A systematic review of eHealth cancer prevention and control interventions: new technology, same methods and designs?
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
There has been a recent surge of eHealth programs in cancer and other content areas, but few reviews have focused on the methodologies and designs employed in these studies. We conducted a systematic review of studies on eHealth interventions on cancer prevention and control published between 2001 and 2010 applying the Pragmatic Explanatory Continuum Indicator Summary (PRECIS) criteria and external validity components from the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. We identified 113 studies that focused on cancer prevention and control of eHealth interventions. Most studies fell midway along the explanatory/pragmatic trial continuum, but few reported on various practical feasibility criteria for translation. Despite vast interest in cancer eHealth and the applied nature of this field, few studies considered key external validity issues. There is a need for use of alternative pragmatic study designs and transparent reporting of external validity components to produce more rapid and generalizable results.
- Eheman, C (2012) Annual report to the nation on the status of cancer, 1975–2008, featuring cancers associated with excess weight and lack of sufficient physical activity. Cancer 118: pp. 2338-66 CrossRef
- Chu, K.C., B.A. Miller, and S.A. Springfield, Measures of racial/ethnic health disparities in cancer mortality rates and the influence of socioeconomic status. J Natl Med Assoc, 2007. 99(10): p. 1092–100, 1102–4.
- Saldana-Ruiz, N., et al., Fundamental causes of colorectal cancer mortality in the United States: understanding the importance of socioeconomic status in creating inequality in mortality. Am J Public Health, 2012.
- Noar SM, H.N., eHealth Applications: Promising Strategies for Behavior Change, Routledge, NY, 2012.
- Bennett, GG, Glasgow, RE (2009) The delivery of public health interventions via the internet: actualizing their potential. Annu Rev Public Health 30: pp. 273-92 CrossRef
- Strecher, V (2007) Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol 3: pp. 53-76 CrossRef
- Wantland, DJ (2004) The effectiveness of web-based vs. non-web-based interventions: a meta-analysis of behavioral change outcomes. J Med Internet Res 6: pp. e40 CrossRef
- Murray, E (2005) Interactive health communication applications for people with chronic disease. Cochrane Database Syst Rev 4: pp. CD004274
- Glasgow, RE (2007) eHealth evaluation and dissemination research. Am J Prev Med 32: pp. S119-26 CrossRef
- Eysenbach, G (2011) CONSORT-EHEALTH: improving and standardizing evaluation reports of web-based and mobile health interventions. J Med Internet Res 13: pp. e126 CrossRef
- Zwarenstein, M (2008) Improving the reporting of pragmatic trials: an extension of the CONSORT statement. BMJ 337: pp. a2390 CrossRef
- Thorpe, KE (2009) A pragmatic–explanatory continuum indicator summary (PRECIS): a tool to help trial designers. J Clin Epidemiol 62: pp. 464-75 CrossRef
- Riddle, DL (2010) The pragmatic–explanatory continuum indicator summary (PRECIS) instrument was useful for refining a randomized trial design: experiences from an investigative team. J Clin Epidemiol 63: pp. 1271-5 CrossRef
- Selby, P (2012) How pragmatic or explanatory is the randomized, controlled trial? The application and enhancement of the PRECIS tool to the evaluation of a smoking cessation trial. BMC Med Res Methodol 12: pp. 101 CrossRef
- Glasgow, RE (2012) Applying the PRECIS criteria to describe three effectiveness trials of weight loss in obese patients with comorbid conditions. Health Serv Res 47: pp. 1051-67 CrossRef
- Koppenaal, T (2011) Pragmatic vs. explanatory: an adaptation of the PRECIS tool helps to judge the applicability of systematic reviews for daily practice. J Clin Epidemiol 64: pp. 1095-101 CrossRef
- Eng, TR (2001) The eHealth Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care. Robert Wood Johnson Foundation, Princeton
- Rabin BA, G.R., Dissemination of interactive health communication programs, in Interactive Health Communication Technologies: Promising Strategies for Health Behavior Change: Routledge, NY, 2012.
- Khoury, MJ, Gwinn, M, Ioannidis, JP (2010) The emergence of translational epidemiology: from scientific discovery to population health impact. Am J Epidemiol 172: pp. 517-24 CrossRef
- Hiatt, RA, Rimer, BK (1999) A new strategy for cancer control research. Cancer Epidemiol Biomarkers Prev 8: pp. 957-64
- Glasgow, RE, Vogt, TM, Boles, SM (1999) Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 89: pp. 1322-7 CrossRef
- Pagliari, C (2007) Design and evaluation in eHealth: challenges and implications for an interdisciplinary field. J Med Internet Res 9: pp. e15 CrossRef
- Glasgow, RE, Chambers, D (2012) Developing robust, sustainable, implementation systems using rigorous, rapid and relevant science. Clin Transl Sci 5: pp. 48-55 CrossRef
- Glasgow, RE (2004) Disseminating effective cancer screening interventions. Cancer 101: pp. 1239-50 CrossRef
- Bennett, G., eHealth and D&I research: what next?, in Training Institute for Dissemination and Implementation Research in Health. July 9–13, 2012.
- Greene, SM, Reid, RJ, Larson, EB (2012) Implementing the learning health system: from concept to action. Ann Intern Med 157: pp. 207-10 CrossRef
- Collins, LM, Murphy, SA, Strecher, V (2007) The multiphase optimization strategy (MOST) and the sequential multiple assignment randomized trial (SMART): new methods for more potent eHealth interventions. Am J Prev Med 32: pp. S112-8 CrossRef
- Riley, WT (2011) Health behavior models in the age of mobile interventions: are our theories up to the task?. Transl Behav Med 1: pp. 53-71 CrossRef
- West, JH (2012) There's an app for that: content analysis of paid health and fitness apps. J Med Internet Res 14: pp. e72 CrossRef
- Abroms, LC (2011) iPhone apps for smoking cessation: a content analysis. Am J Prev Med 40: pp. 279-85 CrossRef
- A systematic review of eHealth cancer prevention and control interventions: new technology, same methods and designs?
Translational Behavioral Medicine
Volume 3, Issue 4 , pp 392-401
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Pragmatic trials
- Systematic review
- External validity
- RE-AIM framework
- Author Affiliations
- 1. National Cancer Institute, Bethesda, MD, USA
- 2. CRN Cancer Communication Research Center, Kaiser Permanente Colorado, Denver, CO, USA
- 3. Mid-Atlantic Permanente Research Institute Kaiser Permanente Mid-Atlantic States, Rockville, MD, USA
- 4. Food and Drug Administration, Interagency Oncology Task Force (IOTF) Fellowship-Cancer Prevention Fellow, National Cancer Institute, Bethesda, MD, USA
- 5. Clinical Research Directorate/CMRP, SAIC-Frederick, Inc., National Laboratory for Cancer Research, Frederick, MD, USA