Mapping the evidence on the impact of mHealth interventions on patient-reported outcomes in patients with breast cancer: A systematic review

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  • dc.contributor.author Frid, Santiago
  • dc.contributor.author Amat-Fernández, Clara
  • dc.contributor.author Fuentes-Expósito, María Ángeles
  • dc.contributor.author Muñoz-Mateu, Montserrat
  • dc.contributor.author Valachis, Antonis
  • dc.contributor.author Sisó-Almirall, Antoni
  • dc.contributor.author Grau-Corral, Immaculada
  • dc.date.accessioned 2025-06-05T07:45:10Z
  • dc.date.available 2025-06-05T07:45:10Z
  • dc.date.issued 2024
  • dc.description.abstract Purpose: To comprehensively synthesize the existing evidence concerning mHealth interventions for patients with breast cancer (BC). Design: On July 30, 2023, we searched PubMed, PsycINFO, and Google Scholar for articles using the following inclusion criteria: evaluation of mHealth interventions in patients with cancer, at least 30 participants with BC, randomized control trials or prospective pre-post studies, determinants of health (patient-reported outcomes [PROs] and quality of life [QoL]) as primary outcomes, interventions lasting at least 8 weeks, publication after January 2015. Publications were excluded if they evaluated telehealth or used web-based software for desktop devices only. The quality of the included studies was analyzed with the Cochrane Collaboration Risk of Bias Tool and the Methodological Index for Non-Randomized Studies. Results: We included 30 studies (20 focused on BC), encompassing 5,691 patients with cancer (median 113, IQR, 135.5). Among these, 3,606 had BC (median 99, IQR, 75). All studies contained multiple interventions, including physical activity, tailored information for self-management of the disease, and symptom tracker. Interventions showed better results on self-efficacy (3/3), QoL (10/14), and physical activity (5/7). Lifestyle programs (3/3), expert consulting (4/4), and tailored information (10/11) yielded the best results. Apps with interactive support had a higher rate of positive findings, while interventions targeted to survivors showed worse results. mHealth tools were not available to the public in most of the studies (17/30). Conclusion: mHealth interventions yielded heterogeneous results on different outcomes. Identifying lack of evidence on clinical scenarios (eg, patients undergoing systemic therapy other than chemotherapy) could aid in refining strategic planning for forthcoming research endeavors within this field.
  • dc.description.sponsorship This research work was carried out as part of the EU-funded Research and Innovation Action, Artificial intelligence Supporting CAncer Patients across Europe (ASCAPE; Project ID: 875351), [H2020-SC1-DTH-2019] SC1-DTH-01-2019, Big data and artificial intelligence for monitoring health status and quality of life after the cancer treatment.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Frid S, Amat-Fernández C, Fuentes-Expósito MÁ, Muñoz-Mateu M, Valachis A, Sisó-Almirall A, et al. Mapping the evidence on the impact of mHealth interventions on patient-reported outcomes in patients with breast cancer: A systematic review. JCO Clin Cancer Inform. 2024 May;8:e2400014. DOI: 10.1200/CCI.24.00014
  • dc.identifier.doi http://dx.doi.org/10.1200/CCI.24.00014
  • dc.identifier.issn 2473-4276
  • dc.identifier.uri http://hdl.handle.net/10230/70614
  • dc.language.iso eng
  • dc.publisher American Society of Clinical Oncology
  • dc.relation.ispartof JCO Clin Cancer Inform. 2024 May;8:e2400014
  • dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/875351
  • dc.rights © 2024 by American Society of Clinical Oncology. Creative Commons Attribution Non-Commercial No Derivatives 4.0 License: https://creativecommons.org/licenses/by-nc-nd/4.0/
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
  • dc.subject.other Mama--Càncer
  • dc.title Mapping the evidence on the impact of mHealth interventions on patient-reported outcomes in patients with breast cancer: A systematic review
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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