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Digital Interventions to Support Adolescents and Young Adults With Cancer: Systematic Review
Lisa McCann1, Kathryn Anne McMillan1, Gemma Pugh2
1Digital Health and Wellness Group, Department of Computer and Information Sciences, University of Strathclyde, Glasgow, United Kingdom.
JMIR Cancer
|August 2, 2019
Summary
Digital health interventions are increasingly developed for adolescents and young adults (AYAs) with cancer, focusing on symptom management and emotional well-being. While many show promise, large-scale implementation and evaluation are still needed.
Area of Science:
- Digital health
- Oncology
- Adolescent and Young Adult (AYA) medicine
Background:
- The past decade has seen a rise in digital health interventions for adolescents and young adults (AYAs) with cancer.
- These digital tools aim to provide support for AYAs navigating cancer diagnoses and survivorship.
Purpose of the Study:
- To identify, characterize, and assess the quality, feasibility, and efficacy of digital health interventions for AYAs (13–39 years) with cancer.
- To synthesize data on the characteristics and outcomes of these digital health interventions.
Main Methods:
- Systematic searches were conducted in PubMed, EMBASE, and Web of Science.
- Data from identified studies were synthesized to characterize interventions and their outcomes.
Main Results:
- 38 interventions (from 4731 studies) met inclusion criteria, primarily website-based.
- Interventions focused on symptom management, medication adherence, behavior change, self-care, and emotional health.
- Most interventions featured automated functions and peer support; user experience was generally positive, and study quality was good, but efficacy data were limited due to power.
Conclusions:
- Numerous digital interventions exist to support AYAs with cancer.
- However, widespread deployment, implementation, and scaled evaluation of these interventions are pending.
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