{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T18:41:21Z","timestamp":1791744081852,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Although telehealth is increasingly implemented in palliative oncology, the psychosocial effectiveness of nurse-led telehealth interventions remains unclear. Existing reviews are largely descriptive and do not isolate nurse-delivered interventions or synthesize psychosocial outcomes for both patients and family caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of nurse-led telehealth interventions on psychosocial outcomes among patients with cancer receiving palliative care and their family caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>Nine electronic databases were searched from inception to April 2025 for randomized controlled trials evaluating nurse-led telehealth interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nine trials (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20093177 participants) were included. Among patients, nurse-led telehealth significantly reduced anxiety (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g<\/jats:italic>\n                      \u2009=\u20090.46) and improved quality of life (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g<\/jats:italic>\n                      \u2009=\u20090.33). Effects on depressive symptoms were not statistically significant. Among family caregivers, significant improvements were observed in anxiety (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g<\/jats:italic>\n                      \u2009=\u20090.30), depression (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g<\/jats:italic>\n                      \u2009=\u20090.42), quality of life (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g<\/jats:italic>\n                      \u2009=\u20090.45), and stress burden (Hedges\u2019\n                      <jats:italic toggle=\"yes\">g<\/jats:italic>\n                      \u2009=\u20090.44). Interventions comprising more than six sessions demonstrated greater effectiveness for selected outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nurse-led telehealth interventions improve psychosocial outcomes in palliative oncology for both patients and family caregivers. Structured and adequately intensive programs may enhance intervention impact and support evidence-based digital nursing practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261431088","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:48:57Z","timestamp":1774511337000},"page":"918-932","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The effectiveness of nurse-led telehealth interventions in palliative care for patients with cancer and their family caregivers: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9076-2735","authenticated-orcid":false,"given":"Merve Gozde","family":"Sezgin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Nursing, Akdeniz University Faculty of Nursing, Antalya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3356-3120","authenticated-orcid":false,"given":"Hicran","family":"Bektas","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nursing, Akdeniz University Faculty of Nursing, Antalya, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Teoli D Schoo C Kalish VB. 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