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A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer

Forbes, Cynthia C.; Finlay, Amy; McIntosh, Megan; Siddiquee, Shihab; Short, Camille E.

Authors

Amy Finlay

Megan McIntosh

Shihab Siddiquee

Camille E. Short



Abstract

Purpose
To examine the feasibility, acceptability, and efficacy of online supportive care interventions targeting prostate cancer survivors (PCS).

Methods
Studies were identified through structured searches of PubMed, Embase and PsycINFO databases, and bibliographic review. Inclusion criteria were (1) examined feasibility, acceptability, or efficacy of an online intervention designed to improve supportive care outcomes for PCS; (2) presented outcome data collected from PCS separately (if mixed cancer); and (3) evaluated efficacy outcomes using randomized controlled trial (RCT) design.

Results
Sixteen studies met inclusion criteria; ten were classified as RCTs. Overall, 2446 men (average age 64 years) were included. Studies reported on the following outcomes: feasibility and acceptability of an online intervention (e.g., patient support, online medical record/follow-ups, or decision aids); reducing decisional conflict/distress; improving cancer-related distress and health-related quality of life; and satisfaction with cancer care.

Conclusion
We found good preliminary evidence for online supportive care among PCS, but little high level evidence. Generally, the samples were small and unrepresentative. Further, inadequate acceptability measures made it difficult to determine actual PCS acceptability and satisfaction, and lack of control groups precluded strong conclusions regarding efficacy. Translation also appears minimal; few interventions are still publicly available. Larger trials with appropriate control groups and greater emphasis on translation of effective interventions is recommended.

Implications for Cancer Survivors
Prostate cancer survivors have a variety of unmet supportive care needs. Using online delivery to improve the reach of high-quality supportive care programs could have a positive impact on health-related quality of life among PCS.

Journal Article Type Article
Publication Date 2019-02
Journal Journal of Cancer Survivorship
Print ISSN 1932-2259
Electronic ISSN 1932-2267
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 13
Issue 1
Pages 75–96
APA6 Citation Forbes, C. C., Finlay, A., McIntosh, M., Siddiquee, S., & Short, C. E. (2019). A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer. Journal of cancer survivorship : research and practice, 13(1), 75–96. https://doi.org/10.1007/s11764-018-0729-1
DOI https://doi.org/10.1007/s11764-018-0729-1
Keywords Oncology(nursing); Oncology
Publisher URL https://link.springer.com/article/10.1007%2Fs11764-018-0729-1

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Copyright Statement
© The Author(s) 2019
Open Access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.





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