Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon

Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Qiu X [verfasserIn] Palinkas LA [verfasserIn] Wells AA [verfasserIn] Ell K [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Übergeordnetes Werk:	In: Patient Preference and Adherence - Dove Medical Press, 2008, (2011), default, Seite 465-470
Übergeordnetes Werk:	year:2011 ; number:default ; pages:465-470

Links:	Link aufrufen Link aufrufen Journal toc

Katalog-ID:	DOAJ079719279

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allfields	(DE-627)DOAJ079719279 (DE-599)DOAJd771b655e70f4961bd48a3afa27ea7e7 DE-627 ger DE-627 rakwb eng R5-920 Qiu X verfasserin aut Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance Medicine (General) Palinkas LA verfasserin aut Wells AA verfasserin aut Ell K verfasserin aut In Patient Preference and Adherence Dove Medical Press, 2008 (2011), default, Seite 465-470 (DE-627)582018145 (DE-600)2455848-5 1177889X nnns year:2011 number:default pages:465-470 https://doaj.org/article/d771b655e70f4961bd48a3afa27ea7e7 kostenfrei http://www.dovepress.com/cancer-patientsrsquo-perspectives-on-discontinuing-depression-treatmen-a8359 kostenfrei https://doaj.org/toc/1177-889X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2011 default 465-470
spelling	(DE-627)DOAJ079719279 (DE-599)DOAJd771b655e70f4961bd48a3afa27ea7e7 DE-627 ger DE-627 rakwb eng R5-920 Qiu X verfasserin aut Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance Medicine (General) Palinkas LA verfasserin aut Wells AA verfasserin aut Ell K verfasserin aut In Patient Preference and Adherence Dove Medical Press, 2008 (2011), default, Seite 465-470 (DE-627)582018145 (DE-600)2455848-5 1177889X nnns year:2011 number:default pages:465-470 https://doaj.org/article/d771b655e70f4961bd48a3afa27ea7e7 kostenfrei http://www.dovepress.com/cancer-patientsrsquo-perspectives-on-discontinuing-depression-treatmen-a8359 kostenfrei https://doaj.org/toc/1177-889X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2011 default 465-470
allfields_unstemmed	(DE-627)DOAJ079719279 (DE-599)DOAJd771b655e70f4961bd48a3afa27ea7e7 DE-627 ger DE-627 rakwb eng R5-920 Qiu X verfasserin aut Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance Medicine (General) Palinkas LA verfasserin aut Wells AA verfasserin aut Ell K verfasserin aut In Patient Preference and Adherence Dove Medical Press, 2008 (2011), default, Seite 465-470 (DE-627)582018145 (DE-600)2455848-5 1177889X nnns year:2011 number:default pages:465-470 https://doaj.org/article/d771b655e70f4961bd48a3afa27ea7e7 kostenfrei http://www.dovepress.com/cancer-patientsrsquo-perspectives-on-discontinuing-depression-treatmen-a8359 kostenfrei https://doaj.org/toc/1177-889X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2011 default 465-470
allfieldsGer	(DE-627)DOAJ079719279 (DE-599)DOAJd771b655e70f4961bd48a3afa27ea7e7 DE-627 ger DE-627 rakwb eng R5-920 Qiu X verfasserin aut Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance Medicine (General) Palinkas LA verfasserin aut Wells AA verfasserin aut Ell K verfasserin aut In Patient Preference and Adherence Dove Medical Press, 2008 (2011), default, Seite 465-470 (DE-627)582018145 (DE-600)2455848-5 1177889X nnns year:2011 number:default pages:465-470 https://doaj.org/article/d771b655e70f4961bd48a3afa27ea7e7 kostenfrei http://www.dovepress.com/cancer-patientsrsquo-perspectives-on-discontinuing-depression-treatmen-a8359 kostenfrei https://doaj.org/toc/1177-889X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2011 default 465-470
allfieldsSound	(DE-627)DOAJ079719279 (DE-599)DOAJd771b655e70f4961bd48a3afa27ea7e7 DE-627 ger DE-627 rakwb eng R5-920 Qiu X verfasserin aut Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance Medicine (General) Palinkas LA verfasserin aut Wells AA verfasserin aut Ell K verfasserin aut In Patient Preference and Adherence Dove Medical Press, 2008 (2011), default, Seite 465-470 (DE-627)582018145 (DE-600)2455848-5 1177889X nnns year:2011 number:default pages:465-470 https://doaj.org/article/d771b655e70f4961bd48a3afa27ea7e7 kostenfrei http://www.dovepress.com/cancer-patientsrsquo-perspectives-on-discontinuing-depression-treatmen-a8359 kostenfrei https://doaj.org/toc/1177-889X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2011 default 465-470
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Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8&ndash;10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a &ldquo;dropout.&rdquo; Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. 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title	Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon
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title_sort	cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon
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title_auth	Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon
abstract	Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance
abstractGer	Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance
abstract_unstemmed	Anjanette A Wells1, Lawrence A Palinkas2, Xuxu Qiu3, Kathleen Ell2 1George Warren Brown School of Social Work, Washington University, St Louis, MO, USA; 2School of Social Work, University of Southern California, Los Angeles, CA, USA; 3School of Social Work, Saint Louis University, St Louis, MO, USA Background: Adherence is a critical component of clinical intervention utility, but little is known about how cancer patients with depression, particularly low-income, ethnic minority patients, perceive adherence to and drop out from treatment. Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8–10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a “dropout.” Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. Keywords: cancer, depression, dropout, adherence, minority, compliance
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title_short	Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon
url	https://doaj.org/article/d771b655e70f4961bd48a3afa27ea7e7 http://www.dovepress.com/cancer-patientsrsquo-perspectives-on-discontinuing-depression-treatmen-a8359 https://doaj.org/toc/1177-889X
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Aim: To explore low-income, minority cancer patient perspectives about not adhering or dropping out of depression treatment. Methods: A qualitative substudy was conducted within the Alleviating Depression among Patients with Cancer (ADAPt-C) study. The intervention was an individualized stepped care depression treatment program provided by a clinical social worker in collaboration with a study psychiatrist. Patients randomized to the intervention were offered antidepressant medication and/or 8&ndash;10 sessions of problem solving treatment talk therapy. In-depth telephone interviews were conducted with 20 patients who had dropped out of depression treatment, using a grounded theory qualitative methodological approach. Results: Enrolled intervention patients were predominately Latina, Spanish-speaking, and foreign born. Most patients (12/20) acknowledged they had dropped out of treatment for a variety of reasons, including dissatisfaction with treatment, poor patient-provider relations, logistical and financial barriers, cancer treatment commitments, and language barriers. However, other patients (8/20) denied they had dropped out of treatment and/or became confused about being labeled as a &ldquo;dropout.&rdquo; Conclusion: A substantial percentage of low-income, ethnic minority patients who drop out of treatment for depression appear not to realize they have dropped out of treatment. Improving treatment adherence requires explanation of what constitutes adherence and the consequences of failing to do so from the perspective of both patient and provider. 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Cancer patients&rsquo; perspectives on discontinuing depression treatment: the &ldquo;drop out&rdquo; phenomenon

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Cancer patients’ perspectives on discontinuing depression treatment: the “drop out” phenomenon