Juliana M Andrade, Ada A Assunção, Mery N S Abreu
Long working hours in the healthcare system of the Belo Horizonte municipality, Brazil: a population-based cross-sectional survey
Human resources for health
selfmanagement sm plays important role supporting patients adaptation management symptoms chronic diseases cancer chronic disease requires patients responsibility management digital technology potential enhance sm support little data sm skills commonly supported digital technology review aimed examine sm core skills enabled supported digital interventions people cancer identify predictors effect digital health intervention sm core skills three electronic databases medline scopus cinahl searched papers published january 2010 february 2022 reported randomized controlled trials rcts involving patients cancer survivors cancer digital technology intervention evaluated change 1 sm core skills measured outcome systematic review resulted 12 studies eligible identify sm core skills enabled supported digital intervention total number participants 12 studies 2627 common sm core skills targeted interventions decisionmaking goal setting partnering health professionals total 8 67 12 rcts demonstrated statistically significant improvement outcomes including selfefficacy survivorship care knowledge attitude quality life increased knowledge treatment emotional social functioning total 5 62 8 positive rcts used theoretical considerations study design whereas 1 25 4 negative rcts theoretical considerations used 3 studies factors identified associated development sm core skills included younger age regression coefficient rc006 95 ci 010 002 p002 computer literacy rc020 95 ci 037 003 p02 completing cancer treatment cohen d031 male sex sd 034 social functioning p009 higher education sd 019 social functioning p04 recipient chemotherapy sd 036 depression p008 3 studies shared identical factors supported development sm core skills whereby study unique set factors supported development sm core skills digital technology patients cancer appears improve sm core skills including decisionmaking goal setting partnering health care partners effect greater people younger male educated highly computer literate completing cancer treatment recipient chemotherapy future research focus targeting multiple sm core skills identifying predictors effect digital technology intervention prospero crd42021221922 httpstinyurlcommrx3pfax