This systematic review aimed to identify the unmet needs of culturally and linguistically diverse (CALD) cancer survivors in Australia, defined as individuals from non-English-speaking countries and/or those who do not speak English at home. It also examined the factors associated with the identified unmet needs, along with suggestions and recommendations to address them. Seven databases were systematically searched from their inception to November 2024. Studies focused on the unmet needs of CALD cancer survivors in Australia, regardless of the study design, were included. The Mixed Methods Appraisal Tool was used to assess the methodological quality of the included studies, and content analysis and descriptive analysis were adopted for data analysis. Six studies were included, comprising two quantitative and four qualitative studies. The quality of the included studies was moderate to high, with four included studies meeting 100 % of the criteria. The most reported unmet needs among CALD cancer survivors were related to the health system and information, followed by psychological well-being, and patient care and support. Language barriers and cultural beliefs were the main factors associated with their unmet needs. Translated written material with culturally tailored information was the most recommended approach to address their unmet needs. CALD cancer survivors in Australia experienced unmet needs, especially culturally specific information related to cancer rehabilitation. Providing culturally tailored health resources and information in their languages or establishing multilingual platforms would effectively enhance health information provision and address unmet needs. Policymakers should consider transcultural training for healthcare providers. INPLASY2024110074 (https://doi.org/10.37766/inplasy2024.11.0074).

Background: Circumcision as a common elective pediatric surgery worldwide is a stressful and anxiety-inducing experience for parents and children. Although current perioperative interventions proved effective, such as reducing preoperative anxiety, there are limited holistic solutions using mobile apps. Objective: This paper aims to describe the development and primary evaluation of an intelligent customer-driven smartphone-based app program (ICory-Circumcision) to enhance health outcomes among children undergoing circumcision and their family caregivers. Methods: Based on the review of the literature and previous studies, Bandura’s self-efficacy theory was adopted as the conceptual framework. A multidisciplinary team was built to identify the content and develop the apps. Semistructured interviews were conducted to evaluate the ICory-Circumcision. Results: The ICory-Circumcision study was carried out from March 2019 to January 2020 and comprised 2 mobile apps, BuddyCare app and Triumf Health mobile game app. The former provides a day-by-day perioperative guide for parents whose children are undergoing circumcision, while the latter provides emotional support and distraction to children. In total, 6 participants were recruited to use the apps and interviewed to evaluate the program. In total, 4 main categories and 10 subcategories were generated from content analysis. Conclusions: ICory-Circumcision seemed to lean toward being useful. Revisions to ICory-Circumcision are necessary to enhance its contents and features before advancing to the randomized controlled trial. Trial Registration: ClinicalTrials.gov NCT04174404; https://clinicaltrials.gov/ct2/show/NCT04174404

This study aims to identify commonly utilised self-managed non-pharmacological interventions for managing post-treatment ULD among breast cancer survivors, evaluate their effectiveness and safety, and identify the research gaps for future studies. A systematic review was conducted, and eight English databases (PubMed, Cochrane Library, Embase, CINAHL, Web of Science, Scopus, PsycINFO, and ProQuest) were searched from their inception to 30 September 2025. Google and ResearchGate were also searched to identify any additional eligible studies. Narrative synthesis was used for data analysis. Risk of Bias version 2 was used to assess the quality of the included studies. 5972 studies were identified by initial research, and eight studies were finally included. Commonly utilised self-managed non-pharmacological interventions for managing post-treatment ULD among breast cancer survivors were exercise-based strategies. Three studies reported a statistically significant effect on improving post-treatment ULD, and five studies reported unexpected events during interventions. Regarding the methodological quality, five studies had some concerns, and three had a high risk of bias. Self-managed non-pharmacological interventions for post-treatment ULD in breast cancer survivors are predominantly exercise-based. However, evidence regarding their effectiveness and safety remains inconclusive due to the limited number, heterogeneity, and methodological limitations of existing studies. Notably, evidence on non-exercise self-managed approaches is lacking. Low-intensity, structured exercise programs incorporating upper limb stretching and movement-based exercises may represent a feasible self-managed option for improving upper limb function. INPLASY2025110066 (https://doi.org/10.37766/inplasy2025.11.0066). INPLASY2025110066 (https://doi.org/10.37766/inplasy2025.11.0066).

BACKGROUND Circumcision as a common elective pediatric surgery worldwide is a stressful and anxiety-inducing experience for parents and children. Although current perioperative interventions proved effective, such as reducing preoperative anxiety, there are limited holistic solutions using mobile apps. OBJECTIVE This paper aims to describe the development and primary evaluation of an intelligent customer-driven smartphone-based app program (ICory-Circumcision) to enhance health outcomes among children undergoing circumcision and their family caregivers. METHODS Based on the review of the literature and previous studies, Bandura’s self-efficacy theory was adopted as the conceptual framework. A multidisciplinary team was built to identify the content and develop the apps. Semistructured interviews were conducted to evaluate the ICory-Circumcision. RESULTS The ICory-Circumcision study was carried out from March 2019 to January 2020 and comprised 2 mobile apps, BuddyCare app and Triumf Health mobile game app. The former provides a day-by-day perioperative guide for parents whose children are undergoing circumcision, while the latter provides emotional support and distraction to children. In total, 6 participants were recruited to use the apps and interviewed to evaluate the program. In total, 4 main categories and 10 subcategories were generated from content analysis. CONCLUSIONS ICory-Circumcision seemed to lean toward being useful. Revisions to ICory-Circumcision are necessary to enhance its contents and features before advancing to the randomized controlled trial. CLINICALTRIAL ClinicalTrials.gov NCT04174404; https://clinicaltrials.gov/ct2/show/NCT04174404