Self‐management interventions for cancer survivors: A systematic review and evaluation of intervention content and theories

Cuthbert, Colleen A.; Farragher, Janine F.; Hemmelgarn, Brenda R.; Ding, Qirui; McKinnon, Geoffrey P.; Cheung, Winson Y.

doi:10.1002/pon.5215

Cited by 135Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeWomen's cancer prevention and management

Self‐management interventions for cancer survivors: A systematic review and evaluation of intervention content and theories

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Cuthbert, Colleen A., Farragher, Janine F., Hemmelgarn, Brenda R., Ding, Qirui, McKinnon, Geoffrey P., Cheung, Winson Y.·2019·Psycho-Oncology

DOI 10.1002/pon.5215

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Abstract

Objective: Self‐management has been proposed as a strategy to help cancer patients optimize their health and well‐being during survivorship. Previous reviews have shown variable effects of self‐management on outcomes. The theoretical basis and psychoeducational components of these interventions have not been evaluated in detail. We aimed to evaluate the evidence for self‐management and provide a description of the components of these interventions. Methods: We conducted a systematic review of self‐management interventions for adults who had completed primary cancer treatment by searching MEDLINE, EMBASE, PsychINFO, CINAHL, Scopus, Cochrane Database of Systematic Reviews, National Institutes of Health Clinical Trials Registry, and Cochrane CENTRAL Registry of Controlled Trials. We included experimental and quasiexperimental designs. Data synthesis included narrative and tabular summary of results; heterogeneity of interventions and outcomes precluded meta‐analysis. Study quality was evaluated using the Cochrane risk of bias tool or the risk of bias of nonrandomized studies tool. Results: Forty‐one studies published between 1994 and 29 March 2018 were included. Studies were predominantly randomized controlled trials and targeted to breast cancer survivors. A variety of intervention designs, psychoeducational components, and outcomes were identified. Less than 50% of the studies included a theoretical framework. There was variability of effects across most outcomes. Risk of bias could not be fully assessed. Conclusions: There are limitations in the design and research on self‐management interventions for cancer survivors that hinder their translation into clinical practice. Further research is needed to understand if these interventions are an important type of support for cancer survivors.

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There is insufficient evidence that supporting patients' self-management alone can effectively improve patient-reported outcomes, health care or clinical outcomes.
“There is insufficient evidence that supporting patients’ self-management alone can effectively improve patient-reported outcomes, health care or clinical outcomes [32].”
From The BrEasT cancer afTER-CARE (BETTER-CARE) programme to improve breast cancer follow-up: design and feasibility study results of a cluster-randomised complex intervention trial (2024) · cites this paper as [32]
Section 4.1 (Clinical implications; page not available) says findings on the effects of self-management interventions are inconclusive for cancer survivors. Section 3.4 reports mixed patient-reported results and very limited measurement of health care and clinical outcomes. The review does not establish the claim for patients generally or specifically assess self-management support ‘alone.’ (LLM, conf=0.85)
Experimental — accuracy not yet measured

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Self-citation
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Fukui S, Kugaya A, Okamura H, et al. A psychosocial group interven- tion for Japanese women with primary breast carcinoma. Cancer. 2000;89(5):1026-1036.

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Authors: Cuthbert, C. A., Farragher, J. F., Hemmelgarn, B. R., Ding, Q., McKinnon, G. P., & Cheung, W. Y.
Affiliations: University of Calgary (CA)
University of Toronto (CA)
Department of Oncology, Cumming School of Medicine University of Calgary Calgary Alberta Canada
Alberta Health Services (CA)
Corresponding author: Cuthbert, Colleen A.
ORCID: Cuthbert, Colleen A.
Farragher, Janine F.
Hemmelgarn, Brenda R.
Cheung, Winson Y.
Venue: Psycho-Oncology
Publisher: Wiley
Published: 2019-10-15
Volume: 28
Issue: 11
Pages: 2119-2140
ISSN: 1057-9249 (ISSN-L)
1099-1611
DOI: 10.1002/pon.5215
OpenAlex: W2971421289
Cited by: 135
References: 82
Citations by year: 2026: 15 · 2025: 17 · 2024: 15 · 2023: 22 · 2022: 32 · 2021: 19 · 2020: 13 · 2019: 1
FWCI: 1.55
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Psycho-Oncology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Keywords: self-management interventions, cancer survivors, psychoeducation, theoretical framework, breast cancer survivors, intervention content, survivorship, risk of bias
MeSH terms: Cancer Survivors, Self-Management, Adult, Breast Neoplasms, Female, Health Status, Humans, Male, Middle Aged, Quality of Life, Qualitative Research

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Self‐management interventions for cancer survivors: A systematic review and evaluation of intervention content and theories

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