Systematic Review of Technology-Based Interventions to Improve Anxiety, Depression, and Health Related Quality of Life Among Patients with Prostate Cancer
A partir d'une revue systématique de la littérature publiée entre 2000 et 2018 (10 articles), cette étude analyse les caractéristiques d'interventions d'e-santé destinées à réduire et à prendre en charge les symptômes d'anxiété et de dépression et à améliorer la qualité de vie chez des patients atteints d'un cancer de la prostate
Objectives : This review aimed to systematically evaluate the characteristics of Technology‐Based Interventions (TBIs) and their effectiveness on anxiety, depression, and HRQoL among patients with prostate cancer. Methods : We identified eligible research reports published in English language between January 1, 2000 and September 15, 2018 from CINAHL, EMBASE, “Library & Information Science Abstracts,” “Library, Information Science & Technology Abstracts,” “Library & Information Science Source,” PsychINFO, and PubMed. We abstracted randomized control trials and quasi‐experimental studies that measured the outcomes related to anxiety, depression, or HRQoL. We extracted the data using the Cochrane Handbook for Systematic Reviews of Interventions guideline. Results : Among the six RCTs and four quasi‐experimental studies that met our inclusion criteria, the TBIs aimed to provide informational, psychosocial, self‐care management, and communication support. About 60‐92% of the participants in six studies completed all required contents and 77‐94% of the participants in four studies logged onto the TBI platform. Compared to the patients in usual care, the TBI users reported a significant reduction in anxiety (N=1 study) and depression (N=2 studies), and improvement in HRQOL (N=2 studies). We also identified the limitations of the existing TBIs trials. Conclusions : We found insufficient evidence to support the effectiveness of TBIs in improving health outcomes (anxiety, depression, and HRQOL) among patients with prostate cancer. Future research needs to (1) use rigorous randomized control trials; (2) be sufficiently powered to examine the effects of TBIs; (3) examine how the effect of TBIs on health outcomes vary by actual intervention use, intervention components, and duration.
Psycho-Oncology 2019