Professionally led support groups for people living with advanced or metastatic cancer: a systematic scoping review of effectiveness and factors critical to implementation success within real-world healthcare and community settings
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Medientyp:
E-Artikel
Titel:
Professionally led support groups for people living with advanced or metastatic cancer: a systematic scoping review of effectiveness and factors critical to implementation success within real-world healthcare and community settings
Beschreibung:
<jats:title>Abstract</jats:title><jats:sec>
<jats:title>Purpose</jats:title>
<jats:p>To examine the effectiveness of professionally led support groups for people with advanced or metastatic cancer, and identify factors critical to implementation success within real-world settings.</jats:p>
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<jats:title>Methods</jats:title>
<jats:p>Databases (MEDLINE; PsychINFO; CINAHL) and grey literature were searched for empirical publications and evaluations. Articles were screened for eligibility and data systematically extracted, charted and summarised using a modified scoping review methodology. Implementation factors were mapped using Proctor’s implementation framework and the Consolidated Framework for Implementation Research 2.0.</jats:p>
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<jats:title>Results</jats:title>
<jats:p>A total of 1691 publications were identified; 19 were eligible for inclusion (8 randomised controlled trials, 7 qualitative studies, 2 cohort studies, 2 mixed methods studies). Most (<jats:italic>n</jats:italic>=18) studies focused on tumour-specific support groups. Evidence supported professionally led support groups in reducing mood disturbances (<jats:italic>n</jats:italic>=5), distress (i.e. traumatic stress, depression) (<jats:italic>n</jats:italic>=4) and pain (<jats:italic>n</jats:italic>=2). Other benefits included social connectedness (<jats:italic>n</jats:italic>=6), addressing existential distress (<jats:italic>n</jats:italic>=5), information and knowledge (<jats:italic>n</jats:italic>=6), empowerment and sense of control (<jats:italic>n</jats:italic>=2), relationships with families (<jats:italic>n</jats:italic>=2) and communication with health professionals (<jats:italic>n</jats:italic>=2). Thirteen studies identified factors predicting successful adoption, implementation or sustainment, including acceptability (<jats:italic>n</jats:italic>=12; 63%), feasibility (<jats:italic>n</jats:italic>=6; 32%) and appropriateness (<jats:italic>n</jats:italic>=1; 5%).</jats:p>
<jats:p>Key determinants of successful implementation included group leaders’ skills/experience, mode of operation, travelling distance, group composition and membership and resourcing.</jats:p>
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<jats:title>Conclusions</jats:title>
<jats:p>Professionally led tumour-specific support groups demonstrate effectiveness in reducing mood disturbances, distress and pain among patients. Successful implementation hinges on factors such as leadership expertise, operational methods and resource allocation.</jats:p>
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<jats:title>Implications for Cancer Survivors</jats:title>
<jats:p>Professionally led support groups may fill an important gap in supportive care for people with advanced or metastatic cancer.</jats:p>
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