目的:癌症幸存者对等(PTP)支持的核心组成部分包括信息,情感,和社会心理方面。以前关于癌症同伴支持的文献包括专业和同伴主导的支持。我们的目的是总结非专业领导的PTP支持在癌症中的作用的研究。
方法:我们通过介入设计对成人癌症幸存者的PTP支持研究进行了系统研究,将PTP支持的结果与任何对照进行比较。我们纳入了所有具有PTP支持精确定义的研究,从2000年1月至2023年3月在同行评审期刊上以英语或德语发表。
结果:在N=609个确定的出版物中,我们纳入了符合纳入标准的n=18项随机对照试验(RCT).主要设置是通过电话提供二进位支持,面对面(FTF),和基于Web的在线支持。最常见的结果是痛苦,抑郁症状,焦虑,和生活质量(QoL)。总的来说,我们发现PTP支持对抑郁/焦虑的影响很小,应对,或性功能。与PTP干预相关的有益效果在BRCA中尤为明显,在FTF设置中,以及癌症特异性QoL结果的评估。
结论:这篇综述显示,有一些RCT研究了PTP支持的短期效果。总的来说,需要更多具有高方法学标准的RCT来评估PTP支持的有效性.
OBJECTIVE: Core components of peer-to-peer (PTP) support for cancer survivors include informational, emotional, and psychosocial aspects. Previous literature on peer support in cancer includes both professionally and peer-led support. Our objective was to summarize studies on the effects of non-professionally led PTP support in cancer.
METHODS: We performed a systematic research on studies in PTP support of adult cancer survivors with an interventional design, comparing outcomes of PTP support against any control. We included all studies with a precise definition of a PTP support, published from January 2000 up to March 2023 in peer-reviewed journals in English or German.
RESULTS: Out of N = 609 identified publications, we were are able to include n = 18 randomized-controlled trials (RCTs) fulfilling our inclusion criteria. Main settings were dyadic support via telephone, face-to-face (FTF), and web-based online support. Most common outcomes were distress, depressive symptoms, anxiety, and quality of life (QoL). Overall, we found only small effects of PTP support on depression/anxiety, coping, or sexual functioning. Beneficial effects associated with the PTP intervention were apparent in particular in BRCA, in FTF settings, and in assessments of cancer-specific QoL outcomes.
CONCLUSIONS: This review shows that there are a few RCT investigating the effect of PTP support with short-term effects. Overall, there is a need for more RCTs with high methodological standards to evaluate the effectiveness of PTP support.