scholarly journals RESPONSE: Re: Systematic Review of Psychological Therapies for Cancer Patients: Overview and Recommendations for Future Research

2002 ◽  
Vol 94 (23) ◽  
pp. 1811-1812
Author(s):  
S. A. Newell
Keyword(s):  
Systematic Review ◽  
Cancer Patients ◽  
Future Research ◽  
Psychological Therapies

scholarly journals Stress and burnout in Improving Access to Psychological Therapies (IAPT) trainees: a systematic review

2021 ◽  
Vol 14 ◽  
Author(s):  
Joel Owen ◽  
Louise Crouch-Read ◽  
Matthew Smith ◽  
Paul Fisher
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Future Research ◽  
List Type ◽  
Dual Roles ◽  
Eligibility Criteria ◽  
Psychological Therapies ◽  
Current State

Abstract For more than a decade, Improving Access to Psychological Therapies (IAPT) has been training a new workforce of psychological therapists. Despite evidence of stress and burnout both in trainee mental health professionals, and qualified IAPT clinicians, little is known about these topics in IAPT trainees. Consequently, this systematic review sought to establish the current state of the literature regarding stress and burnout in IAPT trainees. Electronic databases were searched to identify all published and available unpublished work relating to the topic. On the basis of pre-established eligibility criteria, eight studies (including six unpublished doctoral theses) were identified and assessed for quality. This review identifies that research into the experience of IAPT trainees is under-developed. Existing evidence tentatively suggests that IAPT trainees may experience levels of stress and burnout that are higher than their qualified peers and among the higher end of healthcare professionals more generally. The experience of fulfilling dual roles as mental health professionals and university students concurrently appears to be a significant source of stress for IAPT trainees. More research regarding the levels and sources of stress and burnout in IAPT trainees is urgently needed to confirm and extend these findings. Recommendations for future research in the area are given. Key learning aims (1) To establish the current state of the literature regarding stress and burnout in IAPT trainees. (2) To raise practitioner, service and education-provider awareness regarding the levels and perceived sources of stress and burnout in IAPT trainees. (3) To make recommendations regarding future research on the topic.

A systematic review of randomized controlled trials (RCTs) of exercise interventions using digital activity trackers (E-DAT) in cancer patients.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 108-108 ◽  
Author(s):  
Kerry Schaffer ◽  
Narmadha Panneerselvam ◽  
Kah Poh Loh ◽  
Rachel Herrmann ◽  
Ian Kleckner ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cancer Patients ◽  
Inflammatory Markers ◽  
Exercise Adherence ◽  
Activity Level ◽  
Cochrane Library ◽  
Future Research ◽  
Eligibility Criteria ◽  
Exercise Interventions ◽  
Activity Trackers

108 Background: Exercise ameliorates cancer and treatment-related toxicities but adherence to exercise is a barrier. Few studies in the general population suggest that E-DAT may improve exercise adherence. We conducted a systematic review to examine the effects of E-DAT on physical function, health-related quality of life (HRQOL), and serum inflammatory markers during and after cancer treatment. Methods: We used PubMed, Embase, and the Cochrane Library to identify RCTs of E-DAT in cancer patients aged ≥18 years published in English between 1/1/2008 and 7/27/2017. Two authors independently reviewed the titles of articles from the search (n = 160), removed duplicates (n = 49), and reviewed the remaining 111 articles for eligibility and substantive results. We excluded RCTs that used digital activity trackers solely for data collection. Results: Twelve RCTs met eligibility criteria, including 1,450 patients (mean age: 50-70 years) with the following cancers: breast (n = 5 RCTs), colon or breast (n = 2), prostate (n = 1), acute leukemia (n = 1) and various type (n = 3). Duration of E-DAT ranged from 4-24 weeks. Follow-up period was 4-24 weeks with retention of 54-95%. Half of the RCTs had E-DAT with in-person exercise training and the rest had self-directed training. The technology component of E-DAT included pedometers (n = 8); pedometers with smart phone application (n = 1), Wii-Fit (n = 1), or heart rate monitor (n = 1); and a wireless sensor with accelerometer, gyroscope, and magnetometer (n = 1). Adherence to E-DAT was > 70% in 5 of 7 RCTs. Compared to controls (exercise interventions without digital activity trackers or standard of care), E-DAT significantly improved the step count in 60% of 5 RCTs, activity level in 56% of 9 RCTs, and HRQOL in 56% of 9 RCTs (all p < 0.05), with no significant changes of inflammatory markers (i.e. TNF, CRP, c-peptide) in 2 RCTs. No significant correlations were found between duration of E-DAT with adherence (Spearman’s r = 0.16; p = 0.75) or study retention (Spearman’s r = -0.42; p = 0.17). Conclusions: This systematic review shows that E-DAT is feasible to implement in cancer patients. Future research should examine the optimal type, dose and schedule of E-DAT.

Pain Management in Hospitalized Cancer Patients: A Systematic Review

2007 ◽  
Vol 25 (13) ◽  
pp. 1792-1801 ◽  
Author(s):  
Gabrielle R. Goldberg ◽  
R. Sean Morrison
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Pain Management ◽  
Cancer Patients ◽  
Pain Assessment ◽  
Pain Severity ◽  
Future Research ◽  
Medical Subject Headings ◽  
Medline Search ◽  
Knowledge And Attitudes

Purpose To assist cancer centers in improving pain management, we conducted a systematic review of institutional interventions designed to improve the assessment and treatment of pain in hospitalized cancer patients. Methods We performed a MEDLINE search for all English-language articles published from January 1966 through February 2006 using the medical subject headings terms of pain or pain measurement and outcome assessment (health care) or quality assurance (health care). Selected bibliographies were also searched. Studies were reviewed if they included clinical interventions directed at improving the treatment of cancer pain across an institution or nursing unit. Meta-analyses and randomized controlled trials or other controlled studies were included where possible. If no such trials were identified, then the best evidence available from studies with other designs was included. Results Five interventions were identified. These interventions included professional and patient education, instituting regular pain assessment (pain as a vital sign), audit of pain results and feedback to clinical staff, computerized decisional support systems, and specialist-level pain consultation services. Most studies were small in size and used quasiexperimental pre-post test designs. Successes were reported in increasing patient satisfaction, increasing documentation of pain intensity, and improving nurses’ knowledge and attitudes. No study reported successful interventions that consistently improved patients’ pain severity. Conclusion Although professional knowledge and attitudes about pain and nursing pain assessment rates have been shown to be improvable, no systematic, hospital-wide intervention has yet to be associated with improvement in pain severity. Future research on the development of new interventions, perhaps targeted specifically at physicians, is urgently needed.

scholarly journals A SYSTEMATIC REVIEW: ASUPAN ZAT GIZI MAKRO DAN STATUS GIZI PASIEN KANKER YANG MENJALANI KEMOTERAPI A Systematic Review: Macro Nutrient Intake and Nutritional Status of Cancer Patients Undergoing Chemotherapy

2021 ◽  
Vol 16 (2) ◽  
pp. 182
Author(s):  
Sheryll Deby Regyna ◽  
Merryana Adriani ◽  
Qonita Rachmah
Keyword(s):  
Systematic Review ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Nutrient Intake ◽  
Overweight And Obesity ◽  
Observational Research ◽  
Future Research ◽  
Food Record ◽  
Appetite Loss ◽  
Long Run

Nutrient intake in cancer patients is diff erent from other disease due to side eff ects of chemotherapy, like nausea, vomit, and appetite loss, which in the long run it have an impact on the nutritional status of patients. The study used systematic reviews to determine side eff ects of chemotherapy on macro nutrient intake and nutritional status of cancer patients in 15 literature. Those literatures were taken from articles published from 2005 to 2019 in PubMed, NCBI, and Google Scholar and all of them were using observational research design. The results of 15 literature showed, there was a decrement in macro nutrient intake including energy, carbohydrates, protein, and fat as a result of chemotherapy side eff ects such as nausea, vomit, and appetite loss. Ten of 15 literature showed the patient nutritional status was underweight, and 5 literature showed overweight and obesity due to the use of corticosteroids as supporting treatment. The future research opportunities that can be carried out a deeper analysis of the relationship of nutritional intake and changes in nutritional status of patients with longer duration for the research, measurement methods by using gold standards which are weighing food record, as well as diff erent types of cancer.

scholarly journals The Experiences of Cancer-Related Fatigue among Adult Cancer Patients: A Systematic Review

Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 35
Author(s):  
I Komang Leo Triandana Arizona ◽  
Tintin Sukartini ◽  
Ferry Efendi ◽  
Primalova Septiavy Estiadewi ◽  
Ni Putu Dian Ayu Anggraeni
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Cancer Patients ◽  
Future Research ◽  
Subjective Feeling ◽  
Structured Interviews ◽  
Cancer Related Fatigue ◽  
Patient Reported ◽  
The Impact

Introduction: Cancer-related fatigue (CRF) is one of the symptoms commonly experienced and it is a subjective feeling felt by cancer patients. The aim of this systematic review was to summarize how fatigue has been described from the perspective of adult cancer patients, the impact of fatigue on their quality of life, what the patient reported as contributing factors and potential coping strategies to reduce fatigue.Methods: A systematic review is in line with PRISMA guidelines. Five databases were systematically searched (Scopus, PubMed, Springerlink, ProQuest and Science Direct) from January 2009 to February 2019 for qualitative studies describing the experience of adult cancer patients using a predefined search strategy and any relevant keywords.Results: In total, 13 out of 4692 studies were included. The ages of the included patient cancer ranged from 26 to 84 years. The majority of studies used in-depth interviews and semi-structured interviews to elicit the participant’s experiences of fatigue. Four themes were identified: the perception of cancer-related fatigue, the etiology of cancer fatigue, impact and coping strategies.Conclusion: Fatigue is impactful on quality of life from the perspective of cancer patients. Future research should focus on the prospective exploration of the impact of fatigue on woman's and men's health and identifying approaches to reduce fatigue. 

Telepractice for Adult Speech-Language Pathology Services: A Systematic Review

2020 ◽  
Vol 5 (1) ◽  
pp. 326-338 ◽  
Author(s):  
Kristen Weidner ◽  
Joneen Lowman
Keyword(s):  
Systematic Review ◽  
Primary Progressive Aphasia ◽  
Future Research ◽  
Service Delivery Model ◽  
Speech Language Pathology ◽  
Review Of The Literature ◽  
Research Designs ◽  
Assessment And Treatment ◽  
Language Pathology ◽  
Screening Assessment

Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.

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