본문 바로가기
KERD
논문KCI 등재

Effects of Digital Physical Activity Interventions for Breast Cancer Patients and Survivors: A Systematic Review and Meta-Analysis

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Objectives: The benefits of physical activity (PA) for breast cancer (BC) patients and survivors are well documented. Withthe widespread use of the internet and mobile phones, along with the recent coronavirus disease 2019 pandemic, there hasbeen a growing interest in digital health interventions. This study conducted a systematic review and meta-analysis to evaluatethe effects of digital PA interventions for BC patients and survivors in improving PA and quality of life (QoL). Methods:We searched eight databases, including PubMed, CINAHL, Embase, Scopus, Web of Science, Cochrane Central Register ofControlled Trials in the Cochrane Library, RISS, and DBpia. Studies were included if they provided digital PA interventions,assessed PA and QoL among BC patients and survivors, and were published from inception to December 31, 2022. Results:In total, 18 studies were identified. The meta-analysis showed significant improvement in the total PA duration (five studies;standardized mean difference [SMD] = 0.71; 95% confidence interval [CI], 0.25–1.18; I2 = 86.64%), functional capacity (threestudies; SMD = 0.38; 95% CI, 0.10–0.66; I2 = 14.36%), and QoL (nine studies; SMD = 0.45; 95% CI, 0.22–0.69; I2 = 65.55%). Conclusions: Digital PA interventions for BC patients and survivors may significantly improve PA, functional capacity, andQoL. Future research should focus on the long-term effects of digital PA interventions, using objective outcome measures.

Abstract

Objectives: The benefits of physical activity (PA) for breast cancer (BC) patients and survivors are well documented. Withthe widespread use of the internet and mobile phones, along with the recent coronavirus disease 2019 pandemic, there hasbeen a growing interest in digital health interventions. This study conducted a systematic review and meta-analysis to evaluatethe effects of digital PA interventions for BC patients and survivors in improving PA and quality of life (QoL). Methods:We searched eight databases, including PubMed, CINAHL, Embase, Scopus, Web of Science, Cochrane Central Register ofControlled Trials in the Cochrane Library, RISS, and DBpia. Studies were included if they provided digital PA interventions,assessed PA and QoL among BC patients and survivors, and were published from inception to December 31, 2022. Results:In total, 18 studies were identified. The meta-analysis showed significant improvement in the total PA duration (five studies;standardized mean difference [SMD] = 0.71; 95% confidence interval [CI], 0.25–1.18; I2 = 86.64%), functional capacity (threestudies; SMD = 0.38; 95% CI, 0.10–0.66; I2 = 14.36%), and QoL (nine studies; SMD = 0.45; 95% CI, 0.22–0.69; I2 = 65.55%). Conclusions: Digital PA interventions for BC patients and survivors may significantly improve PA, functional capacity, andQoL. Future research should focus on the long-term effects of digital PA interventions, using objective outcome measures.

참고문헌 (30)

  1. Spei ME, "Physical activity in breast cancer survivors : A systematic review and meta-analysis on overall and breast cancer survival", Breast, 44, pp.144~152 (2019)[DOI]
  2. Abdin S, "A systematic review of the effectiveness of physical activity interventions in adults with breast cancer by physical activity type and mode of participation", Psychooncology, 28(7), pp.1381~1393 (2019)[DOI]
  3. Gokal K, "Effects of a self-managed home-based walking intervention on psychosocial health outcomes for breast cancer patients receiving chemotherapy : a randomised controlled trial", Support Care Cancer, 24(3), pp.1139~1166 (2016)[DOI]
  4. Ekeland AG, "Effectiveness of telemedicine : a systematic review of reviews", Int J Med Inform, 79(11), pp.736~771 (2010)[DOI]
  5. Roberts AL, "Digital health behaviour change interventions targeting physical activity and diet in cancer survivors : a systematic review and meta-analysis", J Cancer Surviv, 11(6), pp.704~719 (2017)[DOI]
  6. Murray E, "Evaluating digital health interventions : key questions and approaches", Am J Prev Med, 51(5), pp.843~851 (2016)[DOI]
  7. Flores Mateo G, "Mobile phone apps to promote weight loss and increase physical activity : a systematic review and meta-analysis", J Med Internet Res, 17(11), pp.e253~ (2015)[DOI]
  8. Mistry N, "Technology-mediated interventions for enhancing medication adherence", J Am Med Inform Assoc, 22(e1), pp.e177~e193 (2015)[DOI]
  9. Pal K, "Computer-based diabetes self-management interventions for adults with type 2 diabetes mellitus", Cochrane Database Syst Rev, 2013(3), pp.CD008776~ (2013)[DOI]
  10. Kaltenthaler E, "Computerised cognitive-behavioural therapy for depression : systematic review", Br J Psychiatry, 193(3), pp.181~184 (2008)[DOI]
  11. Singleton AC, "Electronic health interventions for patients with breast cancer : systematic review and meta-analyses", J Clin Oncol, 40(20), pp.2257~2270 (2022)[DOI]
  12. Arem H, "Exercise adherence in a randomized trial of exercise on aromatase inhibitor arthralgias in breast cancer survivors : the Hormones and Physical Exercise(HOPE)study", J Cancer Surviv, 10(4), pp.654~662 (2016)[DOI]
  13. Page MJ, "Updating guidance for reporting systematic reviews : development of the PRISMA 2020 statement", J Clin Epidemiol, 134, pp.103~112 (2021)[DOI]
  14. Higgins JP, "A revised tool for assessing risk of bias in randomized trials", Cochrane Database Syst Rev, 10(Suppl 1), pp.29~31 (2016)
  15. Craig CL, "International physical activity questionnaire: 12-country reliability and validity", Med Sci Sports Exerc, 35(8), pp.1381~1395 (2003)[DOI]
  16. Blair SN, "Behavioral health: a handbook of health enhancement and disease prevention", pp.424~447 (1984), Wiley
  17. Aaronson NK, "The European Organization for Research and Treatment of Cancer QLQ-C30 : a qualityof-life instrument for use in international clinical trials in oncology", J Natl Cancer Inst, 85(5), pp.365~376 (1993)[DOI]
  18. Sprangers MA, "The European Organization for Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module : first results from a three-country field study", J Clin Oncol, 14(10), pp.2756~2768 (1996)[DOI]
  19. Brady MJ, "Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument", J Clin Oncol, 15(3), pp.974~986 (1997)[DOI]
  20. Fallowfield LJ, "Assessment of quality of life in women undergoing hormonal therapy for breast cancer : validation of an endocrine symptom subscale for the FACT-B", Breast Cancer Res Treat, 55(2), pp.189~199 (1999)[DOI]
  21. Skevington SM, "The World Health Organization’s WHOQOLBREF quality of life assessment: psychometric properties and results of the international field trial. a report from the WHOQOL group", Qual Life Res, 13(2), pp.299~310 (2004)[DOI]
  22. Ware JE, "SF-36 physical and mental health summary scales: a users’ manual", The Health Institute, New England Medical Center, ~ (1994)
  23. Hays RD, "Development of physical and mental health summary scores from the patient-reported outcomes measurement information system(PROMIS)global items", Qual Life Res, 18(7), pp.873~880 (2009)[DOI]
  24. Prochaska JO, "The transtheoretical model of health behavior change", Am J Health Promot, 12(1), pp.38~48 (1997)[DOI]
  25. Soeken KL, "Assessing publication bias in meta-analysis", Nurs Res, 52(1), pp.57~60 (2003)[DOI]
  26. Beaudry RI, "Meta-analysis of exercise training on vascular endothelial function in cancer survivors", Integr Cancer Ther, 17(2), pp.192~199 (2018)[DOI]
  27. Ross Arena, "Assessment of Functional Capacity in Clinical and Research Settings", Circulation, 116(3), pp.329~343 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
  28. But-Hadzic J, "Six-minute walk distance in breast cancer survivors : a systematic review with meta-analysis", Int J Environ Res Public Health, 18(5), pp.2591~ (2021)[DOI]
  29. Kabore SS, "Barriers and facilitators for the sustainability of digital health interventions in low and middle-income countries : a systematic review", Front Digit Health, 4, pp.1014375~ (2022)[DOI]
  30. Melsen WG, "The effects of clinical and statistical heterogeneity on the predictive values of results from meta-analyses", Clin Microbiol Infect, 20(2), pp.123~129 (2014)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (11건)