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Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: An individual patient data metaâ analysis of 22 RCTs
dc.contributor.authorKalter, J.
dc.contributor.authorVerdonck‐de Leeuw, I.m.
dc.contributor.authorSweegers, M.G.
dc.contributor.authorAaronson, N.K.
dc.contributor.authorJacobsen, P.B.
dc.contributor.authorNewton, R.U.
dc.contributor.authorCourneya, K.S.
dc.contributor.authorAitken, J.F.
dc.contributor.authorArmes, J.
dc.contributor.authorArving, C.
dc.contributor.authorBoersma, L.J.
dc.contributor.authorBraamse, A.M.J.
dc.contributor.authorBrandberg, Y.
dc.contributor.authorChambers, S.K.
dc.contributor.authorDekker, J.
dc.contributor.authorEll, K.
dc.contributor.authorFerguson, R.J.
dc.contributor.authorGielissen, M.F.M.
dc.contributor.authorGlimelius, B.
dc.contributor.authorGoedendorp, M.M.
dc.contributor.authorGraves, K.D.
dc.contributor.authorHeiney, S.P.
dc.contributor.authorHorne, R.
dc.contributor.authorHunter, M.S.
dc.contributor.authorJohansson, B.
dc.contributor.authorKimman, M.L.
dc.contributor.authorKnoop, H.
dc.contributor.authorMeneses, K.
dc.contributor.authorNorthouse, L.L.
dc.contributor.authorOldenburg, H.S.
dc.contributor.authorPrins, J.B.
dc.contributor.authorSavard, J.
dc.contributor.authorBeurden, M.
dc.contributor.authorBerg, S.W.
dc.contributor.authorBrug, J.
dc.contributor.authorBuffart, L.M.
dc.date.accessioned2018-05-15T20:13:53Z
dc.date.available2019-06-03T15:24:19Zen
dc.date.issued2018-04
dc.identifier.citationKalter, J.; Verdonck‐de Leeuw, I.m. ; Sweegers, M.G.; Aaronson, N.K.; Jacobsen, P.B.; Newton, R.U.; Courneya, K.S.; Aitken, J.F.; Armes, J.; Arving, C.; Boersma, L.J.; Braamse, A.M.J.; Brandberg, Y.; Chambers, S.K.; Dekker, J.; Ell, K.; Ferguson, R.J.; Gielissen, M.F.M.; Glimelius, B.; Goedendorp, M.M.; Graves, K.D.; Heiney, S.P.; Horne, R.; Hunter, M.S.; Johansson, B.; Kimman, M.L.; Knoop, H.; Meneses, K.; Northouse, L.L.; Oldenburg, H.S.; Prins, J.B.; Savard, J.; Beurden, M.; Berg, S.W.; Brug, J.; Buffart, L.M. (2018). "Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: An individual patient data metaâ analysis of 22 RCTs." Psychoâ Oncology 27(4): 1150-1161.
dc.identifier.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.urihttps://hdl.handle.net/2027.42/143668
dc.description.abstractObjectiveThis individual patient data (IPD) metaâ analysis aimed to evaluate the effects of psychosocial interventions (PSI) on quality of life (QoL), emotional function (EF), and social function (SF) in patients with cancer, and to study moderator effects of demographic, clinical, personal, and interventionâ related characteristics.MethodsRelevant studies were identified via literature searches in 4 databases. We pooled IPD from 22 (n = 4217) of 61 eligible randomized controlled trials. Linear mixedâ effect model analyses were used to study intervention effects on the postâ intervention values of QoL, EF, and SF (zâ scores), adjusting for baseline values, age, and cancer type. We studied moderator effects by testing interactions with the intervention for demographic, clinical, personal, and interventionâ related characteristics, and conducted subsequent stratified analyses for significant moderator variables.Results: PSI significantly improved QoL (β = 0.14,95%CI = 0.06;0.21), EF (β = 0.13,95%CI = 0.05;0.20), and SF (β = 0.10,95%CI = 0.03;0.18). Significant differences in effects of different types of PSI were found, with largest effects of psychotherapy. The effects of coping skills training were moderated by age, treatment type, and targeted interventions. Effects of psychotherapy on EF may be moderated by cancer type, but these analyses were based on 2 randomized controlled trials with small sample sizes of some cancer types.ConclusionsPSI significantly improved QoL, EF, and SF, with small overall effects. However, the effects differed by several demographic, clinical, personal, and interventionâ related characteristics. Our study highlights the beneficial effects of coping skills training in patients treated with chemotherapy, the importance of targeted interventions, and the need of developing interventions tailored to the specific needs of elderly patients.
dc.publisherAcademic press
dc.publisherWiley Periodicals, Inc.
dc.subject.otherquality of life
dc.subject.othercoping skills training
dc.subject.otherindividual patient data metaâ analysis
dc.subject.otherneoplasm
dc.subject.otherpsychosocial care
dc.subject.otherpsychotherapy
dc.titleEffects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: An individual patient data metaâ analysis of 22 RCTs
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHematology and Oncology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/143668/1/pon4648.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/143668/2/pon4648_am.pdf
dc.identifier.doi10.1002/pon.4648
dc.identifier.sourcePsychoâ Oncology
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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