Journal article
Web and mobile-based symptom management interventions for physical symptoms of people with advanced cancer: A systematic review and meta-analysis
Palliative medicine, Vol.35(6), pp.1020-1038
06/01/2021
DOI: 10.1177/02692163211006317
PMID: 33840271
Abstract
Background:
Symptom management is a critical aspect of comprehensive palliative care for people with advanced cancer. Web and mobile-based applications are promising e-Health modalities that can facilitate timely access to symptom management interventions for this population
Aim:
To evaluate the efficacy of web and mobile-based symptom management interventions in alleviating physical symptom burden in people with advanced cancer.
Design:
A systematic review and meta-analysis was conducted. PROSPERO ID = CRD42020155295.
Data sources:
We searched databases including PubMed, PsycINFO, and CINAHL from 1991 until 2019. Inclusion criteria were: adults with advanced cancer, web or mobile-based interventions targeting symptom management, and report of physical symptom data. Risk of bias was assessed using the ROBINS-I and RoB2. Using RevMan, standardized mean difference (SMD) and 95% confidence intervals were calculated. Heterogeneity was assessed using the I-2 statistic. An assessment of interventions was conducted by evaluating the delivery mode, duration, and evaluation of application feature and theoretical elements.
Results:
A total of 19 studies are included in the systematic review and 18 in the meta-analysis. Majority of the studies were deemed to have high risk of bias. Most of the interventions used a web-application for delivering their education (n = 17). While the interventions varied regarding duration and content, they were mainly guided by a symptom management theory. Web and mobile-based interventions significantly improved the overall physical symptom burden (SMD = -0.18; 95% CI = -0.28 to -0.09; I-2 = 0%; p = 0.0002).
Conclusions:
Web and mobile-based intervention are efficacious in decreasing the overall physical symptom burden in people with advanced cancer.
Details
- Title: Subtitle
- Web and mobile-based symptom management interventions for physical symptoms of people with advanced cancer: A systematic review and meta-analysis
- Creators
- Seyedehtanaz Saeidzadeh - University of IowaVijayvardhan Kamalumpundi - Roy J. and Lucille A. Carver College of MedicineNai-Ching Chi - University of IowaRajeshwari Nair - Iowa City VA Health Care SystemStephanie Gilbertson-White - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Palliative medicine, Vol.35(6), pp.1020-1038
- DOI
- 10.1177/02692163211006317
- PMID
- 33840271
- NLM abbreviation
- Palliat Med
- ISSN
- 0269-2163
- eISSN
- 1477-030X
- Publisher
- Sage
- Number of pages
- 19
- Language
- English
- Date published
- 06/01/2021
- Academic Unit
- Iowa Neuroscience Institute; Nursing; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359690302771
Metrics
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