Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis

  • Park J
  • Bae S
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Abstract

Purpose: This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer sur-vivors. Methods: Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assess-ment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs. Results: Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative out-comes. Publication bias was not detected except for psychological distress. Conclusion: Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of exist-ing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

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APA

Park, J.-H., & Bae, S. H. (2017). Effects of Psychoeducational Intervention for Cancer Survivors: A Systematic Review and Meta-Analysis. Journal of Korean Academy of Nursing, 47(2), 143. https://doi.org/10.4040/jkan.2017.47.2.143

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