Effect of a telehealth-based exercise intervention on the physical activity of patients with breast cancer: A systematic review and meta-analysis

Peng, Yueyang; Zhang, Kun; Wang, Luyao; Peng, Yunyun; Liu, Zixuan; Liu, Li; Luo, Yang; Gu, Can

doi:10.1016/j.apjon.2022.100117

Cited by 15 publications

(5 citation statements)

References 74 publications

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“…Lastly, all the patients answered the final questionnaire, revealing high levels of satisfaction (83.3%) and of the perceived usefulness (72.2%) of the telerehabilitation sessions. In line with the previous literature, 8 , 35 , 36 , 37 both the patients and HCP agreed on the advantages of using telerehabilitation: it eliminates having to travel to a healthcare facility for rehabilitation, it allows practitioners to take care of patients living far away and it saves patients time and the expense of traveling from home to the healthcare facility. The most fragile and clinically deconditioned patients can therefore participate in the telerehabilitation session in their best psychophysical conditions, without the added stress of the journey, which can often be very challenging for them.…”

Section: Discussionsupporting

confidence: 65%

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Facing the COVID‐19 pandemic: An Italian feasibility study of a mixed in‐person/telerehabilitation intervention for cancer patients

Denti,

Pecorari,

Accogli

et al. 2024

Cancer Medicine

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IntroductionThe COVID‐19 pandemic impacted healthcare organizations, necessitating a rapid transition from in‐person to virtual care.Our study explored the feasibility of a mixed in‐person/telerehabilitation intervention for cancer patients and its effects on cancer‐related fatigue (CRF), quality of life (QoL), physical function, patient satisfaction, and perceived usefulness.MethodsTRACE 2020 is an observational prospective study that enrolled adult cancer patients, between January 2021 and March 2023, who were eligible for a rehabilitation program to be provided also in telerehabilitation.Patients were assessed at baseline and after the rehabilitation program. Adherence to sessions, reasons for non‐adherence and adverse events were collected.ResultsOf the 23 patients enrolled, 87% received a mixed intervention, with an average of 60% in‐person sessions and 40% telerehabilitation sessions. Adherence was very high (91%). Evaluation scales showed an improvement in CRF, QoL, and lower limb strength and a relevant increase in patients' level of physical activity (PA). Most patients reported good satisfaction; the few criticisms mainly concerned difficulties in connectivity, lack of physical contact and difficulties in understanding how to perform exercises during telerehabilitation sessions. The physiotherapist underlined the usefulness of the innovative approach and suggested ways to facilitate future implementation.ConclusionA mixed intervention including telerehabilitation is feasible and accepted by cancer patients. It may have a positive effect on their CRF, QoL, and level of PA and render patient care more flexible. The findings suggest what characteristics the target population for telerehabilitation should have, in order to integrate telerehabilitation in standard care for cancer patients.

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Section: Discussionsupporting

confidence: 65%

“…Despite the lack of a control group, the trend of the assessment scale scores is in line with the improvements in QoL and fatigue obtained in previous RCTs that tested telerehabilitation versus control. 35 …”

Section: Discussionmentioning

confidence: 99%

Facing the COVID‐19 pandemic: An Italian feasibility study of a mixed in‐person/telerehabilitation intervention for cancer patients

Denti,

Pecorari,

Accogli

et al. 2024

Cancer Medicine

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“…To our knowledge, there has been very little intervention research investigating synchronously delivered, online, supervised, and group-based exercise oncology programmes. In the last six years, reviews have evaluated the feasibility and effectiveness of telehealth exercise oncology interventions, both before and during COVID-19 [ 1 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. The results have been predominantly positive in terms of participant acceptability; trial feasibility; and effects on moderate-to-vigorous physical activity (MVPA) levels, quality of life, and self-reported fatigue across a range of cancer diagnoses [ 23 , 26 , 27 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

“…In the last six years, reviews have evaluated the feasibility and effectiveness of telehealth exercise oncology interventions, both before and during COVID-19 [ 1 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ]. The results have been predominantly positive in terms of participant acceptability; trial feasibility; and effects on moderate-to-vigorous physical activity (MVPA) levels, quality of life, and self-reported fatigue across a range of cancer diagnoses [ 23 , 26 , 27 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. Two reviews have compared the use of synchronous, asynchronous, or combined exercise oncology telehealth interventions in a home environment, both concluding that there was insufficient evidence to determine which delivery mode is more effective at promoting beneficial health outcomes [ 28 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

et al. 2023

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Alberta Cancer Exercise (ACE) is an exercise oncology programme that transitioned from in-person to online delivery during COVID-19. The purpose of this work was to understand participants’ experiences in both delivery modes. Specifically, survivors’ exercise facilitators and barriers, delivery mode preference, and experience with programme elements targeting behaviour change were gathered. A retrospective cohort design using explanatory sequential mixed methods was used. Briefly, 57 participants completed a survey, and 19 subsequent, optional interviews were conducted. Most participants indicated preferring in-person programmes (58%), followed by online (32%), and no preference (10%). There were significantly fewer barriers to (i.e., commute time) (p < 0.01), but also fewer facilitators of (i.e., social support) (p < 0.01), exercising using the online programme. Four themes were generated from the qualitative data surrounding participant experiences in both delivery modes. Key differences in barriers and facilitators highlighted a more convenient experience online relative to a more socially supportive environment in-person. For future work that includes solely online delivery, focusing on building social support and a sense of community will be critical to optimising programme benefits. Beyond the COVID-19 pandemic, results of this research will remain relevant as we aim to increase the reach of online exercise oncology programming to more underserved populations of individuals living with cancer.

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“…9 Likewise, telehealth-based exercise intervention enhances physical performance and quality of life of breast cancer patients compared with usual care. 10 Thus it is necessary to integrate video-based multimedia training in breast cancer awareness, because this method provides an easy, flexible and affordable means of detection. 11 Several national public health campaigns have used social media technologies to promote early cancer diagnosis, including increasing awareness of cancer symptoms, encouraging help-seeking, and attempting to modify social norms towards help-seeking.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Audio-visual Education through Digital Media Platforms Regarding Quality of Life Amongst Breast Cancer Person

Cahyarani,

Solikhah,

Djannah

2023

JPKI

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Background: Improving the education system of patient-centered health information is particularly important for vulnerable populations. The magnitude of the attributable breast cancer burden is very essential to be a concern to developing a good management strategy. Improving the patient’s understanding of their conditions may enhance the quality of life following breast cancer. The study aimed to review the effectiveness of audio-visual education through digital media platforms to improve the quality of life among people with breast cancer.Method: These 1643 articles from eight databases i.e., Scopus, PubMed, MEDLINE via EBSCO, the Cochran Library, Springer Link, Wiley Online Library, BioMed Central, and Sage Journals were searched by a combination of medical subject heading (MESH) term, and unique references were examined. All studies evaluating audio-visual education of women with breast cancer delivered by digital media platforms were included.Results: The search yielded 14 articles with various digital media platforms, such as web-based, applications, e-mail, videoconference, YouTube, and WhatsApp. All studies reported improving quality of life, except one study using WhatsApp as the platform. Audio-visual interventions were variably effective in enhancing the quality of life of patients depending on their characteristics. Audio-visual interventions appear to be effective in improving quality of life amongst breast cancer person. Nevertheless, its effectiveness depends on the frequency and intensity of audio-visual delivery. Meanwhile, the contents of education materials must be adjusted to the administration method. Audio-visual modeling via digital platforms may facilitate improving quality of life and can be an important consideration in future health-education interventions.

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Effect of a telehealth-based exercise intervention on the physical activity of patients with breast cancer: A systematic review and meta-analysis

Cited by 15 publications

References 74 publications

Facing the COVID‐19 pandemic: An Italian feasibility study of a mixed in‐person/telerehabilitation intervention for cancer patients

Facing the COVID‐19 pandemic: An Italian feasibility study of a mixed in‐person/telerehabilitation intervention for cancer patients

Understanding In-Person and Online Exercise Oncology Programme Delivery: A Mixed-Methods Approach to Participant Perspectives

Effectiveness of Audio-visual Education through Digital Media Platforms Regarding Quality of Life Amongst Breast Cancer Person

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