Effect of Technology-Based Psychological Empowerment Interventions on Psychological Well-Being of Parents of Pediatric Cancer Patients: A Meta-Analysis of Randomized Controlled Trials.
{"title":"Effect of Technology-Based Psychological Empowerment Interventions on Psychological Well-Being of Parents of Pediatric Cancer Patients: A Meta-Analysis of Randomized Controlled Trials.","authors":"Hazal Ozdemir Koyu, Ebru Kilicarslan","doi":"10.1002/pon.70097","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In recent years, technology-based interventions have emerged as effective approaches to provide psychological support for the parents of children with cancer. Despite their increasing use, evidence on the effectiveness of technology-based empowerment interventions remains limited, largely due to the heterogeneity in intervention designs and measured outcomes.</p><p><strong>Aim: </strong>This meta-analysis aims to evaluate the effectiveness of technology-based psychological empowerment interventions on the psychological well-being of parents of pediatric cancer patients.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted databases including Scopus, Medline, PubMed, Embase, Cochrane Library, Web of Science, APA PsycINFO, CINAHL Complete, and the Ovid Nursing Database Scopus, Medline, and PubMed identified 8020 studies, from which 9 RCTs involving 698 parents of children with cancer were included. The risk of bias was assessed using the revised Cochrane Risk of Bias (RoB 2) tool. Data analysis was assessed using a random effects model with standardized mean difference (SMD) using Review Manager Version 5.4. Heterogeneity was assessed using the chi-square test and I<sup>2</sup> statistic. Subgroup analyses and sensitivity analyses were performed.</p><p><strong>Results: </strong>The meta-analysis revealed significant improvements in psychological outcomes, including decreases in distress (SMD: -0.42, 95% CI [-0.70, -0.13], p = 0.005), depression (SMD: -0.92, 95% CI [-1.56, -0.27], p = 0.005) and anxiety (SMD: -1.47, 95% CI [-2.50, -0.44], p = 0.005) immediately after the intervention. Follow-up analyses showed maintained decreases in depression (SMD: -0.39, 95% CI [-0.61, -0.17], p = 0.005) and anxiety (SMD:-0.32, 95% CI [-0.58, -0.07], p = 0.01). Additionally, significant increases were observed coping (SMD: 4.31, 95% CI [1.19, 7.44], p = 0.007) and resilience (SMD: 4.68, 95% CI [1.23, 8.13], p = 0.008) immediately after the intervention. However, no significant effect was found on health-related quality of life (SMD: 0.02, 95% CI [-0.25, 0.29], p = 0.88).</p><p><strong>Conclusion: </strong>This meta-analysis provides evidence that technology-based psychological empowerment interventions dramatically improve the psychological well-being of parents of children with cancer. By effectively decreasing distress, depression, and anxiety while enhancing coping skills and resilience, these interventions are emerging as essential components of psychosocial support programs. These findings underscore the transformative potential of technology-driven approaches in addressing the unique and multifaceted needs of families, paving the way for more accessible and personalized support systems.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 2","pages":"e70097"},"PeriodicalIF":3.3000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829656/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psycho‐Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/pon.70097","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: In recent years, technology-based interventions have emerged as effective approaches to provide psychological support for the parents of children with cancer. Despite their increasing use, evidence on the effectiveness of technology-based empowerment interventions remains limited, largely due to the heterogeneity in intervention designs and measured outcomes.
Aim: This meta-analysis aims to evaluate the effectiveness of technology-based psychological empowerment interventions on the psychological well-being of parents of pediatric cancer patients.
Methods: A comprehensive literature search was conducted databases including Scopus, Medline, PubMed, Embase, Cochrane Library, Web of Science, APA PsycINFO, CINAHL Complete, and the Ovid Nursing Database Scopus, Medline, and PubMed identified 8020 studies, from which 9 RCTs involving 698 parents of children with cancer were included. The risk of bias was assessed using the revised Cochrane Risk of Bias (RoB 2) tool. Data analysis was assessed using a random effects model with standardized mean difference (SMD) using Review Manager Version 5.4. Heterogeneity was assessed using the chi-square test and I2 statistic. Subgroup analyses and sensitivity analyses were performed.
Results: The meta-analysis revealed significant improvements in psychological outcomes, including decreases in distress (SMD: -0.42, 95% CI [-0.70, -0.13], p = 0.005), depression (SMD: -0.92, 95% CI [-1.56, -0.27], p = 0.005) and anxiety (SMD: -1.47, 95% CI [-2.50, -0.44], p = 0.005) immediately after the intervention. Follow-up analyses showed maintained decreases in depression (SMD: -0.39, 95% CI [-0.61, -0.17], p = 0.005) and anxiety (SMD:-0.32, 95% CI [-0.58, -0.07], p = 0.01). Additionally, significant increases were observed coping (SMD: 4.31, 95% CI [1.19, 7.44], p = 0.007) and resilience (SMD: 4.68, 95% CI [1.23, 8.13], p = 0.008) immediately after the intervention. However, no significant effect was found on health-related quality of life (SMD: 0.02, 95% CI [-0.25, 0.29], p = 0.88).
Conclusion: This meta-analysis provides evidence that technology-based psychological empowerment interventions dramatically improve the psychological well-being of parents of children with cancer. By effectively decreasing distress, depression, and anxiety while enhancing coping skills and resilience, these interventions are emerging as essential components of psychosocial support programs. These findings underscore the transformative potential of technology-driven approaches in addressing the unique and multifaceted needs of families, paving the way for more accessible and personalized support systems.
背景：近年来，以技术为基础的干预措施已成为为癌症儿童的父母提供心理支持的有效方法。尽管越来越多地使用基于技术的赋权干预措施，但关于其有效性的证据仍然有限，这主要是由于干预设计和测量结果的异质性。目的：本荟萃分析旨在评估基于技术的心理赋权干预对儿童癌症患者父母心理健康的影响。方法：对Scopus、Medline、PubMed、Embase、Cochrane Library、Web of Science、APA PsycINFO、CINAHL Complete以及Ovid护理数据库Scopus、Medline和PubMed等数据库进行综合文献检索，共纳入8020项研究，其中纳入9项随机对照试验，涉及698名癌症患儿父母。使用修订后的Cochrane风险偏倚（RoB 2）工具评估偏倚风险。采用Review Manager Version 5.4采用标准化平均差（SMD）随机效应模型对数据分析进行评估。采用卡方检验和I2统计量评估异质性。进行亚组分析和敏感性分析。结果：荟萃分析显示心理结果有显著改善，包括干预后立即减少痛苦（SMD: -0.42, 95% CI [-0.70, -0.13], p = 0.005），抑郁（SMD: -0.92, 95% CI [-1.56, -0.27], p = 0.005）和焦虑（SMD: -1.47, 95% CI [-2.50, -0.44], p = 0.005）。随访分析显示抑郁（SMD: -0.39, 95% CI [-0.61, -0.17], p = 0.005）和焦虑（SMD:-0.32, 95% CI [-0.58, -0.07], p = 0.01）持续下降。此外，干预后立即观察到应对能力（SMD: 4.31, 95% CI [1.19, 7.44], p = 0.007）和恢复力（SMD: 4.68, 95% CI [1.23, 8.13], p = 0.008）显著增加。然而，未发现对健康相关生活质量有显著影响（SMD: 0.02, 95% CI [-0.25, 0.29], p = 0.88）。结论：本荟萃分析提供了证据，证明基于技术的心理赋权干预可以显著改善癌症儿童父母的心理健康。通过有效地减少痛苦、抑郁和焦虑，同时提高应对技能和恢复能力，这些干预措施正在成为社会心理支持项目的重要组成部分。这些发现强调了技术驱动的方法在解决家庭独特和多方面需求方面的变革潜力，为更容易获得和个性化的支持系统铺平了道路。
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
