eHealth for improving quality of life in breast cancer patients: A systematic review

Triberti, Stefano; Savioni, Lucrezia; Sebri, Valeria; Pravettoni, Gabriella

doi:10.1016/j.ctrv.2019.01.003

Cited by 184Cancer survivorship and careMobile Health and mHealth ApplicationsDigital Mental Health Interventions

eHealth for improving quality of life in breast cancer patients: A systematic review

Triberti, Stefano, Savioni, Lucrezia, Sebri, Valeria, Pravettoni, Gabriella·2019·Cancer Treatment Reviews

DOI 10.1016/j.ctrv.2019.01.003

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Abstract

Breast cancer patients (and survivors) use to deal with important challenges daily, such as coping with stress and depression, and adopting healthy lifestyles in order to improve treatment effectiveness; moreover, some experiential issues are quite specific of this disease, such as sexuality and fertility disfunctions after hormonal therapy, and distortions in body image after breast surgery. Recent literature highlighted the utility of eHealth or the use of new technologies to promote health management and quality of life in chronic diseases generally. The present contribution aims at (1) exploring usage and effectiveness of eHealth resources to improve breast cancer patients/survivors' quality of life, and (2) describing whether existing eHealth interventions addressed specific characteristics of breast cancer, or employed a generic approach only. A systematic literature search according to PRISMA guidelines was performed. Twenty-four studies met inclusion criteria and were included. Discussion highlights a majority of encouraging results about eHealth in breast cancer patients' health management, especially in those interventions featuring eHealth tools for improving patients' abilities (e.g., coping) and complex eHealth systems with multiple resources. However, generic use of eHealth is still predominant over disease-focused solutions. Guidelines for future eHealth research and development are listed in order to promote technology design centered on the lived experience of specific illness.

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There are existing systematic and metareviews on web-based interventions for cancer care/aftercare and on fear of cancer recurrence interventions more generally.
“There are a number of existing systematic and metareviews on web-based interventions for cancer care/aftercare [9–17] and on fear of cancer recurrence interventions more generally [18–21].”
From Web-based interventions for fear of cancer recurrence: A scoping review with a focus on suggestions for the development and evaluation of future interventions (2024) · cites this paper as [11]
Two recent reviews on e-mental health interventions in patients with breast cancer and young adult patients emphasised the impact of e-mental health interventions and stressed the need for well-designed multicentre RCTs.
“two recent reviews on e-mental health interventions in (1) patients with breast cancer and (2) young adult patients emphasised the impact of e-mental health interventions and stressed the need for well-designed multicentre randomised controlled trials (RCTs).”
From Web-based mindfulness and skills-based distress reduction for patients with cancer: study protocol of the multicentre, randomised, controlled confirmatory intervention trial Reduct (2022) · cites this paper as [25]

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The choice dilemma in chronic hematological conditions: Why choosing is not only a medical issue? A psycho-cognitive perspective
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Social Support for Diabetes Self-Management via eHealth Interventions
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Chronic disease self-management support for persons with dementia, in a clinical setting
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Enabling eHealth as a Pathway for Patient Engagement: a Toolkit for Medical Practice
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A systematic review of eHealth cancer prevention and control interventions: new technology, same methods and designs?
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IEmS: A collaborative environment for patient empowerment
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Mediating processes of two communication interventions for breast cancer patients
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Assessment of quality of life in women five years after breast cancer surgery, members of Breast Cancer Self-Help Groups – non-randomized, cross-sectional study
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Integrating eHealth with human services for breast cancer patients
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Virtual reality : technologies, medical applications and challenges
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Monitoring and Follow-up of Chronic Heart Failure: a Literature Review of eHealth Applications and Systems
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A Qualitative Investigation on Patient Empowerment in Prostate Cancer
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Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients
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Promoting Emotional Well-Being in Older Breast Cancer Patients: Results From an eHealth Intervention
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Definitions of eHealth
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mHealth for diabetes support: a systematic review of apps available on the Italian market
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Hardiness and optimism in women with breast cancer
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The Role of eHealth in Patient Engagement and Quality Improvement
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Management of hair loss associated with endocrine therapy in patients with breast cancer: an overview
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Interactivity, Presence, and Targeted Patient Care: Mapping e-Health Intervention Effects Over Time for Cancer Patients with Depression
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Poor eHealth Literacy and Consumer-Directed Health Plans: A Recipe for Market Failure
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Healthy Avatars, Healthy People
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Online Educational Tool to Promote Bone Health in Cancer Survivors
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Psychological Support in Breast Cancer Patients: A Personalized Approach
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Stress Exposure in Significant Relationships Is Associated with Lymph Node Status in Breast Cancer
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Transformative Healthcare Practice through Patient Engagement
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Fertility Issues in Patients with Breast Cancer or Survivors
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Digital health and telehealth in cancer care: A scoping review of reviews
Shaffer, K. M., Turner, K. L., Siwik, C., Gonzalez, B. D., Upasani, R., Glazer, J. V., Ferguson, R. J., Joshua, C., & Low, C. A. (2023) · The Lancet Digital Health · doi:10.1016/s2589-7500(23)00049-3 · Cited by 263 · see citing works
The increasing value of eHealth in the delivery of patient-centred cancer care
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Mobile health technology: a novel tool in chronic disease management
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Internet‐delivered mindfulness‐based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial
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Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses
Singleton, A. C., Raeside, R., Hyun, K. K., Partridge, S. R., Tanna, G. L. D., Hafiz, N., Tu, Q., Tat-Ko, J., Sum, S. C. M., Sherman, K. A., et al. (2022) · Journal of Clinical Oncology · doi:10.1200/jco.21.01171 · Cited by 134 · see citing works
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Breast cancer patient experiences through a journey map: A qualitative study
Ciria‐Suarez, L., Jiménez‐Fonseca, P., Palacín-Lois, M., Antoñanzas, M., Montés, A. F., Manzano-Fernández, A., Fernández, B. C., Asensio, E., Polo, S. H., & Calderón, C. (2021) · PLoS ONE · doi:10.1371/journal.pone.0257680 · Cited by 95 · see citing works
Impact of Rehabilitation on Breast Cancer Related Fatigue: A Pilot Study
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The Role of Emotion-Related Abilities in the Quality of Life of Breast Cancer Survivors: A Systematic Review
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“Firstly, cancer treatments bring along issues that negatively affect cancer survivors’ body image, chronic pain, and quality of life [8].”
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Mobile Apps and Quality of Life in Patients With Breast Cancer and Survivors: Systematic Literature Review
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Using a Gratitude Intervention to Improve the Lives of Women With Breast Cancer: A Daily Diary Study
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P5 eHealth: An Agenda for the Health Technologies of the Future
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Effect of Digital Care Platforms on Quality of Care for Oncological Patients and Barriers and Facilitators for Their Implementation: Systematic Review
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Results from a randomized controlled trial testing <i>StressProffen</i>; an application‐based stress‐management intervention for cancer survivors
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The Effect of Art Therapy and Music Therapy on Breast Cancer Patients: What We Know and What We Need to Find Out—A Systematic Review
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Online interventions aimed at reducing psychological distress in cancer patients: evidence update and suggestions for future directions
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Cancer patients’ participation and commitment to psychological interventions: a scoping review
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Effectiveness of resilience interventions among cancer patients – A systematic review, meta-analysis, and meta-regression of randomised controlled trials
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Management of Cancer-Related Cognitive Impairment: A Systematic Review of Computerized Cognitive Stimulation and Computerized Physical Activity
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Remote Psychological Interventions for Fear of Cancer Recurrence: Scoping Review.
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“Finally, eHealth also offers the chance for self-management and continuity of care [46].”
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Transformative synergy: SSEHCET—bridging mobile edge computing and AI for enhanced eHealth security and efficiency
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People with cancer and their family caregivers' personal experience of using supportive eHealth technology: A narrative review.
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Mobile health interventions for cancer patient education: A scoping review
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eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review
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Do You Transfer Your Skills? From Sports to Health Management in Cancer Patients
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A systematic review of eHealth technologies for breast cancer supportive care
Gyawali, B., Bowman, M., Sharpe, I., Jalink, M., Srivastava, S., & Wijeratne, D. T. (2023) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2023.102519 · Cited by 28 · see citing works
Factors Associated With Digital Intervention Engagement and Adherence in Patients With Cancer: Systematic Review
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The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial
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Effectiveness of Digital Health on the Quality of Life of Long-Term Breast Cancer Survivors: A Systematic Review
Parra, G., Soto‐Ruiz, N., Martín‐Rodríguez, L. S., Escalada‐Hernández, P., & García‐Vivar, C. (2023) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2023.151418 · Cited by 32 · see citing works
Online interventions to address body image distress in cancer
Esplen, M. J., & Trachtenberg, L. (2019) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000484 · Cited by 28 · see citing works
Impact of telemedicine on assisted reproduction treatment in the public health system.
Hernandez, C., Valdera, C., Cordero, J., Lopez, E., Plaza, J., & Albi, M. (2019) · Journal of Healthcare Quality Research · doi:10.1016/j.jhqr.2019.08.004 · Cited by 25 · see citing works
Exploring Strategies for Using Social Media to Self-Manage Health Care When Living With and Beyond Breast Cancer: In-Depth Qualitative Study
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The Motivation Journey: A Grounded Theory Study on Female Cancer Survivors’ Experience of a Psychological Intervention for Quality of Life
Durosini, I., Savioni, L., Triberti, S., Guiddi, P., & Pravettoni, G. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18030950 · Cited by 27 · see citing works
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Feasibility, acceptability, and efficacy of online supportive care for individuals living with and beyond lung cancer: a systematic review
Curry, J., Patterson, M., Greenley, S. L., Pearson, M., & Forbes, C. C. (2021) · Supportive Care in Cancer · doi:10.1007/s00520-021-06274-x · Cited by 27 · see citing works
Improving Patients’ Medication Adherence and Outcomes in Nonhospital Settings Through eHealth: Systematic Review of Randomized Controlled Trials
Wong, Z. S.-Y., Siy, B., Lopes, K. D. S., & Georgiou, A. (2020) · Journal of Medical Internet Research · doi:10.2196/17015 · Cited by 31 · see citing works
Effectiveness of Digital Counseling Environments on Anxiety, Depression, and Adherence to Treatment Among Patients Who Are Chronically Ill: Systematic Review
Paalimäki‐Paakki, K., Virtanen, M. A., Henner, A., Nieminen, M. T., & Kääriäinen, M. (2022) · Journal of Medical Internet Research · doi:10.2196/30077 · Cited by 28 · see citing works
How to Train Your Health: Sports as a Resource to Improve Cognitive Abilities in Cancer Patients
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Effects of electronic personal health information technology on American women's cancer screening behaviors mediated through cancer worry: Differences and similarities between 2017 and 2020
Liu, P. L., Ye, J. F., Ao, H. S., Sun, S., Zheng, Y., Li, Q., Feng, G. C., Wang, H., & Zhao, X. (2023) · Digital Health · doi:10.1177/20552076231185271 · Cited by 25 · see citing works
Patterns of Use of Smartphone-Based Interventions Among Latina Breast Cancer Survivors: Secondary Analysis of a Pilot Randomized Controlled Trial
Baik, S. H., Oswald, L. B., Buscemi, J., Buitrago, D., Iacobelli, F., Perez-Tamayo, A. M., Guitelman, J., Penedo, F. J., & Yanez, B. R. (2020) · JMIR Cancer · doi:10.2196/17538 · Cited by 25 · see citing works
Applications of digital Medicine in oncology: Prospects and challenges
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Authors: Triberti, S., Savioni, L., Sebri, V., & Pravettoni, G.
Affiliations: University of Milan (IT)
Corresponding author: Triberti, Stefano
ORCID: Triberti, Stefano
Savioni, Lucrezia
Sebri, Valeria
Pravettoni, Gabriella
Venue: Cancer Treatment Reviews
Publisher: Elsevier BV
Published: 2019-03
Volume: 74
Pages: 1-14
ISSN: 0305-7372 (ISSN-L)
DOI: 10.1016/j.ctrv.2019.01.003
OpenAlex: W2910312199
Cited by: 184
References: 119
Citations by year: 2026: 5 · 2025: 20 · 2024: 20 · 2023: 43 · 2022: 36 · 2021: 32 · 2020: 15 · 2019: 13
FWCI: 2.29
Type: journal article
Language: en
Update notices: erratum (2019-12-01)
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Cancer Treatment Reviews (publishedVersion)
PubMed (publishedVersion)
Funders: European Union’s Horizon 2020 (643529)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: e-health, breast cancer, breast cancer survivors, quality of life, coping, depression, stress, health management, digital health interventions, body image, sexual dysfunction, lived experience, technology design
MeSH terms: Breast Neoplasms, Female, Humans, Quality of Life, Telemedicine

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eHealth for improving quality of life in breast cancer patients: A systematic review

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