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Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study

BACKGROUND: After a prostate cancer diagnosis, men want information about their disease and treatment options. The internet offers a convenient means to deliver health information to patients with prostate cancer. However, there are concerns about the use of the internet among this largely senior po...

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Autores principales: Bender, Jacqueline L, Feldman-Stewart, Deb, Tong, Christine, Lee, Karen, Brundage, Michael, Pai, Howard, Robinson, John, Panzarella, Tony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891399/
https://www.ncbi.nlm.nih.gov/pubmed/31742561
http://dx.doi.org/10.2196/14241
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author Bender, Jacqueline L
Feldman-Stewart, Deb
Tong, Christine
Lee, Karen
Brundage, Michael
Pai, Howard
Robinson, John
Panzarella, Tony
author_facet Bender, Jacqueline L
Feldman-Stewart, Deb
Tong, Christine
Lee, Karen
Brundage, Michael
Pai, Howard
Robinson, John
Panzarella, Tony
author_sort Bender, Jacqueline L
collection PubMed
description BACKGROUND: After a prostate cancer diagnosis, men want information about their disease and treatment options. The internet offers a convenient means to deliver health information to patients with prostate cancer. However, there are concerns about the use of the internet among this largely senior population. OBJECTIVE: This study aimed to determine the patterns and factors associated with the use of the internet as a source of health information among Canadian men with prostate cancer and the features and information required in a website. METHODS: Population surveys were conducted in four Canadian provinces (British Columbia, Alberta, Saskatchewan, and Ontario) in 2014-2015. Data analyses included descriptive, bivariable, and multivariable analyses. The Pearson Chi-square and univariable regression were used to examine associations between independent variables and health-related internet use. Correlates of health-related internet use were analyzed using multivariable logistic regression. RESULTS: A total of 1362 patients responded across the four provinces. The mean age of respondents was 69 years (SD 8.2). In addition, 82% (n=1071) were internet users and 71% (n=910) used the internet daily. Further, 65% (n=784) used the internet as a source of prostate cancer information, and 40% (n=521) were confident about using information obtained from the internet to make health decisions. Men who used the internet to obtain prostate cancer information were more likely to be active information seekers (odds ratio [OR]: 4.5, 95% CI 2.6-7.8), be confident using information from the internet to make health decisions (OR: 3.6, 95% CI 2.3-5.7), have broadband internet access (OR: 1.8, 95% CI 1.2-2.7), and have more unmet supportive care needs (OR: 1.05, 95% CI 1.0-1.1). Top features wanted in a website, reported by more than 50% of respondents, were a library of resources (n=893, 65.6%), tools to support treatment decision making (n=815, 59.8%), and tools to help navigate the prostate cancer journey (n=698, 51.2%). Top three topics of information wanted in such a website were treatment options (n=916, 67.3%), disease progression (n=904, 66.4%), and management of side effects (n=858, 63%). CONCLUSIONS: Over two-thirds of Canadian patients with prostate cancer surveyed use the internet as a source of health information about prostate cancer, but over half did not feel confident using information from the internet to make health decisions. Being an active information seeker, having confidence in using information from the internet to make health decisions, having broadband internet, and having more unmet supportive care needs were significantly associated with health-related internet use. Future work should examine electronic health literacy interventions as a means to boost men’s confidence in using information from the internet and design websites that include information and features that help men navigate the prostate cancer journey and support treatment decision making and management of side effects.
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spelling pubmed-68913992019-12-12 Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study Bender, Jacqueline L Feldman-Stewart, Deb Tong, Christine Lee, Karen Brundage, Michael Pai, Howard Robinson, John Panzarella, Tony J Med Internet Res Original Paper BACKGROUND: After a prostate cancer diagnosis, men want information about their disease and treatment options. The internet offers a convenient means to deliver health information to patients with prostate cancer. However, there are concerns about the use of the internet among this largely senior population. OBJECTIVE: This study aimed to determine the patterns and factors associated with the use of the internet as a source of health information among Canadian men with prostate cancer and the features and information required in a website. METHODS: Population surveys were conducted in four Canadian provinces (British Columbia, Alberta, Saskatchewan, and Ontario) in 2014-2015. Data analyses included descriptive, bivariable, and multivariable analyses. The Pearson Chi-square and univariable regression were used to examine associations between independent variables and health-related internet use. Correlates of health-related internet use were analyzed using multivariable logistic regression. RESULTS: A total of 1362 patients responded across the four provinces. The mean age of respondents was 69 years (SD 8.2). In addition, 82% (n=1071) were internet users and 71% (n=910) used the internet daily. Further, 65% (n=784) used the internet as a source of prostate cancer information, and 40% (n=521) were confident about using information obtained from the internet to make health decisions. Men who used the internet to obtain prostate cancer information were more likely to be active information seekers (odds ratio [OR]: 4.5, 95% CI 2.6-7.8), be confident using information from the internet to make health decisions (OR: 3.6, 95% CI 2.3-5.7), have broadband internet access (OR: 1.8, 95% CI 1.2-2.7), and have more unmet supportive care needs (OR: 1.05, 95% CI 1.0-1.1). Top features wanted in a website, reported by more than 50% of respondents, were a library of resources (n=893, 65.6%), tools to support treatment decision making (n=815, 59.8%), and tools to help navigate the prostate cancer journey (n=698, 51.2%). Top three topics of information wanted in such a website were treatment options (n=916, 67.3%), disease progression (n=904, 66.4%), and management of side effects (n=858, 63%). CONCLUSIONS: Over two-thirds of Canadian patients with prostate cancer surveyed use the internet as a source of health information about prostate cancer, but over half did not feel confident using information from the internet to make health decisions. Being an active information seeker, having confidence in using information from the internet to make health decisions, having broadband internet, and having more unmet supportive care needs were significantly associated with health-related internet use. Future work should examine electronic health literacy interventions as a means to boost men’s confidence in using information from the internet and design websites that include information and features that help men navigate the prostate cancer journey and support treatment decision making and management of side effects. JMIR Publications 2019-11-19 /pmc/articles/PMC6891399/ /pubmed/31742561 http://dx.doi.org/10.2196/14241 Text en ©Jacqueline L Bender, Deb Feldman-Stewart, Christine Tong, Karen Lee, Michael Brundage, Howard Pai, John Robinson, Tony Panzarella. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.11.2019. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Bender, Jacqueline L
Feldman-Stewart, Deb
Tong, Christine
Lee, Karen
Brundage, Michael
Pai, Howard
Robinson, John
Panzarella, Tony
Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study
title Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study
title_full Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study
title_fullStr Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study
title_full_unstemmed Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study
title_short Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study
title_sort health-related internet use among men with prostate cancer in canada: cancer registry survey study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6891399/
https://www.ncbi.nlm.nih.gov/pubmed/31742561
http://dx.doi.org/10.2196/14241
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