A Systematic Review of Telehealth-Based Pediatric Cancer Rehabilitation Interventions on Disability

Background: Telehealth is an emerging method which may overcome barriers to rehabilitation access for pediatric cancer survivors (aged ≤19 years). This systematic review aimed to examine telehealth-based rehabilitation interventions aimed at preventing, maintaining, or improving disability in pediatric cancer survivors. Methods: We performed systematic searches in Ovid MEDLINE, Ovid EMBASE, Cochrane Library, SCOPUS, Web of Science, and CINAHL Plus between 1994 and 2022. Eligible studies included telehealth-based interventions assessing disability outcomes in pediatric cancers. Results: Database searches identified 4,040 records. Nine unique interventions met the eligibility criteria. Telehealth delivery methods included telephone (n = 6), email (n = 3), mobile health applications (n = 3), social media (n = 3), videoconferencing (n = 2), text messaging (n = 2), active video gaming (n = 2), and websites (n = 2). Interventions focused on physical activity (n = 8) or self-management (n = 1). Outcomes assessing disability varied (n = 6). Three studies reported statistically and clinically significant results. Narrative synthesis of findings was constructed based on the Picker's principles for patient-centered care: (1) values, preferences, and needs; (2) involve family and friends; (3) coordination of care; (4) provide social support; (5) holistic well-being; and (6) information and communication. Conclusions: Telehealth-based rehabilitation interventions for pediatric cancer survivors is an emerging research area with potential to improve disability outcomes. Adequately powered trials with consistency in disability outcome measures are warranted. Additional research is needed to determine the effectiveness and best practices for telehealth-based pediatric cancer rehabilitation.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Telemedicine journal and e-health : the official journal of the American Telemedicine Association - 30(2024), 4 vom: 22. Apr., Seite 901-918

Sprache:

Englisch

Beteiligte Personen:

Skiba, Meghan B [VerfasserIn]
Wells, Stephanie J [VerfasserIn]
Brick, Rachelle [VerfasserIn]
Tanner, Lynn [VerfasserIn]
Rock, Kelly [VerfasserIn]
Marchese, Victoria [VerfasserIn]
Khalil, Nashwa [VerfasserIn]
Raches, Darcy [VerfasserIn]
Thomas, Kristin [VerfasserIn]
Krause, Kate J [VerfasserIn]
Swartz, Maria C [VerfasserIn]

Links:

Volltext

Themen:

Activity
Adolescents
Children
Function
Impairment
Journal Article
Neoplasm
Participation
Review
Systematic Review
Telemedicine

Anmerkungen:

Date Completed 16.04.2024

Date Revised 26.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/tmj.2023.0224

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365020176