The effect of digital health technologies on managing symptoms across pediatric cancer continuum: A systematic review.
The effect of digital health technologies on managing symptoms across pediatric cancer continuum: A systematic review.
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数字健康技术对儿科癌症连续体症状管理的影响：系统评价
DOI：
10.1016/j.ijnss.2020.10.002
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发表时间：
2021-01-10
影响因子：
3.8
通讯作者：
Huang H
中科院分区：
文献类型：
--
作者：
Cheng L;Duan M;Mao X;Ge Y;Wang Y;Huang H
儿童癌症患者在治疗过程中会出现多种症状，在生存过程中也会出现多种症状。数字健康技术提供了一种创新的方式来支持他们的症状管理。这篇综述旨在检查数字健康技术在跨儿科癌症连续体中管理症状的效果。对6个英文和3个中文电子数据库进行系统的文献检索，并结合手工检索，从数据库建立到2019年11月30日确定符合条件的研究成果。两名评价员独立进行数据选择、数据提取和质量评价。采用叙述性方法对数据进行总结。四个随机对照试验、两个准实验和五个一组前测后设计研究纳入综述，共有425名参与者。这些研究的方法质量总体上是公平的。纳入的研究报告了七种症状(焦虑、抑郁、疼痛、愤怒、疲劳、恐惧、痛苦)和七种数字健康技术(视觉现实、网站、人形机器人、APP、可穿戴设备、短信和视频会议)。目前的证据支持数字健康技术的影响通常是喜忧参半的，也是不确定的。在以数字健康技术的互动功能为特色的干预措施中发现了一种积极影响的趋势。这篇综述强调了进一步调查的必要性，需要进行严格的研究设计，并从症状、参与者和背景水平考虑影响因素，以更好地实施数字健康。
Pediatric cancer patients endure multiple symptoms during treatment and also in survivorship. Digital health technologies provide an innovative way to support their symptom management. This review aimed to examine the effect of digital health technologies on managing symptoms among across pediatric cancer continuum. A systematic literature search of six English and three Chinese electronic databases was combined with hand searching, to identify eligible research studies from database establishment to November 30, 2019. Two reviewers carried out data selection, data extraction, and quality appraisal independently. A narrative approach was taken to summarize data. Four randomized control trials, two quasi-experiments, and five one group pre-posttest designed studies, were included in the review with a total of 425 participants. The methodological quality of the studies was generally fair. Seven symptoms (anxiety, depression, pain, anger, fatigue, fear, distress) and seven digital health technologies (visual reality, website, humanoid robot, app, wearable devices, short messages and videoconference) were reported in the included studies. Current evidence supports the effect of digital health technologies is generally mixed and inconclusive. There is a trend of positive effects found in the interventions that feature digital health technologies’ interactive function. This review highlights the need for further investigation with rigorous research designs and the consideration of influencing factors from the symptoms, participants, and context levels to inform a better digital health implementation.
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影响因子：
3.2
作者：
Huang, Jeannie S.;Dillon, Lindsay;Terrones, Laura;Schubert, Lynn;Roberts, William;Finklestein, Jerry;Swartz, Maria C.;Norman, Gregory J.;Patrick, Kevin
通讯作者：
Patrick, Kevin
影响因子：
1.9
作者：
Hockenberry, Marilyn J;Hooke, Mary C;Krull, Kevin
通讯作者：
Krull, Kevin
影响因子：
4.2
作者：
Li, William H. C.;Chung, Joyce O. K.;Ho, Eva K. Y.
通讯作者：
Ho, Eva K. Y.
影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N
影响因子：
7.4
作者：
Pathipati AS;Azad TD;Jethwani K
通讯作者：
Jethwani K