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Compliance and cost: Bitter pills to swallow in the age of oral chemotherapy
Date:5/28/2009

tumors may grow quickly if left untreated, or be responsive to oral chemo agents only at early stages.

"You've got a very specific window of time in which you've got to take these drugs, or they're not going to work," DeMichele says.

Studies of behavioral interventions to boost adherence such as written materials, education sessions with health care providers or simplifying dosing requirements so that patients don't need to take their medicine so often show only small to modest impact, and they may not work for the long term. DeMichele and her colleagues suggest, however, that technology from cell phone programs to computerized pill boxes -- remains an untapped resource for helping patients improve their compliance. One 2008 study, for instance, found that adolescents who played a video game called "Re-Mission" were more adherent to their oral chemotherapy and antibiotic regimens and showed an increase in cancer-related knowledge, compared to patients who did not play the game.

Editor's note: Dr. DeMichele's session will take place from 9:45 a.m. to 11 a.m. on Sunday, May 31 on Level 4, Valencia Room, W415A of the Orange County Convention Center in Orlando, Fla. To arrange an on-site interview with Dr. DeMichele or any other Penn Medicine faculty who will be in attendance at the meeting, please contact Holly Auer at 215-200-2313 or holly.auer@uphs.upenn.edu.


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Contact: Holly Auer
holly.auer@uphs.upenn.edu
215-200-2313
University of Pennsylvania School of Medicine
Source:Eurekalert

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