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Effectiveness of mobile health-based self-management interventions in breast cancer patients: a meta-analysis

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Abstract

Purpose

To determine the effectiveness of mobile health-based self-management interventions on medical/behavioral, role, and emotional management in breast cancer patients.

Methods

The Embase, MEDLINE, SINOMED, the Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), WanFang, and Weipu (VIP) databases were extensively searched from inception to November 30, 2020, to identify eligible clinical trials. Outcomes included medical/behavioral management (self-management behavior, functional exercise compliance, self-efficacy, complications, and symptoms), role management (role functioning), and emotional management (anxiety and depression), social support, and health-related quality of life.

Results

Twenty-four studies were included in this meta-analysis. The results of the meta-analysis indicated that mobile health-based self-management interventions could potentially improve breast cancer patients’ self-management behavior, functional exercise compliance (WMD = 15.80, 95% CI = 10.53 to 21.08, P < 0.001), self-efficacy (SMD = 1.22, 95% CI = 0.57 to 1.87, P < 0.001), and health-related quality of life (SMD = 0.78, 95% CI = 0.44 to 1.12, P < 0.001); reduce the incidence of lymphedema (RR = 0.20, 95% CI = 0.15 to 0.26, P < 0.001); and relieve the level of anxiety (SMD =  − 0.67, 95% CI =  − 0.99 to − 0.35, P < 0.001). However, patients assigned to the mobile health group and the conventional care group did not differ significantly in symptom relief (including pain and fatigue), role functioning, depression, or social support (all P ≥ 0.05).

Conclusion

Mobile health–based self-management interventions can potentially facilitate the self-management and health-related quality of life of breast cancer patients.

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Funding

This work was supported by China’s National Natural Science Foundation (no. 71974217).

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  1. Xia Luo and Yuzhen Chen contributed equally to this work.

Authors and Affiliations

  1. School of Nursing, Sun Yat-Sen University, No.74 Zhong Shan Second Road, Guangzhou, 510078, China

    Xia Luo, Jing Chen, Yue Zhang, Mingfang Li, Chenxia Xiong & Jun Yan

  2. Guangdong Province, Operating Room, the First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan II Road, Guangzhou, People’s Republic of China

    Yuzhen Chen

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Contributions

All authors contributed substantially to conception and design, or acquisition of data, or analysis and interpretation of data. All authors contributed in drafting the article or revising it critically for important intellectual content. All authors approved the version to be published.

Conceptualization: Jun Yan

Acquisition of data: Xia Luo and Yuzhen Chen

Analysis and/or interpretation of data: Xia Luo and Jing Chen

Drafting the manuscript: Xia Luo and Yuzhen Chen

Revising the manuscript critically for important intellectual content: Jun Yan and Yue Zhang, and Jing Chen

Data validation: Jun Yan, Mingfang Li, Chenxia Xiong, and Jing Chen

Supervision: Jun Yan

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Correspondence to Jun Yan.

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Appendix

Appendix

Fig. 5
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Risk of bias summary of RCTs

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Forest plot of functional exercise compliance with the m-health group versus control group

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Forest plot of self-efficacy with the m-health group versus control group

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Forest plot of lymphedema with the m-health group versus control group

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Forest plot of pain with the m-health group versus control group

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Forest plot of fatigue with the m-health group versus control group

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Forest plot of role functioning with the m-health group versus control group

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Forest plot of anxiety with the m-health group versus control group

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Forest plot of depression with the m-health group versus control group

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Forest plot of social support with the m-health group versus control group

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Fig. 15
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Forest plot of HRQOL with the m-health group versus control group

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Luo, X., Chen, Y., Chen, J. et al. Effectiveness of mobile health-based self-management interventions in breast cancer patients: a meta-analysis. Support Care Cancer 30, 2853–2876 (2022). https://doi.org/10.1007/s00520-021-06568-0

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