Aim: To determine the effectiveness of technological-based educational interventions on the empowerment-related outcomes of children and young adults with cancer.
Design: Quantitative systematic review.
Data sources: Six electronic databases, including PubMed, Cochrane Library, EMBASE, CINAHL, Scopus, and PsycINFO, were searched to identify eligible randomized controlled trials from each database's point of inception to December 2017. Grey literature was also searched from ProQuest and MedNar.
Review methods: A narrative summary of the results was undertaken owing to the small number of eligible studies and high heterogeneity across the studies.
Results: Five studies were included in the review. Five empowerment-related outcomes under the domain "patient states" were identified at differing time points of 3-month postintervention, immediate postintervention, and during treatment: (a) self-efficacy; (b) cancer knowledge; (c) health locus of control; (d) emotional well-being; and (e) quality of life. At 3-month postintervention, health locus of control was found to be significant in two studies and self-efficacy and cancer knowledge were found to be significant in one study. No difference in quality of life was found. At immediate postintervention, a beneficial indication was observed. During treatment, no statistical significance was found regarding the effectiveness of a technological-based cognitive behavioural package.
Conclusion: Weak evidences led to inconclusive findings on the effectiveness of technological-based educational interventions on the empowerment-related outcomes of children and young adults with cancer. Future research will benefit from well-designed clinical trials that use a common outcome measurement to provide more information regarding the effectiveness of such interventions.
目的: 确定以技术为基础的教育干预对儿童和青年癌症患者相关结果产生的影响。 设计: 定量系统评估。 数据来源: 检索了6个电子数据库,包括PubMed、Cochrane Library、EMBASE、EMBASE、Scopus和PsycINFO,以确定从每个数据库(从最初2017年12月)的合格随机对照试验。灰色文献也搜索自ProQuest和MedNar。 评估方法: 由于符合条件的研究数量少,研究间的异构性高,对结果进行了叙述性总结。 结果: 本评估中纳入5项研究。在干预后3个月、干预后即刻以及治疗期间的不同时间点,在“患者状态”范畴内确定了五种与其影响相关的结果:(a)自我效能;(b)癌症知识;(c)健康心理控制源;(d)情绪健康;和(e))生活质量。干预后3个月,两项研究发现健康心理控制源带来的效果显著,一项研究发现自我效能感和癌症知识带来的效果显著。未发现生活质量上的差异。观察到在干预后立即显示其益处。在治疗过程中,没有发现关于基于技术的认知行为包具有有效性的统计学意义。 结论: 证据不足,因此对以技术为基础的教育干预对儿童和青年癌症患者相关结果产生影响的结论尚不明确。未来的研究将受益于设计良好的临床试验,该试验通过使用常见的测量结果来提供更多和此类干预有效性相关的信息。.
Keywords: cancer; children; empowerment; neoplasms; nursing; patient care; quantitative systematic review; technological-based; young adult.
© 2019 John Wiley & Sons Ltd.