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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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The Impact of Digital Technology on Self-Management in Cancer: Systematic Review
Dwight Su Chun Lim1, Benedict Kwok1, Patricia Williams2
1College of Medicine and Public Health, Flinders University, Adelaide, Australia.
JMIR Cancer
|November 22, 2023
Summary
Digital interventions enhance self-management (SM) skills in cancer patients, improving decision-making and goal setting. These digital tools show greater effectiveness in younger, male, educated, and computer-literate individuals undergoing chemotherapy.
Area of Science:
- Oncology
- Digital Health
- Health Behavior
Background:
- Self-management (SM) is crucial for patients adapting to chronic diseases like cancer.
- Digital technology offers potential to improve SM support for cancer patients.
- Limited data exists on specific SM skills targeted by digital interventions.
Purpose of the Study:
- To review digital interventions supporting self-management (SM) core skills in cancer patients.
- To identify predictors of digital health intervention effectiveness on SM core skills.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) published January 2010-February 2022.
- Searched MEDLINE, Scopus, and CINAHL databases.
- Included studies evaluating digital technology interventions and measuring changes in SM core skills.
Main Results:
- 12 RCTs involving 2627 participants were analyzed.
- Most targeted SM skills were decision-making, goal setting, and partnering with health professionals.
- 8 RCTs (67%) showed significant improvements in outcomes like quality of life and self-efficacy.
Conclusions:
- Digital technology can improve cancer patients' self-management (SM) skills, particularly decision-making, goal setting, and healthcare partnerships.
- Effectiveness is enhanced in younger, male, educated, computer-literate patients, those completing treatment, or receiving chemotherapy.
- Future research should target multiple SM skills and identify intervention predictors.
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