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Educational interventions to reduce depression and anxiety in older adults with cancer in the community: a systematic review, meta-analysis and meta-regression of randomised controlled trials.
- Source :
- Age & Ageing; Jun2024, Vol. 53 Issue 6, p1-13, 13p
- Publication Year :
- 2024
-
Abstract
- Background Older adults make up half of those with cancer and are prone to mood disorders, such as depression and severe anxiety, resulting in negative repercussions on their health-related quality-of-life (HRQOL). Educational interventions have been shown to reduce adverse psychological outcomes. We examined the effect of educational interventions on the severity of psychological outcomes in older adults with cancer (OAC) in the community. Method This PRISMA-adherent systematic review involved a search of PubMed, MedLine, Embase and PsycINFO for randomised controlled trials (RCTs) that evaluated educational interventions impacting the severity of depression, anxiety and HRQOL in OAC. Random effects meta-analyses and meta-regressions were used for the primary analysis. Results Fifteen RCTs were included. Meta-analyses showed a statistically insignificant decrease in the severity of depression (SMD = −0.30, 95%CI: −0.69; 0.09), anxiety (SMD = −0.30, 95%CI: −0.73; 0.13) and improvement in overall HRQOL scores (SMD = 0.44, 95%CI: −0.16; 1.04). However, subgroup analyses revealed that these interventions were particularly effective in reducing the severity of depression and anxiety in specific groups, such as OAC aged 60–65, those with early-stage cancer, those with lung cancer and those treated with chemotherapy. A systematic review found that having attained a higher education and income level increased the efficacy of interventions in decreasing the severity of adverse psychological outcomes. Conclusion Although overall meta-analyses were statistically insignificant, subgroup meta-analyses highlighted a few specific subgroups that the educational interventions were effective for. Future interventions can be implemented to target these vulnerable groups. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of mental depression
ANXIETY prevention
MEDICAL information storage & retrieval systems
INDEPENDENT living
INCOME
EDUCATIONAL outcomes
CANCER patients
META-analysis
DESCRIPTIVE statistics
SYSTEMATIC reviews
MEDLINE
CANCER chemotherapy
QUALITY of life
LUNG tumors
CANCER patient psychology
ONLINE information services
CONFIDENCE intervals
TUMOR classification
PSYCHOLOGY information storage & retrieval systems
EDUCATIONAL attainment
REGRESSION analysis
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 53
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 178158887
- Full Text :
- https://doi.org/10.1093/ageing/afae111