Abstract
Background: Haematological cancer survivors have significant unmet needs. The use of e-Health interventions has been shown to be effective in improving patient experiences and outcomes in other diseases. The aim of this review is to explore the role of e-Health interventions in the delivery of care for patients with haematological cancers across the illness trajectory.
Methods: A systematic narrative review approach using thematic analysis was used to identify the key issues and themes in the literature. Medical subject headings and keywords were used in several databases: Medline, Embase, PsycInfo CINAHL and The Cochrane Collaboration Cochrane Review Database. This review focuses on the use of e-Health interventions for patients with haematological cancer within any study design.
Results: 23 studies were identified in this review. The studies were of varying design: RCTs (n=6); pre and post design (n=1); feasibility and acceptability (n=11) and varying methodological quality. Seven studies included patients with any cancer diagnosis rather than focusing specifically on haematology patients. Our thematic analysis identified four main categories of intervention: information provision (n=4); self-help (n=6); communication facilitation (n=5); patient reported outcome (PRO) recording or monitoring (n=8).
Conclusion: The clinical management of patients with haematological cancers, particularly those in survivorship, presents opportunities to explore e-Health approaches to improve patient care. This review highlights that e-Health tools may be acceptable and feasible to use with a haematology patient population, but more robust and well-designed trials that engage patients and health professionals are required to determine which and how interventions can be used most effectively.
Methods: A systematic narrative review approach using thematic analysis was used to identify the key issues and themes in the literature. Medical subject headings and keywords were used in several databases: Medline, Embase, PsycInfo CINAHL and The Cochrane Collaboration Cochrane Review Database. This review focuses on the use of e-Health interventions for patients with haematological cancer within any study design.
Results: 23 studies were identified in this review. The studies were of varying design: RCTs (n=6); pre and post design (n=1); feasibility and acceptability (n=11) and varying methodological quality. Seven studies included patients with any cancer diagnosis rather than focusing specifically on haematology patients. Our thematic analysis identified four main categories of intervention: information provision (n=4); self-help (n=6); communication facilitation (n=5); patient reported outcome (PRO) recording or monitoring (n=8).
Conclusion: The clinical management of patients with haematological cancers, particularly those in survivorship, presents opportunities to explore e-Health approaches to improve patient care. This review highlights that e-Health tools may be acceptable and feasible to use with a haematology patient population, but more robust and well-designed trials that engage patients and health professionals are required to determine which and how interventions can be used most effectively.
Original language | English |
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Pages (from-to) | 1093-1105 |
Number of pages | 13 |
Journal | Telemedicine journal and e-health : the official journal of the American Telemedicine Association |
Volume | 26 |
Issue number | 9 |
Early online date | 24 Mar 2020 |
DOIs | |
Publication status | Published - 10 Sept 2020 |
Keywords
- e-health
- m-health
- telehealth
- technology
- hematology
Research Beacons, Institutes and Platforms
- Manchester Cancer Research Centre