatment: A Randomized Controlled Trial

• Published in: Seminars in oncology nursing 2021-04, Vol.37 (2), p.151140-151140, Article 151140
• Main Authors: Gönderen Çakmak, Huri Seval, Kapucu, Sevgisun
• Format: Article
• Language: English
• Subjects: Adherence; Cancer; Coaching; Motivational interview; Nursing; Oral chemotherapy; Self-efficacy
• ISSN: 0749-2081; 1878-3449
• DOI: 10.1016/j.soncn.2021.151140

•Over the years, there has been an increase in the number of oral agents available for cancer treatment.•Patient-centered approaches, such as motivational interviewing, increase patient self-efficacy and drug adherence.•Educational follow-up with the motivational interview technique is a possible way to improve the quality of care for patients with cancer. This study aimed to determine the effect of educational follow-up with the motivational interview technique on drug adherence and self-efficacy in patients with cancer using at least one oral chemotherapy drug. A total of 80 patients with cancer were randomly allocated to the intervention group or the control group. Educational follow-up with the motivational interview technique was applied to the patients with phone calls during weeks 1, 3, 6, and 9. Patients in the intervention and control groups were evaluated during both the first interview and at week 12 using a questionnaire, the medication adherence self-efficacy scale (MASES), and oral chemotherapy adherence scale (OCAS). At the end of the study, the level of drug adherence and self-efficacy of patients who received educational follow-up with the motivational interview technique by phone call increased significantly (P < .001). Additionally, the level of drug self-efficacy of patients increased (P < .001). This study emphasizes treatment compliance problems of patients with cancer using oral chemotherapy. Designed with communication techniques that will be added to our counseling process, interventions can allow nurses to use their time effectively.