eHealth for improving quality of life in breast cancer patients: A systematic review

Triberti, Stefano; Savioni, Lucrezia; Sebri, Valeria; Pravettoni, Gabriella

doi:10.1016/j.ctrv.2019.01.003

Cited by 154 publications

(158 citation statements)

References 87 publications

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“…Delivering interventions over the internet is an increasingly popular approach to overcome these challenges. A systematic review of eHealth interventions aimed at breast cancer patients and survivors supports the general feasibility and acceptability of internet‐delivered interventions within this group, and two previous studies of internet‐delivered MBIs for psychological distress in cancer patients show promising results . One study of cancer patients participating in an online “Mindfulness‐Based Cancer Recovery program” found an effect at post intervention on mood disturbance ( d = 0.44) when compared with a wait‐list control .…”

Section: Introductionmentioning

confidence: 66%

Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial

et al. 2019

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Objective: Internet-delivered interventions may alleviate distress in cancer survivors with limited access to psychological face-to-face treatment. In collaboration with a group of cancer survivors, we developed and tested the efficacy of a therapistassisted internet-delivered mindfulness-based cognitive therapy (iMBCT) program for anxiety and depression in cancer survivors. Methods:A total of 1282 cancer survivors were screened for anxiety and depression during their routine oncology follow-up; eligible breast (n = 137) and prostate cancer (n = 13) survivors were randomized to iMBCT or care-as-usual (CAU) wait-list.Primary outcomes of anxiety and depression were assessed at baseline, 5 weeks, 10 weeks (post intervention), and 6 months.Results: Significant effects were found for both anxiety (Cohen's d = 0.45; P = .017) and depressive symptoms (d = 0.42; P = .024) post intervention. The effects were maintained at follow-up for anxiety (d = 0.40; P = .029), but not for depressive symptoms (d = 0.28; P = .131). Conclusions:Our preliminary findings suggest iMBCT to be a helpful intervention for cancer survivors suffering from symptoms of anxiety. Further studies on the efficacy for symptoms of depression are needed.

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Section: Introductionmentioning

confidence: 66%

Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial

et al. 2019

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“…Owing to the advances in the clinical management of this tumor, the number of long-term survivors has progressively increased during the past four decades (1). In this scenario, health-related quality of life has become more and more important in the overall patients' outcome evaluation (2)(3)(4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Impact of Rehabilitation on Breast Cancer Related Fatigue: A Pilot Study

et al. 2020

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Breast cancer fatigue (BCF) is a complex and multidimensional condition characterized by a persistent sense of physical and/or mental stiffness, resulting in a substantial impairment of health-related quality of life in breast cancer survivors. Aim of this prospective cohort study was to evaluate the feasibility and the effectiveness of a 4-week rehabilitation protocol on BCF, muscle mass, strength, physical performance, and quality of life in breast cancer (BC) survivors. We recruited adult BC women with a diagnosis of BCF, according to the International Classification of Diseases 10 criteria, referred to the Outpatient Service for Oncological Rehabilitation of a University Hospital. All participants performed a specific physical exercise rehabilitative protocol consisting of 60-min sessions repeated 2 times/week for 4 weeks. All outcomes were evaluated at the baseline (T0), at the end of the 4-week rehabilitation treatment (T1), and at 2 months follow up (T2). The primary outcome measure was the Brief Fatigue Inventory (BFI); secondary outcomes included: Fat-Free Mass and Fat Mass, assessed by Bioelectrical Impedance Analysis (BIA); Hand Grip Strength Test (HGS); Short Physical Performance Battery (SPPB); 10-meter walking test (10 MWT); 6-min walking test (6 MWT); European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Thirty-six women (mean age: 55.17 ± 7.76 years) were enrolled in the study. Significant reduction of BCF was observed both after the 4-week rehabilitation treatment (T1) (BFI: 5.4 ± 1.6 vs. 4.2 ± 1.7; p = 0.004) and at the follow-up visit (T2) (BFI: 5.4 ± 1.6 vs. 4.4 ± 1.6; p = 0.004). Moreover, significant differences (p < 0.001) HGS, SPPB, 10 MWT, 6 MWT, and EORTC QLQ-C30 were found at T1, while at T2 all the outcome measures were significantly different (p < 0.05) from the baseline. The rehabilitation protocol seemed to be feasible, safe, and effective in reducing BCF, improving muscle mass and function, and improving HRQoL in a cohort of BC survivors. The results of this study could improve awareness of this underestimated disease, suggesting the definition of a specific therapeutic exercise protocol to reduce BCF.

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“…Other technologies appear considerably less often in eHealth literature but could be considered evolved tools, especially because they are based on more complex conceptions of technology's potential influence on users' everyday life and personal abilities. The design, development, and implementation of these technologies are often more expensive and require specific competences (Gorini et al 2008;Riva 2000;Riva et al 2006;Rizzo and Kim 2005;Triberti and Chirico 2016;Triberti et al 2019):…”

Section: Ehealthmentioning

confidence: 99%

“…When we speak about mHealth, we refer to mobile telecommunication technologies supporting wellness through the delivery of healthcare (Steinhubl et al 2013;Gorini et al 2018;Triberti et al 2019).…”

Section: The Role Of Ehealth (And Mhealth Specifically)mentioning

confidence: 99%

P5 eHealth: An Agenda for the Health Technologies of the Future

Pravettoni¹,

Triberti²

2020

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eHealth for improving quality of life in breast cancer patients: A systematic review

Cited by 154 publications

References 87 publications

Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial

Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial

Impact of Rehabilitation on Breast Cancer Related Fatigue: A Pilot Study

P5 eHealth: An Agenda for the Health Technologies of the Future

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