Web based survivorship interventions for women with breast cancer: An integrative review
Abstract
Purpose Breast cancer survivors' experience a range of negative sequelae post-treatment including depression, anxiety, physical side effects from treatment, sexuality concerns and decreased quality of life. Survivorship care is recommended by the IOM to meet the post treatment needs of survivors but implementation is variable and barriers to delivery such as time and resource restraints have been identified. Web-based interventions may be a way to overcome some barriers to providing quality survivorship care that is efficacious, cost efficient and convenient. The purpose of this integrative review is to summarize and synthesize the current research on web-based interventions for breast cancer survivorship care and evaluate the data to determine potential implications for practice.Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to guide this integrative review. Key search terms included breast cancer, survivor, intervention, web, internet and technology. Articles evaluating web-based survivorship interventions (n = 405) for early stage breast cancer patients who completed active therapy were included.Results Fifteen studies met inclusion criteria: six randomized controlled trials, six survey based studies, one qualitative study, one retrospective chart review and one mixed methods study. Studies evaluating cognitive behavioral therapy provided the strongest data. Other studies evaluated exercise and lifestyle interventions, symptom management programs and pilot/exploratory work. Findings suggest that web-based survivorship interventions are feasible and acceptable to breast cancer survivors.Conclusions Web-based survivorship interventions have the potential to meet the needs of breast cancer survivors while possibly overcoming some of the documented barriers to survivorship care implementation.
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Despite internet interventions' attested efficacy in treating various mental health conditions and potential cost-effectiveness, internet interventions targeting cancer survivors are scant.
“Nevertheless, despite internet interventions’ attested efficacy [21] in treating various mental health conditions and its potential cost-effectiveness [22,23], internet interventions targeting cancer survivors are scant [24].”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [24]
Internet-delivered interventions can provide remarkable opportunities in overcoming some constraints, as presenting an effective strategy to improve care coordination and provide access to efficacious, cost-efficient and convenient breast cancer survivorship care.
“In this context, internet-delivered interventions, can provide remarkable opportunities in overcoming some of the aforementioned constraints, as presenting an effective strategy to improve care coordination and provide access to efficacious, cost-efficient and convenient breast cancer survivorship care (Post and Flanagan, 2016).”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Post and Flanagan, 2016
Overall, findings of research suggest that internet-delivered survivorship interventions are feasible and acceptable to breast cancer survivors and most studies reported improvements in their intended outcomes.
“Overall, the findings of these research suggest that internet-delivered survivorship interventions are feasible and acceptable to breast cancer survivors and most studies reported improvements in their intended outcomes.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Post and Flanagan, 2016
Research on internet-delivered interventions in the breast cancer survivorship setting is scarce.
“Nevertheless, research in the breast cancer survivorship setting is scarce.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Post and Flanagan, 2016
Many limitations can be appointed to these studies: many lacked a control or comparison group; there was limited information on cost-effectiveness; none reported on longitudinal patient outcomes such as HRQoL.
“However, many limitations can be appointed to these studies (Post and Flanagan, 2016): many studies lacked on a control or comparison group; there was limited information on the cost-effectiveness of the internet-interventions and; none of the studies reported on longitudinal patient outcomes such as HRQoL.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Post and Flanagan, 2016
A recent integrative literature review identified 15 studies on internet-delivered interventions for breast cancer survivors, of which only 6 included RCT designs.
“Post and Flanagan (2016), in a recent integrative literature review identified 15 studies on the subject, of which only 6 included RCT designs.”
From A guided internet-delivered individually-tailored ACT-influenced cognitive behavioural intervention to improve psychosocial outcomes in breast cancer survivors (iNNOVBC): Study protocol (2019) · cites this paper as Post and Flanagan (2016)
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- Authors
- Post, K. E., & Flanagan, J.
- Affiliations
- Boston College (US)
- Corresponding author
- Post, Kathryn E.
- Flanagan, Jane
- Venue
- European Journal of Oncology Nursing
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 25
- Pages
- 90-99
- ISSN
- 1462-3889 (ISSN-L)
- OpenAlex
- W2546469924
- Cited by
- 68
- References
- 46
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 12 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 5
- FWCI
- 0.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Oncology Nursing (publishedVersion)
- PubMed (publishedVersion)
- 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
- breast cancer survivors, online intervention, survivorship care, cognitive behavioral therapy, symptom management, feasibility and acceptability, barriers to care delivery, anxiety and depression, quality of life, early breast cancer
- MeSH terms
- Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires, Retrospective Studies, Social Support, Stress, Psychological, Survivors, Internet
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