Self-management interventions for cancer survivors: a systematic review
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Journal ArticleDate:
2018Access:
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Boland L, Bennett K, Connolly D., Self-management interventions for cancer survivors: a systematic review, Supportive Care in Cancer, 26, 5, 2018, 1585 - 1595Abstract:
Purpose: Many cancer survivors experience problems with persisting symptoms such as pain, fatigue, anxiety and depression
post-treatment. Self-management interventions are recommended for cancer patients as they can help individuals identify and
manage these continuing symptoms. This systematic review examines the type, content and impact of self-management inter-
ventions for cancer survivors on health outcomes such as activity participation, self-efficacy, quality of life and symptom
management.
Methods: This was a systematic review of the English language scientific literature searched for randomised controlled trials
(RCT), systematic reviews and meta-analyses of self-management programmes conducted with cancer survivors. Six databases
were systematically searched.
Results Initial searches yielded 2633 citations. Following screening and a risk of bias assessment, six studies were included in the
final review. Heterogeneity of the interventions precluded meta-analysis. Three studies reported significant differences between
groups in a number of areas including fatigue, physical functioning, distress and self-efficacy at their first follow-up assessment.
These studies included two psychosocial interventions and one exercise and diet intervention. Not all findings were sustained
across studies at follow-up assessment.
Conclusion: It is not possible to draw definitive conclusions as to the impact the different types of self-management programme
had on cancer survivors. The sustainability of the interventions reviewed was poor, suggesting that cancer survivors require
interventions that can be applied into their daily activities.
Author's Homepage:
http://people.tcd.ie/connoldmhttp://people.tcd.ie/bolandl2
Description:
PUBLISHED
Author: Connolly, Deirdre; Boland, Lauren
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Series/Report no:
Supportive Care in Cancer26
5
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Full text availableSubject (TCD):
Cancer , Chronic Illness self-management , Health outcomes , Self-ManagementDOI:
doi.org/10.1007/s00520-017-3999-7Metadata
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