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dc.contributor.authorCahir, Caitrionaen_UK
dc.contributor.authorDombrowski, Stephan Uen_UK
dc.contributor.authorKelly, Catherine Men_UK
dc.contributor.authorKennedy, M Johnen_UK
dc.contributor.authorBennett, Kathleenen_UK
dc.contributor.authorSharp, Lindaen_UK
dc.description.abstractPurpose: Five to 10years of adjuvant hormonal therapy is recommended to prevent breast cancer recurrence. This study investigated modifiable influences on adjuvant hormonal therapy medication-taking behaviour (MTB) in women with stage I-III breast cancer. Methods: Semi-structured face-to-face interviews among women with stage I-III breast cancer prescribed adjuvant hormonal therapy purposively sampled by their MTB at two cancer centres. Thematic analysis was conducted based on the Framework approach, with the Theoretical Domains Framework (TDF) informing the analysis framework; the TDF is an integrative framework consisting of 14 domains of behavioural change to inform intervention design. Results: Thirty-one women participated in interviews (14 adherent/persistent; 7 non-adherent/persistent; 10 non-persistent). Three domains identified both barriers and enablers to hormonal therapy MTB across the three MTB strata: beliefs about consequences, intentions and goals and behaviour regulation, but their influence was different across the strata. Other domains influenced individual MTB strata. Key enablers for adherent/persistent women were identified within the domain beliefs about consequences (breast cancer recurrence), intentions and goals (high-priority), beliefs about capabilities (side effects) and behaviour regulation (managing medication). Barriers were identified within the domain behaviour regulation (no routine), memory, attention and decision processes (forgetting) and environmental context and resources (stressors) for non-adherent/persistent women and intentions and goals (quality of life), behaviour regulation (temporal self-regulation), reinforcement, beliefs about consequences (non-necessity) and social influences (clinical support) for non-persistent women. Conclusion: This study identified modifiable influences on hormonal therapy MTB. Targeting these influences in clinical practice may improve MTB and hence survival in this population.en_UK
dc.relationCahir C, Dombrowski SU, Kelly CM, Kennedy MJ, Bennett K & Sharp L (2015) Women’s experiences of hormonal therapy for breast cancer: exploring influences on medication-taking behaviour. Supportive Care in Cancer, 23 (11), pp. 3115-3130.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectHormonal therapyen_UK
dc.subjectMedication-taking behaviouren_UK
dc.subjectBreast canceren_UK
dc.titleWomen’s experiences of hormonal therapy for breast cancer: exploring influences on medication-taking behaviouren_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Cahir et al_SCC_2015.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleSupportive Care in Canceren_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationTrinity College, Dublinen_UK
dc.contributor.affiliationUniversity College Dublin (UCD)en_UK
dc.contributor.affiliationTrinity College, Dublinen_UK
dc.contributor.affiliationTrinity College, Dublinen_UK
dc.contributor.affiliationNational Cancer Registry Irelanden_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorCahir, Caitriona|en_UK
local.rioxx.authorDombrowski, Stephan U|0000-0001-9832-2777en_UK
local.rioxx.authorKelly, Catherine M|en_UK
local.rioxx.authorKennedy, M John|en_UK
local.rioxx.authorBennett, Kathleen|en_UK
local.rioxx.authorSharp, Linda|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameCahir et al_SCC_2015.pdfen_UK
Appears in Collections:Psychology Journal Articles

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