Efficacy in urinary symptom burden, psychological distress, and self‑efficacy of education‑enhanced interventions in prostate cancer patients: a systematic review and meta‑analyses Martín-Núñez, Javier Raya Benítez, Julia López López, Laura Calvache Mateo, Andrés Heredia Ciuró, Alejandro Navas-Otero, Alba Valenza, Marie Carmen Urinary symptom burden Psychological distress Self-efficacy Background Worldwide, prostate cancer is both the second-most diagnosed cancer and most common solid tumor in men. Prostate cancer patients present with a symptom burden that is compounded by the impact of medical oncology treatment, affecting different domains of their perceived health status. Education active techniques are a key role in chronic disease to increase participation in their recovery. Purpose The purpose of the current review was to examine the efficacy of education-enhanced in urinary symptom burden, psychological distress, and self-efficacy in patients diagnosed with prostate cancer. Methods A wide search of the literature was conducted for articles from their inception to June 2022. Only randomized controlled trials were included. Data extraction and methodologic quality assessment of the studies were carried out by two reviewers. We previously registered the protocol of this systematic review on PROSPERO (CRD42022331954). Results A total of six studies were included in the study. After education-enhanced intervention showed significant improvements in any of perceived urinary symptom burden, one in psychological distress, and one in self-efficacy in the experimental group. The meta-analysis showed that education-enhanced interventions have a significant effect on depression. Conclusion Education-enhanced could have positive effects on urinary symptom burden, psychological distress, and selfefficacy in prostate cancer survivors. Our review was unable to demonstrate the best timing to apply education-enhanced strategies. 2023-06-15T09:29:47Z 2023-06-15T09:29:47Z 2023-05-16 journal article Martín-Núñez, J., Raya-Benítez, J., López-López, L. et al. Efficacy in urinary symptom burden, psychological distress, and self-efficacy of education-enhanced interventions in prostate cancer patients: a systematic review and meta-analyses. Support Care Cancer 31, 340 (2023). [https://doi.org/10.1007/s00520-023-07803-6] https://hdl.handle.net/10481/82490 10.1007/s00520-023-07803-6 eng http://creativecommons.org/licenses/by/4.0/ open access Atribución 4.0 Internacional SpringerNature