Telemedizin in der rehabilitativen Nachsorge von Frauen mit
                    Brustkrebs – Eine systematische Übersicht

Tokgöz, Pinar; Dockweiler, Christoph

doi:10.1055/a-1480-3712

Cited by 5 publications

(4 citation statements)

References 29 publications

(136 reference statements)

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“…16 Importantly, eHealth strategies are well liked by patients in terms of acceptability and usefulness 20,21 and can promote patient-centered medicine through codesign. 22 There is growing systematic review evidence for eHealth interventions effectiveness for physical activity 23,24 and PROs (QOL, stress, fatigue, and sleep) 19,25,26 for patients with breast cancer. However, these often only include one health outcome and/or do not include meta-analyses or evaluations of barriers and enablers to implementation.…”

Section: Introductionmentioning

confidence: 99%

“…A high-quality synthesis of randomized controlled trials (RCTs), evaluating numerous health outcomes during and after treatment and evaluating patient-reported experience measures (PREMs) such as acceptability, usefulness, and engagement of eHealth intervention features, is needed to inform future eHealth intervention development and attrition reduction. 26 Therefore, this study aimed to investigate the effectiveness of eHealth interventions to improve PROs (QOL, self-efficacy, and mental [anxiety, depression, and distress] and physical [physical activity, nutrition, and fatigue] health) during and after breast cancer treatment. Implementation was also evaluated using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM framework) 27 plus PREMs to inform common features of effective interventions.…”

Section: Introductionmentioning

confidence: 99%

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Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses

Singleton

Raeside

Hyun

et al. 2022

JCO

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PURPOSE Ongoing supportive care using electronic health (eHealth) interventions has the potential to provide remote support and improve health outcomes for patients with breast cancer. This study aimed to evaluate the effectiveness of eHealth interventions on patient-reported outcomes (quality of life [QOL], self-efficacy, and mental or physical health) for patients during and after breast cancer treatment and patient-reported experience measures (acceptability and engagement). METHODS Systematic review with meta-analyses (random-effects model) of randomized controlled trials was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Nine databases were searched using a prespecified search strategy. Patient-directed eHealth interventions for adult patients during or after active breast cancer treatment measuring QOL, self-efficacy, and mental (depressive, anxiety, and distress symptoms) or physical (physical activity, nutrition, and fatigue) health outcomes were included. Data from eligible full-text articles were independently extracted by six observers. RESULTS Thirty-two unique studies (4,790 patients) were included. All were health self-management interventions, and most were multicomponent (videos, forums, and electronic reminder systems) websites. Meta-analyses revealed a significant effect of eHealth interventions on QOL (standardized mean difference [SMD], 0.20 [95% CI, 0.03 to 0.36]), self-efficacy (SMD, 0.45 [95% CI, 0.24 to 0.65]), distress (SMD, –0.41 [95% CI,–0.63 to –0.20]), and fatigue (SMD, –0.37 [95% CI, –0.61 to –0.13]). Twenty-five studies (78.1%) measured patient-reported experience measures. Acceptability (n = 9) was high, with high ratings for satisfaction (range, 71%-100%), usefulness (range, 71%-95%), and ease-of-use (range, 73%-92%). Engagement (n = 25) decreased over time, but disease-focused information and interactive support were most engaging. CONCLUSION eHealth interventions may provide an acceptable and effective strategy for improving QOL, distress, self-efficacy, and fatigue among patients with breast cancer.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses

Singleton

Raeside

Hyun

et al. 2022

JCO

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“…Even though there is empirical evidence that substantiates the role of eHealth interventions in the delivery of supportive care to people living with the complexities of chronic health conditions [15][16][17][18][19], the effects of eHealth interventions specifically designed for supporting patients with cancer to manage cancer-related symptoms and the effects on outcomes, that is, symptom burden, are less clear [20,21].…”

Section: Introductionmentioning

confidence: 99%

Promoting Self-management and Patient Activation Through eHealth: Protocol for a Systematic Literature Review and Meta-analysis

Moradian¹,

Liu²,

Maguire³

et al. 2023

JMIR Res Protoc

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Background Major advances in different cancer treatment modalities have been made, and people are now living longer with cancer. However, patients with cancer experience a range of physical and psychological symptoms during and beyond cancer treatment. New models of care are needed to combat this rising challenge. A growing body of evidence supports the effectiveness of eHealth interventions in the delivery of supportive care to people living with the complexities of chronic health conditions. However, reviews on the effects of eHealth interventions are scarce in the field of cancer-supportive care, particularly for interventions with the aim of empowering patients to manage cancer treatment–related symptoms. For this reason, this protocol has been developed to guide a systematic review and meta-analysis to assess the effectiveness of eHealth interventions for supporting patients with cancer in managing cancer-related symptoms. Objective This systematic review with meta-analysis is conducted with the aim of identifying eHealth-based self-management intervention studies for adult patients with cancer and evaluating the efficacy of eHealth-based self-management tools and platforms in order to synthesize the empirical evidence on self-management and patient activation through eHealth. Methods A systematic review with meta-analysis and methodological critique of randomized controlled trials is conducted following Cochrane Collaboration methods. Multiple data sources are used to identify all potential research sources for inclusion in the systematic review: (1) electronic databases such as MEDLINE, (2) forward reference searching, and (3) gray literature. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for conducting the review were followed. The PICOS (Population, Interventions, Comparators, Outcomes, and Study Design) framework is used to identify relevant studies. Results The literature search yielded 10,202 publications. The title and abstract screening were completed in May 2022. Data will be summarized, and if possible, meta-analyses will be performed. It is expected to finalize this review by Winter 2023. Conclusions The results of this systematic review will provide the latest data on leveraging eHealth interventions and offering effective and sustainable eHealth care, both of which have the potential to improve quality and efficiency in cancer-related symptoms. Trial Registration PROSPERO 325582; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=325582 International Registered Report Identifier (IRRID) DERR1-10.2196/38758

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“…In the past years, there has been increasing interest in the use of mobile health (mHealth) applications, 9-12 wearable devices, 13 and telemedicine 14 to support breast cancer management. Ample reviews aimed to summarize the evidence for the implementation of mHealth in breast cancer care.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effectiveness of Mobile Health in Breast Cancer Care: A Systematic Review

et al. 2023

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Breast cancer is affecting millions of people worldwide. If not appropriately handled, the side effects of different modalities of cancer treatment can negatively impact patients’ quality of life and cause treatment interruptions. In recent years, mobile health (mHealth) interventions have shown promising opportunities to support breast cancer care. Numerous studies implemented mobile health interventions aiming to support patients with breast cancer, for example, through physical activity promotion or educational content. Nonetheless, current literature reveals that real-world evidence for the actual benefits remains unclear. In this systematic review, we focus on analyzing the methodology used in recent studies to determine the effects of mHealth applications and wearable devices on the outcome of patients with breast cancer. We followed the PRISMA guideline for the selection, analysis, and reporting of relevant studies found in the databases of Medline, Scopus, Web of Science, and Cochrane Library. A total of 276 unique records were identified, and 20 studies met the inclusion criteria. Study quality was assessed with the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies. While many of the studies used standardized questionnaires as patient-reported outcome measures, there was minimal use of objective measurements, such as activity sensors. Adoption, drop-out rates, and usage behavior of users of the mobile health intervention were often not reported. Future work should clearly define the focus and desired outcome of mHealth interventions and select outcome measures accordingly. Greater transparency facilitates the interpretation of results and conclusions about the real-world evidence of mobile health in breast cancer care.

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Telemedizin in der rehabilitativen Nachsorge von Frauen mit Brustkrebs – Eine systematische Übersicht

Cited by 5 publications

References 29 publications

Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses

Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses

Promoting Self-management and Patient Activation Through eHealth: Protocol for a Systematic Literature Review and Meta-analysis

Evaluating the Effectiveness of Mobile Health in Breast Cancer Care: A Systematic Review

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