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

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.

[1]  Christina M. Sabee,et al.  Exploration of the Construct of Reliance Among Patients Who Talk with Their Providers About Internet Information , 2007, Journal of health communication.

[2]  G. Eysenbach The Impact of the Internet on Cancer Outcomes , 2003, CA: a cancer journal for clinicians.

[3]  Sarah Bauerle Bass,et al.  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 , 2006, Journal of health communication.

[4]  H. Burstein Commentary on “Internet Usage Among Women with Breast Cancer: An Exploratory Study” , 2000 .

[5]  J. Hiller,et al.  Information and support for women following the primary treatment of breast cancer , 2002, Health expectations : an international journal of public participation in health care and health policy.

[6]  J. de Haes,et al.  Doctor-patient communication: a review of the literature. , 1995, Social science & medicine.

[7]  Stephen A. Rains,et al.  Human Communication Research Issn 0360-3989 a Meta-analysis of Research on Formal Computer-mediated Support Groups: Examining Group Characteristics and Health Outcomes , 2022 .

[8]  C. Daugherty,et al.  Use of the internet to obtain cancer information among cancer patients at an urban county hospital. , 2005, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[9]  Joshua Fogel,et al.  Internet use and social support in women with breast cancer. , 2002, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[10]  Carma L. Bylund,et al.  Cancer patients' decisions about discussing Internet information with their doctors , 2009, Psycho-oncology.

[11]  Jennifer L. Schwartz,et al.  Patterns of Internet use and impact on patients with melanoma. , 2005, Journal of the American Academy of Dermatology.

[12]  M. Shim,et al.  Connecting Internet Use with Gaps in Cancer Knowledge , 2008, Health communication.

[13]  C. Bylund,et al.  Doctor–Patient Communication About Cancer-Related Internet Information , 2010, Journal of psychosocial oncology.

[14]  B. Rimer,et al.  How Cancer Survivors Provide Support on Cancer-Related Internet Mailing Lists , 2007, Journal of medical Internet research.

[15]  Joseph A. Diaz,et al.  Patients’ use of the internet for medical information , 2002, Journal of General Internal Medicine.

[16]  G. Eysenbach Infodemiology: The epidemiology of (mis)information. , 2002, The American journal of medicine.

[17]  Rebekah H Nagler,et al.  How Do Cancer Patients Navigate the Public Information Environment? Understanding Patterns and Motivations for Movement Among Information Sources , 2010, Journal of Cancer Education.

[18]  Nehama Lewis,et al.  Internet use leads cancer patients to be active health care consumers. , 2010, Patient education and counseling.

[19]  C. Daugherty,et al.  American oncologists' views of internet use by cancer patients: a mail survey of American Society of Clinical Oncology members. , 2003, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[20]  Valérie Bonadona,et al.  Patients' characteristics and rate of Internet use to obtain cancer information. , 2006, Journal of public health.

[21]  Gary L. Kreps,et al.  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. , 2005, Archives of internal medicine.

[22]  Feng Gao,et al.  A survey of Internet utilization among patients with cancer , 2011, Supportive Care in Cancer.

[23]  Dominick L Frosch,et al.  Decision making in medicine and health care. , 2005, Annual review of clinical psychology.

[24]  E. Ernst The prevalence of complementary/Alternative medicine in cancer , 1998, Cancer.

[25]  R Sikorski,et al.  Digital dialogue. Sharing information and interests on the Internet. , 1997, JAMA.