A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer

Purpose To examine the feasibility, acceptability, and efficacy of online supportive care interventions targeting prostate cancer survivors (PCS). Methods Studies were identified through structured searches of PubMed, Embase and PsycINFO databases, and bibliographic review. Inclusion criteria were (...

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Veröffentlicht in:Journal of cancer survivorship 2019-02, Vol.13 (1), p.75-96
Hauptverfasser: Forbes, Cynthia C., Finlay, Amy, McIntosh, Megan, Siddiquee, Shihab, Short, Camille E.
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container_issue 1
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container_title Journal of cancer survivorship
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creator Forbes, Cynthia C.
Finlay, Amy
McIntosh, Megan
Siddiquee, Shihab
Short, Camille E.
description Purpose To examine the feasibility, acceptability, and efficacy of online supportive care interventions targeting prostate cancer survivors (PCS). Methods Studies were identified through structured searches of PubMed, Embase and PsycINFO databases, and bibliographic review. Inclusion criteria were (1) examined feasibility, acceptability, or efficacy of an online intervention designed to improve supportive care outcomes for PCS; (2) presented outcome data collected from PCS separately (if mixed cancer); and (3) evaluated efficacy outcomes using randomized controlled trial (RCT) design. Results Sixteen studies met inclusion criteria; ten were classified as RCTs. Overall, 2446 men (average age 64 years) were included. Studies reported on the following outcomes: feasibility and acceptability of an online intervention (e.g., patient support, online medical record/follow-ups, or decision aids); reducing decisional conflict/distress; improving cancer-related distress and health-related quality of life; and satisfaction with cancer care. Conclusion We found good preliminary evidence for online supportive care among PCS, but little high level evidence. Generally, the samples were small and unrepresentative. Further, inadequate acceptability measures made it difficult to determine actual PCS acceptability and satisfaction, and lack of control groups precluded strong conclusions regarding efficacy. Translation also appears minimal; few interventions are still publicly available. Larger trials with appropriate control groups and greater emphasis on translation of effective interventions is recommended. Implications for Cancer Survivors Prostate cancer survivors have a variety of unmet supportive care needs. Using online delivery to improve the reach of high-quality supportive care programs could have a positive impact on health-related quality of life among PCS.
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Methods Studies were identified through structured searches of PubMed, Embase and PsycINFO databases, and bibliographic review. Inclusion criteria were (1) examined feasibility, acceptability, or efficacy of an online intervention designed to improve supportive care outcomes for PCS; (2) presented outcome data collected from PCS separately (if mixed cancer); and (3) evaluated efficacy outcomes using randomized controlled trial (RCT) design. Results Sixteen studies met inclusion criteria; ten were classified as RCTs. Overall, 2446 men (average age 64 years) were included. Studies reported on the following outcomes: feasibility and acceptability of an online intervention (e.g., patient support, online medical record/follow-ups, or decision aids); reducing decisional conflict/distress; improving cancer-related distress and health-related quality of life; and satisfaction with cancer care. Conclusion We found good preliminary evidence for online supportive care among PCS, but little high level evidence. Generally, the samples were small and unrepresentative. Further, inadequate acceptability measures made it difficult to determine actual PCS acceptability and satisfaction, and lack of control groups precluded strong conclusions regarding efficacy. Translation also appears minimal; few interventions are still publicly available. Larger trials with appropriate control groups and greater emphasis on translation of effective interventions is recommended. Implications for Cancer Survivors Prostate cancer survivors have a variety of unmet supportive care needs. Using online delivery to improve the reach of high-quality supportive care programs could have a positive impact on health-related quality of life among PCS.</description><identifier>ISSN: 1932-2259</identifier><identifier>EISSN: 1932-2267</identifier><identifier>DOI: 10.1007/s11764-018-0729-1</identifier><identifier>PMID: 30610736</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acceptability ; Aged ; Cancer ; Cancer Survivors - psychology ; Cancer Survivors - statistics &amp; numerical data ; Clinical trials ; Decision Support Techniques ; Effectiveness ; Feasibility Studies ; Health Informatics ; Health Promotion and Disease Prevention ; Humans ; Internet ; Internet-Based Intervention - statistics &amp; numerical data ; Intervention ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Palliative Care - methods ; Palliative Care - psychology ; Palliative Care - statistics &amp; numerical data ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics &amp; numerical data ; Primary Care Medicine ; Prostate cancer ; Prostatic Neoplasms - epidemiology ; Prostatic Neoplasms - psychology ; Prostatic Neoplasms - therapy ; Public Health ; Quality of Life ; Quality of Life Research ; Reviews ; Systematic review ; Translation ; Treatment Outcome</subject><ispartof>Journal of cancer survivorship, 2019-02, Vol.13 (1), p.75-96</ispartof><rights>The Author(s) 2019</rights><rights>Journal of Cancer Survivorship is a copyright of Springer, (2019). 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Methods Studies were identified through structured searches of PubMed, Embase and PsycINFO databases, and bibliographic review. Inclusion criteria were (1) examined feasibility, acceptability, or efficacy of an online intervention designed to improve supportive care outcomes for PCS; (2) presented outcome data collected from PCS separately (if mixed cancer); and (3) evaluated efficacy outcomes using randomized controlled trial (RCT) design. Results Sixteen studies met inclusion criteria; ten were classified as RCTs. Overall, 2446 men (average age 64 years) were included. Studies reported on the following outcomes: feasibility and acceptability of an online intervention (e.g., patient support, online medical record/follow-ups, or decision aids); reducing decisional conflict/distress; improving cancer-related distress and health-related quality of life; and satisfaction with cancer care. Conclusion We found good preliminary evidence for online supportive care among PCS, but little high level evidence. Generally, the samples were small and unrepresentative. Further, inadequate acceptability measures made it difficult to determine actual PCS acceptability and satisfaction, and lack of control groups precluded strong conclusions regarding efficacy. Translation also appears minimal; few interventions are still publicly available. Larger trials with appropriate control groups and greater emphasis on translation of effective interventions is recommended. Implications for Cancer Survivors Prostate cancer survivors have a variety of unmet supportive care needs. 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Methods Studies were identified through structured searches of PubMed, Embase and PsycINFO databases, and bibliographic review. Inclusion criteria were (1) examined feasibility, acceptability, or efficacy of an online intervention designed to improve supportive care outcomes for PCS; (2) presented outcome data collected from PCS separately (if mixed cancer); and (3) evaluated efficacy outcomes using randomized controlled trial (RCT) design. Results Sixteen studies met inclusion criteria; ten were classified as RCTs. Overall, 2446 men (average age 64 years) were included. Studies reported on the following outcomes: feasibility and acceptability of an online intervention (e.g., patient support, online medical record/follow-ups, or decision aids); reducing decisional conflict/distress; improving cancer-related distress and health-related quality of life; and satisfaction with cancer care. Conclusion We found good preliminary evidence for online supportive care among PCS, but little high level evidence. Generally, the samples were small and unrepresentative. Further, inadequate acceptability measures made it difficult to determine actual PCS acceptability and satisfaction, and lack of control groups precluded strong conclusions regarding efficacy. Translation also appears minimal; few interventions are still publicly available. Larger trials with appropriate control groups and greater emphasis on translation of effective interventions is recommended. Implications for Cancer Survivors Prostate cancer survivors have a variety of unmet supportive care needs. Using online delivery to improve the reach of high-quality supportive care programs could have a positive impact on health-related quality of life among PCS.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30610736</pmid><doi>10.1007/s11764-018-0729-1</doi><tpages>22</tpages><orcidid>https://orcid.org/0000-0002-3259-1832</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acceptability
Aged
Cancer
Cancer Survivors - psychology
Cancer Survivors - statistics & numerical data
Clinical trials
Decision Support Techniques
Effectiveness
Feasibility Studies
Health Informatics
Health Promotion and Disease Prevention
Humans
Internet
Internet-Based Intervention - statistics & numerical data
Intervention
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Palliative Care - methods
Palliative Care - psychology
Palliative Care - statistics & numerical data
Patient Acceptance of Health Care - psychology
Patient Acceptance of Health Care - statistics & numerical data
Primary Care Medicine
Prostate cancer
Prostatic Neoplasms - epidemiology
Prostatic Neoplasms - psychology
Prostatic Neoplasms - therapy
Public Health
Quality of Life
Quality of Life Research
Reviews
Systematic review
Translation
Treatment Outcome
title A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer
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