The use of eHealth to promote physical activity in cancer survivors: a systematic review

The use of eHealth to promote physical activity in cancer survivors: a systematic review
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DOI:
10.1007/s00520-018-4305-z
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发表时间:
2018-10-01
影响因子:
3.1
通讯作者:
Broderick, Julie
Broderick, Julie
中科院分区:
医学2区
文献类型:
--
作者:
Haberlin, Ciaran;O'Dwyer, Tom;Broderick, Julie

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达到足够的身体活动水平(PA)和避免久坐行为对癌症幸存者尤为重要。电子健康包括但不限于通过互联网和移动的技术提供健康信息,是医疗保健领域的一个新兴概念,可能为改善癌症幸存者的PA提供机会。本系统评价的目的是探讨电子健康在促进PA之间的癌症survivors.Methods的影响,适当的文章进行了搜索,使用PubMed,CINAHL,EMBASE,PsychInfo,Web的科学和SCOPUS数据库使用的关键字和医学主题词的组合。如果文章描述了旨在改善癌症幸存者PA的电子健康干预措施,则将其纳入。两个审查员筛选研究including.Results在总数,1065篇文章被认为是。10项研究符合合格标准。这些研究中描述了旨在增加PA的各种平台:网络应用程序(app)(n = 5)、网络和移动的应用程序(n = 2)、移动的app(n = 1)、仅网站(n = 1)、基于电子邮件(n = 1)。所有研究都使用自我报告结果测量PA,除了一项使用Fitbit测量步数的研究。由于研究设计和干预措施的变化,未进行荟萃分析。所有的研究报告在PA的改善,与8/10的研究报告统计学上显着的changes.Conclusion使用电子健康促进PA在癌症幸存者是一个相对较新的概念,这是支持最近出现的证据在这篇评论中描述。电子健康显示出作为促进和增加日常PA的一种手段的前景,但需要进一步的高质量,长期的研究,以建立旨在实现这一目标的电子健康平台的可行性和有效性。
Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors.Methods Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion.Results In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes.Conclusion The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal.