Mapping a decade of interventions to address the supportive care needs of individuals living with or beyond cancer: a scoping review of reviews

Edney, Laura Catherine; Roseleur, Jacqueline; Gray, Jodi; Koczwara, Bogda; Karnon, Jonathan

doi:10.1007/s00520-021-06713-9

Cited by 9 publications

(12 citation statements)

References 63 publications

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“…The lessons learned from the implementation of these interventions could provide valuable guidance to adapt these established programs into new contexts.To our knowledge, this is the rst scoping review focused on a wide range of cancer supportive care interventions in LMICs. We found similar reviews in the literature that focused speci cally on one type of supportive care: support groups[44], and navigation[45], which were extensively reviewed by Edney et al[4]. However, most included a mix of studies conducted both in high-, middle-and low-income countries; included community awareness and education, and screening interventions; and did not require studies to report outcomes.The study ndings should be interpreted considering several limitations.…”

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confidence: 69%

“…of the interventions included in the review are being implemented at the tertiary care level, and only a few at the community level. This was also noted byEdney et al who identi ed a research gap for practical needs[4].The interventions were described with different degrees of detail about process and implementation in the majority of the thirty-ve articles. However, only two studies reported process or implementation outcomes.…”

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confidence: 76%

“…Evidence-based guidelines for supportive care for cancer patients exist, although they are applicable mostly to HIC. Even in these settings, gaps and barriers still exist in the implementation of such programs, in particular in the integration of clinical and supportive care [4].…”

Section: Discussionmentioning

confidence: 99%

“…Studies in high-income countries (HIC) have shown that providing appropriate supportive care to newly diagnosed cancer patients may help them, and their caregivers manage emotional and psychological symptoms, and address social/cultural or logistical barriers, which in turn may improve treatment compliance and patients' quality of life. Several systematic reviews have assessed and evaluated the supportive care needs that cancer patients experience due to their diagnosis and treatment [3] [4]. Some have evaluated speci c types of interventions, namely educational interventions or psychotherapeutic interventions such as cognitive behavioral therapy (CBT).…”

Section: Introductionmentioning

confidence: 99%

“…However, in low-and middle-income countries (LMICs), where more than 70% of all cancer-related-deaths occur [1], there is a dearth of supportive care interventions and an overall lack of research studies evaluating their effectiveness in these low-resource settings. A recent scoping review of reviews presents the rst broad overview of the published studies addressing the supportive care needs of cancer patients during treatment and survivorship during the decade 2009-2019 [4]. This review of 551 studies found that the number of systematic reviews published tripled in the later years for the period reviewed compared to early years, although none evaluated supportive care interventions in LMICs or in settings with fragmented or under-resourced healthcare systems.…”

Section: Introductionmentioning

confidence: 99%

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Supportive care interventions for cancer patients in low- and middle-income countries (LMICs): a scoping review

Cabanes¹,

Taylor²,

Malburg

et al. 2022

Support Care Cancer

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In high-income countries (HICs), supportive care is often implemented to assist cancer patients as they seek treatment and beyond. However, in low-and middle-income countries (LMICs), where more than 70% of all cancer-related deaths occur [1], the provision of supportive care has not been assessed. The purpose of this scoping review is to assess the type of supportive care interventions for cancer patients that are being implemented into practice across the cancer care continuum in LMICs. MethodsWe examined published articles reporting on supportive care interventions in LMICs. Following PRISMA guidelines, we performed a systematic search of PubMed, ERIC, CINAHL, and PsychInfo. We limited the scope to original research studies focused on LMICs, studies that implemented any type of supportive care intervention for adult cancer patients, from diagnosis, treatment, and through survivorship. ResultsThirty-ve studies met the criteria for inclusion in the scoping review. The majority were randomized clinical trials (RCT) or used a quasi-experimental design. The highest number of studies (n=23) were implemented in the WHO Eastern-Mediterranean region, followed by South-East Asia (n=6), Africa (n=4) and Western-Paci c Regions (n=2). Most studies focused on women's cancers and included interventions for psychosocial support, symptom management, health literacy/education, and patient navigation. ConclusionsAlthough only a small number of interventions are being implemented in these settings, our results suggest that providing different types of supportive services in less-resourced settings, even when health systems are fragmented and fragile, can improve mental health, physical health, and the quality of life (QoL) of cancer patients.

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confidence: 69%

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confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Supportive care interventions for cancer patients in low- and middle-income countries (LMICs): a scoping review

Cabanes¹,

Taylor²,

Malburg

et al. 2022

Support Care Cancer

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The longitudinal relationship between self‐compassion and cancer patients' unmet supportive care needs

Yu,

Li,

Zhao

et al. 2024

Psycho-Oncology

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ObjectivesUnmet supportive care needs are associated with psychological symptoms such as depression and anxiety. However, so far, few studies have explored the protective psychological factors of unmet needs. Therefore, this study intends to explore the protective effect of self‐compassion on unmet needs of Chinese cancer patients and to examine the predictive role of self‐compassion on these needs during treatment.MethodsA longitudinal study was performed at Shaanxi Provincial Cancer Hospital in Xi'an, China. A total of 153 heterogeneous cancer patients were assessed after the first diagnosis (T1), at the beginning (T2) and end (T3) of medical treatment. Hierarchical linear regression analyses were used to examine the research questions.ResultsCross‐sectional regression analyses showed that self‐compassion at T1 was significantly related to psychological needs at T1. Negative self‐compassion at T1 was significantly related to total unmet needs, psychological needs, health system, and information and sexual needs. Longitudinal regression analyses showed that self‐compassion at T1 significantly predicted total unmet needs; health system and information (HSI) needs at T2, psychological needs at T3, and negative self‐compassion at T1 significantly predicted total unmet needs, HSI needs, physical needs, and patient care needs at T2 when controlling for unmet needs at T1. Positive self‐compassion was not a predictor of unmet needs.ConclusionsSelf‐compassion can be a protective factor of unmet needs in cancer patients. Future intervention studies should focus on improving the overall level of self‐compassion and reducing the level of negative self‐compassion in cancer patients to reduce patients' unmet needs.

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Prevalence of unmet supportive care needs reported by individuals ever diagnosed with cancer in Australia: a systematic review to support service prioritisation

Roseleur,

Edney,

Jung

et al. 2023

Support Care Cancer

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Purpose Improved health outcomes for individuals ever diagnosed with cancer require comprehensive, coordinated care that addresses their supportive care needs. Implementing interventions to address these is confounded by a lack of evidence on population needs and a large pool of potential interventions. This systematic review estimates the point prevalence of different supportive care needs stratified by the tool used to measure needs and cancer type in Australia. Methods We searched MEDLINE, Embase, and Scopus from 2010 to April 2023 to identify relevant studies published on the prevalence of supportive care needs in Australia. Results We identified 35 studies that met the inclusion criteria. The highest prevalent unmet need across all cancers was ‘fear of cancer spreading’ (20.7%) from the Supportive Care Needs Survey Short-Form 34 (SCNS-SF34), ranging from 9.4% for individuals ever diagnosed with haematological cancer to 36.3% for individuals ever diagnosed with gynaecological cancer, and ‘concerns about cancer coming back’ (17.9%) from the Cancer Survivors’ Unmet Needs (CaSUN), ranging from 9.7% for individuals ever diagnosed with prostate cancer to 37.8% for individuals ever diagnosed with breast cancer. Two studies assessed needs in Aboriginal and Torres Strait Islander populations, reporting the highest needs for financial worries (21.1%). Conclusions Point prevalence estimates presented here, combined with estimates of the costs and effects of potential interventions, can be used within economic evaluations to inform evidence-based local service provision to address the supportive care needs of individuals ever diagnosed with cancer. Implications for Cancer Survivors Local health services can use local evidence to prioritise the implementation of interventions targeted at unmet needs.

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Mapping a decade of interventions to address the supportive care needs of individuals living with or beyond cancer: a scoping review of reviews

Cited by 9 publications

References 63 publications

Supportive care interventions for cancer patients in low- and middle-income countries (LMICs): a scoping review

Supportive care interventions for cancer patients in low- and middle-income countries (LMICs): a scoping review

The longitudinal relationship between self‐compassion and cancer patients' unmet supportive care needs

Prevalence of unmet supportive care needs reported by individuals ever diagnosed with cancer in Australia: a systematic review to support service prioritisation

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