| Popis: |
BACKGROUND Patients with head and neck cancer often experience various types and degrees of complications and functional impairments following surgery or radiotherapy. As a result, they require extensive post-discharge rehabilitation, either at home or in the community. Numerous studies have shown the advantages of mHealth technology in assisting oncology patients with self-management and rehabilitation during the post-discharge period. However, few reviews have concentrated on the intervention, management, and evaluation of mHealth technology in post-discharge head and neck cancer patients. OBJECTIVE This study aims to conduct a scoping review of mHealth technology applications and interventions currently available for patients who have been discharged from the hospital after receiving treatment for head and neck cancer. The study seeks to identify and summarize the types and effectiveness of existing mHealth interventions, as well as the differences in outcome assessments between them. METHODS PubMed, EMBASE, Web of Science and CINAHL were used to identify literature with no publication time limits. The keywords "mHealth" and "head and neck cancer" were combined to address the main concepts of the target. RESULTS Of the 1624 papers identified, 14 met the inclusion and exclusion criteria. The majority of studies (n=9) were randomised controlled trials and cohort studies. The studies were conducted in six countries. The main aims of these mHealth interventions were as follows: (1) symptom monitoring and assessment, (2) rehabilitation training, (3) medical health information access, (4) telehealth advisor, (5) peer communication and support, and (6) follow-up/review reminders. The outcome evaluations of the 15 included studies were grouped into four categories: (1) technology usability and patient satisfaction, (2) self-symptom management and patient-reported outcomes(PROs) related indicators (3) adherence, and (4) health-related quality of life. CONCLUSIONS A small number of studies have been conducted on the use of mobile health technology in the post-discharge self-management of head and neck cancer patients. The limited literature findings suggest that mobile health technology can effectively help head and neck cancer patients to self-manage and intervene after discharge, and is important in meeting patients' health information needs, reducing their somatic and psychological burdens and improving their quality of life. Future research should conduct more and higher quality RCT studies for usability evaluation and cost-economic benefit analysis. |
