Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2025-06-17 DOI:10.1016/j.invent.2025.100846

Alba Jiménez-Díaz , Tamara Escrivá-Martínez , Rocío Herrero , Rosa Baños

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引用次数: 0

Abstract

Introduction

As breast cancer survival rates continue to rise, the number of breast cancer survivors (BCS) requiring supportive care is increasing, placing additional strain on healthcare systems facing resource shortages. In response, digital health is rapidly evolving, and research on eHealth interventions is expanding significantly. Therefore, we conducted an umbrella review to summarize the evidence on digital health interventions aimed at improving health-related outcomes for BCS.

Methods

The protocol was preregistered in PROSPERO (CDR42022341837). The Preferred Reporting Items for Overviews of Reviews (PRIOR) were followed. Five databases were searched (Scopus, Web of Science, PubMed, Cochrane Reviews, IEEE Xplore) in July 2022 and updated in April 2024. Systematic reviews and/or meta-analyses examining digital health interventions targeting BCS health-related outcomes were included. Two reviewers independently selected reviews, extracted data, and assessed the quality of the included reviews through AMSTAR-2.

Results

Seventeen systematic reviews met the inclusion criteria, and ninety-two original studies on digital health interventions for BCS were identified across them. Overall, digital health interventions seem to improve physical activity outcomes, although effects on quality of life and psychological outcomes are less clear. The quality of most systematic reviews was low, and conclusion should be interpreted with caution.

Conclusions

Digital health interventions show some potential in improving health-related outcomes for BCS. However, more robust, theory-driven, and outcome-specific studies are needed to clarify the potential effects of these interventions on the unique needs of specific cancer populations.

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针对乳腺癌幸存者护理的基于证据的数字健康干预措施：总括性审查

随着乳腺癌存活率的持续上升，需要支持性护理的乳腺癌幸存者（BCS）的数量正在增加，这给面临资源短缺的医疗保健系统带来了额外的压力。因此，数字卫生正在迅速发展，电子卫生干预措施的研究正在显著扩大。因此，我们进行了一项总括性综述，总结了旨在改善BCS健康相关结果的数字健康干预措施的证据。方法该方案在PROSPERO （CDR42022341837）中进行预注册。遵循综述的首选报告项目（PRIOR）。在2022年7月检索了5个数据库（Scopus, Web of Science, PubMed, Cochrane Reviews, IEEE Xplore），并于2024年4月更新。纳入了针对BCS健康相关结果的数字卫生干预措施的系统评价和/或荟萃分析。两位审稿人独立选择审评，提取数据，并通过AMSTAR-2评估纳入审评的质量。结果17项系统综述符合纳入标准，其中92项关于BCS数字健康干预的原始研究被确定。总体而言，数字健康干预措施似乎改善了身体活动的结果，尽管对生活质量和心理结果的影响不太清楚。大多数系统评价的质量较低，结论应谨慎解读。结论数字健康干预在改善BCS健康相关结局方面显示出一定的潜力。然而，需要更强大的、理论驱动的、结果特异性的研究来阐明这些干预措施对特定癌症人群独特需求的潜在影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions