Self-guided interventions for managing psychological distress in people with cancer–a systematic review
Open accessAbstract
OBJECTIVE: People with cancer can experience psychological distress but do not always desire, or engage with, professional support to assist with managing distress. Interventions that are self-directed or guided by patients may hold promise as they allow patients to engage with interventions as they need. The objective of this review is to describe and appraise the evidence for effectiveness of self-guided interventions that aim to manage psychological distress in people with cancer. METHODS: A systematic search of Medline, PsychInfo and CINAHL identified 15 relevant papers, reporting on 14 studies. RESULTS: Of the interventions, three studies comprised hard-copy workbooks, six studies used resource packs, four were online resources and one was a brief multimedia resource. One study was adequately powered and demonstrated a positive effect. Almost all interventions required some level of facilitation. Distressed participants may benefit more from interventions. CONCLUSION: Self-guided interventions represent a potentially efficient way of delivering support for people affected by cancer, however evidence supporting them is lacking. PRACTICE IMPLICATIONS: There is a need to generate evidence to understand the impact of self-guided interventions for: i) the ideal delivery point in the disease trajectory, ii) patient groups, iii) intervention content and iv) type and mode of delivery.
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To date, the effects of self-guided stress management interventions at a meta-analytic level have generally been examined in samples of people with physical illness or adults seeking help for the management of work-related stress.
“To date, the effects of self-guided stress management interventions at a meta-analytic level have generally been examined in samples of people with physical illness (Ugalde et al., 2017) or adults seeking help for the management of work-related stress (Richardson and Rothstein, 2008).”
From Effects of self-guided stress management interventions in college students: A systematic review and meta-analysis (2022) · cites this paper as Ugalde et al., 2017
The paper does review self-guided interventions for people with cancer, a physical illness (Introduction; study characteristics table). But its Methods explicitly say it used a narrative synthesis rather than meta-analytic procedures, contrary to the claim that this source examined effects at a meta-analytic level. The work-related-stress portion is attributed to a different citation and is not judged here. (LLM, conf=0.90)
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Experimental — accuracy not yet measuredAlthough promising effects of internet interventions for cancer survivors have been documented concerning anxiety, depression, distress, fatigue, physical activity, symptom management, insomnia, sexual dysfunction, and quality of life, the overall benefit of such interventions for BCSs is still unclear.
“Although promising effects of such interventions have been documented concerning anxiety, depression [25,26], distress [27], fatigue [28], physical activity [29], symptom management [30], insomnia [31,32], sexual dysfunction [33], and quality of life [34,35], the overall benefit of such interventions for BCSs is still unclear.”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [27]
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- Authors
- Ugalde, A., Haynes, K., Boltong, A., White, V., Krishnasamy, M., Schofield, P., Aranda, S., & Livingston, P.
- Affiliations
- Deakin University (AU)
- The University of Melbourne (AU)
- Corresponding author
- Ugalde, Anna
- ORCID
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 100
- Issue
- 5
- Pages
- 846-857
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2566490446
- Cited by
- 53
- References
- 49
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 11 · 2020: 5 · 2019: 8 · 2018: 10 · 2017: 3
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Patient Education and Counseling (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc-nd)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion, cc-by-nc-nd)
- Funders
- Deakin University
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- self-guided intervention, psychological distress, cancer patients, distress management, online resources, resource pack, multimedia intervention, facilitation, intervention effectiveness
- MeSH terms
- Self-Management, Adult, Humans, Neoplasms, Quality of Life, Self Care, Stress, Psychological, Multimedia, Internet
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