「行動學習」於癌症存活者照護計畫之成效探討──系統性文獻回顧

The Effects of Mobile Learning in Cancer Survivorship Care: A Systematic Review

背景：行動學習（mobile learning）藉行動設備將資訊導入學習情境，展現攜帶技術之便利與精準並有效突破學習局限；學者運用網路科技於癌症存活者照護計畫（Survivorship care plans，SCPs）提供癌症醫療資訊及個別性健康管理，目前國內缺乏行動學習對於癌症存活者照護成效之系統性文獻探討。
方法：採系統性文獻回顧，根據PICO架構（patient，intervention，comparison，outcome）建立P：「cancer，tumor，cancer survivors、癌症、癌症存活者」；I：「internet-based，m-Learning，e-based，e-health，mobile-application、E化、M化、行動學習」；C：「usual care、常規照護」；O：「survivorship care plans，SCPs，effectiveness、癌症存活者照護計畫、成效」等關鍵字，於cochrane、Embase、MEDLINE、PubMed、臺灣博碩士論文、華藝線上圖書館等資料庫檢索2013年至2024年間文獻，依納入及排除條件共計6篇文獻進行分析。
結果：回顧6篇實驗性研究，共1595位癌症存活者，顯示網路行動學習對改善生理及健康行為似有成效且過半數使用者願意持續使用；但是因研究樣本數差異大（n=50-625）、追蹤時間（2週至24個月）及患者遵從性不同，導致各篇文章未有一致效果。
結論：行動學習對癌症存活者照護計畫尚無一致性標準措施，未來研究可將行動學習使用率與遵從率納入成效分析，且應考量學習方案對族群之適用性並提升使用動機，才能更客觀評估行動學習措施對於存活者照護計畫之成效。

Background: Mobile learning utilizes mobile devices to deliver information in educational contexts, highlighting the convenience, accessibility, and accuracy of portable technologies for barrier-free learning. In cancer survivorship care, researchers have increasingly adopted network-based technologies to provide cancer-related information and promote individualized health management within survivorship care plans (SCPs). However, to date, there has been a lack of systematic reviews (SRs) evaluating the effects of mobile learning interventions among cancer survivors.
Methods: A systematic review was conducted following the PICO framework. The search strategy included the following keywords: P (Population):“cancer,”“tumor,”“cancer survivors”; I (Intervention):“internet-based,”“m-learning,”“e-learning,”“e-health,”“mobile application”; C (Comparison):“usual care”; and O (Outcome):“survivorship care plans,”“SCPs,”“effectiveness.”Electronic databases including Cochrane, Embase, MEDLINE, and PubMed were searched for studies published between 2013 and 2024. Based on predefined inclusion and exclusion criteria, six studies were identified and included in the review.
Results: The six experimental studies reviewed, involving a total of 1,595 cancer survivors, suggested that internetand mobile-based learning interventions may improve physiological outcomes and health behaviors. More than half of participants reported a willingness to continue using mobile learning tools. However, substantial variations in sample size (n = 50-625), follow-up duration (2 weeks-24 months), and participant adherence across studies contributed to inconsistent findings regarding intervention effectiveness.
Conclusions: Findings from this systematic review indicate a lack of standardized approaches to mobile learning within survivorship care plans. Future research should focus on the detailed assessment of mobile learning usage rates, adherence, and effectiveness. To enhance objectivity and user engagement, subsequent studies may also explore subgroup analyses to better understand the differential impacts of mobile learning interventions among cancer survivors.