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Effectiveness of psychoeducation intervention among women with gynecological cancer: a systematic review and meta-analysis of randomized controlled trials

DOI:10.1007/s00520-022-07277-y
Authors:
Atun Raudotul Ma'rifah at Universitas Harapan Bangsa Purwokerto Indonesia
Atun Raudotul Ma'rifah
  • Universitas Harapan Bangsa Purwokerto Indonesia
Yati Afiyanti at University of Indonesia
Yati Afiyanti
Mega Hasanul Huda at Taipei Medical University
Mega Hasanul Huda
Roselyn Chipojola at Taipei Medical University
Roselyn Chipojola
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Abstract and Figures

Psychoeducation interventions have been suggested to improve sexual functioning and quality of life. The aim of this study was to examine the effects of the psychoeducation intervention on quality of life, sexual function, and psychological outcomes; and to identify the critical components of psychoeducation intervention for women with gynecological cancer. This study was a systematic review and meta-analysis. Psychoeducation interventions were searched using six English databases, eligible studies were extracted, and the risk of bias was evaluated by two authors independently. A random effects model was used to examine the intervention effects. We conducted subgroup analysis and meta-regression to assess the variables underlying the heterogeneity. In total, eight trials were identified, and 1128 participants were included. Women who received the psychoeducation intervention had better quality of life (standardized mean difference (SMD) = 0.59, 95% confidence interval (CI): 0.22, 0.97), sexual functioning (SMD = 0.63, 95% CI: 0.27, 0.99), and psychological outcomes (i.e., anxiety and depression (SMD = − 0.27, 95% CI: − 0.09, − 0.44)). Interventions that combined lecture-based, skill practical, discussion, and counseling were conducted using an online format and were delivered by a team of health professionals that had higher scores of qualities of life. Additionally, involving significant others in the intervention improved sexual functioning. Psychoeducation interventions effectively improve quality of life, sexual functioning, anxiety, and depression. Incorporating lecture-based, practical skills, discussion, and counseling through an online format and involving significant others are beneficial for improving the quality of life and sexual functioning among women with gynecological cancer.
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Vol.:(0123456789)
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https://doi.org/10.1007/s00520-022-07277-y
ORIGINAL ARTICLE
Effectiveness ofpsychoeducation intervention amongwomen
withgynecological cancer: asystematic review andmeta‑analysis
ofrandomized controlled trials
AtunRaudotulMa’rifah1,2· YatiAyanti1 · MegaHasanulHuda3· RoselynChipojola4· YelmiReniPutri1,5·
M.A.TantawiNasution6
Received: 21 January 2022 / Accepted: 3 July 2022
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022
Abstract
Psychoeducation interventions have been suggested to improve sexual functioning and quality of life. The aim of this study
was to examine the effects of the psychoeducation intervention on quality of life, sexual function, and psychological out-
comes; and to identify the critical components of psychoeducation intervention for women with gynecological cancer. This
study was a systematic review and meta-analysis. Psychoeducation interventions were searched using six English databases,
eligible studies were extracted, and the risk of bias was evaluated by two authors independently. A random effects model
was used to examine the intervention effects. We conducted subgroup analysis and meta-regression to assess the variables
underlying the heterogeneity. In total, eight trials were identified, and 1128 participants were included. Women who received
the psychoeducation intervention had better quality of life (standardized mean difference (SMD) = 0.59, 95% confidence
interval (CI): 0.22, 0.97), sexual functioning (SMD = 0.63, 95% CI: 0.27, 0.99), and psychological outcomes (i.e., anxiety
and depression (SMD = − 0.27, 95% CI: − 0.09, − 0.44)). Interventions that combined lecture-based, skill practical, discus-
sion, and counseling were conducted using an online format and were delivered by a team of health professionals that had
higher scores of qualities of life. Additionally, involving significant others in the intervention improved sexual functioning.
Psychoeducation interventions effectively improve quality of life, sexual functioning, anxiety, and depression. Incorporat-
ing lecture-based, practical skills, discussion, and counseling through an online format and involving significant others are
beneficial for improving the quality of life and sexual functioning among women with gynecological cancer.
Keywords Psychoeducation intervention· Quality of life· Sexual functioning· Gynecological cancer· Meta-analysis
* Yati Afiyanti
yatikris@ui.ac.id
Atun Raudotul Ma’rifah
atunraudotul@uhb.ac.id
Mega Hasanul Huda
megahasanulhuda@gmail.com
Roselyn Chipojola
rosechipojola@gmail.com
Yelmi Reni Putri
Yelmi.reni@gmail.com
M. A. Tantawi Nasution
tantawiansyari@gmail.com
1 Faculty ofNursing, Universitas Indonesia, FIK UI
Campus, Jl. Prof. Dr. Bahder DjohanJawa Barat, Depok,
Indonesia16424
2 Harapan Bangsa University Purwokerto, Jl. Raden Patah no
100 Ledug Kembaran Banyumas, CentralJava, Indonesia
3 Institute Kesehatan Prima Nusantara Bukit Tinggi, Hermina
Hospital Group, Gn. Sahari Sel, Jl. Selangit, RW.10,
Kec.Kemayoran,CentralJakarta, CapitalRegionofJakarta,
Indonesia10620
4 Kamuzu College ofNursing, Lilongwe, Malawi
5 Fort De Kock University, Jl. Soekarno Hatta No. 11,
Manggis Ganting, Mandingin, KotaSelayan-KotaBukitTinggi
WestSumatra, Indonesia
6 National Library oftheRepublik ofIndonesia,
Salemba Raya, 28 A. Kenari, Senen, CentralJakarta,
CapitalRegionofJakarta, Indonesia
/ Published online: 12 July 2022
Supportive Care in Cancer (2022) 30:8271–8285
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
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