The use of eHealth to promote physical activity in cancer survivors: a systematic review

Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthca...

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Veröffentlicht in:	Supportive care in cancer Jg. 26; H. 10; S. 3323 - 3336
Hauptverfasser:	Haberlin, Ciarán, O’Dwyer, Tom, Mockler, David, Moran, Jonathan, O’Donnell, Dearbhaile M., Broderick, Julie
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2018 Springer Springer Nature B.V
Schlagworte:	Analysis Cancer Cancer research Cancer survivors Evidence-based medicine Exercise Feasibility Health care reform Health information Health promotion Health services Internet Intervention Medicine Medicine & Public Health Meta-analysis Nursing Nursing Research Oncology Pain Medicine Physical activity Physical fitness Rehabilitation Medicine Review Article Sedentary Self report Software Subject headings Survivor Systematic review Technology application Physical activity Cancer rehabilitation Technology eHealth Cancer
ISSN:	0941-4355, 1433-7339, 1433-7339
Online-Zugang:	Volltext
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Abstract	Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors. Methods Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion. Results In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) ( n = 5), web and mobile application ( n = 2), mobile app ( n = 1), website only ( n = 1), e-mail based ( n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes. Conclusion The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal.
AbstractList	Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors. Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion. In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes. The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal. Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors. Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion. In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes. The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal. Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors. Methods Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion. Results In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) ( n = 5), web and mobile application ( n = 2), mobile app ( n = 1), website only ( n = 1), e-mail based ( n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes. Conclusion The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal. Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors. Methods Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion. Results In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes. Conclusion The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal. PurposeAchieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors.MethodsSuitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion.ResultsIn total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes.ConclusionThe use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal. Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors.PURPOSEAchieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes, but is not limited to, the delivery of health information through Internet and mobile technologies, is an emerging concept in healthcare which may present opportunities to improve PA in cancer survivors. The aim of this systematic review was to explore the effects of eHealth in the promotion of PA among cancer survivors.Suitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion.METHODSSuitable articles were searched using PubMed, CINAHL, EMBASE, PsychInfo, Web of Science and SCOPUS databases using a combination of keywords and medical subject headings. Articles were included if they described an eHealth intervention designed to improve PA in cancer survivors. Two reviewers screened studies for inclusion.In total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes.RESULTSIn total, 1065 articles were considered. Ten studies met eligibility criteria. A variety of platforms designed to increase PA were described in these studies: web application (app) (n = 5), web and mobile application (n = 2), mobile app (n = 1), website only (n = 1), e-mail based (n = 1). All studies measured PA using self-report outcome measures with the exception of one study which measured steps using a Fitbit. Meta-analysis was not performed because of variations in study design and interventions. All studies reported improvements in PA, with 8/10 studies reporting statistically significant changes.The use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal.CONCLUSIONThe use of eHealth to promote PA in cancer survivors is a relatively new concept, which is supported by the recent emergent evidence described in this review. eHealth shows promise as a means of promoting and increasing daily PA, but further high-quality, longer term studies are needed to establish the feasibility and effectiveness of eHealth platforms aimed at that goal.
Audience	Academic
Author	Broderick, Julie Mockler, David Moran, Jonathan O’Dwyer, Tom Haberlin, Ciarán O’Donnell, Dearbhaile M.
Author_xml	– sequence: 1 givenname: Ciarán orcidid: 0000-0002-9867-9597 surname: Haberlin fullname: Haberlin, Ciarán email: haberlic@tcd.ie organization: Discipline of Physiotherapy, School of Medicine, Trinity College Dublin – sequence: 2 givenname: Tom surname: O’Dwyer fullname: O’Dwyer, Tom organization: Discipline of Physiotherapy, School of Medicine, Trinity College Dublin – sequence: 3 givenname: David surname: Mockler fullname: Mockler, David organization: John Stearne Library, Trinity Centre for Health Sciences, St. James’ Hospital – sequence: 4 givenname: Jonathan surname: Moran fullname: Moran, Jonathan organization: Discipline of Physiotherapy, School of Medicine, Trinity College Dublin – sequence: 5 givenname: Dearbhaile M. surname: O’Donnell fullname: O’Donnell, Dearbhaile M. organization: Department of Medical Oncology, St. James’s Hospital – sequence: 6 givenname: Julie surname: Broderick fullname: Broderick, Julie organization: Discipline of Physiotherapy, School of Medicine, Trinity College Dublin
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/29909476$$D View this record in MEDLINE/PubMed
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Copyright	Springer-Verlag GmbH Germany, part of Springer Nature 2018 COPYRIGHT 2018 Springer Supportive Care in Cancer is a copyright of Springer, (2018). All Rights Reserved.
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References	FosterCRichardsJThorogoodMHillsdonMRemote and web 2.0 interventions for promoting physical activityThe Cochrane database of systematic reviews20139Cd0103952408559410.1002/14651858.CD010395.pub2 ConnellyJKirkAMasthoffJMacRurySThe use of technology to promote physical activity in type 2 diabetes management: a systematic reviewDiabetic Medicine : J British Diabetic Assoc201330121420143210.1111/dme.122891:STN:280:DC%2BC3sfitF2gtA%3D%3D MoherDLiberatiATetzlaffJAltmanDGPreferred reporting items for systematic reviews and meta-analyses: the PRISMA statementJ Clin Epidemiol200962101006101210.1016/j.jclinepi.2009.06.00519631508 UhmKEYooJSChungSHLeeJDLeeIKimJILeeSKNamSJParkYHLeeJYHwangJHEffects of exercise intervention in breast cancer patients: is mobile health (mHealth) with pedometer more effective than conventional program using brochure?Breast Cancer Res Treat2017161344345210.1007/s10549-016-4065-827933450 O'Carroll BantumEAlbrightCLWhiteKKBerenbergJLLayiGRitterPLLaurentDPlantKLorigKBantumEOCSurviving and thriving with cancer using a web-based health behavior change intervention: randomized controlled trialJ Med Internet Res2014162e54e5410.2196/jmir.30203961702 Stewart BW, Wild C. World cancer report 2014. Lyon, France: International Agency for Research on Cancer; 2014 SheaBJGrimshawJMWellsGABoersMAnderssonNHamelCPorterACTugwellPMoherDBouterLMDevelopment of AMSTAR: a measurement tool to assess the methodological quality of systematic reviewsBMC Med Res Methodol200771010.1186/1471-2288-7-10173029891810543 DuffOMWalshDMFurlongBAO'ConnorNEMoranKAWoodsCBBehavior change techniques in physical activity eHealth interventions for people with cardiovascular disease: systematic reviewJ Med Internet Res201719810.2196/jmir.7782287686105559649 McCarrollMLArmbrusterSPohle-KrauzaRJLyzenAMMinSNashDWRouletteGDAndrewsSJvon GruenigenVEFeasibility of a lifestyle intervention for overweight/obese endometrial and breast cancer survivors using an interactive mobile applicationGynecol Oncol2015137350851510.1016/j.ygyno.2014.12.02525681782 AgarwalSLeFevreAELeeJL'EngleKMehlGSinhaCLabriqueAGuidelines for reporting of health interventions using mobile phones: mobile health (mHealth) evidence reporting and assessment (mERA) checklistBMJ (Clinical Res ed)2016352i117410.1136/bmj.i1174 GriffithsFLindenmeyerAPowellJLowePThorogoodMWhy are health care interventions delivered over the internet? A systematic review of the published literatureJ Med Internet Res20068210.2196/jmir.8.2.e10168679651550698 ShortCERebarAJamesELDuncanMJCourneyaKSPlotnikoffRCCrutzenRVandelanotteCHow do different delivery schedules of tailored web-based physical activity advice for breast cancer survivors influence intervention use and efficacy?J Cancer Survivorship : Res Practice2017111809110.1007/s11764-016-0565-01:STN:280:DC%2BC2s3otlSnsQ%3D%3D SturgeonKMDeanLTHerouxMKaneJBauerTPalmerELongJLynchSJacobsLSarwerDBLeonardMBSchmitzKCommercially available lifestyle modification program: randomized controlled trial addressing heart and bone health in BRCA1/2+ breast cancer survivors after risk-reducing salpingo-oophorectomyJ Cancer Survivorship : Res Practice201711224625510.1007/s11764-016-0582-z Harvey J, Dittus K, Mench E (2017) eHealth and behavioral weight loss interventions for female cancer survivors: A review. Women's health (London, England):1745505717731012. https://doi.org/10.1177/1745505717731012 AalbersTBaarsMARikkertMGCharacteristics of effective internet-mediated interventions to change lifestyle in people aged 50 and older: a systematic reviewAgeing Res Rev201110448749710.1016/j.arr.2011.05.001216280051:STN:280:DC%2BC3MfhsVOltA%3D%3D RockCLDoyleCDemark-WahnefriedWMeyerhardtJCourneyaKSSchwartzALBanderaEVHamiltonKKGrantBMcCulloughMByersTGanslerTNutrition and physical activity guidelines for cancer survivorsCA Cancer J Clin201262424227410.3322/caac.21142 HookeMCGilchristLTannerLHartNWithycombeJSUse of a fitness tracker to promote physical activity in children with acute lymphoblastic leukemiaPediatr Blood Cancer201663468468910.1002/pbc.2586026756736 KrebsPProchaskaJORossiJSA meta-analysis of computer-tailored interventions for health behavior changePrev Med2010513–421422110.1016/j.ypmed.2010.06.004205581962939185 HongYAGoldbergDOryMGTowneSDJrForjuohSNKellstedtDWangSEfficacy of a mobile-enabled web app (iCanFit) in promoting physical activity among older Cancer survivors: a pilot studyJMIR Cancer201511e710.2196/cancer.4389284101585367673 DownsSHBlackNThe feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventionsJ Epidemiol Community Health199852637738410.1136/jech.52.6.377976425917567281:STN:280:DyaK1cvjs1Omsg%3D%3D MichieSYardleyLWestRPatrickKGreavesFDeveloping and evaluating digital interventions to promote behavior change in health and health care: recommendations resulting from an international workshopJ Med Internet Res2017196e23210.2196/jmir.7126286631625509948 SchmitzKHCourneyaKSMatthewsCDemark-WahnefriedWGalvaoDAPintoBMIrwinMLWolinKYSegalRJLuciaASchneiderCMvon GruenigenVESchwartzALAmerican College of Sports Medicine roundtable on exercise guidelines for cancer survivorsMed Sci Sports Exerc20104271409142610.1249/MSS.0b013e3181e0c11220559064 KaneraIMWillemsRABolmanCAMestersIVerboonPLechnerLLong-term effects of a web-based cancer aftercare intervention on moderate physical activity and vegetable consumption among early cancer survivors: a randomized controlled trialInt J Behav Nutr Phys Act20171411910.1186/s12966-017-0474-2281877255303303 de MoorJSMariottoABParryCAlfanoCMPadgettLKentEEForsytheLScoppaSHacheyMRowlandJHCancer survivors in the United States: prevalence across the survivorship trajectory and implications for careCancer Epidemiology, Biomarkers Prevention : a Publication Am Assoc Cancer Res, Cosponsored Am Soc Preventive Oncology201322456157010.1158/1055-9965.EPI-12-1356 BroderickJMRyanJO'DonnellDMHusseyJA guide to assessing physical activity using accelerometry in cancer patientsSupportive Care Cancer : Official J Multinational Assoc Supportive Care Cancer20142241121113010.1007/s00520-013-2102-21:STN:280:DC%2BC2czhvVyisA%3D%3D eHealth-Factsheet for European Parliament. World Health Organisation-Regional Office for Europe 2014. (accessed May 18, 2018).http://www.euro.who.int/__data/assets/pdf_file/0010/261694/6.-eHealth,-Factsheet-for-European-Parliament.pdf PhamQWiljerDCafazzoJABeyond the randomized controlled trial: a review of alternatives in mHealth clinical trial methodsJMIR Mhealth Uhealth201643e10710.2196/mhealth.5720276130845035379 AinsworthBEHaskellWLHerrmannSDMeckesNBassettDRJrTudor-LockeCGreerJLVezinaJWhitt-GloverMCLeonAS2011 compendium of physical activities: a second update of codes and MET valuesMed Sci Sports Exerc20114381575158110.1249/MSS.0b013e31821ece1221681120 DaviesCASpenceJCVandelanotteCCaperchioneCMMummeryWKMeta-analysis of internet-delivered interventions to increase physical activity levelsInt J Behavioral Nutrition Physical Activity20129525210.1186/1479-5868-9-52 OosterveenETzelepisFAshtonLHutchessonMJA systematic review of eHealth behavioral interventions targeting smoking, nutrition, alcohol, physical activity and/or obesity for young adultsPrev Med20179919720610.1016/j.ypmed.2017.01.00928130046 LeeMKYunYHParkHALeeESJungKHNohDYA web-based self-management exercise and diet intervention for breast cancer survivors: pilot randomized controlled trialInt J Nurs Stud201451121557156710.1016/j.ijnurstu.2014.04.01224856854 HigginsJPTAltmanDGGøtzschePCJüniPMoherDOxmanADSavovićJSchulzKFWeeksLSterneJACThe Cochrane Collaboration’s tool for assessing risk of bias in randomised trialsBMJ2011343d592810.1136/bmj.d5928220082173196245 HatchettAHallamJSFordMAEvaluation of a social cognitive theory-based email intervention designed to influence the physical activity of survivors of breast cancerPsycho-Oncology201322482983610.1002/pon.308222573338 HooperPJutaiJWStrongGRussell-MindaEAge-related macular degeneration and low-vision rehabilitation: a systematic reviewCanadian J Ophthalmology J Canadien d'ophtalmologie200843218018710.3129/i08-001 LynchBMDunstanDWWinklerEHealyGNEakinEOwenNObjectively assessed physical activity, sedentary time and waist circumference among prostate cancer survivors: findings from the National Health and nutrition examination survey (2003-2006)Eur J Cancer Care (Engl)201120451451910.1111/j.1365-2354.2010.01205.x1:STN:280:DC%2BC3MjhtFGltg%3D%3D CL Rock (4305_CR3) 2012; 62 MC Hooke (4305_CR28) 2016; 63 Q Pham (4305_CR32) 2016; 4 BM Lynch (4305_CR4) 2011; 20 YA Hong (4305_CR26) 2015; 1 BE Ainsworth (4305_CR15) 2011; 43 T Aalbers (4305_CR11) 2011; 10 KM Sturgeon (4305_CR24) 2017; 11 JS Moor de (4305_CR2) 2013; 22 F Griffiths (4305_CR7) 2006; 8 P Krebs (4305_CR8) 2010; 51 CA Davies (4305_CR9) 2012; 9 J Connelly (4305_CR12) 2013; 30 E O'Carroll Bantum (4305_CR21) 2014; 16 4305_CR33 KH Schmitz (4305_CR16) 2010; 42 P Hooper (4305_CR29) 2008; 43 S Michie (4305_CR30) 2017; 19 D Moher (4305_CR13) 2009; 62 C Foster (4305_CR10) 2013; 9 ML McCarroll (4305_CR27) 2015; 137 OM Duff (4305_CR31) 2017; 19 CE Short (4305_CR25) 2017; 11 S Agarwal (4305_CR34) 2016; 352 JPT Higgins (4305_CR18) 2011; 343 IM Kanera (4305_CR23) 2017; 14 A Hatchett (4305_CR20) 2013; 22 E Oosterveen (4305_CR35) 2017; 99 MK Lee (4305_CR19) 2014; 51 JM Broderick (4305_CR5) 2014; 22 SH Downs (4305_CR17) 1998; 52 4305_CR6 4305_CR1 KE Uhm (4305_CR22) 2017; 161 BJ Shea (4305_CR14) 2007; 7
References_xml	– reference: MoherDLiberatiATetzlaffJAltmanDGPreferred reporting items for systematic reviews and meta-analyses: the PRISMA statementJ Clin Epidemiol200962101006101210.1016/j.jclinepi.2009.06.00519631508 – reference: HatchettAHallamJSFordMAEvaluation of a social cognitive theory-based email intervention designed to influence the physical activity of survivors of breast cancerPsycho-Oncology201322482983610.1002/pon.308222573338 – reference: KaneraIMWillemsRABolmanCAMestersIVerboonPLechnerLLong-term effects of a web-based cancer aftercare intervention on moderate physical activity and vegetable consumption among early cancer survivors: a randomized controlled trialInt J Behav Nutr Phys Act20171411910.1186/s12966-017-0474-2281877255303303 – reference: HookeMCGilchristLTannerLHartNWithycombeJSUse of a fitness tracker to promote physical activity in children with acute lymphoblastic leukemiaPediatr Blood Cancer201663468468910.1002/pbc.2586026756736 – reference: AinsworthBEHaskellWLHerrmannSDMeckesNBassettDRJrTudor-LockeCGreerJLVezinaJWhitt-GloverMCLeonAS2011 compendium of physical activities: a second update of codes and MET valuesMed Sci Sports Exerc20114381575158110.1249/MSS.0b013e31821ece1221681120 – reference: AgarwalSLeFevreAELeeJL'EngleKMehlGSinhaCLabriqueAGuidelines for reporting of health interventions using mobile phones: mobile health (mHealth) evidence reporting and assessment (mERA) checklistBMJ (Clinical Res ed)2016352i117410.1136/bmj.i1174 – reference: McCarrollMLArmbrusterSPohle-KrauzaRJLyzenAMMinSNashDWRouletteGDAndrewsSJvon GruenigenVEFeasibility of a lifestyle intervention for overweight/obese endometrial and breast cancer survivors using an interactive mobile applicationGynecol Oncol2015137350851510.1016/j.ygyno.2014.12.02525681782 – reference: SchmitzKHCourneyaKSMatthewsCDemark-WahnefriedWGalvaoDAPintoBMIrwinMLWolinKYSegalRJLuciaASchneiderCMvon GruenigenVESchwartzALAmerican College of Sports Medicine roundtable on exercise guidelines for cancer survivorsMed Sci Sports Exerc20104271409142610.1249/MSS.0b013e3181e0c11220559064 – reference: LeeMKYunYHParkHALeeESJungKHNohDYA web-based self-management exercise and diet intervention for breast cancer survivors: pilot randomized controlled trialInt J Nurs Stud201451121557156710.1016/j.ijnurstu.2014.04.01224856854 – reference: FosterCRichardsJThorogoodMHillsdonMRemote and web 2.0 interventions for promoting physical activityThe Cochrane database of systematic reviews20139Cd0103952408559410.1002/14651858.CD010395.pub2 – reference: DaviesCASpenceJCVandelanotteCCaperchioneCMMummeryWKMeta-analysis of internet-delivered interventions to increase physical activity levelsInt J Behavioral Nutrition Physical Activity20129525210.1186/1479-5868-9-52 – reference: O'Carroll BantumEAlbrightCLWhiteKKBerenbergJLLayiGRitterPLLaurentDPlantKLorigKBantumEOCSurviving and thriving with cancer using a web-based health behavior change intervention: randomized controlled trialJ Med Internet Res2014162e54e5410.2196/jmir.30203961702 – reference: SheaBJGrimshawJMWellsGABoersMAnderssonNHamelCPorterACTugwellPMoherDBouterLMDevelopment of AMSTAR: a measurement tool to assess the methodological quality of systematic reviewsBMC Med Res Methodol200771010.1186/1471-2288-7-10173029891810543 – reference: HooperPJutaiJWStrongGRussell-MindaEAge-related macular degeneration and low-vision rehabilitation: a systematic reviewCanadian J Ophthalmology J Canadien d'ophtalmologie200843218018710.3129/i08-001 – reference: GriffithsFLindenmeyerAPowellJLowePThorogoodMWhy are health care interventions delivered over the internet? A systematic review of the published literatureJ Med Internet Res20068210.2196/jmir.8.2.e10168679651550698 – reference: KrebsPProchaskaJORossiJSA meta-analysis of computer-tailored interventions for health behavior changePrev Med2010513–421422110.1016/j.ypmed.2010.06.004205581962939185 – reference: OosterveenETzelepisFAshtonLHutchessonMJA systematic review of eHealth behavioral interventions targeting smoking, nutrition, alcohol, physical activity and/or obesity for young adultsPrev Med20179919720610.1016/j.ypmed.2017.01.00928130046 – reference: HongYAGoldbergDOryMGTowneSDJrForjuohSNKellstedtDWangSEfficacy of a mobile-enabled web app (iCanFit) in promoting physical activity among older Cancer survivors: a pilot studyJMIR Cancer201511e710.2196/cancer.4389284101585367673 – reference: de MoorJSMariottoABParryCAlfanoCMPadgettLKentEEForsytheLScoppaSHacheyMRowlandJHCancer survivors in the United States: prevalence across the survivorship trajectory and implications for careCancer Epidemiology, Biomarkers Prevention : a Publication Am Assoc Cancer Res, Cosponsored Am Soc Preventive Oncology201322456157010.1158/1055-9965.EPI-12-1356 – reference: MichieSYardleyLWestRPatrickKGreavesFDeveloping and evaluating digital interventions to promote behavior change in health and health care: recommendations resulting from an international workshopJ Med Internet Res2017196e23210.2196/jmir.7126286631625509948 – reference: SturgeonKMDeanLTHerouxMKaneJBauerTPalmerELongJLynchSJacobsLSarwerDBLeonardMBSchmitzKCommercially available lifestyle modification program: randomized controlled trial addressing heart and bone health in BRCA1/2+ breast cancer survivors after risk-reducing salpingo-oophorectomyJ Cancer Survivorship : Res Practice201711224625510.1007/s11764-016-0582-z – reference: PhamQWiljerDCafazzoJABeyond the randomized controlled trial: a review of alternatives in mHealth clinical trial methodsJMIR Mhealth Uhealth201643e10710.2196/mhealth.5720276130845035379 – reference: LynchBMDunstanDWWinklerEHealyGNEakinEOwenNObjectively assessed physical activity, sedentary time and waist circumference among prostate cancer survivors: findings from the National Health and nutrition examination survey (2003-2006)Eur J Cancer Care (Engl)201120451451910.1111/j.1365-2354.2010.01205.x1:STN:280:DC%2BC3MjhtFGltg%3D%3D – reference: RockCLDoyleCDemark-WahnefriedWMeyerhardtJCourneyaKSSchwartzALBanderaEVHamiltonKKGrantBMcCulloughMByersTGanslerTNutrition and physical activity guidelines for cancer survivorsCA Cancer J Clin201262424227410.3322/caac.21142 – reference: eHealth-Factsheet for European Parliament. World Health Organisation-Regional Office for Europe 2014. (accessed May 18, 2018).http://www.euro.who.int/__data/assets/pdf_file/0010/261694/6.-eHealth,-Factsheet-for-European-Parliament.pdf – reference: UhmKEYooJSChungSHLeeJDLeeIKimJILeeSKNamSJParkYHLeeJYHwangJHEffects of exercise intervention in breast cancer patients: is mobile health (mHealth) with pedometer more effective than conventional program using brochure?Breast Cancer Res Treat2017161344345210.1007/s10549-016-4065-827933450 – reference: Stewart BW, Wild C. World cancer report 2014. Lyon, France: International Agency for Research on Cancer; 2014 – reference: AalbersTBaarsMARikkertMGCharacteristics of effective internet-mediated interventions to change lifestyle in people aged 50 and older: a systematic reviewAgeing Res Rev201110448749710.1016/j.arr.2011.05.001216280051:STN:280:DC%2BC3MfhsVOltA%3D%3D – reference: ConnellyJKirkAMasthoffJMacRurySThe use of technology to promote physical activity in type 2 diabetes management: a systematic reviewDiabetic Medicine : J British Diabetic Assoc201330121420143210.1111/dme.122891:STN:280:DC%2BC3sfitF2gtA%3D%3D – reference: BroderickJMRyanJO'DonnellDMHusseyJA guide to assessing physical activity using accelerometry in cancer patientsSupportive Care Cancer : Official J Multinational Assoc Supportive Care Cancer20142241121113010.1007/s00520-013-2102-21:STN:280:DC%2BC2czhvVyisA%3D%3D – reference: ShortCERebarAJamesELDuncanMJCourneyaKSPlotnikoffRCCrutzenRVandelanotteCHow do different delivery schedules of tailored web-based physical activity advice for breast cancer survivors influence intervention use and efficacy?J Cancer Survivorship : Res Practice2017111809110.1007/s11764-016-0565-01:STN:280:DC%2BC2s3otlSnsQ%3D%3D – reference: Harvey J, Dittus K, Mench E (2017) eHealth and behavioral weight loss interventions for female cancer survivors: A review. Women's health (London, England):1745505717731012. https://doi.org/10.1177/1745505717731012 – reference: DuffOMWalshDMFurlongBAO'ConnorNEMoranKAWoodsCBBehavior change techniques in physical activity eHealth interventions for people with cardiovascular disease: systematic reviewJ Med Internet Res201719810.2196/jmir.7782287686105559649 – reference: DownsSHBlackNThe feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventionsJ Epidemiol Community Health199852637738410.1136/jech.52.6.377976425917567281:STN:280:DyaK1cvjs1Omsg%3D%3D – reference: HigginsJPTAltmanDGGøtzschePCJüniPMoherDOxmanADSavovićJSchulzKFWeeksLSterneJACThe Cochrane Collaboration’s tool for assessing risk of bias in randomised trialsBMJ2011343d592810.1136/bmj.d5928220082173196245 – volume: 11 start-page: 80 issue: 1 year: 2017 ident: 4305_CR25 publication-title: J Cancer Survivorship : Res Practice doi: 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Snippet	Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which... Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which includes,... Purpose Achieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which... PurposeAchieving adequate levels of physical activity (PA) and avoiding sedentary behaviour are particularly important in cancer survivors. eHealth, which...
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SubjectTerms	Analysis Cancer Cancer research Cancer survivors Evidence-based medicine Exercise Feasibility Health care reform Health information Health promotion Health services Internet Intervention Medicine Medicine & Public Health Meta-analysis Nursing Nursing Research Oncology Pain Medicine Physical activity Physical fitness Rehabilitation Medicine Review Article Sedentary Self report Software Subject headings Survivor Systematic review Technology application
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Title	The use of eHealth to promote physical activity in cancer survivors: a systematic review
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Volume	26
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