老年癌症患者个性化数字健康干预方案的范围综述

Personalized Digital Health Interventions for Elderly with Cancer:A Scoping Review

目的对个性化数字健康干预(digital health interventions,DHIs)在老年癌症患者中应用的相关研究进行范围审查,明确其个性化特征、干预剂量及结局指标。方法系统检索Embase、PubMed、Web of Science等9个中英文数据库中关于老年癌症患者个性化数字健康干预的文献,检索时限为建库至2023年10月28日。由两名独立研究者根据纳入、排除标准对文献进行筛选和归纳总结。结果共纳入17篇文献,DHIs的个性化特征分为4个方面:目标设定、计划调整、数据驱动方法和激励行为改变。自我管理结果侧重于体能活动、饮食和症状管理,与社会心理健康相关的结果是生活质量、抑郁和焦虑。结合了3个以上的个性化特征的DHIs可能在改善自我管理结果方面更有效。结论DHIs可有效改善老年癌症患者的自我管理能力,提高其生活质量,减轻负性情绪。未来仍需要开展更多高质量及大样本研究,根据老年癌症患者的个性化特征,进一步开发有效的DHIs方案。

Objective To conduct a scoping review of personalized digital health interventions(DHIs)for the elderly with cancer and to clarify individualized characteristics,intervention doses,and outcome indicators.Methods 9 Chinese and English databases,including Embase,PubMed and Web of Science,were searched for literature on personalized digital health intervention for the elderly with cancer.The retrieval time was from the inception to October 28,2023.Two independent researchers screened and summarized the literature based on inclusion and exclusion criteria.Results A total of 17 articles were included,and the personalized characteristics of DHIs were divided into four aspects:goal setting,plan adjustment,data-driven method,and motivational behavior change.Self-management outcomes focused on physical activity,diet,and symptom management.Outcomes related to social and mental health included quality of life,depression,and anxiety.DHIs that combined three or more personalized features may be more effective in improving self-management outcomes.Conclusions DHIs can effectively improve the self-management ability of elderly cancer patients,improve the quality of their life,and alleviate negative emotions.In the future,more high-quality and large-sample studies are still needed to further develop effective DHIs programs based on the personalized characteristics of elderly cancer patients.