NDLI: Effects of eHealth for patients and informal caregivers confronted with cancer: A meta-review.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Slev, Vina N. Mistiaen, Patriek Pasman, H. Roeline W. Verdonck-de Leeuw, Irma M. Van Uden-kraan, Cornelia F. Francke, Anneke L.
Description	Author Affiliation: Slev VN ( VU University Medical Center, Department of Public and Occupational Health, The EMGO Institute for Health and Care Research, Amsterdam, Netherlands); Mistiaen P ( NIVEL, Netherlands Institute for Health Services Research Utrecht, Netherlands.); Pasman HR ( VU University Medical Center, Department of Public and Occupational Health, The EMGO Institute for Health and Care Research, Amsterdam, Netherlands); Verdonck-de Leeuw IM ( VU University Medical Center, Department of Otolaryngology-Head & Neck Surgery, The EMGO Institute for Health and Care Research, Cancer Center Amsterdam (CCA), Amsterdam, Netherlands); van Uden-Kraan CF ( Vrije Universiteit Amsterdam, Department of Clinical Psychology, The EMGO Institute for Health and Care Research, Cancer Center Amsterdam (CCA), Amsterdam, Netherlands.); Francke AL ( VU University Medical Center, Department of Public and Occupational Health, The EMGO Institute for Health and Care Research, Amsterdam, Netherlands)
Abstract	BACKGROUND: eHealth can be defined as information provision about illness or health care and/or support for patients and/or informal caregivers, using the computer or related technologies. eHealth interventions are increasingly being used in cancer care, e.g. to support patients and informal caregivers in managing symptoms and problems in daily life. OBJECTIVES: To synthesize evidence from systematic reviews on the effects of eHealth for cancer patients or their informal caregivers. MATERIALS AND METHODS: A systematic meta-review, in the sense of a systematic review of reviews, was conducted. Searches were performed in PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library. All steps in the review process were either performed by two reviewers independently or checked by a second reviewer. Disagreements were resolved by consensus. RESULTS: Ten systematic reviews were included. All reviews focused on the effects of eHealth for patients and none on effects for informal caregivers. Except for one review of high methodological quality, all reviews were of moderate methodological quality. Evidence was found for effects on perceived support, knowledge levels, and information competence of cancer patients. Indications of evidence were found for health status and healthcare participation. Findings were inconsistent for outcomes related to decision-making, psychological wellbeing, depression and anxiety, and quality of life. No evidence was found for effects on physical and functional wellbeing. CONCLUSION: There is evidence for positive effects of eHealth on perceived support, knowledge, and information competence of cancer patients. For effects on other outcomes in cancer patients, findings are mainly inconsistent or lacking. This meta-review did not find relevant reviews focusing on or including the effects of eHealth on informal caregivers, which seems a rather unexplored area.
File Format	HTM / HTML
ISSN	13865056
Volume Number	87
e-ISSN	18728243
Journal	International Journal of Medical Informatics
Language	English
Publisher	Elsevier
Publisher Date	2016-03-01
Publisher Place	Ireland
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medical Informatics Adaptation, Psychological Caregivers Psychology Disease Management Neoplasms Prevention & Control Telemedicine Humans Journal Article Research Support, Non-u.s. Gov't Review
Content Type	Text
Resource Type	Article
Subject	Health Informatics

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