Cited by 98Cancer survivorship and careMobile Health and mHealth ApplicationsTelemedicine and Telehealth Implementation

Effectiveness of e‐health based self‐management to improve cancer‐related fatigue, self‐efficacy and quality of life in cancer patients: Systematic review and meta‐analysis

Xu, Anqi, Wang, Yinping, Wu, Xue·2019·Journal of Advanced Nursing

Abstract

Aims: To integrate the overall effect of e‐health based self‐management on cancer‐related fatigue (CRF), self‐efficacy, and quality of life (QOL) among adult cancer patients. Design: A systematic review and meta‐analysis of randomized controlled trials. Data sources: We researched PubMed, Cumulative Index Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, Web of Science and Embase up to 14 July 2019. Review Methods: We conducted the review with the Cochrane Handbook (version 5.1.0) and measured the quality of evidence with the Grading of Recommendations Assessment, Development and Evaluation criteria. Results: Literature searching identified 15 trials with a total of 2,337 participants. Integrated results analysis of e‐health based self‐management demonstrated a statistically significant but small effect on CRF and self‐efficacy, but no statistically significant improvement on the QOL. Meanwhile, subgroup analysis indicated that e‐health based self‐management had a larger effect on fatigue compared with usual care/waiting list control. Conclusion: E‐health based self‐management is effective for CRF and self‐efficacy, but not the QOL. More high‐quality randomized control trials are warranted to confirm these conclusions. Impact: Results showed e‐health could improve fatigue and self‐efficacy but not the QOL. Health providers could take into the various factors of e‐health interventions when providing telehealth service. Other researchers might be inspired by the current review before they begin a study about e‐health.

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Crossref · 10.1111/jan.14197

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Authors
Xu, A., Wang, Y., & Wu, X.
Affiliations
Peking University (CN)
Corresponding author
Wu, Xue
Venue
Journal of Advanced Nursing
Publisher
Wiley
Published
2019-10-20
Volume
75
Issue
12
Pages
3434-3447
ISSN
  • 0309-2402 (ISSN-L)
  • 1365-2648
OpenAlex
W2978037301
Cited by
98
References
50
Citations by year
2026: 11 · 2025: 17 · 2024: 16 · 2023: 18 · 2022: 19 · 2021: 14 · 2020: 3
FWCI
0.86
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Advanced Nursing (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Natural Science Foundation of China (71601004)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
e-health, self-management, cancer-related fatigue, self-efficacy, quality of life, cancer patients, telemedicine, digital health interventions
MeSH terms
Self-Management, Humans, Neoplasms, Quality of Life, Telemedicine, Self Efficacy

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