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The Role of e-Health in the Delivery of Care for Patients with Hematological Cancers: A Systematic Literature Review.

Authors :
Taylor, Sally
Bellhouse, Sarah
Allsop, Matthew
Radford, John
Yorke, Janelle
Source :
Telemedicine & e-Health. Sep2020, Vol. 26 Issue 9, p1093-1105. 13p.
Publication Year :
2020

Abstract

Background: Hematological 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 hematological 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 hematological cancers within any study design. Results: Twenty-three (n = 23) studies were identified in this review. The studies were of varying designs: randomized controlled trials (n = 6); pre- and postdesign (n = 1); feasibility and acceptability (n = 11) and varying methodological quality. Seven studies included patients with any cancer diagnosis rather than focusing specifically on hematology patients. Our thematic analysis identified four main categories of intervention: information provision (n = 4); self-help (n = 6); communication facilitation (n = 5); and patient-reported outcome recording or monitoring (n = 8). Conclusion: The clinical management of patients with hematological 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 hematology 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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15305627
Volume :
26
Issue :
9
Database :
Academic Search Index
Journal :
Telemedicine & e-Health
Publication Type :
Academic Journal
Accession number :
145701101
Full Text :
https://doi.org/10.1089/tmj.2019.0231