| The effects of psychoeducational care provided to adults with cancer: meta-analysis of 116 studies. | |
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MedLine Citation:
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PMID: 8539178 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE/OBJECTIVES: To determine how educational and psychosocial care provided to adults with cancer affects seven outcomes--anxiety, depression, mood, nausea, vomiting, pain, and knowledge. DESIGN: Meta-analysis. SAMPLE: 116 intervention studies. A standardized mean difference between a treatment and control group (i.e., an effect-size value) was calculated for 98 studies; for 18 additional studies, it was only possible to code the direction of treatment effect (i.e., whether the treatment or control group had a higher score). Most analyses were limited to the 98 studies from which an effect-size value was obtainable. These studies were published between 1976 and 1993 and were based on data obtained from 5,326 patients with cancer. METHODS: A comprehensive literature search yielded more than 20,000 potentially relevant citations that were reviewed. Study, subject, treatment, and outcome characteristics of the studies meeting selection criteria were coded. MAIN RESEARCH VARIABLES: Manner of subject assignment to treatment condition; type of control group; publication form; type of psychoeducational care; and the outcomes of anxiety, depression, mood, nausea, vomiting, pain, and knowledge. FINDINGS: Statistically significant, beneficial effects were found in relation to all seven of the outcomes. Three threats to validity were examined and were not found to be a problem related to the outcomes examined. CONCLUSIONS: Psychoeducational care was found to benefit adults with cancer in relation to anxiety, depression, mood, nausea, vomiting, pain, and knowledge. Differentiating among the effectiveness of various types of psychoeducational care was problematic. To maximize the utility of this knowledge for clinicians, more research is needed to evaluate the relative effectiveness of different types of psychoeducational care. IMPLICATIONS FOR NURSING PRACTICE: A strong research base has established the beneficial effects of psychoeducational care. Clinicians should examine their practice to determine if research-based psychoeducational care is being used sufficiently. |
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Authors:
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E C Devine; S K Westlake |
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Publication Detail:
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Type: Journal Article; Meta-Analysis; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Oncology nursing forum Volume: 22 ISSN: 0190-535X ISO Abbreviation: Oncol Nurs Forum Publication Date: 1995 Oct |
Date Detail:
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Created Date: 1996-02-07 Completed Date: 1996-02-07 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7809033 Medline TA: Oncol Nurs Forum Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1369-81 Citation Subset: IM; N |
Affiliation:
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University of Wisconsin-Milwaukee, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Behavior Therapy / methods* Counseling / methods* Female Humans Male Middle Aged Neoplasms / nursing*, physiopathology, psychology Nursing Evaluation Research Oncologic Nursing Patient Education as Topic / methods* Research Design Treatment Outcome |
| Grant Support | |
ID/Acronym/Agency:
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1 R01 NR01539/NR/NINR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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