Online couple interventions in cancer Purpose of review Cancer diagnosis and treatment can have long-lasting psychological and physical consequences that affect both patients and their intimate partners. Improved understanding of extant dyadic interventions in the context of cancer, and how access to these may be enhanced through web-based technologies, introduce new directions for how cancer-related psychological distress for couples may be ameliorated. Recent findings Couples are negatively impacted by cancer, both individually, and as a dyad. Bolstering techniques to support effective communication about common cancer-related concerns and support for adjusting to new roles and responsibilities may help to strengthen the couple's relationship so partners are better able to cope with cancer. Although there are various intervention options available for couples dealing with cancer, many pose barriers to participation because of constraints on time and/or distance. However, online interventions have been shown to be effective, both in easing psychological distress and reducing participant burden. Summary Couples dealing with cancer experience psychological distress and must learn to navigate changing roles and responsibilities in the face of the disease. Online interventions offer flexible and innovative platforms and programs that help to address couples’ educational needs while strengthening dyadic coping. Correspondence to Karen D. Fergus, Sunnybrook Health Sciences Centre, Odette Cancer Centre, Patient and Family Support Program, 2075 Bayview Ave, Toronto, ON, Canada M4N 3M5. Tel.: +1 416 480 4623;. fax: +1 416 480 5144; e-mail: Karen.Fergus@sunnybrook.ca Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Online psychosocial interventions for posttreatment cancer survivors: an international evidence review and update Purpose of review The present review describes recent research on online psychosocial interventions for posttreatment cancer survivors from January 2018 to June 2019. Recent findings Twenty-three studies were included in the review (the majority included were feasibility studies and only five randomized controlled trials had large samples). Websites were the most common platforms for intervention delivery (9/23) and cognitive behavioral therapy was the most frequently used therapeutic approach (11/23). Three interventions based on this framework and delivered via websites or combined website-telehealth platforms showed to be effective in improving psychosocial issues (fear of cancer recurrence, insomnia, sleep quality, and prospective memory failures) in posttreatment cancer survivors. Web-based self-compassion writing was also found to be effective in addressing body image distress and body appreciation in breast cancer survivors. Feasibility studies mostly showed online interventions to be plausible and acceptable to cancer survivors. A good representation of online interventions for young adult cancer survivors (30%) was found. Summary Online interventions show promise in addressing the psychosocial needs of cancer survivors. Despite new online interventions being found to be feasible and acceptable and some showing promise in addressing important psychosocial issues in cancer survivors posttreatment, more rigorous studies are required to inform supportive care for this population. Correspondence to Kate M. Gunn, Cancer Research Institute, University of South Australia, Department of Rural Health, University of South Australia. Tel: +61417852537; +61 8 8302 2842; e-mail: kate.gunn@unisa.edu.au Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Online interventions for sexual health in cancer Purpose of review Recent advances in digital healthcare, combined with the increasing appreciation for the need for sexual health programming in cancer, has established a zeitgeist for further development of digital health interventions for sexual health in cancer. Developers of digital health interventions should consider two equally important factors: efficacy of the intervention, and participant engagement. This review describes the status of digital health interventions in sexual health within the oncology setting. Recent findings Sexual dysfunction and related psychological distress affecting patients and their partners is recognized as a significant survivorship care need in the oncology setting. Provision of care is challenged by traditional approaches to disease follow-up, and limited healthcare resources. Digital health interventions may offer efficient, accessible, and scalable care pathways. Digital health innovation in cancer survivorship and sexual health indicates trends toward efficacy, yet patient engagement remains a challenge. Implementation of established online patient engagement approaches are recommended. Summary Studies to date may underestimate the potential of digital health interventions in sexual health and cancer due to poor patient engagement. Developers of digital health intervention will benefit from effort in employing engagement strategies and engagement-efficacy analysis. Correspondence to Andrew G. Matthew, Ph.D., Princess Margaret Cancer Centre, 700 University Avenue, Toronto, ON, Canada M5G 1Z5. Tel.: +1 416 946 2332;. e-mail: andrew.matthew@uhn.ca Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

Spirituality in heart failure: a review of the literature from 2014 to 2019 to identify spiritual care needs and spiritual interventions Purpose of review The burden of heart failure is significant and its management is complex. Current evidence confirms a high level of spiritual distress and a strong desire for spiritual support, which is endorsed by healthcare policy, yet spiritual support is rarely provided for this patient group. There is a need to identify how spiritual support might be meaningfully included within holistic heart failure multidisciplinary care and how its effectiveness might be demonstrated. Recent findings A literature review was undertaken to identify recent evidence (2014–2019) of the spiritual care needs of heart failure patients/carers and the nature and effectiveness of spiritual interventions in heart failure care. Summary Taken as a whole, studies exploring heart failure patients’/carers’ needs reflected the broad spectrum of spirituality as defined by international consensus, however, some studies focused on only some aspects of spirituality and on advanced disease. All studies were limited. No single spiritual intervention was identified as effective in enhancing quality of life in patients with heart failure. Life review and relaxation/meditation appeared ineffective. Interventions, which included elements of ‘talking’ about spiritual matters, ‘spiritual coping’ and those involving a holistic person-centred team approach to care of which spiritual care was an aspect, are worth investigating further in well designed randomized controlled trials. Correspondence to Linda Ross, PhD, BA, RGN, Professor of Nursing (Spirituality), School of Care Sciences, Faculty of Life Sciences and Education, University of South Wales, Pontypridd CF37 4BD, UK. Tel: +44 1443 483109; e-mail: linda.ross@southwales.ac.uk Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.