Self-management education interventions for patients with cancer: a systematic review
Abstract
Purpose This systematic review was intended to identify the effectiveness and inclusion of essential components of self-management education interventions to support patients with cancer in developing the skills needed for effective self-management of their disease and the acute or immediate, long-term, and late harmful effects of treatments.Methods Self-management education interventions were included if they were randomized controlled trials (RCTs) containing at least one of the eight core elements outlined by the research team. A systematic search was conducted in Ovid MEDLINE (2005 through April 2015), Embase (2005 to 2015, week 15), the Cochrane Database of Systematic Reviews (Issue 4, April 2015), CINAHL (2005 to 2015) and PsychINFO (2005 to 2015). Keywords searched include 'self-management patient education' or 'patient education'.Results Forty-two RCTs examining self-management education interventions for patients with cancer were identified. Heterogeneity of interventions precluded meta-analysis, but narrative qualitative synthesis suggested that self-management education interventions improve symptoms of fatigue, pain, depression, anxiety, emotional distress and quality of life. Results for specific combinations of core elements were inconclusive. Very few studies used the same combinations of core elements, and among those that did, results were conflicting. Thus, conclusions as to the components or elements of self-management education interventions associated with the strength of the effects could not be assessed by this review.Conclusion Defining the core components of cancer self-management education and the fundamental elements for inclusion in supporting effective self-management will be critical to ensure consistent and effective provision of self-management support in the cancer system.
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Self-management interventions improve physical and psychosocial health, health behaviors, and healthcare resource use in chronic illnesses and cancer.
“randomized trials in chronic illnesses and cancer suggest that interventions that promote self-management are effective in improving physical and psychosocial health, health behaviors, and healthcare resource use (ER visits, at home nursing care, readmissions) [12, 13].”
From Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers (2020) · cites this paper as [13]
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- Authors
- Howell, D., Harth, T., Brown, J., Bennett, C., & Boyko, S.
- Affiliations
- University Health Network (CA)
- Cancer Care Ontario (CA)
- McMaster University (CA)
- Juravinski Cancer Centre (CA)
- Northeast Cancer Centre (CA)
- Corresponding author
- Brown, Judy
- Venue
- Supportive Care in Cancer
- Published
- 2017-01-05
- Volume
- 25
- Issue
- 4
- Pages
- 1323-1355
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2571383963
- Cited by
- 261
- References
- 90
- Citations by year
- 2026: 10 · 2025: 23 · 2024: 37 · 2023: 35 · 2022: 39 · 2021: 36 · 2020: 29 · 2019: 28 · 2018: 14 · 2017: 8 · 2016: 1 · 2012: 1
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Cancer Care Ontario
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- self-management education, cancer patients, patient education, fatigue, pain, depression, anxiety, emotional distress, quality of life, treatment side effects, intervention components, core components
- MeSH terms
- Humans, Neoplasms, Patient Education as Topic, Quality of Life, Self Care
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