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Factors influencing opioid-taking self-efficacy and analgesic adherence in Taiwanese outpatients with cancer.

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Title: Factors influencing opioid-taking self-efficacy and analgesic adherence in Taiwanese outpatients with cancer.
Authors: Liang, Shu-Yuan, Yates, Patsy, Edwards, Helen, Tsay, Shiow-Luan
Source: Psycho-Oncology. Nov2008, Vol. 17 Issue 11, p1100-1107. 8p. 3 Charts.
Subjects: Patient compliance, Drug therapy, Opioids, Self-efficacy, Cancer patients, Pain
Geographic Terms: Taiwan
Abstract: Aim: Although research has suggested that medication adherence rates are lower than what is needed to achieve optimal pain control, the role of patient beliefs and attitudes in influencing opioid adherence has rarely been examined. Perceived self-efficacy is reported to be an important construct in predicting and enhancing adherence behaviour. The purpose of this study was to explore the relationship between opioid-taking self-efficacy, opioid beliefs, adherence behaviours, and pain experience amongst Taiwanese cancer outpatients. Method: The cross-sectional study included 92 oncology outpatients in two teaching hospitals in the Taipei area of Taiwan. The research instruments included the Opioid-Taking Self-Efficacy Scale-Cancer (OTSES-CA), the Pain Opioid Analgesic Beliefs Scale-Cancer (POABS-CA), opioid adherence, and the Brief Pain Inventory-Chinese (BPI-Chinese). Results: Opioid-taking self-efficacy demonstrated a significant positive relationship with patients' opioid adherence (r=0.22, p<0.05) and pain relief (r=0.35, p<0.01), while also demonstrating a significant positive correlation with worst pain (r=0.25, p<0.05). In addition, the more negative beliefs regarding opioids the patient had, the worse their adherence to around the clock analgesic regimen (r=-0.30, p<0.01). Multivariate analysis identified opioid-taking self-efficacy continued to have a significant independent influence on opioid adherence and pain relief, after controlling for key demographic variables. Self-efficacy accounted for 4% (Rinc2=0.04, p=0.043) of the variance and opioid beliefs accounted for 8% (Rinc2=0.08, p=0.007) of the variance in opioid adherence. Multivariate analysis also identified that opioid-taking self-efficacy accounted for 11% (Rinc2=0.11, p=0.001) of the variance in pain relief, but opioid beliefs did not continue to have an independent effect for this outcome. Conclusions: The study highlights the potential importance of a patient's self-efficacy beliefs in adherence to medication and key pain outcomes. Copyright © 2008 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Factors influencing opioid-taking self-efficacy and analgesic adherence in Taiwanese outpatients with cancer.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Liang%2C+Shu-Yuan%22&quot;&gt;Liang, Shu-Yuan&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yates%2C+Patsy%22&quot;&gt;Yates, Patsy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Edwards%2C+Helen%22&quot;&gt;Edwards, Helen&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tsay%2C+Shiow-Luan%22&quot;&gt;Tsay, Shiow-Luan&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Nov2008, Vol. 17 Issue 11, p1100-1107. 8p. 3 Charts.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Patient+compliance%22&quot;&gt;Patient compliance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Drug+therapy%22&quot;&gt;Drug therapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Opioids%22&quot;&gt;Opioids&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Self-efficacy%22&quot;&gt;Self-efficacy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+patients%22&quot;&gt;Cancer patients&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pain%22&quot;&gt;Pain&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Taiwan%22&quot;&gt;Taiwan&lt;/searchLink&gt;
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  Label: Abstract
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  Data: Aim: Although research has suggested that medication adherence rates are lower than what is needed to achieve optimal pain control, the role of patient beliefs and attitudes in influencing opioid adherence has rarely been examined. Perceived self-efficacy is reported to be an important construct in predicting and enhancing adherence behaviour. The purpose of this study was to explore the relationship between opioid-taking self-efficacy, opioid beliefs, adherence behaviours, and pain experience amongst Taiwanese cancer outpatients. Method: The cross-sectional study included 92 oncology outpatients in two teaching hospitals in the Taipei area of Taiwan. The research instruments included the Opioid-Taking Self-Efficacy Scale-Cancer (OTSES-CA), the Pain Opioid Analgesic Beliefs Scale-Cancer (POABS-CA), opioid adherence, and the Brief Pain Inventory-Chinese (BPI-Chinese). Results: Opioid-taking self-efficacy demonstrated a significant positive relationship with patients&#39; opioid adherence (r=0.22, p&lt;0.05) and pain relief (r=0.35, p&lt;0.01), while also demonstrating a significant positive correlation with worst pain (r=0.25, p&lt;0.05). In addition, the more negative beliefs regarding opioids the patient had, the worse their adherence to around the clock analgesic regimen (r=-0.30, p&lt;0.01). Multivariate analysis identified opioid-taking self-efficacy continued to have a significant independent influence on opioid adherence and pain relief, after controlling for key demographic variables. Self-efficacy accounted for 4% (R&lt;STACK&gt;inc2&lt;/STACK&gt;=0.04, p=0.043) of the variance and opioid beliefs accounted for 8% (R&lt;STACK&gt;inc2&lt;/STACK&gt;=0.08, p=0.007) of the variance in opioid adherence. Multivariate analysis also identified that opioid-taking self-efficacy accounted for 11% (R&lt;STACK&gt;inc2&lt;/STACK&gt;=0.11, p=0.001) of the variance in pain relief, but opioid beliefs did not continue to have an independent effect for this outcome. Conclusions: The study highlights the potential importance of a patient&#39;s self-efficacy beliefs in adherence to medication and key pain outcomes. Copyright &#169; 2008 John Wiley &amp; Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1002/pon.1326
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1100
    Subjects:
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Drug therapy
        Type: general
      – SubjectFull: Opioids
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Pain
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      – SubjectFull: Taiwan
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      – TitleFull: Factors influencing opioid-taking self-efficacy and analgesic adherence in Taiwanese outpatients with cancer.
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            NameFull: Liang, Shu-Yuan
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            NameFull: Yates, Patsy
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            NameFull: Edwards, Helen
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            NameFull: Tsay, Shiow-Luan
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            – D: 01
              M: 11
              Text: Nov2008
              Type: published
              Y: 2008
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