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Lung Cancer and Self-Management Interventions: A Systematic Review of Randomised Controlled Trials

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  • Rachel Anne Rowntree

    (School of Health and Society, University of Wollongong, Wollongong, NSW 2522, Australia)

  • Hassan Hosseinzadeh

    (School of Health and Society, University of Wollongong, Wollongong, NSW 2522, Australia)

Abstract

Background: Lung cancer is the most common cancer worldwide. Evidence suggests self-management (SM) interventions benefit cancer patients. This review aims to determine the effectiveness of SM interventions for lung cancer patients. Method: Searches occurred in PubMed, Cinahl, ProQuest, Psych Info, Scopus, and Medline, using predefined criteria, assessing randomised controlled trials (RCTs). Results : Five hundred and eighty-seven studies were yielded, 10 RCTs met criteria. Of the total patient pool, 1001 of 1089 had Non-Small Cell Lung Cancer (NSCLC). Six studies tested home-based SM exercise, two studies SM education, and one each for diary utilisation and symptom reporting. Fatigue was the most targeted function. Other functions targeted included exercise capacity, anxiety, depression, quality of life (QoL), sleep quality, and symptom burden. Six studies met their primary endpoints (five SM exercise, one SM education). Positive outcomes are described for fatigue, anxiety/depression, sleep quality, self-efficacy, and exercise capacity. With exception to fatigue, early-stage NSCLC, younger age, female, never smokers, partnered patients experienced increased treatment effect. Conclusions : SM interventions improve outcomes among some lung cancer patients. Interventions targeting fatigue yield benefit despite histology, stage or gender and could encourage broader cohort engagement. Consideration of patient characteristics may predict SM effect. Effectiveness of home-based SM exercise by NSCLC stage and SM tailored to sociodemographic variables requires further research.

Suggested Citation

  • Rachel Anne Rowntree & Hassan Hosseinzadeh, 2022. "Lung Cancer and Self-Management Interventions: A Systematic Review of Randomised Controlled Trials," IJERPH, MDPI, vol. 19(1), pages 1-26, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:1:p:536-:d:717282
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    References listed on IDEAS

    as
    1. Jessica Cerni & Joel Rhee & Hassan Hosseinzadeh, 2020. "End-of-Life Cancer Care Resource Utilisation in Rural Versus Urban Settings: A Systematic Review," IJERPH, MDPI, vol. 17(14), pages 1-15, July.
    2. Uday Narayan Yadav & Jane Lloyd & Hassan Hosseinzadeh & Kedar Prasad Baral & Narendra Bhatta & Mark Fort Harris, 2020. "Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-16, May.
    3. Rashid M. Ansari & Mark Harris & Hassan Hosseinzadeh & Nicholas Zwar, 2021. "Healthcare Professionals’ Perspectives of Patients’ Experiences of the Self-Management of Type 2 Diabetes in the Rural Areas of Pakistan: A Qualitative Analysis," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    4. Grady, P.A. & Gough, L.L., 2014. "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 25-31.
    Full references (including those not matched with items on IDEAS)

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