Peer support interventions on quality of life,depression, anxiety,and self-efficacy among patients with cancer: A systematic review and meta-analysis |
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| Institution: | 1. Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium;2. Department of Human Genetics, KU Leuven, Leuven, Belgium;3. Department of Gynaecology and Obstetrics, Jessa Ziekenhuis, Hasselt, Belgium;4. Department of Development and Regeneration, KU Leuven, Leuven, Belgium;5. Department of Human Genetics, KU Leuven, Leuven, Belgium;1. ANSIRH, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, USA;2. Southwestern Women’s Options, Albuquerque, NM, USA;3. Retired from Southwestern Women’s Options, Albuquerque, NM, USA;1. Faculty of Science, School of Psychology, Griffith Taylor Building, The University of Sydney, NSW 2006, Australia;2. Psycho-Oncology Co-operative Research Group (PoCoG), Faculty of Science, School of Psychology, Level 6 North, Chris O′Brien Lifehouse, The University of Sydney, NSW 2006, Australia;1. C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Ontario, Canada;2. eConsult BASE? Manitoba, Manitoba, Canada;3. School of Public Health, Edmonton Clinic Health Academy, University of Alberta, Edmonton, Canada;4. Department of Family Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada;5. Ontario eConsult Centre of Excellence, The Ottawa Hospital, Ottawa, Canada;1. Division of General Pediatrics, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, USA;2. Center for Pediatric Clinical Effectiveness, Children’s Hospital of Philadelphia Research Institute, Philadelphia, USA;3. Maternal and Child Health Research Center, Department of Obstetrics and Gynecology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, USA;4. Division of Neonatology, Department of Pediatrics, Children’s Hospital of Philadelphia. Philadelphia, USA;5. Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, USA;1. Knowledge and Evaluation Research (KER) Unit, Mayo Clinic, Rochester, MN, USA;2. VITAM - Centre for Sustainable Health Research, Laval University, Quebec, QC, Canada;3. Evidence-Based Practice Center, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA;4. Milken Institute School of Public Health, The George Washington University, Washington DC, USA;5. Division of Biomedical Statistics and Informatics, Mayo Clinic, MN, USA;6. Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, MN, USA |
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| Abstract: | ObjectivePeer support is a common form of social support that is provided by individuals with the same disease, which is cost-effective and has enhanced health outcomes for patients. This study aimed to determine the effectiveness of peer support interventions on quality of life (QOL), depression, anxiety, and self-efficacy among patients with cancer.MethodsA systematic search of seven databases were conducted from inception to January 2021. Studies were screened and assessed by two independent reviewers. Data synthesis was conducted using RevMan 5.3 software, and the standardized mean difference was used to calculate pooled effect sizes.ResultsSeventeen studies were included in current review. The meta-analysis indicated significant beneficial effects of peer support on QOL (SMD = 0.48, 95% CI 0.21–0.75; p < 0.001), depression (SMD = ?0.23, 95% CI ?0.39 to ?0.07; p = 0.005), anxiety (SMD = ?0.24, 95% CI ?0.45 to 0.03; p = 0.03), and self-efficacy (SMD = 0.22, 95% CI 0.03–0.42; p = 0.03) relative to controls. The subgroup analysis for QOL revealed that peer support delivered in the mixed mode contributed more than peer support delivered in the single mode (e.g., face-to-face or telephone).ConclusionPeer support has significant effects on improving QOL and self-efficacy as well as alleviating depression and anxiety among patients with cancer. Additional randomized controlled trials with rigorous design and larger sample sizes are warranted in the future.Practice implicationsPeer support programs might benefit patients with cancer and could be used as a complementary approach to traditional healthcare services during cancer rehabilitation. |
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| Keywords: | Peer support Cancer Meta-analysis Quality of life Depression Anxiety Self-efficacy |
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