eHealth and mHealth Interventions in Pediatric Cancer: A Systematic Review of Interventions Across the Cancer Continuum
A partir d'une revue systématique de la littérature (21 articles, 1 506 patients), cette étude analyse l'intérêt, pour réduire la détresse psychologique, améliorer les comportements de santé et le fonctionnement neurocognitif, des interventions de e-santé (technologies web et mobile) destinées aux enfants, adolescents et jeunes adultes ayant survécu à un cancer pédiatrique
Objectives : The primary objectives were to: 1) identify current published research in electronic health (eHealth) and mobile health (mHealth) interventions for youth undergoing cancer treatment and childhood, adolescent, and young adult survivors of childhood cancer and 2) critically appraise the current scientific evidence on their effectiveness and efficacy. As an exploratory aim, we identified pediatric cancer patients' and survivors' perceptions, attitudes, and concerns related to eHealth and mHealth interventions. Methods : A comprehensive search of the literature was performed to identify peer‐reviewed journal articles that included the use of mHealth and eHealth interventions among youth receiving active cancer treatment and survivors of childhood cancer through the age range of childhood to young adulthood (mean age ≤ 21 at the time of diagnosis; mean age ≤ 39 at the time of intervention). The search was conducted via six electronic databases: PubMed, CINAHL, EMBASE, PsycINFO, IEEEExplore, and the Cochrane Library. Results : Of the 1879 potential records examined, 21 met criteria for inclusion for a total of 1506 participants. Of the investigations included, 13 were randomized controlled trials and 8 were nonrandomized studies. Findings demonstrated feasibility as well as acceptability with these approaches. Evidence of efficacy for interventions targeting emotional distress, health behaviors, health outcomes, and neurocognitive functioning was mixed. Conclusions : Given the growing evidence of efficacy, coupled with increasing access to digital technologies, eHealth and mHealth may serve an important role in improving mental and physical health outcomes of youth undergoing cancer treatment and childhood, adolescent, and young adult survivors of childhood cancer.