Evidence map›Paper›PMID 28779220›Full record

SynthesisJournal of cancer survivorship : research and practice2017

Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis.

Anna L Roberts, Abigail Fisher, Lee Smith, Malgorzata Heinrich, Henry W W Potts

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 164 papers, 27 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 27 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05349227 narecruitingnot on this mapstarted 2022, after this paper: background citation

Comprehensive Outcomes for After Cancer Health (COACH): the Feasibility and Impact of an MHealth Augmented Coaching Program for Self-Management in Cancer Survivors

TypeinterventionalSponsorPack HealthRan2022 to 2027Enrolled625ConditionsOvarian Cancer, Breast Cancer, Lung Cancer, Gastric CancerArmsDigital Health Coaching Program, Fitbit
NCT06624930 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Randomized Controlled Trial Adding Behavioural Counselling to Supervised Physical Activity in Cancer Survivors

TypeinterventionalSponsorUniversity of TorontoRan2024 to 2029Enrolled236ConditionsCancer, ExerciseArmsBehavioural Counselling, Exercise Counselling
3 · Its place in the literature

Who cites it

164 citing papers in PubMed, 27 syntheses or guidelines pooled it.

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  5. A systematic review of smartphone applications for cancer survivors.Journal of cancer survivorship : research and practice · 2024
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  16. Health information technology to support cancer survivorship care planning: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021
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104 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anna L RobertsDepartment of Behavioural Science & Health, University College London, Gower Street, London, WC1E 6BT, UK. anna.roberts.15@ucl.ac.uk.
Abigail FisherDepartment of Behavioural Science & Health, University College London, Gower Street, London, WC1E 6BT, UK. abigail.fisher@ucl.ac.uk.
Lee SmithThe Cambridge Centre for Sport and Exercise Sciences, Department of Life Sciences, Anglia Ruskin University, Cambridge, UK.
Malgorzata HeinrichDepartment of Behavioural Science & Health, University College London, Gower Street, London, WC1E 6BT, UK.
Henry W W PottsInstitute of Health Informatics, University College London, London, UK.

Funding

Cancer Research UK 14133
6 · The paper itself

Abstract

purposeThe number of cancer survivors has risen substantially due to improvements in early diagnosis and treatment. Health behaviours such as physical activity (PA) and diet can reduce recurrence and mortality, and alleviate negative consequences of cancer and treatments. Digital behaviour change interventions (DBCIs) have the potential to reach large numbers of cancer survivors.

methodsWe conducted a systematic review and meta-analyses of relevant studies identified by a search of Medline, EMBASE, PubMed and CINAHL. Studies which assessed a DBCI with measures of PA, diet and/or sedentary behaviour were included.

resultsFifteen studies were identified. Random effects meta-analyses showed significant improvements in moderate-vigorous PA (seven studies; mean difference (MD) = 41 min per week; 95% CI 12, 71) and body mass index (BMI)/weight (standardised mean difference (SMD) = -0.23; 95% CI -0.41, -0.05). There was a trend towards significance for reduced fatigue and no significant change in cancer-specific measures of quality of life (QoL). Narrative synthesis revealed mixed evidence for effects on diet, generic QoL measures and self-efficacy and no evidence of an effect on mental health. Two studies suggested improved sleep quality.

conclusionsDBCIs may improve PA and BMI among cancer survivors, and there is mixed evidence for diet. The number of included studies is small, and risk of bias and heterogeneity was high. Future research should address these limitations with large, high-quality RCTs, with objective measures of PA and sedentary time. IMPLICATIONS FOR CANCER SURVIVORS: Digital technologies offer a promising approach to encourage health behaviour change among cancer survivors.

Indexed as

AdultAgedCancer SurvivorsDietExerciseFemaleHealth BehaviorHumansInternetMaleMiddle AgedNeoplasmsQuality of LifeYoung AdultBehaviour changeCancer survivorsDietDigital interventionsPhysical activitySedentary behaviour

Identifiers

PMID28779220
PMCPMC5671545

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.