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Daily adjuvant endocrine therapy (AET) for 5 or 10 years is the standard of care for women diagnosed with non-metastatic hormone receptor-positive breast cancer. However, many women experience AET-related issues that may hamper quality of life and adherence. Here, we aimed to describe women's perceptions of motivational interviewing (MI)-guided consultations delivered by a trained nurse navigator over the telephone to enhance AET adherence.Eighteen women who were first prescribed AET for non-metastatic breast cancer in the last 5 years, who self-reported AET-related issues, and who participated in at least two MI-guided consultations over a year were interviewed about their perceptions of the intervention, using a semi-structured interview guide. Audio recordings were transcribed verbatim and analyzed using a thematic analysis approach.Three main themes emerged from the data about women's perceptions on MI-guided consultations. These consultations were described as (1) a person-centred experience, (2) providing key information about AET, and (3) supportive of present and future AET experience, by contributing to AET side-effect management, motivation, adherence, calming negative emotions, improving well-being and self-esteem, and making women to feel empowered.Nurse-led telephone-based MI-guided consultations about AET were found to respond to participants' needs and to enhance participants' perceptions of being informed and being supported in experiencing various facets of AET. Telephone-based consultations for AET are perceived as a promising strategy in an increasing virtual care world.

Milk and colostrum are known to contain constituents having growth promoting activities on various human cell lines. Peptides from milk protein hydrolysates have also been shown to have various nutraceutical and biological properties. The aim of this research was to establish conditions for the in vitro hydrolysis of milk proteins and for the separation and identification of peptides that could promote growth of human skin cells in culture. Milk protein hydrolysates were obtained by using trypsin and chymotrypsin with various enzyme to substrate ratios (E/S) and degrees of hydrolysis (DH). Peptides contained in a 6% DH hydrolysate obtained with chymotrypsin were separated by size exclusion chromatography and supplemented in in vitro culture media to measure their efficacy to promote growth of keratinocytes isolated from human skin. The results indicated that growth promoting activity was increased up to 108% for keratinocytes cultured in medium supplemented with 300 μg mL −1 of one peptide fraction. Fifteen peptides isolated from this fraction by RP-HPLC and characterized by Pico-Tag amino acids analysis were shown to have an average molecular weight of 800 Da and to contain high concentrations of hydrophobic and aromatic amino acids.