TY - JOUR AU - Leslie, Monica AU - Beatty, Lisa AU - Hulbert-Williams, Lee AU - Pendrous, Rosina AU - Cartwright, Tim AU - Jackson, Richard AU - Hulbert-Williams, Nicholas J PY - 2022 DA - 2022/7/8 TI -癌症患者及癌症后患者的网络心理干预:JO - JMIR癌症SP - e36255 VL - 8 IS - 3 KW -癌症KW -肿瘤KW -幸存者KW -社会心理肿瘤学KW -基于互联网的干预KW -社会心理干预AB -背景:尽管许多癌症患者经历了高水平的心理困扰，但先前的研究已经确定了获得传统面对面心理支持的几个障碍。基于网络的社会心理干预已经成为一种有前途的替代方案。目的:本元综述旨在综合关于招募挑战和促成因素、促进参与和坚持网络干预内容的因素，以及促进癌症患者和癌症幸存者的网络心理社会干预效果的因素的证据。方法:我们对以往的综述进行了系统检索，这些综述调查了成人癌症患者和癌症幸存者中基于网络和应用程序的社会心理干预的招募、参与和疗效。我们检索了PubMed、CINAHL、PsycINFO和Cochrane图书馆数据库的相关文献。搜索词集中在与肿瘤和远程医疗相关的主题组合上。两位独立作者对每篇文章进行了摘要筛选、全文筛选和数据提取。结果:共有20篇文章符合合格标准。在吸收和参与数据的报告中存在不一致; however, anxiety about technology and perceived time burden were identified as 2 key barriers. Web-based psychosocial oncology interventions demonstrated efficacy in reducing depression and stress but reported weak to mixed findings for distress, anxiety, quality of life, and well-being. Although no factors consistently moderated intervention efficacy, preliminary evidence indicated that multicomponent interventions and greater communication with a health care professional were preferred by participants and were associated with superior effects. Conclusions: Several consistently cited barriers to intervention uptake and recruitment have emerged, which we recommend future intervention studies address. Preliminary evidence also supports the superior efficacy of multicomponent interventions and interventions that facilitate communication with a health care professional. However, a greater number of appropriately powered clinical trials, including randomized trials with head-to-head comparisons, are needed to enable more confident conclusions regarding which web-based psychosocial oncology interventions work best and for whom. Trial Registration: PROSPERO CRD42020202633; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=202633 SN - 2369-1999 UR - https://cancer.www.mybigtv.com/2022/3/e36255 UR - https://doi.org/10.2196/36255 UR - http://www.ncbi.nlm.nih.gov/pubmed/35802418 DO - 10.2196/36255 ID - info:doi/10.2196/36255 ER -