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Sources and types of online information that breast cancer patients read and discuss with their doctors

Published online by Cambridge University Press:  04 November 2013

Erin K. Maloney*
Affiliation:
University of Pennsylvania, Philadelphia, Pennsylvania
Thomas A. D'Agostino
Affiliation:
Memorial Sloan–Kettering Cancer Center, New York, New York
Alexandra Heerdt
Affiliation:
Memorial Sloan–Kettering Cancer Center, New York, New York
Maura Dickler
Affiliation:
Memorial Sloan–Kettering Cancer Center, New York, New York
Yuelin Li
Affiliation:
Memorial Sloan–Kettering Cancer Center, New York, New York
Jamie S. Ostroff
Affiliation:
Memorial Sloan–Kettering Cancer Center, New York, New York
Carma L. Bylund
Affiliation:
Memorial Sloan–Kettering Cancer Center, New York, New York
*
Address correspondence and reprint requests to: Erin Maloney, Annenberg School of Communication, University of Pennsylvania, 3620 Walnut Street, Philadelphia, Pennsylvania19104; E-mail: emaloney@asc.upenn.edu

Abstract

Objectives:

Most research examining the impact of patients seeking online health information treats internet information homogenously, rather than recognizing that there are multiple types and sources of available information. The present research was conducted to differentiate among sources and types of internet information that patients search for, intend to discuss with their doctors, and recall discussing with their doctors, and to determine how accurate and hopeful patients rate this information.

Methods:

We surveyed 70 breast cancer patients recruited from the waiting rooms of breast medical oncology and surgery clinics. The main variables in the study were as follows: (1) the sources and types of online information patients have read, intended to discuss, and actually discussed with their doctors, and (2) how accurately and hopefully they rated this information to be.

Results:

Patients read information most frequently from the websites of cancer organizations, and most often about side effects. Patients planned to discuss fewer types of information with their doctors than they had read about. They most often intended to discuss information from cancer organization websites or WebMD, and the material was most often about alternative therapies, side effects, and proven or traditional treatments. Some 76.8% of total participants rated the information they had read as very or somewhat accurate, and 61% rated the information they had read as very or somewhat hopeful.

Significance of Results:

Internet information varies widely by source and type. Differentiating among sources and types of information is essential to explore the ways in which online health information impacts patients' experiences.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

REFERENCES

Bass, S.B., Ruzek, S.B., Gordon, T.F., et al. (2006). Relationship of internet health information use with patient behavior and self-efficacy: Experiences of newly diagnosed cancer patients who contact the National Cancer Institute's Cancer Information Service. Journal of Health Communication: International Perspectives, 11(2), 219236.Google Scholar
Bennett-Clark, J. (1996). Where health information is byte-size: Online advice can help you manage health cost. Kiplinger's Personal Finance, 96–97.Google Scholar
Burstein, H.J. (2000). Commentary on “Internet usage among women with breast cancer: An exploratory study.” Clinical Breast Cancer, 1(2), 154155.Google Scholar
Bylund, C.L., Sabee, C.M., Imes, R.S., et al. (2007). Exploration of the construct of reliance among patients who talk with their providers about internet information. Journal of Health Communication, 12(1), 1728.Google Scholar
Bylund, C.L., Gueguen, J.A., D'Agostino, T.A., et al. (2009). Cancer patients' decisions about discussing internet information with their doctors. Psycho-Oncology, 18, 11391146.Google Scholar
Bylund, C.L., Gueguen, J.A., D'Agostino, T.A., et al. (2010). Doctor–patient communication about cancer-related internet information. Journal of Psychosocial Oncology, 28, 127142.CrossRefGoogle ScholarPubMed
Castleton, K., Fong, T., Wang-Gillam, A., et al. (2011). A survey of internet utilization among patients with cancer. Supportive Care in Cancer, 19, 11831190.CrossRefGoogle ScholarPubMed
Diaz, J.A., Griffith, R.A., Ng, J.J., et al. (2002). Patients' use of the internet for medical information. Journal of General Internal Medicine, 17(3), 180185.Google Scholar
Ernst, E. (1998). The prevalence of complementary/alternative medicine in cancer. Cancer, 83, 777782.Google Scholar
Eysenbach, G. (2002). Infodemiology: The epidemiology of (mis)information. The American Journal of Medicine, 113(9), 763765.Google Scholar
Eysenbach, G. (2003). The impact of the internet on cancer outcomes. CA: A Cancer Journal for Clinicians, 53(6), 356371.Google Scholar
Fogel, J., Albert, S.M., Schnabel, F., et al. (2002). Internet use and social support in women with breast cancer. Health Psychology, 21(4), 398404.Google Scholar
Helft, P.R., Hlubocky, F. & Daugherty, C.K. (2003). American oncologists' views of internet use by cancer patients: A mail survey of American Society of Clinical Oncology members. Journal of Clinical Oncology, 21(5), 942947.Google Scholar
Helft, P.R., Eckles, R.E., Johnson-Calley, C.S., et al. (2005). Use of the internet to obtain cancer information among cancer patients at an urban county hospital. Journal of Clinical Oncology, 23(22), 49544962.Google Scholar
Hesse, B., Nelson, D., Kreps, G., et al. (2005). Trust and sources of health information: The impact of the internet and its implications for health care providers: Findings from the Health Information National Trends Survey. Archives of Internal Medicine, 165, 26182624.Google Scholar
Kaplan, R.M. & Frosch, D.L. (2005). Decision making in medicine and health care. Annual Review of Clinical Psychology, 1(1), 525556.Google Scholar
Lee, C.-J., Gray, S.W. & Lewis, N. (2010). Internet use leads cancer patients to be active health care consumers. Patient Education and Counseling, 81(Suppl. 1), S63S69.Google Scholar
Mancini, J., Nogues, C., Adenis, C., et al. (2006). Patients' characteristics and rate of internet use to obtain cancer information. Journal of Public Health, 28(3), 235237.Google Scholar
Meier, A., Lyons, J.E., Frydman, G., et al. (1997). How cancer survivors provide support on cancer-related internet mailing lists. Journal of Medical Internet Research, 9(2), e12.Google Scholar
Nagler, R., Romantan, A., Kelly, B., et al. (2010). How do cancer patients navigate the public information environment? Understanding patterns and motivations for movement among information sources. Journal of Cancer Education, 25(3), 360370.CrossRefGoogle ScholarPubMed
Ong, L.M.L., de Haes, J.C.J.M., Hoos, A.M., et al. (1995). Doctor–patient communication: A review of the literature. Social Science & Medicine, 40(7), 903918.Google Scholar
Peters, R.S. (1997). Digital dialogue: Sharing information and interests on the internet. The Journal of the American Medical Association, 277(15), 12581260.Google Scholar
Rains, S.A. & Young, V.A. (2009). Meta-analysis of research on formal computer-mediated support groups: Examining group characteristics and health outcomes. Human Communication Research, 35(3), 309336.Google Scholar
Raupach, J.C.A. & Hiller, J.E. (2002). Information and support for women following the primary treatment of breast cancer. Health Expectations, 5, 289301.Google Scholar
Sabel, M.S., Strecher, V.J., Schwartz, J.L., et al. (2005). Patterns of internet use and impact on patients with melanoma. Journal of the American Academy of Dermatology, 52(5), 779785.CrossRefGoogle ScholarPubMed
Shim, M. (2008). Connecting internet use with gaps in cancer knowledge. Health Communication, 23(5), 448461.Google Scholar