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Self‐management interventions for cancer survivors: A systematic review and evaluation of intervention content and theories
Open accessAbstract
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 [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]
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Metadata
- 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.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2019-10-15
- Volume
- 28
- Issue
- 11
- Pages
- 2119-2140
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- 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
- 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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