Devine Katie A, Viola Adrienne S, Coups Elliot J, Wu Yelena P
Katie A. Devine, Adrienne S. Viola, and Elliot J. Coups, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; Yelena P. Wu, Huntsman Cancer Institute, Salt Lake City, UT.
JCO Clin Cancer Inform. 2018 Dec;2:1-15. doi: 10.1200/CCI.17.00138.
This narrative review describes the evidence regarding digital health interventions targeting adolescent and young adult (AYA) cancer survivors. We reviewed the published literature for studies involving Internet, mHealth, social media, telehealth, and other digital interventions for AYA survivors. We highlight selected studies to illustrate the state of the research in this unique patient population. Interventions have used various digital modalities to improve health behaviors (eg, physical activity, nutrition, tobacco cessation), enhance emotional well-being, track and intervene on cancer-related symptoms, and improve survivorship care delivery. The majority of studies have demonstrated feasibility and acceptability of digital health interventions for AYA survivors, but few efficacy studies have been conducted. Digital health interventions are promising to address unmet psychosocial and health information needs of AYA survivors. Researchers should use rigorous development and evaluation methods to demonstrate the efficacy of these approaches to improve health outcomes for AYA survivors.
这篇叙述性综述描述了针对青少年和青年癌症幸存者的数字健康干预措施的相关证据。我们检索了已发表的文献,查找涉及互联网、移动健康、社交媒体、远程医疗以及针对青少年和青年幸存者的其他数字干预措施的研究。我们重点介绍了一些选定的研究,以说明针对这一独特患者群体的研究现状。干预措施采用了各种数字方式来改善健康行为(如体育活动、营养、戒烟)、增强情绪健康、跟踪并干预与癌症相关的症状,以及改善生存护理服务。大多数研究已证明数字健康干预措施对青少年和青年幸存者具有可行性和可接受性,但开展的疗效研究较少。数字健康干预措施有望满足青少年和青年幸存者未得到满足的心理社会和健康信息需求。研究人员应采用严格的开发和评估方法,以证明这些方法能有效改善青少年和青年幸存者的健康状况。