Effectiveness of Internet-based interventions in managing chemotherapy-related symptoms in patients with cancer: a systematic literature review.
Purpose: The aims of this review were to (1) examine the effectiveness of Internet-based interventions on cancer chemotherapy-related physical symptoms (severity and/or distress) and health-related quality of life (HRQOL) outcomes and (2) identify the design elements and processes for implementing t...
| Publicado en: | Supportive Care in Cancer Vol. 26; no. 2; pp. 361 - 375 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Feb2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127089547&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127089547 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Feb2018 vid: 26 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 127089547 127089547 144163787 NLM28948360 127089547 10.1007/s00520-017-3900-8 NLM28948360 127089547 ppf: 361 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effectiveness of Internet-based interventions in managing chemotherapy-related symptoms in patients with cancer: a systematic literature review. aug: au: Moradian, S. Voelker, N. Brown, C. Liu, G. Howell, D. affil: Psychosocial Oncology, Ontario Cancer Institute, University of Toronto, Toronto, Canada sug: subj: Antineoplastic Agents, Combined Adverse Effects Neoplasms Drug Therapy Internet Palliative Care Methods Telemedicine Methods Quality of Life Treatment Outcomes Adult Consumer Participation Self Care Methods Human Communication Scales Symptom Distress Scale Adult: 19-44 years ab: Purpose: The aims of this review were to (1) examine the effectiveness of Internet-based interventions on cancer chemotherapy-related physical symptoms (severity and/or distress) and health-related quality of life (HRQOL) outcomes and (2) identify the design elements and processes for implementing these interventions in oncology practices.Methods: A systematic review was performed. The Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, CINAHL, and PsycINFO were searched for studies dating from January 2000 through to October 2016. Based on pre-determined selection criteria, data was extracted from eligible studies. Methodological quality of studies was assessed using an adapted version of the Cochrane Collaboration Back Review Group checklist.Results: The literature search yielded 1766 studies of which only six RCTs fulfilled the eligibility criteria. Although the content, duration, and frequency of interventions varied considerably across studies, commonly used elements included tailored information, education, self-management support, and communication with clinicians. Five studies measured symptom distress and four of them reported statistically significant differences between study groups. Of the three studies that measured HRQOL, two reported improvement (or no deterioration over time) for the intervention group. However, several methodological issues including high attrition rates, poor adherence to interventions, and use of non-validated measures affect confidence in the strength of evidence.Conclusion: Despite the evidence in support of using the Internet as a worthwhile tool for effective patient engagement and self-management of chemotherapy-related symptoms outside clinic visits, methodological limitations in the evidence base require further well-planned and quality research. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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