Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials
Purpose To systematically evaluate the effects of Electronic health (eHealth) interventions on fatigue, pain, and sleep disorders in cancer survivors. Design A systematic review and meta‐analysis was conducted. Methods Relevant studies were searched from five databases (MEDLINE, Embase, the Cochrane...
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| Veröffentlicht in: | Journal of nursing scholarship 2022-03, Vol.54 (2), p.184-190 |
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| creator | Li, Juejin Zhu, Chuanmei Liu, Chunhua Su, Yonglin Peng, Xingchen Hu, Xiaolin |
| description | Purpose
To systematically evaluate the effects of Electronic health (eHealth) interventions on fatigue, pain, and sleep disorders in cancer survivors.
Design
A systematic review and meta‐analysis was conducted.
Methods
Relevant studies were searched from five databases (MEDLINE, Embase, the Cochrane Central Register of Controlled trials, CINAHL, and PsycINFO). The comprehensive literature search was done in December 2020. Only randomized controlled trials (RCTs) that examined the effects of eHealth interventions among cancer survivors were included.
Findings
Twenty‐five RCTs were included. The meta‐analysis showed that eHealth interventions had a positive impact on pain interference (SMD = −0.37, 95% CI: −0.54 to −0.20, p = 0.0001) and sleep disorders (SMD = −0.43, 95% CI: −0.77 to −0.08, p = 0.02) but not on pain severity or fatigue in cancer survivors. The sensitivity and subgroup analyses indicated that the pooled results were robust and reliable.
Conclusion
eHealth interventions are effective in improving pain interference and sleep disorders in cancer survivors. Additional high‐quality RCTs are needed to test the effectiveness of eHealth interventions on fatigue, pain, and sleep disorders in cancer survivors.
Clinical relevance
This systematic review and meta‐analysis provides evidence to offer effective and sustainable eHealth care for symptom management among cancer survivors. |
| doi_str_mv | 10.1111/jnu.12729 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2599074700</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2599074700</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2839-e377d0dbd5b4c372ad306a31820eefa71dd4a28e8b4eeb294916d24017942c503</originalsourceid><addsrcrecordid>eNp1kc9qFTEUxgdRbK0ufAEJuFHotEkmM7nprpRqlaIbux4yyRnNJZNcczK3XFc-gu_j2_gk5v7RhWAgnMPh930n4auq54yesXLOl2E-Y1xy9aA6Zq2QdUs79XDbc1l3reiOqieIS0ppx2TzuDpqhFRMSnVc_bweRzDZrSEAIokjgRvQPn8hLmRIZZxdDEjGmIjRwUD69f1HAq8zWLLSLpySUWf3eYZTooMl6AFWxDqMyULC4nKQEZzT2q1jwgtySXCDGaYiNCTB2sH9TjxB1sVeB-036HavSWUeJ_etbDMx5BS9L21OTnt8Wj0aS4Fnh3pS3b25_nR1U99-fPvu6vK2NnzRqBoaKS21g20HYRrJtW1opxu24BRg1JJZKzRfwGIQAANXQrHOckGZVIKbljYn1au97yrFrzNg7ieHBrzXAeKMPW-VolJIukVf_oMu45zKfwrVCSXL7bbU6z1lUkRMMPar5CadNj2j_TbRviTa7xIt7IuD4zxMYP-SfyIswPkeuHceNv936t9_uNtb_gYqKbCp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2649764960</pqid></control><display><type>article</type><title>Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Li, Juejin ; Zhu, Chuanmei ; Liu, Chunhua ; Su, Yonglin ; Peng, Xingchen ; Hu, Xiaolin</creator><creatorcontrib>Li, Juejin ; Zhu, Chuanmei ; Liu, Chunhua ; Su, Yonglin ; Peng, Xingchen ; Hu, Xiaolin</creatorcontrib><description>Purpose
To systematically evaluate the effects of Electronic health (eHealth) interventions on fatigue, pain, and sleep disorders in cancer survivors.
Design
A systematic review and meta‐analysis was conducted.
Methods
Relevant studies were searched from five databases (MEDLINE, Embase, the Cochrane Central Register of Controlled trials, CINAHL, and PsycINFO). The comprehensive literature search was done in December 2020. Only randomized controlled trials (RCTs) that examined the effects of eHealth interventions among cancer survivors were included.
Findings
Twenty‐five RCTs were included. The meta‐analysis showed that eHealth interventions had a positive impact on pain interference (SMD = −0.37, 95% CI: −0.54 to −0.20, p = 0.0001) and sleep disorders (SMD = −0.43, 95% CI: −0.77 to −0.08, p = 0.02) but not on pain severity or fatigue in cancer survivors. The sensitivity and subgroup analyses indicated that the pooled results were robust and reliable.
Conclusion
eHealth interventions are effective in improving pain interference and sleep disorders in cancer survivors. Additional high‐quality RCTs are needed to test the effectiveness of eHealth interventions on fatigue, pain, and sleep disorders in cancer survivors.
Clinical relevance
This systematic review and meta‐analysis provides evidence to offer effective and sustainable eHealth care for symptom management among cancer survivors.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12729</identifier><identifier>PMID: 34791779</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Cancer ; Cancer Pain ; Cancer Survivors ; Clinical trials ; Electronics ; Fatigue ; Fatigue - etiology ; Fatigue - therapy ; Humans ; Intervention ; Medical diagnosis ; Meta-analysis ; Neoplasms - complications ; Pain ; Quality of Life ; Randomized Controlled Trials as Topic ; Sleep disorders ; Sleep Wake Disorders - etiology ; Sleep Wake Disorders - therapy ; Software ; Survivor ; Symptom management ; Systematic review ; Telemedicine - methods</subject><ispartof>Journal of nursing scholarship, 2022-03, Vol.54 (2), p.184-190</ispartof><rights>2021 Sigma Theta Tau International</rights><rights>2021 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. Mar 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2839-e377d0dbd5b4c372ad306a31820eefa71dd4a28e8b4eeb294916d24017942c503</citedby><cites>FETCH-LOGICAL-c2839-e377d0dbd5b4c372ad306a31820eefa71dd4a28e8b4eeb294916d24017942c503</cites><orcidid>0000-0003-0055-7290</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjnu.12729$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjnu.12729$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,12855,27933,27934,31008,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34791779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Juejin</creatorcontrib><creatorcontrib>Zhu, Chuanmei</creatorcontrib><creatorcontrib>Liu, Chunhua</creatorcontrib><creatorcontrib>Su, Yonglin</creatorcontrib><creatorcontrib>Peng, Xingchen</creatorcontrib><creatorcontrib>Hu, Xiaolin</creatorcontrib><title>Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials</title><title>Journal of nursing scholarship</title><addtitle>J Nurs Scholarsh</addtitle><description>Purpose
To systematically evaluate the effects of Electronic health (eHealth) interventions on fatigue, pain, and sleep disorders in cancer survivors.
Design
A systematic review and meta‐analysis was conducted.
Methods
Relevant studies were searched from five databases (MEDLINE, Embase, the Cochrane Central Register of Controlled trials, CINAHL, and PsycINFO). The comprehensive literature search was done in December 2020. Only randomized controlled trials (RCTs) that examined the effects of eHealth interventions among cancer survivors were included.
Findings
Twenty‐five RCTs were included. The meta‐analysis showed that eHealth interventions had a positive impact on pain interference (SMD = −0.37, 95% CI: −0.54 to −0.20, p = 0.0001) and sleep disorders (SMD = −0.43, 95% CI: −0.77 to −0.08, p = 0.02) but not on pain severity or fatigue in cancer survivors. The sensitivity and subgroup analyses indicated that the pooled results were robust and reliable.
Conclusion
eHealth interventions are effective in improving pain interference and sleep disorders in cancer survivors. Additional high‐quality RCTs are needed to test the effectiveness of eHealth interventions on fatigue, pain, and sleep disorders in cancer survivors.
Clinical relevance
This systematic review and meta‐analysis provides evidence to offer effective and sustainable eHealth care for symptom management among cancer survivors.</description><subject>Cancer</subject><subject>Cancer Pain</subject><subject>Cancer Survivors</subject><subject>Clinical trials</subject><subject>Electronics</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Fatigue - therapy</subject><subject>Humans</subject><subject>Intervention</subject><subject>Medical diagnosis</subject><subject>Meta-analysis</subject><subject>Neoplasms - complications</subject><subject>Pain</subject><subject>Quality of Life</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Sleep disorders</subject><subject>Sleep Wake Disorders - etiology</subject><subject>Sleep Wake Disorders - therapy</subject><subject>Software</subject><subject>Survivor</subject><subject>Symptom management</subject><subject>Systematic review</subject><subject>Telemedicine - methods</subject><issn>1527-6546</issn><issn>1547-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc9qFTEUxgdRbK0ufAEJuFHotEkmM7nprpRqlaIbux4yyRnNJZNcczK3XFc-gu_j2_gk5v7RhWAgnMPh930n4auq54yesXLOl2E-Y1xy9aA6Zq2QdUs79XDbc1l3reiOqieIS0ppx2TzuDpqhFRMSnVc_bweRzDZrSEAIokjgRvQPn8hLmRIZZxdDEjGmIjRwUD69f1HAq8zWLLSLpySUWf3eYZTooMl6AFWxDqMyULC4nKQEZzT2q1jwgtySXCDGaYiNCTB2sH9TjxB1sVeB-036HavSWUeJ_etbDMx5BS9L21OTnt8Wj0aS4Fnh3pS3b25_nR1U99-fPvu6vK2NnzRqBoaKS21g20HYRrJtW1opxu24BRg1JJZKzRfwGIQAANXQrHOckGZVIKbljYn1au97yrFrzNg7ieHBrzXAeKMPW-VolJIukVf_oMu45zKfwrVCSXL7bbU6z1lUkRMMPar5CadNj2j_TbRviTa7xIt7IuD4zxMYP-SfyIswPkeuHceNv936t9_uNtb_gYqKbCp</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Li, Juejin</creator><creator>Zhu, Chuanmei</creator><creator>Liu, Chunhua</creator><creator>Su, Yonglin</creator><creator>Peng, Xingchen</creator><creator>Hu, Xiaolin</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0055-7290</orcidid></search><sort><creationdate>202203</creationdate><title>Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials</title><author>Li, Juejin ; Zhu, Chuanmei ; Liu, Chunhua ; Su, Yonglin ; Peng, Xingchen ; Hu, Xiaolin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2839-e377d0dbd5b4c372ad306a31820eefa71dd4a28e8b4eeb294916d24017942c503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cancer</topic><topic>Cancer Pain</topic><topic>Cancer Survivors</topic><topic>Clinical trials</topic><topic>Electronics</topic><topic>Fatigue</topic><topic>Fatigue - etiology</topic><topic>Fatigue - therapy</topic><topic>Humans</topic><topic>Intervention</topic><topic>Medical diagnosis</topic><topic>Meta-analysis</topic><topic>Neoplasms - complications</topic><topic>Pain</topic><topic>Quality of Life</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Sleep disorders</topic><topic>Sleep Wake Disorders - etiology</topic><topic>Sleep Wake Disorders - therapy</topic><topic>Software</topic><topic>Survivor</topic><topic>Symptom management</topic><topic>Systematic review</topic><topic>Telemedicine - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Juejin</creatorcontrib><creatorcontrib>Zhu, Chuanmei</creatorcontrib><creatorcontrib>Liu, Chunhua</creatorcontrib><creatorcontrib>Su, Yonglin</creatorcontrib><creatorcontrib>Peng, Xingchen</creatorcontrib><creatorcontrib>Hu, Xiaolin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing scholarship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Juejin</au><au>Zhu, Chuanmei</au><au>Liu, Chunhua</au><au>Su, Yonglin</au><au>Peng, Xingchen</au><au>Hu, Xiaolin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials</atitle><jtitle>Journal of nursing scholarship</jtitle><addtitle>J Nurs Scholarsh</addtitle><date>2022-03</date><risdate>2022</risdate><volume>54</volume><issue>2</issue><spage>184</spage><epage>190</epage><pages>184-190</pages><issn>1527-6546</issn><eissn>1547-5069</eissn><abstract>Purpose
To systematically evaluate the effects of Electronic health (eHealth) interventions on fatigue, pain, and sleep disorders in cancer survivors.
Design
A systematic review and meta‐analysis was conducted.
Methods
Relevant studies were searched from five databases (MEDLINE, Embase, the Cochrane Central Register of Controlled trials, CINAHL, and PsycINFO). The comprehensive literature search was done in December 2020. Only randomized controlled trials (RCTs) that examined the effects of eHealth interventions among cancer survivors were included.
Findings
Twenty‐five RCTs were included. The meta‐analysis showed that eHealth interventions had a positive impact on pain interference (SMD = −0.37, 95% CI: −0.54 to −0.20, p = 0.0001) and sleep disorders (SMD = −0.43, 95% CI: −0.77 to −0.08, p = 0.02) but not on pain severity or fatigue in cancer survivors. The sensitivity and subgroup analyses indicated that the pooled results were robust and reliable.
Conclusion
eHealth interventions are effective in improving pain interference and sleep disorders in cancer survivors. Additional high‐quality RCTs are needed to test the effectiveness of eHealth interventions on fatigue, pain, and sleep disorders in cancer survivors.
Clinical relevance
This systematic review and meta‐analysis provides evidence to offer effective and sustainable eHealth care for symptom management among cancer survivors.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>34791779</pmid><doi>10.1111/jnu.12729</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0055-7290</orcidid></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Cancer Cancer Pain Cancer Survivors Clinical trials Electronics Fatigue Fatigue - etiology Fatigue - therapy Humans Intervention Medical diagnosis Meta-analysis Neoplasms - complications Pain Quality of Life Randomized Controlled Trials as Topic Sleep disorders Sleep Wake Disorders - etiology Sleep Wake Disorders - therapy Software Survivor Symptom management Systematic review Telemedicine - methods |
| title | Effectiveness of eHealth interventions for cancer‐related pain, fatigue, and sleep disorders in cancer survivors: A systematic review and meta‐analysis of randomized controlled trials |
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