Effects of digital playful interventions in patients with cancer during the covid-19 pandemic: a quasi-experimental study
DOI:
https://doi.org/10.4025/ciencuidsaude.v22i0.65892Keywords:
Oncology, Information Technology, Mental Disorders, Social Support, SARS-CoV-2Abstract
Objective: to assess the effect of digital playful interventions on quality of life, depression, anxiety, stress and social support in patients with cancer during the COVID-19 pandemic. Method: a quasi-experimental study, with 15 patients from a Brazilian non-governmental organization, from August 2020 to October 2021.Digital interventions consisted of storytelling, games, cooking, artistic and body expression. Sociodemographic and clinical questionnaire, quality of life questionnaire, depression, anxiety and stress scales and social support were used, all validated in the Brazilian version. Participants were assessed pre-intervention, post-intervention 1 (after 4 months) and post-intervention 2 (after 10 months).Inferential analysis verified differences between times using generalized linear models and Friedman and Nemenyi non-parametric tests, considering p≤0.05.Results: improved perceived quality of life in post-intervention 2 emotional function compared to pre-intervention time, with statistical significance (p=0.0020).Depression (p=0.0106), anxiety (p=0.0002), stress (p=0.0032) and emotional support, positive social interaction (p<0.0001) improved with statistical significance post-intervention 1 and post-intervention 2 related to pre-intervention time.Conclusion:the interventions contributed to improving emotional quality of life, depression, anxiety, stress, emotional support and positive social interaction in patients with cancer during the pandemic, and can be encouraged among this population.
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References
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2. Silva TTM, Araújo NM, Sarmento SDG, Castro GLT, DantasDV, Dantas, RAN. Impact of Covid-19 in patients with cancer: A scoping review. Texto contexto - enferm. [Internet]. 2021; 30:e20200415. DOI: https://doi.org/10.1590/1980-265X-TCE-2020-0415
3. Király O, Potenza MN, Stein DJ, King DL, Hodgins DC, Saunders JB,et al. Preventing problematic internet use during the Covid-19 pandemic: Consensus guidance. Compr Psychiatry [Internet]. 2020;100: e152180. DOI: https://doi.org/10.1016/j.comppsych.2020.152180
4. Brasil. Ministério da Saúde; Fundação Osvaldo Cruz, Escola de Governo Fiocruz Brasília. Recomendações e orientações em saúde mental e atenção psicossocial na Covid-19. Brasília, DF (BR): Fiocruz [Internet]. 2020. Disponível em:https://www.arca.fiocruz.br/handle/icict/44264
5. Frygner-Holm S, Russ S, Quitmann J, Ring L, Zyga O, Hansson M, et al. Pretend play as an intervention for children with cancer: a feasibility study. J Pediatr Oncol Nurs [Internet]. 2020; 37(1): 65-75. DOI: http://doi.org/10.1177/1043454219874695
6. Games for Mental Health (Special Issue). Games Health J[Internet]. 2021; 10(5): 293-4. Disponível em:https://www.liebertpub.com/doi/full/10.1089/g4h.2021.7021.cfp.2
7. Marin AH, Schaefer MP, Lima M, Rolim KI, Fava DC, Feijó LP. Delineamentos de Pesquisa em Psicologia Clínica: Classificação e Aplicabilidade. Psicol cienc prof [Internet]. 2021; 41: e221647. DOI: https://doi.org/10.1590/1982-3703003221647
8. Eldridge SM, Chan CL, Campbell MJ, Bond CM, Hopewell S, Thabane L, Lancaster GA; PAFS consensus group. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ [Internet]. 2016; 2: 64. DOI: https://doi.org/10.1136/bmj.i5239
9. Banskota S, Healy M, Goldberg EM. 15 Smartphone Apps for Older Adults to Use While in Isolation During the COVID-19 Pandemic. West J Emerg Med[Internet]. 2020; 21(3):514-25. DOI:https://doi.org/10.5811/westjem.2020.4.47372
10. Tong F, Yu C, Wang L, Chi I, Fu F. Systematic review of efficacy of interventions for social isolation of older adults. Front Psychol [Internet]. 2021;12: e554145. DOI: https://doi.org/10.3389/fpsyg.2021.554145
11. Santos FRD, Pinto S, Pessalacia JDR, Luchesi BM, Silva LAD, Marinho MR. Effects of clown activities on patients eligible for palliative care in primary health care. Rev Bras Enferm [Internet]. 2021; 74(5): e20200431.DOI: https://doi.org/10.1590/0034-7167-2020-0431
12. Campos JADB, Spexoto MCB, Silva WR da, Serrano SV, Marôco J. European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30: factorial models to Brazilian cancer patients. Einstein (São Paulo) [Internet]. 2018; 16(1). DOI: https://doi.org/10.1590/S1679-45082018AO4132.
13. Vignola RC, Tucci AM. Adaptation and validation of the Depression, Anxiety and Stress Scale (DASS) to Brazilian portuguese. J Affect Disord [Internet]. 2014; 155:104-9. DOI: https://doi.org/10.1016/j.jad.2013.10.031
14. Zanini DS, Peixoto EM, Nakano TC. Escala de Apoio Social (MOS-SSS): Proposta de Normatização com Referência nos Itens. Trends in Psychology [Internet]. 2018; 26(1). DOI|: https://doi.org/10.9788/TP2018.1-15Pt
15. Brasil. Ministério da Saúde; Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro, RJ(BR): INCA[Internet]. 2019. Disponível em: https://www.inca.gov.br/publicacoes/livros/estimativa-2020-incidencia-de-cancer-no-brasil
16. Kim HJ, Kim SM, Shin H, Jang JS, Kim YI, Han DH. A mobile game for patients with breast cancer for chemotherapy self-management and quality-of-life improvement: randomized controlled trial. J Med Internet Res [Internet]. 2018;20(10):e273. DOI: https://doi.org/10.2196/jmir.9559
17. Del Castillo-Rodríguez JA, Ramos-Soler I, López-Sánchez C, Quiles-Soler C. Information and communication technologies and quality of life in home confinement: Development and validation of the TICO scale. PLoS ONE[Internet]. 2020;15(11): e0241948. DOI: https://doi.org/10.1371/journal.pone.0241948
18. Kim SM, Kim HJ, Hwang HC, Hong JS, Bae S, Min KJ, et al. The effects of a serious game on depressive symptoms and anxiety in breast cancer patients with depression: a pilot study using functional magnetic resonance imaging. Games Health J [Internet]. 2018; 7(6): 409-17. DOI: https://doi.org/10.1089/g4h.2017.0183
19. Buche H, Michel A, Piccoli C, Blanc N. Contemplating or acting? Which immersive modes should be favored in virtual reality during physiotherapy for breast cancer rehabilitation.Front Psychol[Internet]. 2021; 12: e631186. DOI:https://doi.org/10.3389/fpsyg.2021.631186
20. Viana RB, de Lira CAB. Exergames as coping strategies for anxiety disorders during the covid-19 quarantine period. Games Health J [Internet]. 2020; 9(3):147-9. DOI: https://doi.org/10.1089/g4h.2020.0060
21. Maarsingh BM, Bos J, Van Tuijn CFJ, Renard SB. Changing stress mindset through stressjam: a virtual reality game using biofeedback. Games Health J[Internet]. 2019;8(5):326-31. DOI: https://doi.org/10.1089/g4h.2018.0145
22. Santos MS, Thomaz FM, Jomar RT, Abreu AMM, Taets, GGCC. Music in the relief of stress and distress in cancer patients. Rev. Bras. Enferm. [Internet]. 2021; 74(2):e20190838. DOI: https://doi.org/10.1590/0034-7167-2019-0838
23. Wünsch CG, Freitas BHBM, Rézio LA, Gaíva MAM, Kantorski LP. O cuidado ao jovem em sofrimento mental na pandemia covid-19: uma reflexão teórica. Cienc Cuid Saúde [Internet]. 2021;200. DOI: https://doi.org/10.4025/ciencuidsaude.v20i0.58805
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2023-04-11
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Effects of digital playful interventions in patients with cancer during the covid-19 pandemic: a quasi-experimental study. (2023). Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.65892
