OverviewThe Effectiveness of Group-based Self-management Programmes to Improve Physical and Psychological Outcomes in Patients with Cancer: a Systematic Review and Meta-analysis of Randomised Controlled Trials
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Statement of Search Strategies Used and Sources of Information
Five databases were searched for studies to include in this systematic review. These included Ovid MEDLINE (In-Process and other Non-Indexed Citations 1946 to 11 February 2014), Embase (1974 to 11 February 2014), PsycINFO (1987 to Week 1 February 2014), CINAHL and the Cochrane Central Register for Controlled Trials (CENTRAL) up to 11 February 2014. Published literature with restricted distribution was searched through the ISI Web of Science and ProQuest for dissertations and theses. Authors of
Eligibility Criteria
The studies included in this review were randomised controlled trials involving adult patients (>18 years) with a primary diagnosis of any cancer, stages I–IV. Study intervention participants must have participated in a form of group-based self-management programme, whereas participants in the control group must not have participated in any form of group-based self-management programme. Control participants could receive non-group-based self-management education. Self-management programmes must
Study Selection
One hundred and forty-one full-text articles were screened of the 563 citations identified through initial searches. Of the full-text articles screened, only six fulfilled the eligibility criteria and were included in the analysis. See Figure 1 for a flow diagram of the study selection process with reasons for study exclusion.
Study Characteristics
The six English-language randomised controlled trials [41], [42], [43], [44], [45], [46], which consisted of a total of 617 participants, included in this systematic
Main Results
This systematic review provides a meta-analysis of the efficacy of group-based self-management programmes to improve physical, psychological and quality of life outcomes for patients with cancer. From the six studies included in this review the results show that these programmes lead to significant improvements in physical functioning. There were no significant differences found for physical activity level and quality of life. Interestingly, physical functioning, which is often measured as a
Conclusions
Based on the research presented in this systematic review it appears that group-based self-management programmes are effective in improving physical functioning in individuals with cancer. Although positive trends were found for quality of life, the results must be interpreted with caution due to the high risk of bias and very low quality of evidence of the outcomes assessed within the included studies.
Acknowledgements
The authors would like to thank Dr Shanil Ebrahim for his guidance during the writing of this manuscript.
References (49)
- et al.
Assessment and management of cancer-related fatigue in adults
Lancet
(2003) - et al.
Long-term side effects of androgen deprivation therapy in men with non-metastatic prostate cancer: a systematic literature review
Crit Rev Oncol Hemat
(2006) - et al.
An updated meta-analysis to assess the effectiveness of psychological interventions delivered by psychological specialists and generalist clinicians on glycaemic control and on psychological status
Patient Educ Couns
(2009) - et al.
Gender differences in healthcare utilization and medical indicators among patients with diabetes
Public Health
(2005) - Canadian Breast Cancer Foundation. What is cancer? Available at:...
- Canadian Cancer Society’s Steering Committee on Cancer Statistics. Canadian Cancer Society. Available...
- et al.
American College of Sports Medicine roundtable on exercise guidelines for cancer survivors
Med Sci Sports Exerc
(2010) - et al.
Keep moving: patients with myeloma talk about exercise and fatigue
Oncol Nurs Forum
(2004) Monitoring the physical health of cancer survivors: a survivorship-focused medical history
J Clin Oncol
(2006)- et al.
Fatigue in cancer patients treated with cytotoxic drugs
J Oncol Pharm Pract
(2006)
Skeletal sequelae of cancer and cancer treatment
J Cancer Surviv
Recognition and management of treatment-related side effects for breast cancer patients receiving adjuvant endocrine therapy
Breast Cancer Res Treat
Changes in body composition during androgen deprivation therapy for prostate cancer
J Clin Endocr Metab
The psychosocial aspects of sexual recovery after prostate cancer treatment
Int J Impot Res
Late-occurring neurologic sequelae in adult survivors of childhood acute lymphoblastic leukemia: a report from the Childhood Cancer Survivor Study
J Clin Oncol
Neuropsychological sequelae of non-central nervous system cancer and cancer therapy
Neuropsychol Rev
Changes in muscle, fat and bone mass after 36 weeks of maximal androgen blockade for prostate cancer
BJU Int
Reduced muscle strength and functional performance in men with prostate cancer undergoing androgen suppression: a comprehensive cross-sectional investigation
Prostate Cancer P D
Diabetes and cardiovascular disease during androgen deprivation therapy for prostate cancer
J Clin Oncol
Why am I so tired all the time? Understanding cancer-related fatigue
Clin J Oncol Nurs
Arm/shoulder problems in breast cancer survivors are associated with reduced health and poorer physical quality of life
Acta Oncol
Changes in arm morbidities and health related quality of life after breast cancer surgery—a five year follow-up study
Acta Oncol
Chronic arm morbidity after curative breast cancer treatment: prevalence and impact on quality of life
J Clin Oncol
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2022, International Journal of Nursing StudiesCitation Excerpt :Additionally, Howell and colleagues’ review of self-management education programs for cancer survivors identified that consensus on the core components of self-management programs is critical to facilitate consistent and effective delivery of self-management support (Howell et al., 2017). In fact, systematic reviews of self-management interventions regularly conclude that variability in self-management definitions and intervention reporting, is a significant barrier to intervention development and increases difficulty in determining the distinction of outcomes gained as a result of self-management practices (Boland et al., 2018; Howell et al., 2017; Boogaard et al., 2016; Cuthbert et al., 2019; Goldberg et al., 2019; Hammer et al., 2015; Smith-Turchyn et al., 2016). Moreover, the lack of clarity, definition and identification of self-management support strategies utilised in cancer-related fatigue management, hinders clinical implementation efforts (Hilarius et al., 2011).
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2019, Patient Education and CounselingCitation Excerpt :Interventions should explore the management of side effects for short-, medium-, and long-term treatment adherence, patients’ adaptation to a new lifestyle and rehabilitation, and the minimization of economic and familial burden. One of the objectives of the intervention programs is to empower the patient to manage his or her health condition actively [7] by using several strategies such as telephone, personalized, on-line and group meeting tactics [7]. Despite the aforementioned facts, the existing evidence about the potential benefits provided by these efforts is limited for the post-surgical process of cancer patients.
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2016, International Journal of Nursing StudiesCitation Excerpt :These are believed to be beneficial for patients to manage their symptoms and improve their quality of life. Patients involved showed a decrease in depression and fatigue, a high degree of self-efficacy, greater relaxation skills and exercise activities and cognitive symptom management (Barlow et al., 2000, 2002; Bourbeau and Van Der Palen, 2009; Effing et al., 2012; Gurden et al., 2012; Lennon et al., 2013; Lorig, 1993, 2003; Lorig et al., 1998; Lorig and Holman, 1993; Smith-Turchyn et al., 2016). As a strategy to foster the implementation of self-management, a practice guideline has been developed in the United Kingdom (UK), recommending that patients’ attributes, needs and preferences should be taken into account when provided with treatment and care by health professionals (Savigny et al., 2009).
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