Cancer Research Institute.
Department of Rural Health, University of South Australia.
Curr Opin Support Palliat Care. 2020 Mar;14(1):40-50. doi: 10.1097/SPC.0000000000000478.
The present review describes recent research on online psychosocial interventions for posttreatment cancer survivors from January 2018 to June 2019.
Twenty-three studies were included in the review (the majority included were feasibility studies and only five randomized controlled trials had large samples). Websites were the most common platforms for intervention delivery (9/23) and cognitive behavioral therapy was the most frequently used therapeutic approach (11/23). Three interventions based on this framework and delivered via websites or combined website-telehealth platforms showed to be effective in improving psychosocial issues (fear of cancer recurrence, insomnia, sleep quality, and prospective memory failures) in posttreatment cancer survivors. Web-based self-compassion writing was also found to be effective in addressing body image distress and body appreciation in breast cancer survivors. Feasibility studies mostly showed online interventions to be plausible and acceptable to cancer survivors. A good representation of online interventions for young adult cancer survivors (30%) was found.
Online interventions show promise in addressing the psychosocial needs of cancer survivors. Despite new online interventions being found to be feasible and acceptable and some showing promise in addressing important psychosocial issues in cancer survivors posttreatment, more rigorous studies are required to inform supportive care for this population.
本综述描述了 2018 年 1 月至 2019 年 6 月期间针对治疗后癌症幸存者的在线心理社会干预的最新研究。
综述纳入了 23 项研究（其中大多数为可行性研究，仅有 5 项随机对照试验样本量较大）。网站是干预措施最常用的平台（23 项中有 9 项），认知行为疗法是最常用的治疗方法（23 项中有 11 项）。基于该框架并通过网站或结合网站-远程医疗平台提供的三种干预措施，被证明可有效改善治疗后癌症幸存者的心理社会问题（对癌症复发的恐惧、失眠、睡眠质量和前瞻性记忆失败）。基于网络的自我同情写作也被证明可有效改善乳腺癌幸存者的身体形象困扰和身体欣赏。可行性研究大多表明在线干预对癌症幸存者是可行且可接受的。还发现了相当数量的针对年轻成年癌症幸存者的在线干预措施（30%）。
在线干预措施有望满足癌症幸存者的心理社会需求。尽管新的在线干预措施被发现是可行的和可接受的，并且一些方法在治疗后癌症幸存者中解决重要的心理社会问题方面显示出了希望，但需要更严格的研究来为这一人群提供支持性护理。
