Technology-supported self-guided nutrition and physical activity interventions for adults with cancer: systematic review
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Abstract
BACKGROUND: Nutrition and physical activity interventions are important components of cancer care. With an increasing demand for services, there is a need to consider flexible, easily accessible, and tailored models of care while maintaining optimal outcomes. OBJECTIVE: This systematic review describes and appraises the efficacy of technology-supported self-guided nutrition and physical activity interventions for people with cancer. METHODS: A systematic search of multiple databases from 1973 to July 2018 was conducted for randomized and nonrandomized trials investigating technology-supported self-guided nutrition and physical activity interventions. Risk of bias was assessed using the Cochrane Risk of Bias tool. Outcomes included behavioural, health-related, clinical, health service, or financial measures. RESULTS: Sixteen randomized controlled trials representing 2684 participants were included. Most studies were web-based interventions (n=9) and had a 12-week follow-up duration (n=8). Seven studies assessed dietary behaviour, of which two reported a significant benefit on diet quality or fruit and vegetable intake. Fifteen studies measured physical activity behaviour, of which eight studies reported a significant improvement in muscle strength and moderate-to-vigorous physical activity. Four of the nine studies assessing the health-related quality of life (HRQoL) reported a significant improvement in global HRQoL or a domain subscale. A significant improvement in fatigue was found in four of six studies. Interpretation of findings was influenced by inadequate reporting of intervention description and compliance. CONCLUSIONS: This review identified short-term benefits of technology-supported self-guided interventions on the physical activity level and fatigue and some benefit on dietary behaviour and HRQoL in people with cancer. However, current literature demonstrates a lack of evidence for long-term benefit. TRIAL REGISTRATION: PROSPERO CRD42017080346; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=80346.
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Kiss and colleagues focused on self-guided interventions but included interventions with minimal facilitation.
“Kiss and colleagues89 focused on self-guided interventions but included those with minimal facilitation.”
From Digital health and telehealth in cancer care: A scoping review of reviews (2023) · cites this paper as [89]
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- Authors
- Kiss, N., Baguley, B. J., Ball, K., Daly, R. M., Fraser, S. F., Granger, C. L., & Ugalde, A.
- Affiliations
- Deakin University (AU)
- The Royal Melbourne Hospital (AU)
- Corresponding author
- Kiss, Nicole
- ORCID
- Venue
- JMIR mhealth and uhealth
- Publisher
- JMIR Publications Inc.
- Published
- 2019-02-12
- Volume
- 7
- Issue
- 2
- Pages
- e12281
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC6390188
- OpenAlex
- W2901121652
- Cited by
- 56
- References
- 55
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 5 · 2023: 13 · 2022: 4 · 2021: 10 · 2020: 6 · 2019: 3 · 2017: 1
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Own your potential (DEAKIN) (submittedVersion)
- BiblioBoard Library Catalog (Open Research Library) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- 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
- cancer, nutrition interventions, physical activity interventions, self-guided intervention, technology-based interventions, online intervention, dietary behaviour, fruit and vegetable intake, health-related quality of life, fatigue, muscle strength, moderate-to-vigorous physical activity, adult cancer patients
- MeSH terms
- Self-Management, Adult, Female, Health Promotion, Humans, Male, Neoplasms, Exercise, Nutritional Support, Mobile Applications
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