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Interventions for Loneliness Among Adult Cancer Survivors: A Systematic Review and Meta-Analysis.
McElfresh, Jennifer J; Skiba, Meghan B; Segrin, Chris G; Badger, Terry A; Crane, Tracy E; Crist, Janice D; Thomson, Cynthia A.
Afiliação
  • McElfresh JJ; Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, USA.
  • Skiba MB; Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, USA.
  • Segrin CG; College of Social and Behavioral Sciences, University of Arizona, Tucson, AZ, USA.
  • Badger TA; College of Nursing, University of Arizona, Tucson, AZ, USA.
  • Crane TE; Department of Biobehavioral Sciences, College of Nursing, University of Arizona, Tucson, AZ, USA.
  • Crist JD; College of Nursing, University of Arizona, Tucson, AZ, USA.
  • Thomson CA; Department of Health Promotion Sciences and the University of Arizona Cancer Center, University of Arizona, Tucson, AZ, USA.
J Psychosoc Oncol ; 39(4): 509-533, 2021.
Article em En | MEDLINE | ID: mdl-33413036
ABSTRACT
Problem identification Loneliness is common after cancer, contributing to poor outcomes. Interventions to modify loneliness are needed. This systematic review describes the current literature regarding loneliness interventions in cancer survivors.Literature search Databases including Ovid/MEDLINE; The Cochrane Central Register of Controlled Trials (CENTRAL); Elsevier/Embase; Clarivate/Web of Science (Core Collection), EBSCO/PsycINFO, EBSCO/CINAHL were used to perform a systematic review of literature using PRISMA guidelines. Second, risk of bias, meta-analysis and a narrative synthesis approach was completed to synthesize findings from multiple studies.Data evaluation/

synthesis:

Six thousand five hundred three studies were initially evaluated; eight studies met inclusion criteria. Findings indicate a paucity of interventions, generally of lower quality. Interventions were feasible and acceptable; those interventions with cultural modifications were more likely to demonstrate effectiveness.

Conclusions:

There are limited interventions addressing loneliness in cancer survivors. Development and testing of culturally-relevant programs are warranted.Implications for psychosocial oncology Current studies suggest the psychosocial symptom of loneliness is modifiable among adult cancer survivors. Few interventions have been tested and shown to be effectiveness in cancer survivors in the U.S. and none have been tailored for older adult survivors, by patient gender/sex and few for specific race/ethnic groups. Results from this systematic review a narrative synthesis and meta-analysis can inform future interventions targeting loneliness in this growing, yet vulnerable, adult cancer survivor population.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sobreviventes de Câncer / Neoplasias Idioma: En Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Sobreviventes de Câncer / Neoplasias Idioma: En Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos