TECHNOLOGY SUPPORTED SELF-GUIDED NUTRITION AND PHYSICAL ACTIVITY INTERVENTIONS IN ADULTS WITH CANCER: A SYSTEMATIC REVIEW 
N. Kiss1,2, B. Baguley2, K. Ball1,2, R. Daly1,2, S. Fraser1,2, K. Granger3, A. Ugalde4.
1Deakin University, Institute for Physical Activity and Nutrition- School of Exercise and Nutrition Sciences, Melbourne, Australia.
2Deakin University, School of Exercise and Nutrition Sciences, Melbourne, Australia.
3University of Melbourne, School of Nursing- Medicine- Dentistry and Health Sciences, Melbourne, Australia.
4Deakin University, School of Nursing and Midwifery- Faculty of Health, Melbourne, Australia.
Introduction:
Nutrition and physical activity interventions form an important component of cancer care. This systematic review describes and appraises the literature regarding the efficacy of technology supported self-guided nutrition and physical activity interventions for people with cancer. 
Methods:
A systematic search of Medline, Scopus, CINAHL, EMBASE, Cochrane library and SPORTDiscus was conducted through to July 2018 for randomised or non-randomised controlled trials investigating technology supported self-guided nutrition and physical activity interventions. Risk of bias was assessed using the Cochrane Risk of Bias tool. Outcomes of interest were measures of behavioural, health-related, clinical, health service or financial outcomes. 
Results:
Seventeen randomised controlled trials representing 2,719 participants were included. The majority of studies used a web-based intervention (n=10). Six studies assessed dietary behaviour with two reporting a significant benefit on diet quality or fruit and vegetable intake. Fifteen studies measured physical activity behaviour with eight finding significant improvements in muscle strength and moderate to vigorous physical activity levels. Four of nine studies assessing health-related quality of life (HRQoL) reported a significant improvement in global HRQoL or a HRQoL domain. A significant improvement in fatigue was found in four of six studies. Overall, the risk of bias was moderate. Interpretation of findings is influenced by inadequate reporting of both the intervention description and compliance. Conclusions:
This review identified a benefit of technology supported self-guided interventions on physical activity behaviour and fatigue, and some benefit on dietary behaviour and HRQoL in people with cancer. There is lack of evidence investigating the long-term benefit and cost effectiveness.

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