Using eHealth to Support Quality of Life and Well-Being in Patients With Lung Cancer: Systematic Review

Area of Science:

• Oncology
• Digital Health
• Psychology

Background:

• Lung cancer (LC) is a leading cause of cancer mortality globally, significantly impacting patients' quality of life (QoL) and psychological well-being.
• Existing support systems often fall short in addressing the complex needs of LC patients.
• eHealth offers a scalable solution for delivering timely and personalized care to individuals with LC.

Purpose of the Study:

• To systematically review the impact of eHealth interventions on QoL and psychological well-being in lung cancer patients.
• To characterize the diverse eHealth strategies employed in LC care.

Main Methods:

• A systematic review adhering to PRISMA guidelines was conducted.
• Searches across six databases (PubMed, PsycINFO, MEDLINE, Scopus, Web of Science, CINAHL) were performed.
• Included studies were quantitative or experimental designs involving adult LC patients, reporting on QoL or psychological well-being outcomes, and incorporating at least one eHealth component.

Main Results:

• Thirty-three studies involving 2654 participants were included. eHealth strategies encompassed patient education, digital symptom monitoring, physical activity, psychological support, nurse-led interventions, and multicomponent platforms.
• Multicomponent and nurse-led interventions showed the most consistent benefits for QoL. Multicomponent, nurse-led, and physical activity interventions consistently improved psychological well-being.
• Personalization, app/web-based delivery, longer duration, and clinician involvement were linked to positive outcomes. Acceptability was generally high, but engagement measurement was variable.

Conclusions:

• eHealth interventions can positively influence QoL and psychological well-being in lung cancer patients.
• Multifaceted digital health programs addressing diverse patient needs appear particularly effective.
• Further research with robust designs and standardized outcome measures is essential to maximize the potential of eHealth in LC care.