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Title: | Mobile health application-based interventions to improve self-management of chemotherapy-related symptoms among people with breast cancer who are undergoing chemotherapy : a systematic review | Authors: | Shi, N Wong, AKC Wong, FKY Sha, L |
Issue Date: | Apr-2023 | Source: | The oncologist, Apr. 2023, v. 28, no. 4, p. e175-e182 | Abstract: | Background: Since the COVID-19 pandemic, there have been an increasing number of studies on using mobile health (mHealth) to support the symptom self-management of patients with breast cancer (BC). However, the components of such programs remain unexplored. This systematic review aimed to identify the components of existing mHealth app-based interventions for patients with BC who are undergoing chemotherapy and to uncover self-efficacy enhancement elements from among them. Methods: A systematic review was conducted for randomized controlled trials published from 2010 to 2021. Two strategies were used to assess the mHealth apps: The Omaha System, a structured classification system for patient care, and Bandura’s self-efficacy theory, which assesses sources of influence that determine an individual’s confidence in being able to manage a problem. Intervention components identified in the studies were grouped under the 4 domains of the intervention scheme of the Omaha System. Four hierarchical sources of self-efficacy enhancement elements were extracted from the studies using Bandura’s self-efficacy theory. Results: The search uncovered 1,668 records. Full-text screening was conducted on 44 articles, and 5 randomized controlled trials (n = 537 participants) were included. Self-monitoring under the domain of “Treatments and procedure” was the most frequently used mHealth intervention for improving symptom self-management in patients with BC undergoing chemotherapy. Most mHealth apps used various “mastery experience” strategies including reminders, self-care advice, videos, and learning forums. Conclusion: Self-monitoring was commonly utilized in mHealth-based interventions for patients with BC undergoing chemotherapy. Our survey uncovered evident variation in strategies to support self-management of symptoms and standardized reporting is required. More evidence is required to make conclusive recommendations related to mHealth tools for BC chemotherapy self-management. |
Keywords: | Applications Breast cancer Chemotherapy MHealth Self-management |
Publisher: | Oxford University Press | Journal: | The oncologist | ISSN: | 1083-7159 | EISSN: | 1549-490X | DOI: | 10.1093/oncolo/oyac267 | Rights: | © The Author(s) 2023. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com. The following publication Nuo Shi, Arkers K C Wong, Frances K Y Wong, Liyan Sha, Mobile Health Application-Based Interventions to Improve Self-management of Chemotherapy-Related Symptoms Among People with Breast Cancer Who Are Undergoing Chemotherapy: A Systematic Review, The Oncologist, Volume 28, Issue 4, April 2023, Pages e175–e182 is available at https://doi.org/10.1093/oncolo/oyac267. |
Appears in Collections: | Journal/Magazine Article |
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