@Article{信息:doi 10.2196 / / jmir。2281，作者=“Kuijpers, Wilma and Groen, Wim G and Aaronson, Neil K and van Harten, Wim H”，标题=“慢性病患者赋权和身体活动的网络干预系统综述:与癌症幸存者的相关性”，期刊=“J Med Internet Res”，年=“2013”，月=“Feb”，日=“20”，卷=“15”，数=“2”，页=“e37”，关键词=“系统综述”;网络干预;慢性疾病;病人权利;身体活动;癌症幸存者"，摘要="背景:患者赋权反映了患者积极影响其健康和健康行为(如身体活动)的能力。虽然基于网络的互动式干预措施越来越多地用于各种慢性疾病环境，以加强赋权和身体活动，但这种干预措施对癌症幸存者来说仍然不常见。目的:本研究的目的是系统地回顾有关交互式网络干预的文献。我们专注于旨在增加各种慢性疾病患者赋权和身体活动的干预措施，并探索它们与癌症幸存者的可能相关性。 Methods: Searches were performed in PubMed, Embase, and Scopus to identify peer-reviewed papers reporting on randomized controlled trials that studied the effects of Web-based interventions. These interventions were developed for adults with diabetes, cardiovascular disease, chronic obstructive pulmonary disease, heart failure, or cancer. Intervention characteristics, effects on patient empowerment and physical activity, information on barriers to and facilitators of intervention use, users' experiences, and methodological quality were assessed. Results were summarized in a qualitative way. We used the recommendations of the Institute of Medicine (IOM) regarding cancer survivorship care to explore the relevance of the interventions for cancer survivors. Results: We included 19 papers reporting on trials with 18 unique studies. Significant, positive effects on patient empowerment were reported by 4 studies and 2 studies reported positive effects on physical activity. The remaining studies yielded mixed results or no significant group differences in these outcomes (ie, no change or improvement for all groups). Although the content, duration, and frequency of interventions varied considerably across studies, commonly used elements included education, self-monitoring, feedback/tailored information, self-management training, personal exercise program, and communication (eg, chat, email) with either health care providers or patients. Limited information was found on barriers, facilitators, and users' experiences. Methodological quality varied, with 13 studies being of moderate quality. The reported Web-based intervention elements appeared to be highly relevant to address the specific needs of cancer survivors as indicated by the IOM. Conclusions: We identified 7 common elements of interactive, Web-based interventions in chronic disease settings that could possibly be translated into eHealth recommendations for cancer survivors. While further work is needed to determine optimal intervention characteristics, the work performed in other chronic disease settings provides a basis for the design of an interactive eHealth approach to improve patient empowerment and physical activity in cancer survivors. This may subsequently improve their health status and quality of life and reduce their need for supportive care. ", issn="1438-8871", doi="10.2196/jmir.2281", url="//www.mybigtv.com/2013/2/e37/", url="https://doi.org/10.2196/jmir.2281", url="http://www.ncbi.nlm.nih.gov/pubmed/23425685" }