The effect of psychosocial intervention delivered by telephone among women in early-stage breast cancer. A systematic review of randomized trial

Background: According that breast cancer is highly common cancer among women and also , psychological distress is an especially issue for breast cancer patients as estimably 20–40% of women with breast cancer experience clinically major levels of depression after or during treatment and for public health, the quality of life for people who have cancer is the one of the main topic , particularly those suffered from depression and distress (Car J, et al 2012 ; Akechi T et al 2001). Psychosocial support by telephone can prepare encouragement and assistance to patients with emotional or physical disabilities.Aim: The results of this study will expect to provide useful information for breast cancer patients receiving psychosocial support delivered by telephone might be more convenient, valid and exportable alternative to conventional in-person or other type of intervention programs to reduce their psychological burden and as a result improve QOL.Material and Method: Studies will identify by an electronic search of MEDLINE, Psyc Info and Cinahl as well as Pub med and will conduct a Forward Citation Search of these studies in Google Scholar. It also used the Related Articles service of PubMed for the included studies to find further relevant studies. Search terms used will be ‘‘telephone counseling’’ telephone intervention telephone support telephone therapy [MeSH Terms] AND ‘‘breast cancer’’ [MeSH Terms] with searches limited to publications of randomized controlled trials (RCTs) in humans. Only English language and published at the medical magazine (data from September 1998 to September 2014). Only women patients whose in early-stage breast cancer (non-metastatic) is confirmed and they are on the different stages of treatment. There is no restrictions regarding age or ethical background. Also, they should not have serious psychopathic problem and other diseases.Results: A total of 410 records were identified, examined and the trials subjected to selection criteria; 24 trials were included in the review. The mean sample size of the intervention and control group was 69 and 66 patients respectfully. All the patients were female and the average age of them ranged from 47 to 61 years. The majority of participations were White and Caucasian, well education and married. Also, the majority of the trials were conducted in an outpatient or clinical-care setting (n= 13 trials). Over half (n=16) of the RCTs included usual care as the comparator. In addition, interventions were mainly provided by nurses (n =14). It also was mainly delivered treatment of adjuvant therapy or during therapy or/and re-entry (n=14). Most of the trials had over four calls which different from one call conservation to twenty one phone contacts (15 to 90 min) over one week to thirteen months.Conclusion: The review showed different variations across participants, mode of delivery, discipline of ’ counselor and intervention content making it difficult to arriveat a firm conclusion regarding the effectiveness of psychosocial interventions delivered through telephone in improving in early stage of breast cancer. Also, there was no the standardization of methodology and deficiency of reliability in relation to CONSORT reporting procedures. Therefore further standardization of methodology as well as long-term intervention may be needed. However, the study has direct benefit for the healthcare team to provide an efficient infrastructure of psychosocial programs in clinical settings which require multi-insinuation collaborations.

کلیدواژه ها:

Breast cancer ، Telephone counseling ، Telephone intervention ، Telephone therapy.