Effects of Psycho-education Interventions on Colorectal Cancer Patients: A systematic review and meta-analysis

J Cancer Educ. 2023 Oct;38(5):1413-1419. doi: 10.1007/s13187-023-02349-x. Epub 2023 Aug 24.

Abstract

Colorectal cancer (CRC) patients not only undergo physical symptoms but also psychological suffering. Psycho-education interventions have been implemented widely to improve their psychological well-being. However, the effectiveness of psycho-education is unclear. Therefore, this research evaluates the effectiveness of psycho-education interventions on CRC patient outcomes and identifies effective intervention characteristics. The researchers searched the following databases: PubMed, Embase, PsycINFO, Cochrane, Medline, Web of Science, CINAHL, ProQuest, Wan Fang Data, Chinese National Knowledge Infrastructure, Chinese Biomedicine Database, and China Academic Journals Full-Text Database. Additionally, gray literature and bibliographies of the included studies were also searched. Finally, this review included 11 randomized controlled trials and one controlled clinical trial. The results showed that psycho-education interventions exerted positive impacts on relieving anxiety and depression, improving self-efficacy and quality of life for CRC patients either immediately, post-intervention, or at least 2 months after intervention. Despite the variety of psycho-education interventions, health education, stress management, coping skills training, and social support are also essential components. Future research should include multi-center studies with sufficient sample sizes and rigorous designs.

Keywords: Colorectal cancer; Meta-analysis; Nursing; Psycho-education interventions; Psychological well-being; Quality of life; Systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review
  • Review

MeSH terms

  • Anxiety / prevention & control
  • Colorectal Neoplasms* / therapy
  • Humans
  • Quality of Life*
  • Randomized Controlled Trials as Topic
  • Social Support