Purpose: in this scoping review, previously reported data were described and synthesized to document transition interventions in CCSs, and the features of intervention components of the current transition studies for CCSs were summarized. Methods: A literature search was conducted in PubMed, Web of Science, EMBASE, PsycINFO, CINAHL, Ovid, and the Cochrane Library following the PRISMA-ScR statement. All original studies (n= 9) investigating transition interventions in CCSs were included. Results: The current studies identified essential elements for transition programs, such as delivering knowledge, developing skills for coordination of care, and addressing psychosocial needs. However, the current transition interventions were generally in their infancy, and major deficits were found, including poorly reported intervention components and procedures, a limited number of relevant validated outcomes, and a failure to incorporate conceptual frameworks and international consensus statements. Conclusions: This scoping review mapped current evidence of transition interventions for CCSs and highlighted the paucity of data in this area. More high-quality and well-reported randomized controlled trials are needed for the enrichment and standardization of future transition interventions.
目的:本范围综述旨在描述与整合既往报告数据,以记录儿童癌症幸存者(CCSs)的过渡干预措施,并总结当前CCSs过渡研究干预措施的特点。方法:遵循PRISMA-ScR声明,在PubMed、Web of Science、EMBASE、PsycINFO、CINAHL、Ovid及Cochrane图书馆进行文献检索。共纳入9项针对CCSs过渡干预的原始研究。结果:现有研究明确了过渡方案的核心要素,包括知识传递、协调照护技能培养及心理社会需求应对。然而,当前过渡干预措施总体尚处初级阶段,存在明显不足:干预要素与流程报告不充分、经验证的相关结局指标有限、未能整合概念框架与国际共识声明。结论:本综述系统梳理了CCSs过渡干预的现有证据,凸显该领域数据匮乏的现状。未来需开展更多高质量、报告规范的随机对照试验,以丰富并标准化过渡干预措施。
Features of Studies on Transition Interventions for Childhood Cancer Survivors: A Scoping Review