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Factors associated with intentional and unintentional non‐adherence to adjuvant endocrine therapy following breast cancer

Overview of attention for article published in European Journal of Cancer Care, November 2016
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Title
Factors associated with intentional and unintentional non‐adherence to adjuvant endocrine therapy following breast cancer
Published in
European Journal of Cancer Care, November 2016
DOI 10.1111/ecc.12601
Pubmed ID
Authors

J. Brett, D. Fenlon, M. Boulton, N.J. Hulbert‐Williams, F.M. Walter, P. Donnelly, B. Lavery, A. Morgan, C. Morris, E. Watson

Abstract

Adherence to adjuvant endocrine therapy (AET) following breast cancer is known to be suboptimal despite its known efficacy in reducing recurrence and mortality. This study aims to investigate factors associated with non-adherence and inform the development of interventions to support women and promote adherence. A questionnaire survey to measure level of adherence, side effects experienced, beliefs about medicine, support received and socio-demographic details was sent to 292 women 2-4 years post breast cancer diagnosis. Differences between non-adherers and adherers to AET were explored, and factors associated with intentional and unintentional non-adherence are reported. Approximately one quarter of respondents, 46 (22%), were non-adherers, comprising 29 (14%) intentional non-adherers and 17 (8%) unintentional non-adherers. Factors significantly associated with intentional non-adherence were the presence of side effects (p < .03), greater concerns about AET (p < .001) and a lower perceived necessity to take AET (p < .001). Half of the sample (105/211) reported that side effects had a moderate or high impact on their quality of life. Factors associated with unintentional non-adherence were younger age (<65) (p < .001), post-secondary education (p = .046) and paid employment (p = .031). There are distinct differences between intentional non-adherence and unintentional non-adherence. Differentiation between the two types of non-adherence may help tailor support and advice interventions.

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The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 143 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 143 100%

Demographic breakdown

Readers by professional status Count As %
Lecturer 25 17%
Student > Master 16 11%
Student > Bachelor 13 9%
Student > Ph. D. Student 10 7%
Student > Doctoral Student 7 5%
Other 24 17%
Unknown 48 34%
Readers by discipline Count As %
Nursing and Health Professions 37 26%
Medicine and Dentistry 14 10%
Psychology 12 8%
Pharmacology, Toxicology and Pharmaceutical Science 10 7%
Computer Science 4 3%
Other 13 9%
Unknown 53 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 April 2020.
All research outputs
#16,047,334
of 25,373,627 outputs
Outputs from European Journal of Cancer Care
#758
of 1,314 outputs
Outputs of similar age
#236,982
of 415,967 outputs
Outputs of similar age from European Journal of Cancer Care
#14
of 27 outputs
Altmetric has tracked 25,373,627 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,314 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.2. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 415,967 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 40th percentile – i.e., 40% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 27 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.