Tele-Psycho-Oncology in Indian Cancer Care: A Scoping Review

Abstract

Cancer-related psychological distress remains a significant yet under-addressed aspect of oncology care in India. Although telemedicine services have expanded rapidly, tele-psycho-oncology remains limited because of workforce shortages, infrastructural disparities, and limited integration of psychosocial care within oncology settings. This scoping review examines existing tele-psycho-oncology interventions in India and explores implementation barriers, service gaps, and future directions. Following PRISMA-ScR guidelines, literature published between 2019 and 2026 was reviewed across major databases. Fifteen sources were included. Findings indicate that telephone-based psychosocial interventions are feasible and generally acceptable among Indian cancer patients, particularly in palliative and tertiary-care settings. However, barriers including digital literacy limitations, poor internet connectivity, shortage of trained professionals, and lack of standardized protocols continue to affect implementation. International evidence supports the effectiveness of telehealth-delivered psychosocial interventions, though culturally adapted models are needed for the Indian context. The review highlights the importance of task-shifting, family-inclusive interventions, and integration with national telehealth systems to improve psychosocial oncology care in resource-constrained settings.