eHealth and mHealth interventions in the treatment of fatigued cancer survivors : a systematic review and meta-analysis

Seiler, Annina; Klaas, Vanessa Christina; Tröster, Gerhard; Fagundes, Christopher P.

doi:10.1002/pon.4489

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	eHealth and mHealth interventions in the treatment of fatigued cancer survivors : a systematic review and meta-analysis
Authors:	Seiler, Annina Klaas, Vanessa Christina Tröster, Gerhard Fagundes, Christopher P.
et. al:	No
DOI:	10.1002/pon.4489
Published in:	Psycho-Oncology
Volume(Issue):	26
Issue:	9
Page(s):	1239
Pages to:	1253
Issue Date:	5-Sep-2017
Publisher / Ed. Institution:	Wiley
ISSN:	1057-9249 1099-1611
Language:	English
Subjects:	Cancer survivors; Cancer-related fatigue; eHealth intervention; mHealth intervention; Mental health; Psycho-oncology; Self-efficacy; Depression; Disease management; Fatigue; Female; Human; Male; Neoplasm; Quality of Life; Telemedicine
Subject (DDC):	004: Computer science 616: Internal medicine and diseases
Abstract:	Objectives: To (1) evaluate existing eHealth/mHealth interventions developed to help manage cancer‐related fatigue (CRF); and (2) summarize the best available evidence on their effectiveness. Methods: A comprehensive literature search of PubMed, MEDLINE, EMBASE, and the Cochrane Library up to November 2016 was conducted. Study outcomes were extracted, tabulated, and summarized. Random effects meta‐analyses were conducted for the primary outcome (fatigue), and the secondary outcomes quality of life and depression, yielding pooled effect sizes (r), and 95% confidence intervals (CI). Results: For eHealth interventions, our search of published papers identified 9 completed studies and 6 protocols for funded projects underway. No studies were identified for mHealth interventions that met our inclusion criteria. A meta‐analysis of the 9 completed eHealth studies revealed a statistically significant beneficial effect of eHealth interventions on CRF (r = .27, 95% CI [.1109 – .4218], P < 0.01). Therapist‐guided eHealth interventions were more efficacious then self‐guided interventions (r = .58, 95% CI: [.3136 – .5985, P < 0.001). Small to moderate therapeutic effects were also observed for HRQoL (r = .17, 95% CI [.0384 – .3085], P < 0.05) and depression (r = .24, 95% CI [.1431 – .3334], P < 0.001). Conclusions: eHealth interventions appear to be effective for managing fatigue in cancer survivors with CRF. Continuous development of eHealth interventions for the treatment of CRF in cancer survivors and their testing in long‐term, large‐scale efficacy outcome studies is encouraged. The degree to which mHealth interventions can change CRF in cancer survivors need to be assessed systematically and empirically.
URI:	https://digitalcollection.zhaw.ch/handle/11475/20639
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	President's Office
Organisational Unit:	Research and Development Unit
Appears in collections:	Publikationen Rektorat und Ressorts

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Seiler, A., Klaas, V. C., Tröster, G., & Fagundes, C. P. (2017). eHealth and mHealth interventions in the treatment of fatigued cancer survivors : a systematic review and meta-analysis. Psycho-Oncology, 26(9), 1239–1253. https://doi.org/10.1002/pon.4489

Seiler, A. et al. (2017) ‘eHealth and mHealth interventions in the treatment of fatigued cancer survivors : a systematic review and meta-analysis’, Psycho-Oncology, 26(9), pp. 1239–1253. Available at: https://doi.org/10.1002/pon.4489.

A. Seiler, V. C. Klaas, G. Tröster, and C. P. Fagundes, “eHealth and mHealth interventions in the treatment of fatigued cancer survivors : a systematic review and meta-analysis,” Psycho-Oncology, vol. 26, no. 9, pp. 1239–1253, Sep. 2017, doi: 10.1002/pon.4489.

SEILER, Annina, Vanessa Christina KLAAS, Gerhard TRÖSTER und Christopher P. FAGUNDES, 2017. eHealth and mHealth interventions in the treatment of fatigued cancer survivors : a systematic review and meta-analysis. Psycho-Oncology. 5 September 2017. Bd. 26, Nr. 9, S. 1239–1253. DOI 10.1002/pon.4489

Seiler, Annina, Vanessa Christina Klaas, Gerhard Tröster, and Christopher P. Fagundes. 2017. “eHealth and mHealth Interventions in the Treatment of Fatigued Cancer Survivors : A Systematic Review and Meta-Analysis.” Psycho-Oncology 26 (9): 1239–53. https://doi.org/10.1002/pon.4489.

Seiler, Annina, et al. “eHealth and mHealth Interventions in the Treatment of Fatigued Cancer Survivors : A Systematic Review and Meta-Analysis.” Psycho-Oncology, vol. 26, no. 9, Sept. 2017, pp. 1239–53, https://doi.org/10.1002/pon.4489.