Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Mar 30, 2023
Open Peer Review Period: Mar 29, 2023 - May 24, 2023
Date Accepted: Apr 23, 2024
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Effectiveness of online mindfulness-based interventions for cancer patients: A Systematic Review and Meta-Analyses
ABSTRACT
Background:
Online mindfulness-based interventions (MBIs) are increasingly being used in complex oncology. However, we are still at the early stages of understanding how effective online MBIs are for cancer patients, and what delivery modes are most efficient.
Objective:
This systematic review aims to examine the feasibility and efficacy of online MBIs in improving the mental health and quality of life of patients with cancer, to describe intervention characteristics and delivery modes of these programs, and to summarize the results of the included studies in terms of predictors of efficacy, adherence, and attrition.
Methods:
A comprehensive literature search was conducted using Cochrane Library, Web of Science, PubMed (National Library of Medicine), Embase, SinoMed, CINAHL Complete (EBSCOhost), Scopus (Elsevier), APA PsycINFO (EBSCOhost) from database inception to December 9, 2022.studies were eligible if a mental health outcome (e.g., FCR, PTG, anxiety, depression, distress, stress, sleep) and quality of life was assessed.
Results:
The results of the meta-analysis showed that compared with the control group, the quality of life (standardized mean difference SMD[], 0.33; 95% CI, 0.14 to 0.51; p<.0001) and post-traumatic Growth (SMD, 0.17; 95%CI , -0.07 to 0.40; p=.16) of cancer patients was significantly improved and the fear of cancer recurrence (SMD ,-0.30; 95% CI, -1.04 to 0.44; p=.39), sleep (SMD ,−0.36; 95% CI, −0.71 to -0.01; p=.04), anxiety(SMD, -0.38; 95% CI, −0.67 to -0.09; p= .01), depression(SMD, -0.36; 95% CI, −0.61, -0.11; p=.005), distress(SMD, -0.50; 95% CI , -0 .75 to -0.26; p<.0001) and perceived stress (SMD,-0.89; 95% CI,-1.33 to -0.45; p= .0001) of the online MBIs group was significantly alleviated after the intervention. Most interventions are multi-component, web-based health self-management programs.
Conclusions:
The study concludes that online mindfulness interventions show promise for improving mental health and quality of life outcomes in cancer patients, and further research is needed to optimize and customize these interventions for individual physical and mental symptoms. Clinical Trial: CRD 42022382219
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