Nursing Department, Singapore General Hospital, Singapore, Singapore.
Alice Lee Centre for Nursing Studies, Clinical Research Centre, National University of Singapore, Level 2Block MD11, 10 Medical Drive, Singapore, 117597, Singapore.
J Cancer Surviv. 2023 Dec;17(6):1606-1627. doi: 10.1007/s11764-022-01244-6. Epub 2022 Aug 12.
This review aimed to (1) evaluate the effectiveness of social media-based interventions for improving the quality of life, anxiety and depressive symptoms of patients with cancer at post-intervention and follow-up; (2) identify the essential features of social media-based interventions and (3) explore the covariates of the treatment effect.
All types of randomised controlled trials (RCTs) were included. Ten electronic databases, clinical trial registries and grey literature sources were searched from inception to 15 December 2021. Stata software was used to perform meta-analysis, subgroup analyses and meta-regression analyses. Individual quality assessment and certainty of evidence were assessed using Cochrane risk of bias tool version 1 and Grading of Recommendations Assessments, Development and Evaluation criteria, respectively.
This review included 43 RCTs, which comprised 6239 patients with a total mean age of 49.71 years old from across 11 countries. Social media-based interventions significantly improved the quality of life (g = 0.25, 95% CI = 0.05-0.45) and anxiety symptoms (g = - 0.41, 95% CI = - 0.76-0.07) but not depressive symptoms. The essential features based on the subgroup analysis concluded that using a mobile device with a flexible frequency had a remarkably greater effect on the quality of life and anxiety symptoms than their counterparts. The meta-regression showed the covariate features, where having more social media features in interventions significantly improved the quality of life (β = 0.21, p = 0.01). The certainty of evidence was very low for all outcomes.
Participants who received social media-based interventions may experience an increase in quality of life and reduction in anxiety symptoms.
Social media-based interventions may complement usual care in improving quality of life and anxiety symptoms. Registration in PROSPERO CRD42022297956.
本综述旨在：(1)评估基于社交媒体的干预措施在干预后和随访时对癌症患者生活质量、焦虑和抑郁症状的改善效果；(2)确定基于社交媒体的干预措施的基本特征；(3)探讨治疗效果的协变量。
纳入所有类型的随机对照试验（RCT）。从创建到 2021 年 12 月 15 日，我们检索了 10 个电子数据库、临床试验注册处和灰色文献来源。使用 Stata 软件进行荟萃分析、亚组分析和元回归分析。个体质量评估和证据确定性分别使用 Cochrane 偏倚风险工具版本 1 和 Grading of Recommendations Assessments, Development and Evaluation 标准进行评估。
本综述纳入了 43 项 RCT，共纳入来自 11 个国家的 6239 名年龄中位数为 49.71 岁的癌症患者。基于社交媒体的干预措施显著改善了生活质量（g=0.25，95%CI=0.05-0.45）和焦虑症状（g=-0.41，95%CI=-0.76-0.07），但对抑郁症状没有影响。基于亚组分析的基本特征得出结论，使用具有灵活频率的移动设备对生活质量和焦虑症状的改善效果显著优于其他设备。元回归显示了协变量特征，即干预措施中具有更多社交媒体功能显著提高了生活质量（β=0.21，p=0.01）。所有结局的证据确定性都非常低。
接受基于社交媒体的干预措施的参与者可能会体验到生活质量的提高和焦虑症状的减轻。
基于社交媒体的干预措施可能会补充常规护理，以改善生活质量和焦虑症状。在 PROSPERO 注册，CRD42022297956。
