Evidence map›Paper›PMID 41088102›Full record

SynthesisBMC cancer2025

Effectiveness of digital health on psychological well-being in parents of children with cancer: a systematic review and meta-analysis of randomized controlled trials.

Xiaoyu Yang, Shanshan Jiang, Xiaotong Wang, Rong Wang, Pan Li, Na Cao, Xinying Yu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

7 authors.

Xiaoyu Yang *Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, China.
Shanshan Jiang *Department of Pediatrics, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang , Liaoning , 110004, China.
Xiaotong Wang *Department of Pediatrics, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang , Liaoning , 110004, China.
Rong WangDepartment of Pediatrics, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang , Liaoning , 110004, China.
Pan LiDepartment of Pediatrics, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang , Liaoning , 110004, China.
Na CaoDepartment of Pediatrics, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang , Liaoning , 110004, China. 876032982@qq.com.ORCID http://orcid.org/0000-0002-7741-3589
Xinying YuDepartment of Pediatrics, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang , Liaoning , 110004, China. yuxinying0707@126.com.ORCID http://orcid.org/0000-0002-9356-1522

Funding

Chinese Nursing Association ZHKY202101
6 · The paper itself

Abstract

backgroundWhen children are diagnosed with cancer, their parents often face psychological challenges such as post-traumatic stress disorder, anxiety, and depression, impacting both their quality of life and the child’s prognosis. With advancements in information technology, digital health shows promise for providing psychological support to this group. However, its effectiveness remains unclear.

objectiveThis study aims to assess the efficacy of digital health in addressing post-traumatic stress disorder, anxiety, and depression among parents of children with cancer.

methodsFull-text randomized controlled trials were reviewed in six databases (PubMed, Embase, Web of Science, CENTRAL, PsycINFO, and CINAHL Plus) from database inception to March 2025. In addition, clinical trial registries and web-based grey literature sources were searched, and relevant references were manually reviewed. Two authors independently screened studies and extracted relevant data. Methodological quality was assessed using the Cochrane Risk of Bias version 2.0 (RoB 2) tool. Standardized mean differences and 95% confidence intervals were calculated using Review Manager 5.4 to estimate intervention effects. Additionally, subgroup analyses were conducted to assess potential sources of heterogeneity, while sensitivity analyses were performed to evaluate the robustness of the findings.

resultsNine randomized controlled trials with a total of 727 participants were included. The meta-analysis revealed that digital health improved post-traumatic stress disorder [SMD= -0.37, 95%CI -0.61, -0.13, P = 0.003], anxiety [SMD= -0.42, 95%CI -0.65, -0.18, P<0.001], and depression [SMD= -0.47, 95% CI -0.62, -0.32, P<0.001] among parents of children with cancer. Subgroup analysis indicated that both intervention format (websites vs. apps) and intervention duration (≤ 10 weeks vs. >10 weeks) had a positive impact on post-traumatic stress disorder and depression in this population. Notably, for anxiety outcomes, app interventions and extended-duration protocols (> 10 weeks) demonstrated superior efficacy. Sensitivity analyses confirmed the robustness of these findings.

conclusionsDigital health demonstrates promise in ameliorating post-traumatic stress disorder, anxiety, and depression among parents of children with cancer. Larger, high-quality prospective studies are needed to validate these findings.

Indexed as

NeoplasmsParentsAnxietyChildDepressionDigital HealthDigital MediaHumansPsychological Well-BeingQuality of LifeRandomized Controlled Trials as TopicStress Disorders, Post-TraumaticDigital healthNeoplasmsPaediatricsParentsPsychological

Identifiers

PMID41088102
PMCPMC12523181

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.