Background:Prostate cancer is one of the most common cancers among men worldwide. Management options include active surveillance, surgery, radiation, and chemotherapy, while self-management and behavioral interventions have shown promise in improving health-promoting behaviors and addressing barriers to care. Mobile health interventions, particularly instant messaging platforms, offer a growing opportunity for effective therapeutic support, but evidence on their role in self-management remains limited. The objective was to investigate the efficacy of self-management interventions based on instant messaging on quality of life and self-efficacy in patients diagnosed with prostate cancer through a systematic review and meta-analysis.Methods: A search was conducted of three databases from their inception to November 2024. Randomized controlled trials were included. Two reviewers performed independent data extraction and methodologic quality assessment of the studies.Results:A total of seven studies were included in the review. Instant messaging interventions were recognized by a previously published taxonomy of collaborative technologies. The meta-analysis showed that self-management interventions based on instant messaging have an effect on quality of life and self-efficacy.Conclusions:This systematic review highlights the potential benefits of self-management interventions incorporating instant messaging for improving quality of life and self-efficacy in prostate cancer patients.
背景:前列腺癌是全球男性最常见的癌症之一。治疗方案包括主动监测、手术、放疗和化疗,而自我管理与行为干预在促进健康行为及克服就医障碍方面显示出潜力。移动健康干预,特别是即时通讯平台,为提供有效治疗支持提供了日益增长的机会,但其在自我管理中的作用证据仍有限。本研究旨在通过系统综述与荟萃分析,探讨基于即时通讯的自我管理干预对前列腺癌患者生活质量及自我效能的影响效果。 方法:检索了三个数据库自建库至2024年11月的文献,纳入随机对照试验。由两名评审员独立进行数据提取和方法学质量评估。 结果:共纳入七项研究。即时通讯干预根据先前发布的协作技术分类法进行界定。荟萃分析显示,基于即时通讯的自我管理干预对生活质量和自我效能具有积极影响。 结论:本系统综述表明,融合即时通讯的自我管理干预可能有助于改善前列腺癌患者的生活质量和自我效能。