Background: eHealth mindfulness-based programs (eMBPs) are on the rise in complex oncology and palliative care. However, we are still at the beginning of answering the questions of how effective eMBPs are and for whom, and what kinds of delivery modes are the most efficient. Objective: This systematic review aims to examine the feasibility and efficacy of eMBPs in improving the mental health and well-being of patients with cancer, to describe intervention characteristics and delivery modes of these programs, and to summarize the results of the included studies in terms of moderators, mediators, and predictors of efficacy, adherence, and attrition. Methods: In total, 4 databases (PubMed, PsycINFO, Scopus, and Web of Knowledge) were searched using relevant search terms (eg, mindfulness, program, eHealth, neoplasm) and their variations. No restrictions were imposed on language or publication type. The results of the efficacy of eMBPs were synthesized through the summarizing effect estimates method. Results: A total of 29 published papers describing 24 original studies were included in this review. In general, the results indicate that eMBPs have the potential to reduce the levels of stress, anxiety, depression, fatigue, sleep problems, and pain, and improve the levels of mindfulness, posttraumatic growth, and some parameters of general health. The largest median of Cohen d effect sizes were observed in reducing anxiety and depression (within-subject: median −0.38, IQR −0.62 to −0.27; between-group: median −0.42, IQR −0.58 to −0.22) and facilitating posttraumatic growth (within-subject: median 0.42, IQR 0.35 to 0.48; between-group: median 0.32, IQR 0.22 to 0.39). The efficacy of eMBP may be comparable with that of parallel, face-to-face MBPs in some cases. All studies that evaluated the feasibility of eMBPs reported that they are feasible for patients with cancer. Potential moderators, mediators, and predictors of the efficacy, attrition, and adherence of eMBPs are discussed. Conclusions: Although the effects of the reviewed studies were highly heterogeneous, the review provides evidence that eMBPs are an appropriate way for mindfulness practice to be delivered to patients with cancer. Thus far, existing eMBPs have mostly attempted to convert proven face-to-face mindfulness programs to the eHealth mode. They have not yet fully exploited the potential of eHealth technology.

This is the abstract only. Read the full article on the JMIR site. JMIR is the leading open access journal for eHealth and healthcare in the Internet age.

中文翻译：

---

通过电子卫生保健和移动医疗为癌症患者提供基于正念的程序：系统的回顾和定量研究的综合

背景：基于eHealth正念的计划（eMBP）在复杂的肿瘤学和姑息治疗中正在上升。但是，我们仍在开始回答eMBP的有效性以及对谁有效以及哪种交付方式最有效的问题。目的：本系统综述旨在研究eMBP在改善癌症患者心理健康和福祉方面的可行性和有效性，描述这些计划的干预特征和分娩方式，并以术语的形式总结纳入研究的结果功效，依从性和减员的主持人，中介人和预测因素。方法：总共使用相关的搜索词（例如，正念，程序，eHealth，肿瘤）搜索了4个数据库（PubMed，PsycINFO，Scopus和Web of Knowledge）。语言或出版物类型没有任何限制。eMBPs的疗效结果通过总结效应估计方法进行了综合。结果：总共29篇描述24项原始研究的论文被纳入本评价。总的来说，结果表明，eMBPs可以降低压力，焦虑，抑郁，疲劳，睡眠问题和疼痛的水平，并改善正念，创伤后生长和一般健康状况的某些水平。观察到最大的Cohen d效应值中位数在减轻焦虑和抑郁感（受试者内部：中位数-0.38，IQR -0.62至-0.27；组间：中位数-0.42，IQR -0.58至-0.22）和促进创伤后生长（受试者内：中位数0.42，IQR 0.35至0.48;组间：中位数0.32，IQR 0.22至0.39）。在某些情况下，eMBP的功效可与平行的，面对面的MBP媲美。所有评估eMBP可行性的研究均报告说，它们对于癌症患者是可行的。讨论了eMBPs的功效，损耗和依从性的潜在调节者，介体和预测因子。结论：尽管所审查研究的效果高度不同，但该审查提供了证据，证明eMBP是向癌症患者提供正念练习的适当方式。迄今为止，现有的eMBP大多已尝试将经过验证的面对面正念计划转换为eHealth模式。他们尚未充分利用电子卫生保健技术的潜力。所有评估eMBP可行性的研究均报告说，它们对于癌症患者是可行的。讨论了eMBPs的功效，损耗和依从性的潜在调节者，介体和预测因子。结论：尽管所审查研究的效果高度不同，但该审查提供了证据，证明eMBP是向癌症患者提供正念练习的适当方式。到目前为止，现有的eMBP大多已尝试将经过验证的面对面正念计划转换为eHealth模式。他们尚未充分利用电子卫生保健技术的潜力。所有评估eMBP可行性的研究均报告说，它们对于癌症患者是可行的。讨论了eMBPs的功效，损耗和依从性的潜在调节者，介体和预测因子。结论：尽管所审查研究的效果高度不同，但该审查提供了证据，证明eMBP是向癌症患者提供正念练习的适当方式。迄今为止，现有的eMBP大多已尝试将经过验证的面对面正念计划转换为eHealth模式。他们尚未充分利用电子卫生保健技术的潜力。尽管所审查研究的效果高度不同，但该审查提供的证据表明，eMBP是向癌症患者提供正念练习的适当方式。迄今为止，现有的eMBP大多已尝试将经过验证的面对面正念计划转换为eHealth模式。他们尚未充分利用电子卫生保健技术的潜力。尽管所审查研究的效果高度不同，但该审查提供的证据表明，eMBP是向癌症患者提供正念练习的适当方式。到目前为止，现有的eMBP大多已尝试将经过验证的面对面正念计划转换为eHealth模式。他们尚未充分利用电子卫生保健技术的潜力。

这仅仅是抽象的。阅读JMIR网站上的全文。JMIR是互联网时代电子健康和医疗保健领域领先的开放获取期刊。