Psychosocial interventions for cancer survivors: A meta-analysis of effects on positive affect

Salsman, John M.; Pustejovsky, James E.; Schueller, Stephen M.; Hernandez, Rosalba; Berendsen, Mark; McLouth, Laurie E.; Moskowitz, Judith T.

doi:10.1007/s11764-019-00811-8

Cited by 34 publications

(19 citation statements)

References 102 publications

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“…We present key analytic information here; see Salsman et al for detailed description of analytic procedures 26 . Standardized mean differences, using Hedge's g correction, between treatment and control groups were estimated.…”

Section: Methodsmentioning

confidence: 99%

“…We present key analytic information here; see Salsman et al for detailed description of analytic procedures. 26 Standardized mean differences, using Hedge's g correction, between treatment and control groups were estimated. The estimated difference between treatment and control groups, adjusted for baseline differences (i.e., change-score or regression adjustment), was used for the numerator of the effect size estimate.…”

Section: Effect Size Calculations and Meta-analytic Proceduresmentioning

confidence: 99%

“…See Salsman et al for missing baseline data procedures. 26 We calculated effect size estimates using reported mean and standard deviation estimates by group, or statistical tests (e.g., t-or F-statistics, p-values) when mean and SD estimates were missing. Before conducting further analysis, we examined the distribution of effect size estimates for outliers.…”

Section: Effect Size Calculations and Meta-analytic Proceduresmentioning

confidence: 99%

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A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

et al. 2020

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Objective Spiritual well‐being (SpWb) is an important dimension of health‐related quality of life for many cancer patients. Accordingly, an increasing number of psychosocial intervention studies have included SpWb as a study endpoint, and may improve SpWb even if not designed explicitly to do so. This meta‐analysis of randomized controlled trials (RCTs) evaluated effects of psychosocial interventions on SpWb in adults with cancer and tested potential moderators of intervention effects. Methods Six literature databases were systematically searched to identify RCTs of psychosocial interventions in which SpWb was an outcome. Doctoral‐level rater pairs extracted data using Covidence following Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines. Standard meta‐analytic techniques were applied, including meta‐regression with robust variance estimation and risk‐of‐bias sensitivity analysis. Results Forty‐one RCTs were identified, encompassing 88 treatment effects among 3883 survivors. Interventions were associated with significant improvements in SpWb (g = 0.22, 95% CI [0.14, 0.29], p < 0.0001). Studies assessing the FACIT‐Sp demonstrated larger effect sizes than did those using other measures of SpWb (g = 0.25, 95% CI [0.17, 0.34], vs. g = 0.10, 95% CI [−0.02, 0.23], p = 0.03]. No other intervention, clinical, or demographic characteristics significantly moderated effect size. Conclusions Psychosocial interventions are associated with small‐to‐medium‐sized effects on SpWb among cancer survivors. Future research should focus on conceptually coherent interventions explicitly targeting SpWb and evaluate interventions in samples that are diverse with respect to race and ethnicity, sex and cancer type.

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Section: Methodsmentioning

confidence: 99%

Section: Effect Size Calculations and Meta-analytic Proceduresmentioning

confidence: 99%

Section: Effect Size Calculations and Meta-analytic Proceduresmentioning

confidence: 99%

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A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

et al. 2020

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“…The modest effect of loneliness interventions in cancer survivors is comparable to that of other psychosocial interventions for positive affect, depression, pain, and fatigue. 44,45 On review of demographic factors, the studies conducted in the U.S., recruited homogeneous samples of predominantly non-Hispanic, Caucasian and female participants. In fact, samples largely represented college-educated women.…”

Section: Discussionmentioning

confidence: 99%

Interventions for Loneliness Among Adult Cancer Survivors: A Systematic Review and Meta-Analysis

McElfresh

Skiba

Segrin

et al. 2021

Journal of Psychosocial Oncology

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Problem identification: Loneliness is common after cancer, contributing to poor outcomes. Interventions to modify loneliness are needed. This systematic review describes the current literature regarding loneliness interventions in cancer survivors. Literature search: Databases including: Ovid/MEDLINE; The Cochrane Central Register of Controlled Trials (CENTRAL); Elsevier/Embase; Clarivate/Web of Science (Core Collection), EBSCO/PsycINFO, EBSCO/CINAHL were used to perform a systematic review of literature using PRISMA guidelines. Second, risk of bias, meta-analysis and a narrative synthesis approach was completed to synthesize findings from multiple studies. Data evaluation/synthesis: Six thousand five hundred three studies were initially evaluated; eight studies met inclusion criteria. Findings indicate a paucity of interventions, generally of lower quality. Interventions were feasible and acceptable; those interventions with cultural modifications were more likely to demonstrate effectiveness. Conclusions: There are limited interventions addressing loneliness in cancer survivors. Development and testing of culturally-relevant programs are warranted.Implications for psychosocial oncology: Current studies suggest the psychosocial symptom of loneliness is modifiable among adult cancer survivors. Few interventions have been tested and shown to be effectiveness in cancer survivors in the U.S. and none have been tailored for older adult survivors, by patient gender/sex and few for specific race/ethnic groups. Results from this systematic review: a narrative synthesis and meta-analysis can inform future interventions targeting loneliness in this growing, yet vulnerable, adult cancer survivor population.

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“…No geral, os resultados do presente estudo sugerem que a maioria da amostra considerou que uma intervenção via telefone pode ser eficaz para fazer face a problemas der índole psicológica, sendo provável nela participar. De facto, a investigação já levada a cabo no âmbito das intervenções desta natureza tem evidenciado que as mesmas têm sido aceitáveis junto de sobreviventes de cancro (Crowder et al, 2019;Escriva et al, 2018;Forbes et al, 2019;Salsman et al, 2019;Seiler et al, 2017). Os nossos dados evidenciam que uma maior percentagem de sobreviventes com idade superior a 65 anos percecionou uma maior utilidade deste género de intervenção, comparativamente àqueles das restantes faixas etárias.…”

Section: Discussionunclassified

Estudo de aceitabilidade das intervenções psicológicas via telefone para sobreviventes de cancro dos Açores

Sousa¹,

Moreira

Canavarro

et al. 2021

Rev Psi Divers Saúde

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As intervenções com recurso à tecnologia têm mostrado ser promissoras para ultrapassar algumas barreiras de acesso aos cuidados dos sobreviventes de cancro de regiões mais isoladas. Os estudos de aceitabilidade e das preferências dos sobreviventes relativamente a estas intervenções são escassos em Portugal, e inexistente nos Açores. OBJETIVOS: Este estudo pretendeu avaliar: i) os comportamentos de procura de ajuda dos sobreviventes de cancro dos Açores e as barreiras à procura de ajuda; e ii) o grau de aceitabilidade e as preferências destes sobreviventes relativamente ao desenvolvimento, implementação e participação numa intervenção psicológica via telefone. MÉTODO: Este estudo envolveu 173 sobreviventes de cancro dos Açores, recrutados num hospital público regional, numa unidade de saúde regional e numa instituição sem fins lucrativos. Recorreu-se a um questionário construído para o efeito, sendo os dados tratados com estatística descritiva. RESULTADOS: O apoio psicológico mostrou-se um comportamento de ajuda aceitável para os sobreviventes, sendo as barreiras à procura de ajuda de índole estrutural/prática e de conhecimento as mais endossadas pelos participantes. A maioria da amostra considerou útil uma intervenção psicológica via telefone, reportando ser provável participar. As sessões com uma duração situada entre os 30 a 45 minutos e com uma periodicidade quinzenal foram os aspetos preferenciais dos participantes. DISCUSSÃO E CONCLUSÃO: Espera-se que os resultados deste estudo possam orientar o desenvolvimento de uma intervenção via telefone que responda flexivelmente às necessidades dos sobreviventes dos Açores e facilite o suporte a prestar-lhes, integrando as suas preferências no desenho de uma intervenção desta natureza.

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Psychosocial interventions for cancer survivors: A meta-analysis of effects on positive affect

Cited by 34 publications

References 102 publications

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer

Interventions for Loneliness Among Adult Cancer Survivors: A Systematic Review and Meta-Analysis

Estudo de aceitabilidade das intervenções psicológicas via telefone para sobreviventes de cancro dos Açores

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