Piloting an intervention to improve adherence to adjuvant endocrine therapy among patients with breast cancer in Rwanda -- Temidayo Fadelu, MD

The Foundation's Harold Amos Medical Faculty Development Program was designed to provide four-year awards for postdoctoral research to clinician-scientists from historically underrepresented groups who are committed to developing careers in academia, improving the health of underserved populations, furthering scientific understanding, and eliminating health disparities.This funding supports the research of Temidayo Fadelu, MD, MPH, Instructor in Medicine as part of the Harold Amos Medical Faculty Development Program. Gaps in care delivery, such as poor adherence to adjuvant endocrine therapy (AET), contribute to poor outcomes in breast cancer mortality rates in Sub-Saharan Africa, compared to the US. The overall goal of this study is to develop and pilot adjuvant endocrine therapy (AET) adherence interventions grounded in the Information-Motivation-Behavioral Skills Model, a widely used framework initially developed for HIV medication adherence. The first aim is to identify barriers and facilitators of AET adherence using a sequential mixed methods approach. The second aim is to develop and pilot components of a patient-facing mobile health AET adherence intervention utilizing Intervention Mapping procedures.