EDUCATIONAL TECHNOLOGIES FOR CAREGIVERS IN THE CONTEXT OF PEDIATRIC ONCOLOGY HOSPITAL UNITS: A SCOPING REVIEW

Silva, Silmara de Oliveira; Duarte, Fernando Hiago da Silva; Dutra, Samia Valeria Ozorio; Ribeiro, Kátia Regina Barros; Dantas, Rodrigo Assis Neves; Dantas, Daniele Vieira

doi:10.1590/1980-265X-TCE-2022-0105en

Silmara de Oliveira Silva

visualization

data curation

formal analysis

validation

Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Enfermagem. Natal, Rio Grande do Norte, Brasil.

http://orcid.org/0000-0002-2554-5045

Fernando Hiago da Silva Duarte

formal analysis

validation

writing – original draft

Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Enfermagem. Natal, Rio Grande do Norte, Brasil.

http://orcid.org/0000-0002-2743-0452

Samia Valeria Ozorio Dutra

writing – review & editing

Independent Researcher, Ilion, NY, USA.

http://orcid.org/0000-0002-4987-4169

Kátia Regina Barros Ribeiro

writing – original draft

writing – review & editing

Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Enfermagem. Natal, Rio Grande do Norte, Brasil.

http://orcid.org/0000-0002-3513-7483

Rodrigo Assis Neves Dantas

formal analysis

validation

writing – original draft

writing – review & editing

Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Enfermagem. Natal, Rio Grande do Norte, Brasil.

http://orcid.org/0000-0002-9309-2092

Daniele Vieira Dantas

formal analysis

validation

writing – original draft

writing – review & editing

Universidade Federal do Rio Grande do Norte, Programa de Pós-Graduação em Enfermagem. Natal, Rio Grande do Norte, Brasil.

http://orcid.org/0000-0003-0307-2424

CORRESPONDING AUTHOR
Silmara de Oliveira Silva silmaraolyveira@gmail.com

CONTRIBUTION OF AUTHORITY

Study design: Silva SO. Data collection: Silva SO. Data analysis and interpretation: Silva SO, Duarte FHS, Dantas DV, Dantas RAN. Discussion of the results: Silva SO, Duarte FHS, Dantas DV, Dantas RAN. Writing and/or critical review of the content: Duarte FHS, Dantas DV, Ribeiro KRB, Dantas RAN, Dutra SVO. Review and final approval of the final version: Dantas DV, Ribeiro KRB, Dutra SVO, Dantas RAN.

CONFLICT OF INTEREST

There is no conflict of interest.

EDITORS

Associated Editors: Gisele Cristina Manfrini, Monica Motta Lino. Editor-in-chief: Elisiane Lorenzini.

Data Sources	Search Syntaxes
SCOPUS	TITLE-ABS-KEY (caregivers) AND TITLE-ABS-KEY (child OR adolescent) AND TITLE-ABS-KEY (health AND education OR educational AND technology) AND TITLE-ABS-KEY (medical AND oncology OR neoplasms OR cancer) AND TITLE-ABS-KEY (hospital AND units OR health AND services)
Web of Science	((((TS=(Caregivers)) AND TS=(Child OR Adolescent)) AND TS=(Health Education OR Educational Technology)) AND TS=(Medical Oncology OR Neoplasms OR Cancer)) AND TS=(Hospital Units OR Health Services)
PubMed	((((Caregivers) AND (Child OR Adolescent)) AND (Health Education OR Educational Technology)) AND (Medical Oncology OR Neoplasms OR Cancer)) AND (Hospital Units OR Health Services)
Science Direct	(Caregivers) AND (Child OR Adolescent) AND (Health Education OR Educational Technology) AND (Medical Oncology OR Neoplasms) AND (Hospital Units OR Health Services)
CINAHL	Caregivers AND (Child OR Adolescent) AND (Health Education OR Educational Technology) AND (Medical Oncology OR Neoplasms OR Cancer) AND (Hospital Units OR Health Services)
SCIELO	(Caregivers) AND (Child OR Adolescent) AND (Health Education OR Educational Technology) AND (Medical Oncology OR Neoplasms OR Cancer) AND (Hospital Units OR Health Services)*
LILACS	Caregivers [Words] and Child OR Adolescent [Words] and Health Education OR Educational Technology AND Medical Oncology OR Neoplasms OR Cancer AND Hospital Units OR Health Services [Words]
Wiley Online Library	"Caregivers" anywhere and "Child OR Adolescent" anywhere and "Health Education OR Educational Technology" anywhere and "Medical Oncology OR Neoplasms OR Cancer" anywhere and "Hospital Units OR Health Services" anywhere
Cochrane	(Caregivers) in Title Abstract Keyword AND (Child OR Adolescent) in Title Abstract Keyword AND (Health Education OR Educational Technology) in Title Abstract Keyword AND (Medical Oncology OR Neoplasms OR Cancer) in Title Abstract Keyword AND (Hospital Units OR Health Services) in Title Abstract Keyword
Gale Academic Onefile	(Caregivers) AND (Child OR Adolescent) AND (Health Education OR Educational Technology) AND (Medical Oncology OR Neoplasms OR Cancer) AND (Hospital Units OR Health Services)
Google Scholar	(Caregivers) AND (Child OR Adolescent) AND (Health Education OR Educational Technology) AND (Medical Oncology OR Neoplasms OR Cancer) AND (Hospital Units OR Health Services)
Theses and Dissertations Catalog (CAPES)	(Cuidadores) AND (Crianças OR Adolescente) AND (Educação em Saúde OR Tecnologia Educacional) AND (Oncologia OR Neoplasia OR Câncer) AND (Unidades Hospitalares OR Serviços de Saúde)

ID* - Author (Year)	Country/ Data source	Type of Study/LE†/DR‡
E1 - Hamdan et al. (2020)77. Hamdan AB, Ballourah W, Elghazaly A, Javison S, Alshammary S, Erlandez R, et al. The effect of video-assisted education prior intrathecal chemotherapy on anxiety and knowledge enhancemen. J Cancer Educ [Internet]. 2022 [cited 2022 Aug 20];37(1):65-70. Available from: https://doi.org/10.1007/s13187-020-01787-1 https://doi.org/10.1007/s13187-020-01787...	Saudi Arabia PubMed	Experimental 1B/A
E2 - Clercq et al. (2020)1818. Clercq E, Rost M, Gumy-Pause F, Diesch T, Espelli V, Elger BS. Moving beyond the friend-foe myth: a scoping review of the use of social media in adolescent and young adult oncology. J Adolesc Young Adult Oncol [Internet]. 2020 [cited 2021 Sep 4];9(5):561-71. Available from: https://doi.org/10.1089/jayao.2019.0168 https://doi.org/10.1089/jayao.2019.0168...	USA Google Scholar	Scoping review 2A/B
E3- Nova, Allenidekania and Agustini (2019)1919. Nova F, Allenidekania A, Agustini N. The effect of multimedia-based nutrition education on parents’ knowledge and body weight change in leukemia children. Enferm Clin [Internet]. 2019 [cited 2021 Sep 4];29(5):230-3. Available from: https://doi.org/10.1016/j.enfcli.2019.04.027 https://doi.org/10.1016/j.enfcli.2019.04...	PubMed Australia	Experimental 1B/A
E4- Uzun and Kucuk (2019)2020. Uzun Z, Kucuk S. Side effects of chemotherapy in children with cancer: effects of nursing training administered to caregivers. Aust J Adv Nurs [Internet]. 2019 [cited 2021 Sep 4];36(4):37-44. Available from: https://doi.org/10.1080/10538712.2016.1153557 https://doi.org/10.1080/10538712.2016.11...	Turkey Gale Academic Onefile	Experimental/ 2B/B
E5- Mehdizadeh et al. (2019)2121. Mehdizadeh H, Asadi F, Mehrvar A, Nazemi E, Emami H. Smartphone apps to help children and adolescents with cancer and their families: a scoping review. Acta Oncol [Internet]. 2019 [cited 2021 Sep 4];58(7):1003-14. Available from: https://doi.org/10.1080/0284186X.2019.1588474 https://doi.org/10.1080/0284186X.2019.15...	Iran Web of Science	Scoping review 2A/B
E6- Mueller et al. (2018)2222. Mueller EL, Cochrane AR, Bennet WE, Carroll AE. A survey of mobile technology usage and desires by caregivers of children with cancer. Pediatr Blood Cancer [Internet]. 2018 [cited 2021 Sep 2];65:e27359. Available from: https://doi.org/10.1002/pbc.27359 https://doi.org/10.1002/pbc.27359...	USA Google Scholar	Descriptive 2C/B
E7- Fazelniya et al. (2017)2323. Fazelniya Z, Najafi M, Moafi A, Talakoub S. The impact of an interactive computer game on the quality of life of children undergoing chemotherapy. Iran J Nurs Midwifery Res [Internet]. 2017 [cited 2021 Sep 2];22(6):431-5. Available from: https://doi.org/10.4103/ijnmr.IJNMR_215_15 https://doi.org/10.4103/ijnmr.IJNMR_215_...	Iran PubMed	Experimental 1B/A
E8- Lopes and Shmeil (2016)2424. Lopes VJ, Shmeil MAH. Avaliação de orientações geradas por sistema computacional a acompanhantes de pacientes pediátricos submetidos à quimioterapia. Rev Gaúch Enferm [Internet]. 2016 [cited 2021 Sep 4];37(esp):e67407. Available from: https://doi.org/10.1590/1983-1447.2016.esp.67407 https://doi.org/10.1590/1983-1447.2016.e...	Brazil LILACS	Experimental 2B/B
E9- Morrison et al. (2016)2525. Morrison CF, Szulczewski L, Strahlendorf LF, Lane JB, Mullins LL, Pai ALH. Designing technology to address parent uncertainty in childhood cancer. ANS Adv Nurs Sci [Internet]. 2016 [cited 2021 Aug 20];39(1):15-25. Available from: https://doi.org/10.1097/ANS.0000000000000100 https://doi.org/10.1097/ANS.000000000000...	USA Reverse search	Descriptive 2C/B
E10- Maza et al. (2015)2626. Maza V, Fernández M, Concha L, Santolaya ME, Villarroel C, Castro M, et al. Impacto de un programa educativo a los padres de niños con cáncer en el aumento del conocimiento de la enfermedad de sus hijos y la disminución de la ansiedad. Rev Chil Pediatr [Internet]. 2015 [cited 2021 Aug 20];86(5):351-6. Available from: https://doi.org/10.1016/j.rchipe.2015.04.027 https://doi.org/10.1016/j.rchipe.2015.04...	Chile Science Direct	Experimental 1B/A
E11- Majeed-Ariss et al. (2015)2727. Majeed-Ariss R, Baildam E, Campbell M, Chieng A, Fallon D, Hall A . Apps and adolescents: a systematic review of adolescents’ use of mobile phone and tablet apps that support personal management of their chronic or long-term physical conditions. J Med Internet Res [Internet]. 2015 [cited 2021 Sep 4];17(12):e287. Available from: https://doi.org/10.2196/jmir.5043 https://doi.org/10.2196/jmir.5043...	United Kingdom PubMed	Systematic Review 2A/B
E12- Wang et al. (2015)2828. Wang J, Yao N, Wang Y, Zhou F, Liu Y, Geng Z, et al. Developing ‘‘Care Assistant’’: a smartphone application to support caregivers of children with acute lymphoblastic leukaemia. J Telemed Telecare [Internet]. 2015 [cited 2021 Sep 4];22(3):163-71. Available from: https://doi.org/10.1177/1357633X15594753 https://doi.org/10.1177/1357633X15594753...	USA Reverse search	Descriptive 2C/B
E13- Kock et al. (2015)2929. Kock AK, Kaya RS, Muller C, Andersen B, Langer T, Ingenerf J. Design, Implementation, and evaluation of a mobile application for patient empowerment and management of long-term follow-up after childhood cancer. Klin Padiatr [Internet]. 2015 [cited 2021 Sep 4];227(3):166-70. Available from: http://doi.org/10.1055/s-0035-1548840 http://doi.org/10.1055/s-0035-1548840...	United Kingdom Reverse search	Descriptive 2C/B
E14- Salles and Castro (2010)3030. Salles PS, Castro RCBR. Validação de material informativo a pacientes em tratamento quimioterápico e aos seus familiares. Rev Esc Enferm USP [Internet]. 2010 [cited 2021 Aug 20];44(1):182-9. Available from: https://doi.org/10.1590/S0080-62342010000100026 https://doi.org/10.1590/S0080-6234201000...	Brazil LILACS	Methodological 2C/B
E15- Mostert et al. (2008)3131. Mostert S, Sitaresmi MN, Gundy CM, Janes V, Sutaryo -, Veerman AJP. Comparing childhood leukaemia treatment before and after the introduction of a parental education programme in Indonesia. Arch Dis Child [Internet]. 2008 [cited 2021 Aug 20];95(1):20-5. Available from: https://doi.org/10.1136/adc.2008.154138 https://doi.org/10.1136/adc.2008.154138...	Indonesia Reverse search	Cohort 2B/B

ID*	Type of educational technology	Professionals involved	Main results
E177. Hamdan AB, Ballourah W, Elghazaly A, Javison S, Alshammary S, Erlandez R, et al. The effect of video-assisted education prior intrathecal chemotherapy on anxiety and knowledge enhancemen. J Cancer Educ [Internet]. 2022 [cited 2022 Aug 20];37(1):65-70. Available from: https://doi.org/10.1007/s13187-020-01787-1 https://doi.org/10.1007/s13187-020-01787...	Video Leaflet	Physicians	Multimedia materials, such as educational videos, are useful for learning and reducing anxiety in caregivers of children/adolescents with cancer, when compared to the conventional methods applied before intrathecal chemotherapy.
E21818. Clercq E, Rost M, Gumy-Pause F, Diesch T, Espelli V, Elger BS. Moving beyond the friend-foe myth: a scoping review of the use of social media in adolescent and young adult oncology. J Adolesc Young Adult Oncol [Internet]. 2020 [cited 2021 Sep 4];9(5):561-71. Available from: https://doi.org/10.1089/jayao.2019.0168 https://doi.org/10.1089/jayao.2019.0168...	Social media platforms	Physicians	Cancer treatment optimization at all the support levels, from provision of information and adherence to the treatment to diet and interventions with physical exercises.
E31919. Nova F, Allenidekania A, Agustini N. The effect of multimedia-based nutrition education on parents’ knowledge and body weight change in leukemia children. Enferm Clin [Internet]. 2019 [cited 2021 Sep 4];29(5):230-3. Available from: https://doi.org/10.1016/j.enfcli.2019.04.027 https://doi.org/10.1016/j.enfcli.2019.04...	Video	Nurses	Considerable increase in the caregivers' knowledge after multimedia-based education.
E42020. Uzun Z, Kucuk S. Side effects of chemotherapy in children with cancer: effects of nursing training administered to caregivers. Aust J Adv Nurs [Internet]. 2019 [cited 2021 Sep 4];36(4):37-44. Available from: https://doi.org/10.1080/10538712.2016.1153557 https://doi.org/10.1080/10538712.2016.11...	Manual	Nurses	Increase in the caregivers' knowledge; training about the chemotherapy treatment and its effects should be provided before initiating chemotherapy.
E52121. Mehdizadeh H, Asadi F, Mehrvar A, Nazemi E, Emami H. Smartphone apps to help children and adolescents with cancer and their families: a scoping review. Acta Oncol [Internet]. 2019 [cited 2021 Sep 4];58(7):1003-14. Available from: https://doi.org/10.1080/0284186X.2019.1588474 https://doi.org/10.1080/0284186X.2019.15...	App	Physicians	It increases patients' and family members' access to education and to reliable and suitable information about the disease.
E62222. Mueller EL, Cochrane AR, Bennet WE, Carroll AE. A survey of mobile technology usage and desires by caregivers of children with cancer. Pediatr Blood Cancer [Internet]. 2018 [cited 2021 Sep 2];65:e27359. Available from: https://doi.org/10.1002/pbc.27359 https://doi.org/10.1002/pbc.27359...	Mobile technology	Physicians	The caregivers wanted medical knowledge and management apps, as well as for symptom management and medication reminders; most of the caregivers use the mobile technology with minimal barriers.
E72323. Fazelniya Z, Najafi M, Moafi A, Talakoub S. The impact of an interactive computer game on the quality of life of children undergoing chemotherapy. Iran J Nurs Midwifery Res [Internet]. 2017 [cited 2021 Sep 2];22(6):431-5. Available from: https://doi.org/10.4103/ijnmr.IJNMR_215_15 https://doi.org/10.4103/ijnmr.IJNMR_215_...	Educational interactive game	Nurses	An effective strategy to teach self-care behaviors and interact with the patients, reducing the fear and anxiety related to the effects of chemotherapy.
E82424. Lopes VJ, Shmeil MAH. Avaliação de orientações geradas por sistema computacional a acompanhantes de pacientes pediátricos submetidos à quimioterapia. Rev Gaúch Enferm [Internet]. 2016 [cited 2021 Sep 4];37(esp):e67407. Available from: https://doi.org/10.1590/1983-1447.2016.esp.67407 https://doi.org/10.1590/1983-1447.2016.e...	Software program	Nurses	It assists nurses in devising guidelines for caregivers; it improves quality of the information; it eases interpreting and adhering to the recommendations.
E92525. Morrison CF, Szulczewski L, Strahlendorf LF, Lane JB, Mullins LL, Pai ALH. Designing technology to address parent uncertainty in childhood cancer. ANS Adv Nurs Sci [Internet]. 2016 [cited 2021 Aug 20];39(1):15-25. Available from: https://doi.org/10.1097/ANS.0000000000000100 https://doi.org/10.1097/ANS.000000000000...	App	Multidisciplinary team	Uncertainty at the beginning of diagnosis is perceived globally, and apps aimed at education in health offer a potential benefit for the family members of children with cancer.
E102626. Maza V, Fernández M, Concha L, Santolaya ME, Villarroel C, Castro M, et al. Impacto de un programa educativo a los padres de niños con cáncer en el aumento del conocimiento de la enfermedad de sus hijos y la disminución de la ansiedad. Rev Chil Pediatr [Internet]. 2015 [cited 2021 Aug 20];86(5):351-6. Available from: https://doi.org/10.1016/j.rchipe.2015.04.027 https://doi.org/10.1016/j.rchipe.2015.04...	Lectures Manual	Nurses	Increase in the knowledge of the parents that were offered the educational program; There was no effect on the anxiety levels.
E112727. Majeed-Ariss R, Baildam E, Campbell M, Chieng A, Fallon D, Hall A . Apps and adolescents: a systematic review of adolescents’ use of mobile phone and tablet apps that support personal management of their chronic or long-term physical conditions. J Med Internet Res [Internet]. 2015 [cited 2021 Sep 4];17(12):e287. Available from: https://doi.org/10.2196/jmir.5043 https://doi.org/10.2196/jmir.5043...	App	Physicians and information scientists	Support for Clinical management; Monitoring of the chemotherapy symptoms; Self-care promotion.
E122828. Wang J, Yao N, Wang Y, Zhou F, Liu Y, Geng Z, et al. Developing ‘‘Care Assistant’’: a smartphone application to support caregivers of children with acute lymphoblastic leukaemia. J Telemed Telecare [Internet]. 2015 [cited 2021 Sep 4];22(3):163-71. Available from: https://doi.org/10.1177/1357633X15594753 https://doi.org/10.1177/1357633X15594753...	App	Physicians, nurses and software engineers	The caregivers appreciated the idea of using a smartphone app to gain more knowledge and receive more support; need for information and knowledge to care for the children at home.
E132929. Kock AK, Kaya RS, Muller C, Andersen B, Langer T, Ingenerf J. Design, Implementation, and evaluation of a mobile application for patient empowerment and management of long-term follow-up after childhood cancer. Klin Padiatr [Internet]. 2015 [cited 2021 Sep 4];227(3):166-70. Available from: http://doi.org/10.1055/s-0035-1548840 http://doi.org/10.1055/s-0035-1548840...	App	Information Technology professionals	It offers structured and personalized information about the late effects of childhood cancer and monitoring examinations.
E143030. Salles PS, Castro RCBR. Validação de material informativo a pacientes em tratamento quimioterápico e aos seus familiares. Rev Esc Enferm USP [Internet]. 2010 [cited 2021 Aug 20];44(1):182-9. Available from: https://doi.org/10.1590/S0080-62342010000100026 https://doi.org/10.1590/S0080-6234201000...	Booklet	Nurses	Importance of enjoying access to the material at treatment initiation; all the information is considered positive and clarifying.
E153131. Mostert S, Sitaresmi MN, Gundy CM, Janes V, Sutaryo -, Veerman AJP. Comparing childhood leukaemia treatment before and after the introduction of a parental education programme in Indonesia. Arch Dis Child [Internet]. 2008 [cited 2021 Aug 20];95(1):20-5. Available from: https://doi.org/10.1136/adc.2008.154138 https://doi.org/10.1136/adc.2008.154138...	Video	Physicians	Structured information about leukemia, its treatment and chemotherapy; treatment refusal decreased and event-free survival was significantly increased among poor families; better knowledge is still required to manage treatment toxicity.

[1] CORRESPONDING AUTHOR
Silmara de Oliveira Silva silmaraolyveira@gmail.com

Brasil

Brasil

EDUCATIONAL TECHNOLOGIES FOR CAREGIVERS IN THE CONTEXT OF PEDIATRIC ONCOLOGY HOSPITAL UNITS: A SCOPING REVIEW

TECNOLOGÍAS EDUCATIVAS PARA CUIDADORES EN EL CONTEXTO DE UNIDADES HOSPITALARIAS DE ONCOLOGÍA PEDIÁTRICA: REVISIÓN DE ALCANCE

ABSTRACT

Objective:

Method:

Results:

Conclusion: