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The Effect of Telemedicine and Social Media on Cancer patients' Self-Care: A Systematic Review

Fariba Sadat Agha Seyyed Esmaeil Amiri, Fatemeh Bohlouly, Atefeh Khoshkangin, Negin Razmi, Kosar Ghaddaripouri, Mohammad Reza Mazaheri Habibi



Introduction: Cancer is an incurable disease that affects people regardless of age, sex, race and social, economic and cultural status. Most cancer patients are treated with a combination of treatments based on the type of tumor, the extent of the disease, and their physical condition. Self-management programs empower people to deal with illness and improve their quality of life. Telemedicine in the form of mobile applications, websites and social networks is one of the effective tools to achieve this goal. The aim of this study was to investigate the impact of telemedicine and social media on self-care of cancer patients.

Method: English related articles were searched based on keywords in the title and abstract using PubMed and Scopus databases (from 1963 to December 2020). Keywords included telemedicine, social networking, self-care and m-health. Inclusion criteria included all studies published in English that examined the impact of telemedicine and social media on cancer patients' self-care. Review articles and non-intervention articles were excluded from the study.

Results: A total of 516 articles were selected by title. After reviewing the abstract, 80 articles remained to be reviewed. After evaluating the full text of these articles, 9 eligible articles were selected for final review. In terms of the type of cancer among these studies, prostate cancer had the largest share (33%). In line with the main purpose of this study, in 7 articles (77.8%) telemedicine had a significant positive effect on self-care of cancer patients and increased self-care. In one article (11.1%) this effect was negative and reduced self-care. In 1 article (11.1%) no effect was observed.

Conclusion: According to the results of the present study, it seems that web-based interventions and mobile health in most articles have been effective in increasing patients' self-care. However, due to the increasing number of cancers as well as the increasing use of telemedicine in the field of chronic diseases and cancer, the need for further studies is felt in this field.


Siegel RL, Miller KD, Jemal A. Cancer statistics: 2020. A Cancer Journal for Clinicians. 2020; 70(1): 7-30.

Roy PS, Saikia BJ. Cancer and cure: A critical analysis. Indian J Cancer. 2016; 53(3): 441-2. PMID: 28244479 DOI: 10.4103/0019-509X.200658

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021; 71(3): 209-49. PMID: 33538338 DOI: 10.3322/caac.21660

Torre LA, Siegel RL, Ward EM, Jemal A. Global cancer incidence and mortality rates and trends: An update. Cancer Epidemiol Biomarkers Prev. 2016; 25(1): 16-27. PMID: 26667886 DOI: 10.1158/1055-9965.EPI-15-0578

Zaimy MA, Saffarzadeh N, Mohammadi A, Pourghadamyari H, Izadi P, Sarli A, et al. New methods in the diagnosis of cancer and gene therapy of cancer based on nanoparticles. Cancer Gene Ther. 2017; 24(6): 233-43. PMID: 28574057 DOI: 10.1038/cgt.2017.16

O'Malley DM, Davis SN, Devine KA, Sullivan B, Bator A, Clemow L, et al. Development and usability testing of the e‐EXCELS tool to guide cancer survivorship follow‐up care. Psychooncology. 2020; 29(1): 123-31. PMID: 31626397 DOI: 10.1002/pon.5222

Akin S, Kas Guner C. Investigation of the relationship among fatigue, self‐efficacy and quality of life during chemotherapy in patients with breast, lung or gastrointestinal cancer. Eur J Cancer Care (Engl). 2019; 28(1): e12898. PMID: 30039883 DOI: 10.1111/ecc.12898

Rico TM, Dos Santos Machado K, Fernandes VP, Madruga SW, Santin MM, Petrarca CR, et al. Use of text messaging (SMS) for the management of side effects in cancer patients undergoing chemotherapy treatment: A randomized controlled trial. J Med Syst. 2020; 44(11): 193. PMID: 32996027 DOI: 10.1007/s10916-020-01663-x

van den Berg SW, Gielissen MF, Custers JA, van der Graaf WT, Ottevanger PB, Prins JB. BREATH: web-based self-management for psychological adjustment after primary breast cancer--Results of a multicenter randomized controlled trial. J Clin Oncol. 2015; 33(25): 2763-71. PMID: 26169621 DOI: 10.1200/JCO.2013.54.9386

Tarricone R, Cucciniello M, Armeni P, Petracca F, Desouza KC, Hall LK, et al. Mobile health divide between clinicians and patients in cancer care: Results from a cross-sectional international survey. JMIR Mhealth Uhealth. 2019; 7(9): e13584. PMID: 31493318 DOI: 10.2196/13584

Chan RJ, Howell D, Lustberg MB, Mustian K, Koczwara B, Ng CC, et al. Advances and future directions in the use of mobile health in supportive cancer care: Proceedings of the 2019 MASCC annual meeting symposium. Support Care Cancer. 2020; 28(9): 4059-67. PMID: 32405966 DOI: 10.1007/s00520-020-05513-x

Worster B, Swartz K. Telemedicine and palliative care: An increasing role in supportive oncology. Curr Oncol Rep. 2017; 19(6): 37. PMID: 28417310 DOI: 10.1007/s11912-017-0600-y

Stotts MJ, Grischkan JA, Khungar V. Improving cirrhosis care: The potential for telemedicine and mobile health technologies. World J Gastroenterol. 2019; 25(29): 3849-56. PMID: 31413523 DOI: 10.3748/wjg.v25.i29.3849

O'Neill P, Shandro B, Poullis A. Patient perspectives on social-media-delivered telemedicine for inflammatory bowel disease. Future Healthc J. 2020; 7(3): 241-4. PMID: 33094237 DOI: 10.7861/fhj.2020-0094

Shalowitz DI, Moore CJ. Telemedicine and gynecologic cancer care. Obstet Gynecol Clin North Am. 2020; 47(2): 271-85. PMID: 32451018 DOI: 10.1016/j.ogc.2020.02.003

Pereira AA, Destro JR, Bernuci MP, Garcia LF, Lucena TF. Effects of a WhatsApp-delivered education intervention to enhance breast cancer knowledge in women: Mixed-methods study. JMIR Mhealth Uhealth. 2020; 8(7): e17430. PMID: 32706726 DOI: 10.2196/17430

Frankland J, Brodie H, Cooke D, Foster C, Foster R, Gage H, et al. Follow-up care after treatment for prostate cancer: evaluation of a supported self-management and remote surveillance programme. BMC Cancer. 2019; 19(1): 368. PMID: 31014282 DOI: 10.1186/s12885-019-5561-0

Ekstedt M, Schildmeijer K, Wennerberg C, Nilsson L, Wannheden C, Hellström A. Enhanced patient activation in cancer care transitions: Protocol for a randomized controlled trial of a tailored electronic health intervention for men with prostate cancer. JMIR Res Protoc. 2019; 8(3): e11625. PMID: 30900999 DOI: 10.2196/11625

Papadopoulou C, Kotronoulas G, Schneider A, Miller MI, McBride J, Polly Z, et al. Patient-reported self-efficacy, anxiety, and health-related quality of life during chemotherapy: Results from a longitudinal study. Oncol Nurs Forum. 2017; 44(1): 127-36. PMID: 27991612 DOI: 10.1188/17.ONF.127-136

Knoerl R, Hong F, Blonquist T, Berry D. Impact of electronic self-assessment and self-care technology on adherence to clinician recommendations and self-management activity for cancer treatment–related symptoms: Secondary analysis of a randomized controlled trial. JMIR Cancer. 2019; 5(1): e11395. PMID: 30622093 DOI: 10.2196/11395

Giesler JM, Keller B, Repke T, Leonhart R, Weis J, Muckelbauer R, et al. Effect of a website that presents patients’ experiences on self-efficacy and patient competence of colorectal cancer patients: Web-based randomized controlled trial. J Med Internet Res. 2017; 19(10): e334. PMID: 29030329 DOI: 10.2196/jmir.7639

Cnossen IC, van Uden-Kraan CF, Eerenstein SE, Jansen F, Witte BI, Lacko M, et al. An online self-care education program to support patients after total laryngectomy: Feasibility and satisfaction. Support Care Cancer. 2016; 24(3): 1261-8. PMID: 26306518 DOI: 10.1007/s00520-015-2896-1

Børøsund E, Cvancarova M, Moore SM, Ekstedt M, Ruland CM. Comparing effects in regular practice of e-communication and web-based self-management support among breast cancer patients: Preliminary results from a randomized controlled trial. J Med Internet Res. 2014; 16(12): e295. PMID: 25525672 DOI: 10.2196/jmir.3348

Zargarzadeh P, Ehteshami A, Mohammadi-Sichani M. A contribution into developing a model for prostate cancer self-care mobile application. Med Arch. 2018; 72(5): 344-7. PMID: 30524166 DOI: 10.5455/medarh.2018.72.344-347

Xie J, Zhu T, Lu Q, Xu X, Cai Y, Xu Z. The effects of add-on self-care education on quality of life and fatigue in gastrointestinal cancer patients undergoing chemotherapy. BMC Complement Med Ther. 2020; 20(1): 15. PMID: 32020863 DOI: 10.1186/s12906-019-2800-5

DOI: http://dx.doi.org/10.30699/fhi.v10i1.316


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