ObjectiveTo identify the elements of internet-based support interventions and assess their effectiveness at reducing psychological distress, anxiety and/or depression, physical variables (prevalence, severity and distress from physical symptoms) and improving quality of life, social support and self-efficacy among patients with breast cancer.DesignSystematic review and narrative synthesis.Data sourcesWeb of Science, Cochrane Library, PubMed, MEDLINE, PsycINFO, CINAHL, CNKI, Wanfang and VIP from over the past 5 years of each database to June 2021.Eligibility criteria for study selectionIncluded were randomised controlled trials (RCTs) or quasi-experimental (QE) studies focusing on internet-based support interventions in patients with breast cancer.Data extraction and synthesisReviewers independently screened, extracted data and assessed risk of bias (Cochrane Collaboration’ risk of bias tool, Joanna Briggs Institute reviewer’s manual). Narrative synthesis included the effect and elements of internet-based support interventions for women with breast cancer.ResultsOut of 2842 articles, 136 qualified articles were preliminarily identified. After further reading the full text, 35 references were included, including 30 RCTs and five QE studies. Internet-based support interventions have demonstrated positive effects on women’s quality of life and physical variables, but inconsistent effectiveness has been found on psychological distress, symptoms of anxiety and/or depression, social support and self-efficacy.ConclusionsInternet-based support interventions are increasingly being used as clinically promising interventions to promote the health outcomes of patients with breast cancer. Future research needs to implement more rigorous experimental design and include sufficient sample size to clarify the effectiveness of this internet-based intervention.PROSPERO registration numberCRD42021271380.

Aim To investigate the prevalence of SUI and explore the factors that could influence the severity of SUI in adult females. Design A cross‐sectional study. Methods A total of 1178 subjects were assessed using a risk‐factor questionnaires and International Consultation on Incontinence Questionnaire Short Form (ICIQ‐SF) and then divided into no SUI group, mild SUI group and moderate‐to‐severe SUI group according to the ICIQ‐SF score. Univariate analysis between adjacent groups and ordered logistic regression models in three groups were then performed to analysis the possible associated factor with the progressive of SUI. Results The prevalence of SUI among adult women was 22.2% of them; 16.2% and 6% had mild SUI and moderate‐to‐severe SUI, respectively. Moreover, logistic analysis revealed that age, BMI, smoking, position preference for urination, urinary tract infections, urinary leaks during pregnancy, gynaecological inflammation and poor sleep quality were independent risk for the severity of SUI. Conclusion SUI symptoms were mostly mild among Chinese females, specific risk factors such as unhealthy living habits and urination behaviours increased the risk of SUI and the aggravation of symptoms. Therefore, targeted interventions should be formulated for women to delay disease progression.

This paper takes value co-creation as the theoretical perspective and "Zibo Barbecue" as the case study to explore the process and strategies of value co-creation in city image communication in the new media environment. The study first reviews relevant literature, then analyzes the stakeholders and their roles in city image communication based on the viral "Zibo Barbecue" case, and discusses the collaborative pathways of various stakeholders at different stages of city image communication. It further analyzes how various stakeholders achieve win-win value creation. Finally, from the perspective of value co-creation, the paper proposes strategic suggestions for value co-creation in city image communication. This research will help enrich the results of studies in the field of city image communication and provide practical guidance for city image communication in various regions.

Aim: To investigate the status and relationship of supportive care needs and self-management efficacy in patients with breast cancer receiving chemotherapy.Methods: Patients with breast cancer (N=160) receiving chemotherapy were selected through convenience sampling. The general information questionnaire, 34-Item Short-Form Supportive Care Needs Survey scale, and Chinese version of Strategies Used by People to Promote Health scale were used. Results: The total supportive care needs and overall self-management efficacy scale scores were (2.80±0.46) points and (91.71±12.16) points, respectively. Spearman correlation analysis showed that the total score of self-management efficacy and those of each dimension were negatively correlated with the total score of supportive care needs and those of each dimension (P<0.05). Hierarchical regression analysis identified self-management efficacy as the main influencing factor of supportive care needs in these patients (P<0.05). Conclusions：Supportive care needs of patients with breast cancer receiving chemotherapy is at the higher level. Medical staff should improve the self-management efficacy of patients to meet these needs.

The cover image is based on the Research Article The prevalence and risk factors of diff erent degrees of stress urinary incontinence in Chinese women: A community‐based cross‐sectional study by Qianqian Li et al., https://doi.org/10.1002/nop2.1743.