Systematic review of post-treatment psychosocial and behaviour change interventions for men with cancer.
OBJECTIVE
The psychosocial impacts of a cancer diagnosis include reduced quality of life, poorer inter-personal relationships, hopelessness and mental illness. Worse outcomes, including mortality rates have been found for single men with cancer compared with women and partnered men. The aim of this systematic review was to examine the effectiveness of post-treatment psychosocial and behaviour change interventions for adult men with cancer, in order to inform the development of an intervention. A focus on single men was intended.


METHODS
Ten databases were searched via Ovid and Web of Science. Papers were systematically extracted by title, abstract and full paper according to the inclusion/exclusion criteria. Full papers were assessed by two authors.


METHODS
participants at any stage of a cancer diagnosis, > or =50% male and aged 18+; psychosocial and/or behavioural post-treatment interventions, using any format; a one-three level of evidence. Couple/carer/family interventions were excluded.


RESULTS
From 9948 studies initially identified, 11 were finally included in the review. They implemented cognitive behaviour therapy, hypnosis or psychoeducational interventions. All studies had some positive results, however, lack of reporting of intervention content and methodological issues limit the findings. No studies intervened with single men, and none provided comparative outcomes for marital status.


CONCLUSIONS
Effectiveness of interventions was difficult to assess as, while all had benefits, their generalisability was limited due to methodological and reporting limitations. Improved reporting procedures are required to allow for replication.
Dale
Hannah L
HL
Department of Clinical Psychology, NHS Fife, Cupar, UK. hannahdale@nhs.net
Adair
Pauline M
PM
Humphris
Gerry M
GM
D000328:Adult; D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D015438:Health Behavior; D006801:Humans; D006990:Hypnosis; D008019:Life Style; D008297:Male; D017533:Marital Status; D009369:Neoplasms / Q000523:psychology / Q000628:therapy*; D010353:Patient Education as Topic; D011584:Psychology; D012847:Single Person; D016896:Treatment Outcome; D055815:Young Adult