J 2020

Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research

MATIS, Juraj, Miroslav SVĚTLÁK, Alena SLEZÁČKOVÁ, Marek SVOBODA, Rastislav ŠUMEC et. al.

Basic information

Original name

Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research

Authors

MATIS, Juraj (703 Slovakia, belonging to the institution), Miroslav SVĚTLÁK (203 Czech Republic, guarantor, belonging to the institution), Alena SLEZÁČKOVÁ (203 Czech Republic, belonging to the institution), Marek SVOBODA (203 Czech Republic) and Rastislav ŠUMEC (703 Slovakia, belonging to the institution)

Edition

Journal of Medical Internet Research, Toronto, JMIR PUBLICATIONS, INC, 2020, 1438-8871

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

50101 Psychology

Country of publisher

Canada

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 5.428

RIV identification code

RIV/00216224:14110/20:00117057

Organization unit

Faculty of Medicine

DOI

UT WoS

000602359300003

Keywords in English

eHealth; mHealth; mindfulness; cancer; systematic review; mobile phone

Tags

Tags

International impact, Reviewed
Změněno: 14/1/2021 13:29, Mgr. Tereza Miškechová

Abstract

V originále

Background: eHealth mindfulness-based programs (eMBPs) are on the rise in complex oncology and palliative care. However, we are still at the beginning of answering the questions of how effective eMBPs are and for whom, and what kinds of delivery modes are the most efficient. Objective: This systematic review aims to examine the feasibility and efficacy of eMBPs in improving the mental health and well-being of patients with cancer, to describe intervention characteristics and delivery modes of these programs, and to summarize the results of the included studies in terms of moderators, mediators, and predictors of efficacy, adherence, and attrition. Methods: In total, 4 databases (PubMed, PsycINFO, Scopus, and Web of Knowledge) were searched using relevant search terms (eg, mindfulness, program, eHealth, neoplasm) and their variations. No restrictions were imposed on language or publication type. The results of the efficacy of eMBPs were synthesized through the summarizing effect estimates method. Results: A total of 29 published papers describing 24 original studies were included in this review. In general, the results indicate that eMBPs have the potential to reduce the levels of stress, anxiety, depression, fatigue, sleep problems, and pain, and improve the levels of mindfulness, posttraumatic growth, and some parameters of general health. The largest median of Cohen d effect sizes were observed in reducing anxiety and depression (within-subject: median -0.38, IQR -0.62 to -0.27; between-group: median -0.42, IQR -0.58 to -0.22) and facilitating posttraumatic growth (within-subject: median 0.42, IQR 0.35 to 0.48; between-group: median 0.32, IQR 0.22 to 0.39). The efficacy of eMBP may be comparable with that of parallel, face-to-face MBPs in some cases. All studies that evaluated the feasibility of eMBPs reported that they are feasible for patients with cancer. Potential moderators, mediators, and predictors of the efficacy, attrition, and adherence of eMBPs are discussed. Conclusions: Although the effects of the reviewed studies were highly heterogeneous, the review provides evidence that eMBPs are an appropriate way for mindfulness practice to be delivered to patients with cancer. Thus far, existing eMBPs have mostly attempted to convert proven face-to-face mindfulness programs to the eHealth mode. They have not yet fully exploited the potential of eHealth technology.