Online psychosocial interventions for posttreatment cancer survivors: an international evidence review and update

Curr Opin Support Palliat Care. 2020 Mar;14(1):40-50. doi: 10.1097/SPC.0000000000000478.

Abstract

Purpose of review: The present review describes recent research on online psychosocial interventions for posttreatment cancer survivors from January 2018 to June 2019.

Recent findings: Twenty-three studies were included in the review (the majority included were feasibility studies and only five randomized controlled trials had large samples). Websites were the most common platforms for intervention delivery (9/23) and cognitive behavioral therapy was the most frequently used therapeutic approach (11/23). Three interventions based on this framework and delivered via websites or combined website-telehealth platforms showed to be effective in improving psychosocial issues (fear of cancer recurrence, insomnia, sleep quality, and prospective memory failures) in posttreatment cancer survivors. Web-based self-compassion writing was also found to be effective in addressing body image distress and body appreciation in breast cancer survivors. Feasibility studies mostly showed online interventions to be plausible and acceptable to cancer survivors. A good representation of online interventions for young adult cancer survivors (30%) was found.

Summary: Online interventions show promise in addressing the psychosocial needs of cancer survivors. Despite new online interventions being found to be feasible and acceptable and some showing promise in addressing important psychosocial issues in cancer survivors posttreatment, more rigorous studies are required to inform supportive care for this population.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Body Image / psychology
  • Cancer Survivors / psychology*
  • Caregivers / psychology
  • Communication
  • Family / psychology
  • Humans
  • Internet-Based Intervention*
  • Mobile Applications
  • Patient Education as Topic / organization & administration
  • Psychotherapy / organization & administration*
  • Quality of Life / psychology
  • Resilience, Psychological
  • Self-Management
  • Social Media
  • Stress, Psychological / therapy*
  • Telemedicine / organization & administration*