Korean J Women Health Nurs.  2023 Sep;29(3):160-178. 10.4069/kjwhn.2023.09.07.

Technology-based self-management interventions for women with breast cancer: a systematic review

• An HJ
• Kang SJ
• Choi GE

• KMID: 2547152
• DOI: http://doi.org/10.4069/kjwhn.2023.09.07

Abstract

Purpose
Since technology-based interventions can facilitate convenient access to healthcare for women with breast cancer, it is crucial to understand innovative approaches to maintaining the effectiveness of these interventions. Therefore, we conducted a systematic review of technology-based self-management interventions for women with breast cancer in six countries. We analyzed the characteristics of these interventions and examined their diverse health outcomes. Methods: Six databases were systematically searched to extract research articles using the keywords “breast cancer,” “technology,” and “self-management.” The search was carried out up until June 12, 2023. From the 1,288 studies retrieved from the database search, 10 eligible papers were identified based on inclusion/exclusion criteria. Two authors independently extracted and compared the data from these articles, resolving any discrepancies through discussion. Results: Most of the 10 studies utilized web- or mobile-based technology, and one used artificial intelligence-based technology. Among the 12 health-related outcome variables, quality of life and symptom distress were the most frequently mentioned, appearing in six articles. Furthermore, an analysis of the intervention programs revealed a variety of common constructs and the involvement of managers in the self-management intervention. Conclusion: Incorporating key components such as self-management planning, diary keeping, and communication support in technology-based interventions could significantly improve the self-management process for breast cancer survivors. The practical application of technology has the potential to empower women diagnosed with breast cancer and improve their overall quality of life, by providing timely and sustainable interventions, and by leveraging available resources and tools.

Keyword

Breast neoplasm; eHealth; mHealth; Self-management; Technology

Figure

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  Figure 1. PRISMA 2020 flow diagram of the literature search

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  Figure 2. Risk of bias summary of randomized controlled trials using the Cochrane Risk of Bias 2.0 (RoB 2.0) tool.

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  Figure 3. Risk of bias summary of non-randomized controlled trials using the Risk of Bias in Nonrandomized Studies-of Interventions (ROBINS-I) tool.

Reference

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