Nursing Division, KK Women's and Children's Hospital, Singapore, Singapore.
Yong Loo Lin School of Medicine, Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
J Adv Nurs. 2019 Oct;75(10):2072-2084. doi: 10.1111/jan.13974. Epub 2019 Mar 21.
To determine the effectiveness of technological-based educational interventions on the empowerment-related outcomes of children and young adults with cancer.
Quantitative systematic review.
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.
A narrative summary of the results was undertaken owing to the small number of eligible studies and high heterogeneity across the studies.
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.
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.
确定基于技术的教育干预措施对癌症儿童和青少年相关赋权结果的有效性。
定量系统评价。
从每个数据库的起始点到 2017 年 12 月，在 6 个电子数据库（包括 PubMed、Cochrane Library、EMBASE、CINAHL、Scopus 和 PsycINFO）中搜索了符合条件的随机对照试验。还从 ProQuest 和 MedNar 中搜索了灰色文献。
由于合格研究数量少且研究之间存在高度异质性，因此进行了结果的叙述性总结。
共纳入 5 项研究。在不同的 3 个月干预后、即时干预后和治疗期间，确定了“患者状态”下的 5 个与赋权相关的结果：（a）自我效能；（b）癌症知识；（c）健康控制源；（d）情绪健康；和（e）生活质量。在 3 个月的干预后，有两项研究发现健康控制源具有统计学意义，一项研究发现自我效能和癌症知识具有统计学意义。生活质量没有差异。即时干预后，观察到有益的迹象。在治疗期间，没有发现基于技术的认知行为包的有效性有统计学意义。
基于技术的教育干预措施对癌症儿童和青少年相关赋权结果的有效性的证据较弱，导致结论不确定。未来的研究将受益于设计良好的临床试验，这些试验使用共同的结果测量来提供有关此类干预措施有效性的更多信息。
