Long-term effectiveness of an E-based survivorship care plan for breast cancer survivors: A quasi-experimental study

Fang, Su Ying; Wang, Yuling; Lu, Wen Hsiang; Lee, Kuo Ting; Kuo, Yiyo; Fetzer, Susan J.

doi:10.1016/j.pec.2019.09.012

Cited by 17 publications

(58 citation statements)

References 32 publications

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“…The participants in the included studies were adult patients aged ≥18 years with a range of diseases: various cancers [ 53 , 63 , 65 , 66 , 69 , 70 , 73 , 75 - 77 ], along with cardiovascular [ 54 , 56 - 58 , 64 , 68 , 71 , 72 , 74 ], musculoskeletal [ 59 , 62 ], colorectal [ 55 , 60 , 61 ], and kidney diseases [ 78 ]. The sample size ranged from 29 to 1000 patients, with, of the 26 studies, 9 (35%) having enrolled fewer than 99 participants [ 58 - 60 , 62 , 64 , 68 , 73 , 76 , 78 ], 9 (35%) having enrolled 100-200 participants [ 53 , 54 , 61 , 66 , 69 , 70 , 74 , 75 , 77 ], 7 (27%) having enrolled 201-500 participants [ 55 - 57 , 63 , 65 , 67 , 72 ], and 1 (4%) having enrolled 1000 participants [ 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 26 studies were included in this review: 20 (77%) RCTs [53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72], 4 (15%) pilot RCTs [73][74][75][76], and 2 (8%) quasi-experimental studies [77,78] published from 2010 to 2020 in English in 13 countries. Details of the included studies are described in Multimedia Appendix 3.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The patient counseling environments described in the original publications included websites [53,[55][56][57]59,62,63,65,66,72,75,76], mobile apps [54,60,61,[67][68][69][70][71]73,74,77,78], or a combination of both [58,64]. Websites could be accessed with all devices, whereas the mobile apps were accessible with either a mobile phone or a tablet.…”

Section: Overviewmentioning

confidence: 99%

“…The presented apps promoted adherence to treatment through daily or weekly challenges [54,60,67], a diary feature [54,78], and homework exercises [69]. Of the apps, 100% (12/12) provided personalized content [54,60,61,[67][68][69][70][71]73,74,77,78], that is, counseling, recommendations, feedback, or notifications based on the participants' inputs and responses.…”

Section: Mobile Appsmentioning

confidence: 99%

“…Of the 26 studies, in 9 (35%), the experimental group exhibited positive changes in anxiety and depression; however, these changes were not statistically significant when compared with the results of the control group [55,56,62,63,66,69,70,76,77]. Of the 24 RCTs, 2 (8%) [63,66] assessed the effectiveness of an informational website in reducing distress among patients with cancer.…”

Section: Anxiety and Depressionmentioning

confidence: 99%

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Effectiveness of Digital Counseling Environments on Anxiety, Depression, and Adherence to Treatment Among Patients Who Are Chronically Ill: Systematic Review

Paalimäki-Paakki¹,

Virtanen²,

Henner³

et al. 2022

J Med Internet Res

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Background Patients who are chronically ill need novel patient counseling methods to support their self-care at different stages of the disease. At present, knowledge of how effective digital counseling is at managing patients’ anxiety, depression, and adherence to treatment seems to be fragmented, and the development of digital counseling will require a more comprehensive view of this subset of interventions. Objective This study aims to identify and synthesize the best available evidence on the effectiveness of digital counseling environments at improving anxiety, depression, and adherence to treatment among patients who are chronically ill. Methods Systematic searches of the EBSCO (CINAHL), PubMed, Scopus, and Web of Science databases were conducted in May 2019 and complemented in October 2020. The review considered studies that included adult patients aged ≥18 years with chronic diseases; interventions evaluating digital (mobile, web-based, and ubiquitous) counseling interventions; and anxiety, depression, and adherence to treatment, including clinical indicators related to adherence to treatment, as outcomes. Methodological quality was assessed using the standardized Joanna Briggs Institute critical appraisal tool for randomized controlled trials or quasi-experimental studies. As a meta-analysis could not be conducted because of considerable heterogeneity in the reported outcomes, narrative synthesis was used to synthesize the results. Results Of the 2056 records screened, 20 (0.97%) randomized controlled trials, 4 (0.19%) pilot randomized controlled trials, and 2 (0.09%) quasi-experimental studies were included. Among the 26 included studies, 10 (38%) digital, web-based interventions yielded significantly positive effects on anxiety, depression, adherence to treatment, and the clinical indicators related to adherence to treatment, and another 18 (69%) studies reported positive, albeit statistically nonsignificant, changes among patients who were chronically ill. The results indicate that an effective digital counseling environment comprises high-quality educational materials that are enriched with multimedia elements and activities that engage the participant in self-care. Because of the methodological heterogeneity of the included studies, it is impossible to determine which type of digital intervention is the most effective for managing anxiety, depression, and adherence to treatment. Conclusions This study provides compelling evidence that digital, web-based counseling environments for patients who are chronically ill are more effective than, or at least comparable to, standard counseling methods; this suggests that digital environments could complement standard counseling.

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