Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/154103
Title: THE EFFECTIVENESS OF INTERNET-BASED SUPPORTIVE CARE TO IMPROVE HEALTH OUTCOMES OF INDIVIDUALS WITH COLORECTAL CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: SOONG WEN YI
Keywords: Colorectal cancer
Internet-based
Meta-analysis
Systematic review
Supportive care
Issue Date: 25-May-2019
Citation: SOONG WEN YI (2019-05-25). THE EFFECTIVENESS OF INTERNET-BASED SUPPORTIVE CARE TO IMPROVE HEALTH OUTCOMES OF INDIVIDUALS WITH COLORECTAL CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background: Colorectal cancer (CRC) is a major cause of morbidity and mortality worldwide. It is important to ensure the needs of CRC individuals are supported to build up confidence and skills. Internet hold great potential to provide supportive care intervention to improve health outcomes for the CRC individuals. However, no systematic review has targeted at the effects of such intervention on CRC individuals. Aim: To combine the available evidence that examined the effectiveness of internet-based supportive care to improve health outcomes like self-efficacy, physical function, fatigue and physical activity, of CRC individuals. Methods: This systematic review was conducted based on six electronic databases; CINAHL, Cochrane, Embase, PsycINFO, PubMed and Scopus were searched. Out of the 2,919 articles identified through electronic searching, six experimental studies were included. Cochrane risk of bias and ROBINS-I were used to assess methodological quality. Meta-analysis was performed with RevMan software. Cochrane Q and I² tests were used to assess heterogeneity. The overall effect was using z tests at p < 0.05. Results: A total of 1,306 subjects from five countries were included. The meta-analysis revealed that internet-based supportive care intervention significantly improved self-efficacy (z=2.78, p=0.005), physical activity (z=2.04, p=0.04) and reduced fatigue (z=2.39, p=0.02) as compare to the control group. Conclusion and Implications: Internet-based supportive care intervention could function as an extension of the services provided to CRC individuals to enhance their health outcomes after their diagnosis. Internet-based intervention has the capability to incorporate highly personalised and tailored supportive care to build up confidence and skills which increase the engagement of the individuals. Furthermore, the accessibility of internet allows the intervention to cover a wider audience while being more cost-effective. Follow-up investigation should be conducted in future studies to examine the long-term effects of the intervention.
URI: https://scholarbank.nus.edu.sg/handle/10635/154103
Appears in Collections:Bachelor's Theses

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