Department of Nursing and Graduate Institute of Nursing, College of Nursing, Chang Gung University of Science and Technology (CGUST), No. 2, Sec. W., Jiapu Rd., Puzi City, Chiayi County, 61363, Taiwan.
Department of Hematology and Oncology, Chiayi Chang Gung Memorial Hospital, No. 6, West Sec., Jiapu Road, Puzi City, Chiayi County, 61363, Taiwan.
Support Care Cancer. 2024 Feb 20;32(3):168. doi: 10.1007/s00520-024-08369-7.
The recent trend of Internet-based digital health interventions has driven researchers to implement them to promote physical activity (PA) and improve patients' health outcomes. This systematic review and meta-analysis aim to evaluate the effects of Internet-based digital health interventions on PA and quality of life (QoL) in colorectal cancer (CRC) survivors.
We searched for relevant studies investigating the effects of internet-based digital health interventions published until Dec. 2022 in electronic databases (PubMed, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials, and CEPS) according to PRISMA guidelines. The Joanna Briggs Institute critical appraisal checklist was used to examine the quality of the included studies. We performed the fixed and random effects model for meta-analysis.
Among 746 identified studies, eight published between 2018 and 2022 were included. These covered 991 internet-based digital health interventions and 875 controls. After 6 months of internet-based digital health interventions, CRC survivors' performance in PA (standardized mean difference (SMD) = 0.23, 95% confidence interval [CI] = 0.09-0.38) and QoL (SMD = 0.11, 95% CI = 0.01-0.22) indicators improved significantly.
Internet-based digital health improved the PA behaviour and QoL of patients with CRC. Because of differences in intervention outcomes, additional randomized controlled trials are warranted to provide suggestions for clinical practice. Internet-based digital health interventions are promising for promoting PA in CRC survivors.
基于互联网的数字健康干预措施的最新趋势促使研究人员实施这些措施以促进身体活动（PA）并改善患者的健康结果。本系统评价和荟萃分析旨在评估基于互联网的数字健康干预措施对结直肠癌（CRC）幸存者的 PA 和生活质量（QoL）的影响。
我们按照 PRISMA 指南搜索了截至 2022 年 12 月在电子数据库（PubMed、CINAHL、EMBASE、Cochrane 对照试验中心注册库和 CEPS）中调查基于互联网的数字健康干预措施对 PA 影响的相关研究。使用 Joanna Briggs 研究所批判性评估清单评估纳入研究的质量。我们进行了固定效应和随机效应模型的荟萃分析。
在 746 项确定的研究中，有 8 项发表于 2018 年至 2022 年期间的研究被纳入。这些研究涵盖了 991 项基于互联网的数字健康干预措施和 875 个对照。经过 6 个月的基于互联网的数字健康干预措施，CRC 幸存者的 PA（标准化均数差（SMD）= 0.23，95%置信区间 [CI] = 0.09-0.38）和 QoL（SMD = 0.11，95% CI = 0.01-0.22）指标显著改善。
基于互联网的数字健康改善了 CRC 患者的 PA 行为和 QoL。由于干预措施的结果存在差异，需要更多的随机对照试验来为临床实践提供建议。基于互联网的数字健康干预措施有望促进 CRC 幸存者的 PA。
