I Gunther Eysenbach基于网络的干预对慢性疾病患者赋权和身体活动的系统回顾:癌症幸存者的相关性%A Kuijpers,Wilma %A Groen,Wim G %A Aaronson,Neil K %A van Harten,Wim H %+荷兰癌症研究所，社会心理研究和流行病学分部，Plesmanlaan 121，阿姆斯特丹，1066 CX，荷兰，31 205122861,w.v.harten@nki.nl %K系统综述%K互联网干预%K慢性疾病%K患者授权%K体育活动%K癌症幸存者%D 2013 %7 20.02.2013 %9综述%J J医学互联网Res %G英语%X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。虽然基于网络的交互式干预越来越多地用于各种慢性疾病环境，以增强赋权和体育活动，但这种干预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。我们重点研究了旨在增加患者赋权和各种慢性疾病的身体活动的干预措施，并探索了它们与癌症幸存者的可能相关性。方法:检索PubMed、Embase和Scopus，以确定同行评议的关于研究基于网络干预效果的随机对照试验的报告。这些干预措施是为患有糖尿病、心血管疾病、慢性阻塞性肺疾病、心力衰竭或癌症的成年人开发的。评估了干预特征、对患者赋权和身体活动的影响、干预使用障碍和促进因素的信息、使用者的经验和方法质量。对结果进行定性总结。 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. %M 23425685 %R 10.2196/jmir.2281 %U //www.mybigtv.com/2013/2/e37/ %U https://doi.org/10.2196/jmir.2281 %U http://www.ncbi.nlm.nih.gov/pubmed/23425685