The efficacy of web or mobile-based interventions to alleviate emotional symptoms in people with advanced cancer: a systematic review and meta-analysis

Kamalumpundi, Vijayvardhan; Saeidzadeh, Seyedehtanaz; Chi, Nai-Ching; Nair, Rajeshwari; Gilbertson‐White, Stephanie

doi:10.1007/s00520-021-06496-z

Cited by 10 publications

(21 citation statements)

References 60 publications

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“…Notably, the majority of patients completed the required DREAMLAND modules, and worsening health status was the primary reason why patients did not complete it. Traditionally, studies of behavioral intervention technologies have suffered high attrition rates, with greater than 50%–60% of participants declining to complete such interventions 32,34,42–44 . Therefore, our findings underscore the feasibility of integrating DREAMLAND into the acute care of patients with AML at the time of initiating intensive chemotherapy during an arduous hospitalization.…”

Section: Discussionmentioning

confidence: 64%

“…This trial demonstrates that a psychological mobile app spanning the initial hospitalization for patients with a new diagnosis of AML who are receiving intensive chemotherapy is feasible, with promising efficacy for improving patient-reported outcomes. Despite the acuity of [29][30][31][32][33] Studies of behavioral intervention technologies for patients with cancer have primarily focused on cancer survivors, especially with breast cancer. 16,32,[34][35][36][37][38][39][40][41] The integration of DREAMLAND acutely at the time of diagnosis of AML during a difficult and life-threatening hospitalization adds to the novelty of this intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the acuity of [29][30][31][32][33] Studies of behavioral intervention technologies for patients with cancer have primarily focused on cancer survivors, especially with breast cancer. 16,32,[34][35][36][37][38][39][40][41] The integration of DREAMLAND acutely at the time of diagnosis of AML during a difficult and life-threatening hospitalization adds to the novelty of this intervention. Notably, the majority of patients completed the required DREAMLAND modules, and worsening health status was the primary reason why patients did not complete it.…”

Section: Discussionmentioning

confidence: 99%

“…Despite recruiting patients at the time of heightened stress within days of a new diagnosis of leukemia, DREAMLAND was feasible, with high enrollment and retention rates. These findings are particularly relevant given the challenges of recruiting patients for supportive care and mobile interventions, especially early at the time of cancer diagnosis and during critical illness and hospitalization 29–33 . Studies of behavioral intervention technologies for patients with cancer have primarily focused on cancer survivors, especially with breast cancer 16,32,34–41 .…”

Section: Discussionmentioning

confidence: 99%

“…These findings are particularly relevant given the challenges of recruiting patients for supportive care and mobile interventions, especially early at the time of cancer diagnosis and during critical illness and hospitalization 29–33 . Studies of behavioral intervention technologies for patients with cancer have primarily focused on cancer survivors, especially with breast cancer 16,32,34–41 . The integration of DREAMLAND acutely at the time of diagnosis of AML during a difficult and life‐threatening hospitalization adds to the novelty of this intervention.…”

Section: Discussionmentioning

confidence: 99%

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Psychological mobile app for patients with acute myeloid leukemia: A pilot randomized clinical trial

El‐Jawahri

Luskin

Greer

et al. 2023

Cancer

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Background Patients with acute myeloid leukemia (AML) experience a substantial decline in quality of life (QoL) and mood during their hospitalization for intensive chemotherapy, yet few interventions have been developed to enhance patient‐reported outcomes during treatment. Methods We conducted a pilot randomized trial (ClinicalTrials.gov identifier NCT03372291) of DREAMLAND, a psychological mobile application for patients with a new diagnosis of AML who are receiving intensive chemotherapy. Patients were randomly assigned to DREAMLAND or usual care. DREAMLAND included four required modules focused on: (1) supportive psychotherapy to help patients deal with the initial shock of diagnosis, (2) psychoeducation to manage illness expectations, (3) psychosocial skill‐building to promote effective coping, and (4) self‐care. The primary end point was feasibility, which was defined as ≥60% of eligible patients enrolling and 60% of those enrolled completing ≥60% of the required modules. We assessed patient QoL (the Functional Assessment of Cancer Therapy–Leukemia), psychological distress (the Hospital Anxiety and Depression Scale and the Patient Health Questionnaire‐9), symptom burden (the Edmonton Symptom Assessment Scale), and self‐efficacy (the Cancer Self‐Efficacy Scale) at baseline and at day 20 after postchemotherapy. Results We enrolled 60 of 90 eligible patients (66.7%), and 62.1% completed ≥75% of the intervention modules. At day 20 after chemotherapy, patients who were randomized to DREAMLAND reported improved QoL scores (132.06 vs. 110.72; p =.001), lower anxiety symptoms (3.54 vs. 5.64; p = .010) and depression symptoms (Hospital Anxiety and Depression Scale: 4.76 vs. 6.29; p = .121; Patient Health Questionnaire‐9: 4.62 vs. 8.35; p < .001), and improved symptom burden (24.89 vs. 40.60; p = .007) and self‐efficacy (151.84 vs. 135.43; p = .004) compared with the usual care group. Conclusions A psychological mobile application for patients with newly diagnosed AML is feasible to integrate during hospitalization for intensive chemotherapy and may improve QoL, mood, symptom burden, and self‐efficacy.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Psychological mobile app for patients with acute myeloid leukemia: A pilot randomized clinical trial

El‐Jawahri

Luskin

Greer

et al. 2023

Cancer

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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

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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.

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Effect of applying digital health in palliative care for patients with advanced cancer: a meta-analysis and systematic review

Zhao,

Zhang,

Zhang

et al. 2024

Support Care Cancer

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The efficacy of web or mobile-based interventions to alleviate emotional symptoms in people with advanced cancer: a systematic review and meta-analysis

Cited by 10 publications

References 60 publications

Psychological mobile app for patients with acute myeloid leukemia: A pilot randomized clinical trial

Psychological mobile app for patients with acute myeloid leukemia: A pilot randomized clinical trial

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

Effect of applying digital health in palliative care for patients with advanced cancer: a meta-analysis and systematic review

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