The effectiveness of digital self‐management interventions on health outcomes among childhood cancer survivors: A systematic review and meta‐analysis

Hong, Hye Chong; Min, Ari; Kim, Young Man

doi:10.1111/jan.14925

Cited by 11 publications

(24 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While psychosocial interventions have been recommended to improve the mental health of PAYA cancer survivors ( 18 ), few patients obtain them ( 31 ). Online interventions are a viable way to broaden access to psychosocial interventions, and trials that support their effectiveness have been published ( 47 – 49 ). The present study conducts a meta-analysis to investigate how online interventions improve the mental health of PAYA cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the online platforms for each intervention module were coded using the data contained in the articles. We coded platforms as websites alone, websites with text messages, wearable respiratory monitoring and applications, wearable physical activity monitoring and social media applications, chatbots, and VDO conferences ( 47 – 49 ). The continuous factors considered were the participants' mean age, length of the intervention, dropout rate, and bias risk.…”

Section: Methodsmentioning

confidence: 99%

“…Both single studies ( 45 , 46 )and two meta-analyses studying on the effect of distance-delivered physical activity interventions and technology-assisted psychosocial interventions support the efficacy of online interventions on improving PAYA's mental health ( 47 , 48 ). However, a recent meta-analysis studying on the effect of digital self-management interventions revealed an inconsistent finding ( 49 ). Mizrahi et al ( 47 ) demonstrated the moderate effectiveness of distance-delivered physical activity interventions in improving psychosocial outcomes in childhood cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

“…Zhang et al ( 48 ) discovered that technology-assisted interventions are effective for a variety of children's outcomes (distraction from intrusive treatment—medium effect size, mental health—small effect size, physical health—small effect size, and cancer knowledge—small effect size). However, Hong et al ( 49 ) found that digital self-management interventions do not influence the quality of life and physical activity.…”

Section: Introductionmentioning

confidence: 99%

“…Mizrahi et al ( 47 ) conducted a meta-analysis, which included four trials that focused exclusively on distance-delivered physical activity interventions for childhood cancer survivors. Hong et al ( 49 ) focused exclusively on physical health outcomes and quality of life. No study analyzed mental and physical health outcomes separately.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Online Interventions to Improve Mental Health of Pediatric, Adolescent, and Young Adult Cancer Survivors: A Systematic Review and Meta-Analysis

Chandeying

Thongseiratch

2021

Front. Psychiatry

View full text Add to dashboard Cite

Objective: Over the last 10 years, online interventions to improve mental health have increased significantly. This study's primary objective was to determine the effectiveness of online interventions in improving the mental health of pediatric, adolescent, and young adult (PAYA) cancer survivors. The secondary objective was to identify the independent variables associated with online intervention efficacy for mental health improvement.Methods: On June 25–30, 2021, we searched the Medline, PsycINFO, EMBASE, and Cochrane databases for eligible English language publications that reported randomized controlled trials of online interventions aimed at improving mental health among PAYA cancer survivors. The results were analyzed using a systematic review and a three-level meta-analysis.Results: Thirteen studies met the inclusion criteria. In six (42%) studies, the intervention focused on physical activity enhancement, while ten (77%) studies used self-directed interventions. Online interventions were more efficacious, compared to control conditions, in improving sleep g = 0.35 (95% CI 0.04–0.66) and psychological well-being g = 0.32 (95% CI 0.09–0.56), but not for reducing the symptoms of depression g = 0.17 (95% CI −0.13 to 0.47), anxiety g = 0.05 (95% CI −0.15 to 0.25), and pain g = 0.13 (95% CI −0.13 to 0.39).Conclusion: Online interventions were generally effective in improving mental health in PAYA cancer survivors, although negative results were found in some critical outcomes. More high-quality evidence is needed for definite conclusions to be drawn. The study protocol was registered in PROSPERO (CRD42021266276).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Online Interventions to Improve Mental Health of Pediatric, Adolescent, and Young Adult Cancer Survivors: A Systematic Review and Meta-Analysis

Chandeying

Thongseiratch

2021

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

Are digital health interventions valuable to support patients with cancer and caregivers? An umbrella review of web‐based and app‐based supportive care interventions

Fournier,

Duprez,

Grynberg

et al. 2023

Cancer Medicine

View full text Add to dashboard Cite

BackgroundDigital health technologies have expanded tremendously in the last two decades, creating an emerging research and clinical field. They are regarded as cost‐effective, and their use in healthcare is prioritized by many countries. However, the constant evolution of these technologies has led to an abundance of related literature. Thus, we conducted an umbrella review to identify and characterize digital supportive care interventions for patients with cancer and their relatives.MethodsA preregistered umbrella review was conducted (PROSPERO registration number CRD42022333110). Five databases were searched (Embase, PsycINFO, PubMed, CINAHL, and the Cochrane Library). To be considered, studies had to be systematic reviews or meta‐analyses, be performed on pediatric or adult patients with cancer or survivors or their relatives, report results on web‐based or app‐based supportive care interventions, and measure psychological, functional, or behavioral variables or quality of life related to cancer. The methodological quality of the studies was assessed using the AMSTAR‐2 tool.FindingsTwenty eligible studies were identified. Most of the included studies reported results from adult patients with cancer. Globally, digital interventions were shown to be effective for physical activity in patients with cancer but had mixed results regarding emotional outcomes and quality of life. Additionally, a lack of methodological quality was noted for most of the included reviews.DiscussionDigital supportive care interventions could be an effective tool in cancer care for some outcomes. Recommendations have been formulated for further research in this field using adapted methodologies for the development of digital health interventions.

show abstract

Exploring childhood cancer survivor, parent, healthcare and community professionals’ experiences of, and priorities for, using digital health to engage in physical activity: a mixed methods study

Ha,

Nevin,

Wakefield

et al. 2024

J Cancer Surviv

View full text Add to dashboard Cite

Purpose Digital health interventions provide an innovative way to engage childhood cancer survivors in physical activity, yet few studies have explored the priorities of key stakeholders regarding using digital health. We aimed to investigate survivor, parent, and healthcare and community professional (HCP) experiences, priorities, and perceived importance of using digital health to promote physical activity behaviours for survivors. Methods Participants rated the importance of digital health features to promote physical activity in a survey. Guided by survey responses, we facilitated online focus groups or semi-structured interviews to discuss participants’ experiences, priorities, and suggestions in-depth. We transcribed the data verbatim and conducted directed content analysis. Results Forty participants took part in focus groups or interviews (including 9 childhood cancer survivors aged 8–21 years, 13 parents, and 18 HCP). Four key priorities were identified: health behaviour education, peer and parent involvement, goalsetting, and support from an HCP. There was a strong preference for digital mediums to facilitate physical activity due to its accessibility and convenience. Common intervention suggestions included earlier intervention (before the survivorship period), tailored and age-appropriate programs, a combined diet and exercise approach, and concise education delivery. Conclusions This study identified key priorities that may help to promote physical activity behaviours among childhood cancer survivors. Further research is needed to integrate these priorities into health behaviour interventions and evaluate their feasibility and efficacy. Implications for Cancer Survivors Incorporating these multi-perspective priorities into future interventions will help to ensure their sustainability, acceptability, and uptake. This will in turn support childhood cancer survivors to develop a healthy lifestyle into adulthood.

show abstract

The effectiveness of digital self‐management interventions on health outcomes among childhood cancer survivors: A systematic review and meta‐analysis

Abstract: Aims:The study aimed to review the evidence about existing digital interventions for childhood cancer survivors and examine their effectiveness on health outcomes.Design: Systematic review and meta-analysis.

Cited by 11 publications

References 59 publications

Online Interventions to Improve Mental Health of Pediatric, Adolescent, and Young Adult Cancer Survivors: A Systematic Review and Meta-Analysis

Online Interventions to Improve Mental Health of Pediatric, Adolescent, and Young Adult Cancer Survivors: A Systematic Review and Meta-Analysis

Are digital health interventions valuable to support patients with cancer and caregivers? An umbrella review of web‐based and app‐based supportive care interventions

Exploring childhood cancer survivor, parent, healthcare and community professionals’ experiences of, and priorities for, using digital health to engage in physical activity: a mixed methods study

Contact Info

Product

Resources

About