TY - JOUR
T1 - The influence of telehealth-based cancer rehabilitation interventions on disability
T2 - a systematic review
AU - Brick, Rachelle
AU - Padgett, Lynne
AU - Jones, Jennifer
AU - Wood, Kelley Covington
AU - Pergolotti, Mackenzi
AU - Marshall, Timothy F.
AU - Campbell, Grace
AU - Eilers, Rachel
AU - Keshavarzi, Sareh
AU - Flores, Ann Marie
AU - Silver, Julie K.
AU - Virani, Aneesha
AU - Livinski, Alicia A.
AU - Ahmed, Mohammed Faizan
AU - Kendig, Tiffany
AU - Khalid, Bismah
AU - Barnett, Jeremy
AU - Borhani, Anita
AU - Bernard, Graysen
AU - Lyons, Kathleen Doyle
N1 - Funding Information:
Drs. Pergolotti and Covington, and Tiffany Kendig report personal fees from Select Medical, ReVital Cancer Rehab outside the submitted work. Julie K. Silver has participated in research funded by the Binational Scientific Foundation and is a venture partner for Third Culture Capital outside of the work submitted. Aneesha Virani receives salary for full-time employment at Northside Hospital for work outside of submitted work. Aneesha Virani reports participating in research funded by the American Speech & Hearing Foundation for work outside of this project. Grace Campbell reports funding from the National Institute of Disability, Independent Living, and Rehabilitation Research. Kathleen D. Lyons reports participating in research funded by the National Cancer Institute for work outside of this project. All other authors declare no competing interests.
Funding Information:
Dr. Flores reports funding from the National Cancer Institute (3UM1CA233035-01S1).
Publisher Copyright:
© 2022, This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.
PY - 2022
Y1 - 2022
N2 - Purpose: To characterize delivery features and explore effectiveness of telehealth-based cancer rehabilitation interventions that address disability in adult cancer survivors. Methods: A systematic review of electronic databases (CINAHL Plus, Cochrane Library: Database of Systematic Reviews, Embase, National Health Service’s Health Technology Assessment, PubMed, Scopus, Web of Science) was conducted in December 2019 and updated in April 2021. Results: Searches identified 3,499 unique studies. Sixty-eight studies met inclusion criteria. There were 81 unique interventions across included studies. Interventions were primarily delivered post-treatment and lasted an average of 16.5 weeks (SD = 13.1). They were most frequently delivered using telephone calls (59%), administered delivered by nursing professionals (35%), and delivered in a one-on-one format (88%). Risk of bias of included studies was primarily moderate to high. Included studies captured 55 measures of disability. Only 54% of reported outcomes had data that allowed calculation of effect sizes ranging -3.58 to 15.66. Conclusions: The analyses suggest small effects of telehealth-based cancer interventions on disability, though the heterogeneity seen in the measurement of disability makes it hard to draw firm conclusions. Further research using more diverse samples, common measures of disability, and pragmatic study designs is needed to advance telehealth in cancer rehabilitation. Implications for Cancer Survivors: Telehealth-based cancer rehabilitation interventions have the potential to increase access to care designed to reduce disability across the cancer care continuum.
AB - Purpose: To characterize delivery features and explore effectiveness of telehealth-based cancer rehabilitation interventions that address disability in adult cancer survivors. Methods: A systematic review of electronic databases (CINAHL Plus, Cochrane Library: Database of Systematic Reviews, Embase, National Health Service’s Health Technology Assessment, PubMed, Scopus, Web of Science) was conducted in December 2019 and updated in April 2021. Results: Searches identified 3,499 unique studies. Sixty-eight studies met inclusion criteria. There were 81 unique interventions across included studies. Interventions were primarily delivered post-treatment and lasted an average of 16.5 weeks (SD = 13.1). They were most frequently delivered using telephone calls (59%), administered delivered by nursing professionals (35%), and delivered in a one-on-one format (88%). Risk of bias of included studies was primarily moderate to high. Included studies captured 55 measures of disability. Only 54% of reported outcomes had data that allowed calculation of effect sizes ranging -3.58 to 15.66. Conclusions: The analyses suggest small effects of telehealth-based cancer interventions on disability, though the heterogeneity seen in the measurement of disability makes it hard to draw firm conclusions. Further research using more diverse samples, common measures of disability, and pragmatic study designs is needed to advance telehealth in cancer rehabilitation. Implications for Cancer Survivors: Telehealth-based cancer rehabilitation interventions have the potential to increase access to care designed to reduce disability across the cancer care continuum.
KW - Cancer rehabilitation
KW - Disability
KW - Function
KW - Intervention
KW - Neoplasm
KW - Telehealth
UR - http://www.scopus.com/inward/record.url?scp=85125285768&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85125285768&partnerID=8YFLogxK
U2 - 10.1007/s11764-022-01181-4
DO - 10.1007/s11764-022-01181-4
M3 - Review article
C2 - 35218521
AN - SCOPUS:85125285768
SN - 1932-2259
JO - Journal of Cancer Survivorship
JF - Journal of Cancer Survivorship
ER -
