Advertisement

Peer support interventions for breast cancer patients: a systematic review

  • Jieman Hu
  • Xue Wang
  • Shaoning Guo
  • Fangfang Chen
  • Yuan-yu Wu
  • Fu-jian Ji
  • Xuedong FangEmail author
Review
  • 97 Downloads

Abstract

Purpose

Due to the clear efficacy of peer support as a means of improving emotional well-being and healthy behaviors in a highly cost-effective manner, this program is widely used. Controversy remains, however, with regard to its efficacy in breast cancer patients. Given the heterogeneity of peer support interventions, this review aimed to categorize, assess, and synthesize the existing evidence from randomized controlled trials (RCTs) to clarify the effects of different types of peer support on breast cancer patients.

Methods

We searched Pubmed, EMBase, CENTRAL, CINAHL, PsychINFO, Chinese National Knowledge Infrastructure (CNKI) and Wanfang Data for English and Chinese language RCTs. The Cochrane Collaboration ‘risk of bias’ tool for systematic reviews was used to assess the methodological quality of each RCT.

Results

Of the 1494 studies screened, 15 studies met eligibility criteria for inclusion, comprising 1695 breast cancer patients. Overall, there were more positive effects than invalid or negative effects across peer interventions, with notable exceptions: unmoderated and unstructured group peer support interventions as well as Internet-based models without peer training had no effect or adverse effects on proximal and distal outcomes. However, adding other peer roles to the peer support structure or using one-on-one models could significantly improve the patients’ negative emotions. Peer education showed promising effects on stress management, quality of life, and healthy behaviors.

Conclusions

This systematic review found that different types of peer support have different effects on outcomes for breast cancer patients. Web-based group peer support without peer training must be avoided or used with caution in the future. Peer education is recommended for breast cancer patient support models, given its excellent results and cost-effectiveness.

Keywords

Peer support Breast cancer patients Depression Systematic literature review 

Notes

Funding

This study was funded by the National Natural Science Foundation of China (Grant No. 31771093).

Compliance with ethical standards

Conflict of interest

All authors declare that they have no competing of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

References

  1. 1.
    DeSantis CE, Lin CC, Mariotto AB, Siegel RL, Stein KD, Kramer JL, Alteri R, Robbins AS, Jemal A (2014) Cancer treatment and survivorship statistics, 2014. CA A Cancer J Clin 64(4):252–271.  https://doi.org/10.3322/caac.21235
  2. 2.
    Ganz PA, Goodwin PJ (2015) Breast cancer survivorship: where are we today? Adv Exp Med Biol 862:1–8.  https://doi.org/10.1007/978-3-319-16366-6_1 CrossRefPubMedGoogle Scholar
  3. 3.
    Maass SW, Roorda C, Berendsen AJ, Verhaak PF, de Bock GH (2015) The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: a systematic review. Maturitas 82(1):100–108.  https://doi.org/10.1016/j.maturitas.2015.04.010 CrossRefPubMedGoogle Scholar
  4. 4.
    Dunn LB, Langford DJ, Paul SM, Berman MB, Shumay DM, Kober K, Merriman JD, West C, Neuhaus JM, Miaskowski C (2015) Trajectories of fear of recurrence in women with breast cancer. Support Care Cancer 23(7):2033–2043.  https://doi.org/10.1007/s00520-014-2513-8 CrossRefPubMedGoogle Scholar
  5. 5.
    Kiecolt-Glaser JK, Habash DL, Fagundes CP, Andridge R, Peng J, Malarkey WB, Belury MA (2015) Daily stressors, past depression, and metabolic responses to high-fat meals: a novel path to obesity. Biol Psychiat 77(7):653–660.  https://doi.org/10.1016/j.biopsych.2014.05.018 CrossRefPubMedGoogle Scholar
  6. 6.
    Jenkins I, Djuric Z, Darga L, DiLaura NM, Magnan M, Hryniuk WM (2003) Relationship of psychiatric diagnosis and weight loss maintenance in obese breast cancer survivors. Obes Res 11(11):1369–1375.  https://doi.org/10.1038/oby.2003.185 CrossRefPubMedGoogle Scholar
  7. 7.
    Satin JR, Linden W, Phillips MJ (2009) Depression as a predictor of disease progression and mortality in cancer patients: a meta-analysis. Cancer 115(22):5349–5361.  https://doi.org/10.1002/cncr.24561 CrossRefPubMedGoogle Scholar
  8. 8.
    Park J, Morley TS, Kim M, Clegg DJ, Scherer PE (2014) Obesity and cancer–mechanisms underlying tumour progression and recurrence. Nat Rev Endocrinol 10(8):455–465.  https://doi.org/10.1038/nrendo.2014.94 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Ligibel JA, Strickler HD (2013) Obesity and its impact on breast cancer: tumor incidence, recurrence, survival, and possible interventions. In: American Society of Clinical Oncology educational book American Society of Clinical Oncology Meeting, pp. 52–59.  https://doi.org/10.1200/EdBook_AM.2013.33.52
  10. 10.
    Park HY, Kim MJ, Kim JY, Kim S, Choi JY, Kim JH, Jeong HY (2018) Could peer support programs be a good resource for managing the unmet needs of cancer patients? J Cancer Educ.  https://doi.org/10.1007/s13187-018-1399-4 CrossRefPubMedGoogle Scholar
  11. 11.
    Munce SEP, Shepherd J, Perrier L, Allin S, Sweet SN, Tomasone JR, Nelson MLA, Guilcher SJT, Hossain S, Jaglal S (2017) Online peer support interventions for chronic conditions: a scoping review protocol. BMJ Open 7(9):e017999.  https://doi.org/10.1136/bmjopen-2017-017999 CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Gidugu V, Rogers ES, Harrington S, Maru M, Johnson G, Cohee J, Hinkel J (2015) Individual peer support: a qualitative study of mechanisms of its effectiveness. Commun Ment Health J 51(4):445–452.  https://doi.org/10.1007/s10597-014-9801-0 CrossRefGoogle Scholar
  13. 13.
    Solomon P (2004) Peer support/peer provided services underlying processes, benefits, and critical ingredients. Psychiatr Rehabil J 27(4):392–401CrossRefGoogle Scholar
  14. 14.
    Vilhauer RP, McClintock MK, Matthews AK (2010) Online support groups for women with metastatic breast cancer: a feasibility pilot study. J Psychosoc Oncol 28(5):560–586.  https://doi.org/10.1080/07347332.2010.504504 CrossRefPubMedGoogle Scholar
  15. 15.
    Ramchand R, Ahluwalia SC, Xenakis L, Apaydin E, Raaen L, Grimm G (2017) A systematic review of peer-supported interventions for health promotion and disease prevention. Prev Med 101:156–170.  https://doi.org/10.1016/j.ypmed.2017.06.008 CrossRefPubMedGoogle Scholar
  16. 16.
    Fisher EB, Boothroyd RI, Elstad EA, Hays L, Henes A, Maslow GR, Velicer C (2017) Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews. Clin Diabetes Endocrinol 3:4.  https://doi.org/10.1186/s40842-017-0042-3 CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Venne VL, Hamann HA (2007) Successful use of peer educators for sharing genetic information. J Genet Couns 16(4):515–525.  https://doi.org/10.1007/s10897-007-9087-2 CrossRefPubMedGoogle Scholar
  18. 18.
    Gatlin TK, Serafica R, Johnson M (2017) Systematic review of peer education intervention programmes among individuals with type 2 diabetes. J Clin Nurs 26(23–24):4212–4222.  https://doi.org/10.1111/jocn.13991 CrossRefPubMedGoogle Scholar
  19. 19.
    Qi L, Liu Q, Qi X, Wu N, Tang W, Xiong H (2015) Effectiveness of peer support for improving glycaemic control in patients with type 2 diabetes: a meta-analysis of randomized controlled trials. BMC Public Health 15:471.  https://doi.org/10.1186/s12889-015-1798-y CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Patil SJ, Ruppar T, Koopman RJ, Lindbloom EJ, Elliott SG, Mehr DR, Conn VS (2018) Effect of peer support interventions on cardiovascular disease risk factors in adults with diabetes: a systematic review and meta-analysis. BMC Public Health 18(1):398.  https://doi.org/10.1186/s12889-018-5326-8 CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Ford P, Clifford A, Gussy K, Gartner C (2013) A systematic review of peer-support programs for smoking cessation in disadvantaged groups. Int J Environ Res Public Health 10(11):5507–5522.  https://doi.org/10.3390/ijerph10115507 CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Jolly K, Ingram L, Khan KS, Deeks JJ, Freemantle N, MacArthur C (2012) Systematic review of peer support for breastfeeding continuation: metaregression analysis of the effect of setting, intensity, and timing. BMJ 344:d8287.  https://doi.org/10.1136/bmj.d8287 CrossRefPubMedGoogle Scholar
  23. 23.
    Hoey LM, Ieropoli SC, White VM, Jefford M (2008) Systematic review of peer-support programs for people with cancer. Patient Educ Couns 70(3):315–337.  https://doi.org/10.1016/j.pec.2007.11.016 CrossRefPubMedGoogle Scholar
  24. 24.
    Legg M, Hyde MK, Occhipinti S, Youl PH, Dunn J, Chambers SK (2018) A prospective and population-based inquiry on the use and acceptability of peer support for women newly diagnosed with breast cancer. Support Care Cancer.  https://doi.org/10.1007/s00520-018-4358-z CrossRefPubMedGoogle Scholar
  25. 25.
    Mens MG, Helgeson VS, Lembersky BC, Baum A, Scheier MF (2016) Randomized psychosocial interventions for breast cancer: impact on life purpose. Psycho-Oncol 25(6):618–625.  https://doi.org/10.1002/pon.3891 CrossRefGoogle Scholar
  26. 26.
    Napoles AM, Ortiz C, Santoyo-Olsson J, Stewart AL, Gregorich S, Lee HE, Duron Y, McGuire P, Luce J (2015) Nuevo Amanecer: results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer. Am J Public Health 105(Suppl 3):e55–e63.  https://doi.org/10.2105/ajph.2015.302598 CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Salzer MS, Palmer SC, Kaplan K, Brusilovskiy E, Ten Have T, Hampshire M, Metz J, Coyne JC (2010) A randomized, controlled study of Internet peer-to-peer interactions among women newly diagnosed with breast cancer. Psycho-Oncol 19(4):441–446.  https://doi.org/10.1002/pon.1586 CrossRefGoogle Scholar
  28. 28.
    Klemm P (2012) Effects of online support group format (moderated vs peer-led) on depressive symptoms and extent of participation in women with breast cancer. Comput Inf Nurs 30(1):9–18.  https://doi.org/10.1097/NCN.0b013e3182343efa CrossRefGoogle Scholar
  29. 29.
    Higgins JPT, Altman DG (2008) Assessing risk of bias in included studies. In: Higgins JPT, Green S (eds) Cochrane handbook for systematic reviews of interventions, edition. Wiley, Chichester, pp 187–241CrossRefGoogle Scholar
  30. 30.
    Napoles AM, Santoyo-Olsson J, Stewart AL, Ortiz C, Garcia-Jimenez M (2018) Evaluating the implementation of a translational peer-delivered stress management program for spanish-speaking Latina breast cancer survivors. J Cancer Educ 33(4):875–884.  https://doi.org/10.1007/s13187-017-1202-y CrossRefPubMedGoogle Scholar
  31. 31.
    Schover LR, Jenkins R, Sui D, Adams JH, Marion MS, Jackson KE (2006) Randomized trial of peer counseling on reproductive health in African American breast cancer survivors. J Clin Oncol 24(10):1620–1626.  https://doi.org/10.1200/jco.2005.04.7159 CrossRefPubMedGoogle Scholar
  32. 32.
    Lee R, Lee KS, Oh EG, Kim SH (2013) A randomized trial of dyadic peer support intervention for newly diagnosed breast cancer patients in Korea. Cancer Nurs 36(3):E15–E22.  https://doi.org/10.1097/NCC.0b013e3182642d7c CrossRefPubMedGoogle Scholar
  33. 33.
    Gotay CC, Moinpour CM, Unger JM, Jiang CS, Coleman D, Martino S, Parker BJ, Bearden JD, Dakhil S, Gross HM et al (2007) Impact of a peer-delivered telephone intervention for women experiencing a breast cancer recurrence. J Clin Oncol 25(15):2093–2099.  https://doi.org/10.1200/jco.2006.07.4674 CrossRefPubMedGoogle Scholar
  34. 34.
    Schover LR, Rhodes MM, Baum G, Adams JH, Jenkins R, Lewis P, Jackson KE (2011) Sisters peer counseling in reproductive issues after treatment (SPIRIT): a peer counseling program to improve reproductive health among African American breast cancer survivors. Cancer 117(21):4983–4992.  https://doi.org/10.1002/cncr.26139 CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Rosenzweig M, Brufsky A, Rastogi P, Puhalla S, Simon J, Underwood S (2011) The attitudes, communication, treatment, and support intervention to reduce breast cancer treatment disparity. Oncol Nurs Forum 38(1):85–89.  https://doi.org/10.1188/11.onf.85-89 CrossRefPubMedGoogle Scholar
  36. 36.
    Chen Z (2018) The effect of peer education on the psychological resilience of breast cancer patients. Jilin Med J 39(03):580–582Google Scholar
  37. 37.
    Pan X, Yuan Q (2018) Effect of peer education on functional compliance of postoperative chemotherapy patients with breast cancer. Chin J Health Care Nutr (7):3Google Scholar
  38. 38.
    Fu B, Wu J, Li H, Cao M (2015) Influence of peer education on quality of life of breast cancer receiving postoperative chemotherapy. Chin Nurs Res 29(29):3639–3641Google Scholar
  39. 39.
    Giese-Davis J, Bliss-Isberg C, Wittenberg L, White J, Star P, Zhong L, Cordova MJ, Houston D, Spiegel D (2016) Peer-counseling for women newly diagnosed with breast cancer: a randomized community/research collaboration trial. Cancer 122(15):2408–2417.  https://doi.org/10.1002/cncr.30036 CrossRefPubMedGoogle Scholar
  40. 40.
    Lee CHM, O’Leary J, Kirk P, Lower TA (2018) Breastfeeding outcomes in Washington state: determining the effect of loving support peer counseling program and characteristics of participants at WIC Agencies. J Nutr Educ Behav 50(4):379–387.  https://doi.org/10.1016/j.jneb.2017.09.002 CrossRefPubMedGoogle Scholar
  41. 41.
    Kew KM, Carr R, Crossingham I (2017) Lay-led and peer support interventions for adolescents with asthma. Cochrane Database Syst Rev 4:CD012331.  https://doi.org/10.1002/14651858.CD012331.pub2 CrossRefPubMedGoogle Scholar
  42. 42.
    Stubbs B, Williams J, Shannon J, Gaughran F, Craig T (2016) Peer support interventions seeking to improve physical health and lifestyle behaviours among people with serious mental illness: a systematic review. Int J Ment Health Nurs 25(6):484–495.  https://doi.org/10.1111/inm.12256 CrossRefPubMedGoogle Scholar
  43. 43.
    Kaplan K, Salzer MS, Solomon P, Brusilovskiy E, Cousounis P (2011) Internet peer support for individuals with psychiatric disabilities: a randomized controlled trial. Soc Sci Med (1982) 72(1):54–62.  https://doi.org/10.1016/j.socscimed.2010.09.037 CrossRefPubMedGoogle Scholar
  44. 44.
    McCaughan E, Parahoo K, Hueter I, Northouse L, Bradbury I (2017) Online support groups for women with breast cancer. Cochrane Database Syst Rev 3:CD011652.  https://doi.org/10.1002/14651858.CD011652.pub2 CrossRefPubMedGoogle Scholar
  45. 45.
    Weber BA, Roberts BL, Resnick M, Deimling G, Zauszniewski JA, Musil C, Yarandi HN (2004) The effect of dyadic intervention on self-efficacy, social support, and depression for men with prostate cancer. Psycho-Oncol 13(1):47–60.  https://doi.org/10.1002/pon.718 CrossRefGoogle Scholar
  46. 46.
    Boyes A, Turon H, Hall A, Watson R, Proietto A, Sanson-Fisher R (2018) Preferences for models of peer support in the digital era: a cross-sectional survey of people with cancer. Psycho-Oncol.  https://doi.org/10.1002/pon.4781 CrossRefGoogle Scholar
  47. 47.
    Winzelberg AJ, Classen C, Alpers GW, Roberts H, Koopman C, Adams RE, Ernst H, Dev P, Taylor CB (2003) Evaluation of an internet support group for women with primary breast cancer. Cancer 97(5):1164–1173.  https://doi.org/10.1002/cncr.11174 CrossRefPubMedGoogle Scholar
  48. 48.
    Medley A, Kennedy C, O’Reilly K, Sweat M (2009) Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev 21(3):181–206.  https://doi.org/10.1521/aeap.2009.21.3.181 CrossRefPubMedPubMedCentralGoogle Scholar
  49. 49.
    Bagnall AM, South J, Hulme C, Woodall J, Vinall-Collier K, Raine G, Kinsella K, Dixey R, Harris L, Wright NM (2015) A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons. BMC Public Health 15:290.  https://doi.org/10.1186/s12889-015-1584-x CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    Bosire R, Betz B, Aluisio A, Hughes JP, Nduati R, Kiarie J, Chohan BH, Merkel M, Lohman-Payne B, John-Stewart G et al (2016) High rates of exclusive breastfeeding in both arms of a peer counseling study promoting EBF among HIV-infected Kenyan women. Breastfeed Med 11(2):56–63.  https://doi.org/10.1089/bfm.2015.0071 CrossRefPubMedPubMedCentralGoogle Scholar
  51. 51.
    Quintiliani LM, Whiteley JA (2016) Results of a nutrition and physical activity peer counseling intervention among nontraditional college students. J Cancer Educ 31(2):366–374.  https://doi.org/10.1007/s13187-015-0858-4 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of NursingJilin UniversityChangchunChina
  2. 2.Department of Gastrointestinal Colorectal and Anal SurgeryChina-Japan Union Hospital of Jilin UniversityChangchunChina
  3. 3.Department of AnesthesiologyThe First Hospital of Jilin UniversityChangchunChina

Personalised recommendations