Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

In Whom Do Cancer Survivors Trust Online and Offline?

  • Shahrokni, Armin (Geriatrics/Gastrointestinal Oncology Services, Memorial Sloan Kettering Cancer Center) ;
  • Mahmoudzadeh, Sanam (Tehran University of Medical Sciences) ;
  • Lu, Bryan Tran (Geriatrics Service, Memorial Sloan Kettering Cancer Center)
  • Published : 2014.08.15
Download PDF
⟨ Previous Next ⟩

Abstract

Background: In order to design effective educational intervention for cancer survivors, it is necessary to identify most-trusted sources for health-related information and the amount of attention paid to each source. Objective: The objective of our study was to explore the sources of health information used by cancer survivors according to their access to the internet and levels of trust in and attention to those information sources. Materials and Methods: We analyzed sources of health information among cancer survivors using selected questions adapted from the 2012 Health Information National Trends Survey (HINTS). Results: Of 357 participants, 239 (67%) had internet access (online survivors) while 118 (33%) did not (offline survivors). Online survivors were younger (p<0.001), more educated (p<0.001), more non-Hispanic whites (p<0.001), had higher income (p<0.001), had more populated households (p<0.001) and better quality of life (p<0.001) compared to offline survivors. Prevalence of some disabilities was higher among offline survivors including serious difficulties with walking or climbing stairs (p<0.001), being blind or having severe visual impairment (p=0.001), problems with making decisions (p<0.001), doing errands alone (p=0.001) and dressing or bathing (p=0.001). After adjusting for socio-demographic status, cancer survivors who were non-Hispanic whites (OR= 3.49, p<0.01), younger (OR=4.10, p<0.01), more educated (OR= 2.29, p=0.02), with greater income (OR=4.43, p<0.01), and with very good to excellent quality of life (OR=2.60, p=0.01) had higher probability of having access to the internet, while those living in Midwest were less likely to have access (OR= 0.177, p<0.01). Doctors (95.5%) were the most and radio (27.8%) was the least trusted health related information source among all cancer survivors. Online survivors trusted internet much more compared to those without access (p<0.001) while offline cancer survivors trusted health-related information from religious groups and radio more than those with internet access (p<0.001 and p=0.008). Cancer survivors paid the most attention to health information on newsletters (63.8%) and internet (60.2%) and the least to radio (19.6%). More online survivors paid attention to internet than those without access (68.5% vs 39.1%, p<0.001) while more offline survivors paid attention to radio compared to those with access (26.8% vs 16.5%, p=0.03). Conclusions: Our findings emphasize the importance of improving the access and empowering the different sources of information. Considering that the internet and web technologies are continuing to develop, more attention should be paid to improve access to the internet, provide guidance and maintain the quality of accredited health information websites. Those without internet access should continue to receive health-related information via their most trusted sources.

Keywords

References

  1. American Cancer Society (2014). Cancer Facts and Figures. American Cancer Society: Atlanta, Georgia, U.S.A, 2014.
  2. Bennenbroek FT, Buunk BP, van der Zee KI, Grol B (2002). Social comparison and patient information: what do cancer patients want? Patient Educ Couns, 47, 5-12. https://doi.org/10.1016/S0738-3991(02)00018-6
  3. Bianco A, Zucco R, Nobile CG, Pileggi C, Pavia M (2013). Parents seeking health-related information on the internet: cross-sectional study. J Med Internet Res, 15, 204. https://doi.org/10.2196/jmir.2752
  4. Cantor DJ, Covell T, Davis I, Park, Rizzo L (2005). Health Information National Trends Survey 2005 (HINTS 2005): Final Report. Bethesda, MD: National Cancer Institute.
  5. Carlsson M (2000). Cancer patients seeking information from sources outside the health care system. Support Care Cancer, 8, 453-7.
  6. Carlsson ME (2009). Cancer patients seeking information from sources outside the health care system: change over a decade. Eur J Oncol Nurs, 13, 304-5. https://doi.org/10.1016/j.ejon.2009.03.005
  7. Cassileth BR, Zupkis RV, Sutton-Smith K, March V (1980). Information and participation preferences among cancer patients. Ann Intern Med, 92, 832-6. https://doi.org/10.7326/0003-4819-92-6-832
  8. Chou WY, Hunt YM, Beckjord EB, Moser RP, Hesse BW (2009). Social media use in the United States: implications for health communication. J Med Internet Res, 11, 48. https://doi.org/10.2196/jmir.1249
  9. Chou WY, Liu B, Post S, Hesse B (2011). Health-related Internet use among cancer survivors: data from the Health Information National Trends Survey, 2003-2008. J Cancer Surviv, 5, 263-70. https://doi.org/10.1007/s11764-011-0179-5
  10. Cotten SR, Gupta SS (2004). Characteristics of online and offline health information seekers and factors that discriminate between them. Soc Sci Med, 59, 1795-806. https://doi.org/10.1016/j.socscimed.2004.02.020
  11. Donohue JM, Huskamp HA, Wilson IB, Weissman J (2009). Whom do older adults trust most to provide information about prescription drugs? Am J Geriatr Pharmacother, 7, 105-16. https://doi.org/10.1016/j.amjopharm.2009.04.005
  12. Dugandzija T, Mikov MM, Rajcevic S, et al (2012). Information sources for Serbian women on cervical carcinoma risk factors. Asian Pac J Cancer Prev, 13, 2931-4. https://doi.org/10.7314/APJCP.2012.13.6.2931
  13. Eakin EG, Strycker LA (2001). Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: patient and provider perspectives. Psychooncology, 10, 103-13. https://doi.org/10.1002/pon.500
  14. Hesse BW, Nelson DE, Kreps GL, et al (2005). Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med, 165, 2618-24. https://doi.org/10.1001/archinte.165.22.2618
  15. James C, James N, Davies D, Harvey P, Tweddle S (1999). Preferences for different sources of information about cancer. Patient Educ Couns, 37, 273-82. https://doi.org/10.1016/S0738-3991(99)00031-2
  16. James N, Daniels H, Rahman R, et al (2007). A study of information seeking by cancer patients and their carers. Clin Oncol (R Coll Radiol), 19, 356-62. https://doi.org/10.1016/j.clon.2007.02.005
  17. Jung M (2013). Cancer control and the communication innovation in South Korea: implications for cancer disparities. Asian Pac J Cancer Prev, 14, 3411-7. https://doi.org/10.7314/APJCP.2013.14.6.3411
  18. Jung M (2014). Associations of self-rated health and socioeconomic status with information seeking and avoiding behavior among post- treatment cancer patients. Asian Pac J Cancer Prev, 15, 2231-8. https://doi.org/10.7314/APJCP.2014.15.5.2231
  19. Jung M, Ramanadhan S, Viswanath K (2013). Effect of information seeking and avoidance behavior on self-rated health status among cancer survivors. Patient Educ Couns, 92, 100-6. https://doi.org/10.1016/j.pec.2013.02.008
  20. Kav S, Tokdemir G, Tasdemir R, Yalili A, Dinc D (2012). Patients with cancer and their relatives beliefs, information needs and information-seeking behavior about cancer and treatment. Asian Pac J Cancer Prev, 13, 6027-32. https://doi.org/10.7314/APJCP.2012.13.12.6027
  21. Lea J, Lockwood G, Ringash J (2005). Survey of computer use for health topics by patients with head and neck cancer. Head Neck, 27, 8-14. https://doi.org/10.1002/hed.20114
  22. Lin WL, Sun JL, Chang SC, et al (2014). Development and application of telephone counseling services for care of patients with colorectal cancer. Asian Pac J Cancer Prev, 15, 969-73. https://doi.org/10.7314/APJCP.2014.15.2.969
  23. Marrie RA, Salter AR, Tyry T, Fox RJ, Cutter GR (2013). Preferred sources of health information in persons with multiple sclerosis: degree of trust and information sought. J Med Internet Res, 15, 67. https://doi.org/10.2196/jmir.2466
  24. Mayer DK, Terrin NC, Kreps GL, et al (2007). Cancer survivors information seeking behaviors: a comparison of survivors who do and do not seek information about cancer. Patient Educ Couns, 65, 342-50. https://doi.org/10.1016/j.pec.2006.08.015
  25. Miller SM (1995). Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management. Cancer, 76, 167-77. https://doi.org/10.1002/1097-0142(19950715)76:2<167::AID-CNCR2820760203>3.0.CO;2-K
  26. Mohammadzadeh N, Safdari R, Rahimi A (2013). Cancer care management through a mobile phone health approach: key considerations. Asian Pac J Cancer Prev, 14, 4961-4. https://doi.org/10.7314/APJCP.2013.14.9.4961
  27. National Cancer Institute (2012). Health Information National Trends Survey 4 (HINTS 4). http://hints.cancer.gov/docs/HINTS4_Cycle1_Methods_Report_revised_Jun2012.pdf. http://www.webcitation.org/6Ojrjnp14).
  28. Nelson D, Kreps G, Hesse B, et al (2004). The health information national trends survey (HINTS): Development, design, and dissemination. J Health commun, 9, 443-60. https://doi.org/10.1080/10810730490504233
  29. Pearson SD, Raeke LH (2000). Patients' trust in physicians: many theories, few measures, and little data. J Gen Intern Med, 15, 509-13. https://doi.org/10.1046/j.1525-1497.2000.11002.x
  30. Rogers SN, Rozek A, Aleyaasin N, Promod P, Lowe D (2012). Internet use among head and neck cancer survivors in the North West of England. Br J Oral Maxillofac Surg, 50, 208-14. https://doi.org/10.1016/j.bjoms.2011.03.264
  31. Rutten LJ, Arora NK, Bakos AD, Aziz N, Rowland J (2005). Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). Patient Educ Couns, 57, 250-61. https://doi.org/10.1016/j.pec.2004.06.006
  32. Sait KH, Anfinan NM, Eldeek B, et al (2014). Perception of patients with cancer towards support management services and use of complementary alternative medicine--a single institution hospital-based study in Saudi Arabia. Asian Pac J Cancer Prev, 15, 2547-54. https://doi.org/10.7314/APJCP.2014.15.6.2547
  33. Smith RP, Devine P, Jones H, et al (2003). Internet use by patients with prostate cancer undergoing radiotherapy. Urology, 62, 273-7. https://doi.org/10.1016/S0090-4295(03)00251-6
  34. Tian Y, Robinson JD (2008). Incidental health information use and media complementarity: a comparison of senior and non-senior cancer patients. Patient Educ Couns, 71, 340-4. https://doi.org/10.1016/j.pec.2008.02.006
  35. van de Poll-Franse LV, van Eenbergen MC (2008). Internet use by cancer survivors: current use and future wishes. Support Care Cancer, 16, 1189-95. https://doi.org/10.1007/s00520-008-0419-z
  36. Waters EA, Arora NK, Klein WM, Han PK (2010). Perceived risk, trust and health-related quality of life among cancer survivors. Ann Behav Med, 39, 91-7. https://doi.org/10.1007/s12160-010-9163-y
  37. Ye Y (2011). Correlates of consumer trust in online health information: findings from the health information national trends survey. J Health Commun, 16, 34-49.

Cited by

  1. Living Experiences of Indian Adult Cancer Survivors - a Brief Report vol.16, pp.2, 2015, https://doi.org/10.7314/APJCP.2015.16.2.507
  2. From Self-care for Healthy People to Self-management for Cancer Patients with Cancer Portals vol.16, pp.4, 2015, https://doi.org/10.7314/APJCP.2015.16.4.1321
  3. Alterations in the small intestinal wall and motor function after repeated cisplatin in rat vol.29, pp.7, 2017, https://doi.org/10.1111/nmo.13047
  4. Evaluation of the First Polish Web-Based Intervention Aimed at Improving Cancer Prevention (the PORINA Study) vol.15, pp.6, 2018, https://doi.org/10.3390/ijerph15061167
  5. Health-Related Information-Seeking Behaviors and Preferences Among Mexican Patients with Cancer vol.33, pp.3, 2018, https://doi.org/10.1007/s13187-018-1334-8