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dc.contributor.advisorWeber, Mary T.
dc.contributor.authorGrossman, Vicki Lynn
dc.contributor.committeememberCook, Paul F.
dc.contributor.committeememberMatthews, Ellyn E.
dc.contributor.committeememberSmith, Marlaine C.
dc.date.accessioned2015-08-27T03:56:05Z
dc.date.available2015-12-09T08:20:26Z
dc.date.submitted2015
dc.descriptionSpring
dc.descriptionIncludes bibliographical references.
dc.description.abstractThe purpose of this study was to examine the relationship between adherence and traumatic stress, depression, and symptom distress. The study also sought to determine whether or not non adherence was intentional or unintentional. A non-experimental correlational regression design was used to design and conduct the study. Prior research (Armaiz-Pena, Lutgendorf, Cole, Sood, 2009; McGregor & Antoni, 2009; Miller, Ancoli-Israel, Bower, Capuron, Irwin, 2007), indicated behavioral outcomes are related to psychological stress, behavioral response, and the bi-directional biological influences affecting neurocognitive functioning. There is currently little knowledge about predictors of adherence and intentionality to adjuvant hormonal therapy. A biobehavioral theoretical model was used to provide the foundation for the study on adherence and intentionality to adjuvant hormonal therapy in breast cancer treatment. The term intentionality was used to describe the participants’ desire to maintain adherence to adjuvant hormonal therapy during the study. Participants were recruited from five outpatient breast cancer treatment settings, healthcare organizations, or programs providing treatment or support services for breast cancer survivors. Inclusion criteria for this study include: (a) female 20–70 years (b) breast cancer diagnosis (c) completion of all single or multimodal adjuvant or neo-adjuvant treatment plans (d) English speaking and writing, and (e) first diagnosis of cancer. Stepwise multiple regression tests were used to analyze the data collected for the study and is appropriate for the variables and purpose to be used in the study. The study used traumatic stress, depression and symptom distress as predictor variables and adherence and intentionality as the dependent variables. This study will contribute to the knowledge of adherence and intentionality to adjuvant hormonal therapy in breast cancer treatment, and improve clinical outcomes.
dc.identifierGrossman_ucdenveramc_1639D_10223.pdf
dc.identifier.urihttp://hdl.handle.net/10968/1127
dc.languageEnglish
dc.publisherUniversity of Colorado Anschutz Medical Campus. Strauss Health Sciences Library
dc.rightsCopyright of the original work is retained by the author.
dc.rights.accessEmbargo Expires: 12/09/2015
dc.subjectCancer Stress
dc.subjectAdherence
dc.subject.meshNursing
dc.subject.meshBreast Neoplasms
dc.subject.meshChemotherapy, Adjuvant
dc.subject.meshBehavior
dc.subject.meshMedicine
dc.titleAdherence to adjuvant hormonal therapy in breast cancer survivors
dc.typeThesis
dcterms.embargo.expires2015-12-09
thesis.degree.disciplineNursing
thesis.degree.grantorUniversity of Colorado at Denver, Anschutz Medical Campus
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy (Ph.D.)


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