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Effectiveness of technological‐based educational interventions on the empowerment related outcomes of children and young adults with cancer: A quantitative systematic review

11 Feb 2019

Abstract

Aim

To determine the effectiveness of technological‐based educational interventions on the empowerment‐related outcomes of children and young adults with cancer.

Design

Quantitative systematic review.

Data sources

Six electronic databases, including PubMed, Cochrane Library, EMBASE, CINAHL, Scopus and PsycINFO, were searched to identify eligible randomized controlled trials from each database's point of inception to December 2017. Grey literature was also searched from ProQuest and MedNar.

Review methods

A narrative summary of the results was undertaken owing to the small number of eligible studies and high heterogeneity across the studies.

Results

Five studies were included in the review. Five empowerment‐related outcomes under the domain ‘patient states’ were identified at differing time points of three months post‐intervention, immediate post‐intervention and during treatment: (1) self‐efficacy; (2) cancer knowledge; (3) health locus of control; (4) emotional well‐being; and (5) quality of life. At three months post‐intervention, health locus of control was found to be significant in two studies and self‐efficacy and cancer knowledge were found to be significant in one study. No difference in quality of life was found. At immediate post‐intervention, a beneficial indication was observed. During treatment, no statistical significance was found regarding the effectiveness of a technological‐based cognitive behavioural package.

Conclusion

Weak evidences led to inconclusive findings on the effectiveness of technological‐based educational interventions on the empowerment‐related outcomes of children and young adults with cancer. Future research will benefit from well‐designed clinical trials that use a common outcome measurement to provide more information regarding the effectiveness of such interventions.

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Click here to view the full article which appeared in Journal of Advanced Nursing