Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review

Introduction: As breast cancer survival rates continue to rise, the number of breast cancer survivors (BCS) requiring supportive care is increasing, placing additional strain on healthcare systems facing resource shortages. In response, digital health is rapidly evolving, and research on eHealth int...

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Main Authors: Alba Jiménez-Díaz, Tamara Escrivá-Martínez, Rocío Herrero, Rosa Baños
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Internet Interventions
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214782925000478
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author Alba Jiménez-Díaz
Tamara Escrivá-Martínez
Rocío Herrero
Rosa Baños
author_facet Alba Jiménez-Díaz
Tamara Escrivá-Martínez
Rocío Herrero
Rosa Baños
author_sort Alba Jiménez-Díaz
collection DOAJ
description Introduction: As breast cancer survival rates continue to rise, the number of breast cancer survivors (BCS) requiring supportive care is increasing, placing additional strain on healthcare systems facing resource shortages. In response, digital health is rapidly evolving, and research on eHealth interventions is expanding significantly. Therefore, we conducted an umbrella review to summarize the evidence on digital health interventions aimed at improving health-related outcomes for BCS. Methods: The protocol was preregistered in PROSPERO (CDR42022341837). The Preferred Reporting Items for Overviews of Reviews (PRIOR) were followed. Five databases were searched (Scopus, Web of Science, PubMed, Cochrane Reviews, IEEE Xplore) in July 2022 and updated in April 2024. Systematic reviews and/or meta-analyses examining digital health interventions targeting BCS health-related outcomes were included. Two reviewers independently selected reviews, extracted data, and assessed the quality of the included reviews through AMSTAR-2. Results: Seventeen systematic reviews met the inclusion criteria, and ninety-two original studies on digital health interventions for BCS were identified across them. Overall, digital health interventions seem to improve physical activity outcomes, although effects on quality of life and psychological outcomes are less clear. The quality of most systematic reviews was low, and conclusion should be interpreted with caution. Conclusions: Digital health interventions show some potential in improving health-related outcomes for BCS. However, more robust, theory-driven, and outcome-specific studies are needed to clarify the potential effects of these interventions on the unique needs of specific cancer populations.
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spelling doaj-art-c66e22f614bd4d94a58bbfbe29a9cbf72025-06-25T04:51:20ZengElsevierInternet Interventions2214-78292025-09-0141100846Evidence-based digital health interventions for breast cancer survivors' care: an umbrella reviewAlba Jiménez-Díaz0Tamara Escrivá-Martínez1Rocío Herrero2Rosa Baños3University of Valencia, Department of Personality, Evaluation and Psychological Treatment, Valencia, Spain; Polibienestar Research Institute, University of Valencia, Valencia, SpainUniversity of Valencia, Department of Personality, Evaluation and Psychological Treatment, Valencia, Spain; Polibienestar Research Institute, University of Valencia, Valencia, Spain; CIBER of Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, SpainCIBER of Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain; University Jaume I, Department of Basic, Clinical Psychology and Psychobiology, Castellón, SpainUniversity of Valencia, Department of Personality, Evaluation and Psychological Treatment, Valencia, Spain; Polibienestar Research Institute, University of Valencia, Valencia, Spain; CIBER of Physiopathology of Obesity and Nutrition (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain; Corresponding author at: University of Valencia, Av. Blasco Ibáñez, 21, 46010 Valencia, Spain.Introduction: As breast cancer survival rates continue to rise, the number of breast cancer survivors (BCS) requiring supportive care is increasing, placing additional strain on healthcare systems facing resource shortages. In response, digital health is rapidly evolving, and research on eHealth interventions is expanding significantly. Therefore, we conducted an umbrella review to summarize the evidence on digital health interventions aimed at improving health-related outcomes for BCS. Methods: The protocol was preregistered in PROSPERO (CDR42022341837). The Preferred Reporting Items for Overviews of Reviews (PRIOR) were followed. Five databases were searched (Scopus, Web of Science, PubMed, Cochrane Reviews, IEEE Xplore) in July 2022 and updated in April 2024. Systematic reviews and/or meta-analyses examining digital health interventions targeting BCS health-related outcomes were included. Two reviewers independently selected reviews, extracted data, and assessed the quality of the included reviews through AMSTAR-2. Results: Seventeen systematic reviews met the inclusion criteria, and ninety-two original studies on digital health interventions for BCS were identified across them. Overall, digital health interventions seem to improve physical activity outcomes, although effects on quality of life and psychological outcomes are less clear. The quality of most systematic reviews was low, and conclusion should be interpreted with caution. Conclusions: Digital health interventions show some potential in improving health-related outcomes for BCS. However, more robust, theory-driven, and outcome-specific studies are needed to clarify the potential effects of these interventions on the unique needs of specific cancer populations.http://www.sciencedirect.com/science/article/pii/S2214782925000478Breast cancer survivorsDigital interventionDigital healtheHealthmHealthUmbrella review
spellingShingle Alba Jiménez-Díaz
Tamara Escrivá-Martínez
Rocío Herrero
Rosa Baños
Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review
Internet Interventions
Breast cancer survivors
Digital intervention
Digital health
eHealth
mHealth
Umbrella review
title Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review
title_full Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review
title_fullStr Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review
title_full_unstemmed Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review
title_short Evidence-based digital health interventions for breast cancer survivors' care: an umbrella review
title_sort evidence based digital health interventions for breast cancer survivors care an umbrella review
topic Breast cancer survivors
Digital intervention
Digital health
eHealth
mHealth
Umbrella review
url http://www.sciencedirect.com/science/article/pii/S2214782925000478
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