Psycho-educational interventions for melanoma survivors: a systematic review

Authors

  • Jordana McLoone,

    1. School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia
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  • Scott Menzies,

    1. Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
    2. Discipline of Dermatology, Sydney Medical School, University of Sydney, Camperdown, NSW, Australia
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  • Bettina Meiser,

    1. Psychosocial Research Group, Department of Medical Oncology, Prince of Wales Hospital, Sydney, NSW, Australia
    2. Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia
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  • Graham J. Mann,

    1. Westmead Institute for Cancer Research, University of Sydney at Westmead Millennium Institute, NSW, Australia
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  • Nadine A. Kasparian

    Corresponding author
    • School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia
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Correspondence to: Psychological Research, Level 0, Old CCIA Building, Sydney Children's Hospital, High Street, Randwick, NSW 2031, Australia. E-mail: N.Kasparian@unsw.edu.au

Abstract

Objective

To systematically review psycho-educational interventions developed for melanoma survivors.

Methods

Electronic databases Medline, PsycINFO, Embase, and CINAHL were systematically searched using key words and subject headings for articles describing educational or psychological interventions designed specifically for people affected by melanoma.

Results

Twenty-seven articles, generated by 16 unique interventions, were included for detailed review. Overall, educational interventions showed increased patient satisfaction with clinical care and information provision, as well as increased frequency of skin self-examination, although accuracy and thoroughness of skin examination were seldom reported. Participation in psychological interventions was associated with decreases in anxiety, health-related distress, and melanoma recurrence rates, as well as positive changes in coping with illness. Programs, when implemented as part of routine clinical care, were found to be cost-effective.

Conclusions

Interventions in this field vary widely, limiting the identification of ‘active ingredients' for psychological or behavioral change. Future intervention studies should ensure sufficient information is provided to support program replication and comprehensive assessment of program outcomes. Copyright © 2012 John Wiley & Sons, Ltd.

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