Illness stories on the internet: what do breast cancer patients want at the end of treatment?

The study aims to elicit user requirements for internet‐based applications disclosing fellow patients' illness stories for the benefit of breast cancer patients. Twenty‐six breast cancer patients, recruited via the Dutch Patient Organization for Breast Cancer, were interviewed about their preferences with regards to content, appearance, and search options concerning fellow patients' illness stories online. The interviews were analysed quantitatively (SPSS) and qualitatively (NVivo). Participants were mainly interested in fellow patients' experiences about how to cope with emotions, the impact of cancer in daily life, and physical discomforts. Most participants preferred a section of an illness story in text format about a specific topic; some of them wanted to be able to click on to the corresponding complete story, comprising of text alone or supported by voice or video clip. A majority of participants wanted to be able to select illness stories on the basis of several authors' features, i.e. treatment underwent, age, presence of metastases, time since diagnosis, and whether or not caring for children. Participants gave arguments for their preferences. The findings of this study will be used for designing an online trial with breast cancer patients aiming at refining the user requirements. Copyright © 2007 John Wiley & Sons, Ltd.

[1]  J. Rowland,et al.  Information needs and sources of information among cancer patients: a systematic review of research (1980-2003). , 2005, Patient education and counseling.

[2]  N. Weinberg,et al.  Online help: cancer patients participate in a computer-mediated support group. , 1996, Health & social work.

[3]  A. Radley Making sense of illness , 1994 .

[4]  Arthur W. Frank,et al.  The Wounded Storyteller: Body, Illness, and Ethics , 1995 .

[5]  J. Pennebaker,et al.  Disclosing and sharing emotion: Psychological, social and health consequences , 2001 .

[6]  C E Rees,et al.  The information needs and source preferences of women with breast cancer and their family members: a review of the literature published between 1988 and 1998. , 2000, Journal of advanced nursing.

[7]  M. T. Høybye,et al.  Online interaction. Effects of storytelling in an internet breast cancer support group , 2005 .

[8]  Femke T.C. Bennenbroek Social comparison and coping with radiation therapy: The significance of different dimensions of comparison , 2003 .

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

[10]  P. Ganz,et al.  Quality of life at the end of primary treatment of breast cancer: first results from the moving beyond cancer randomized trial. , 2004, Journal of the National Cancer Institute.

[11]  S. Ziebland,et al.  What do patients with prostate or breast cancer want from an Internet site? A qualitative study of information needs. , 2004, Patient education and counseling.

[12]  B. F. Sharf,et al.  Illness narratives and the social construction of health. , 2003 .

[13]  J. Pennebaker,et al.  Forming a story: the health benefits of narrative. , 1999, Journal of clinical psychology.

[14]  Bilodeau Ba,et al.  Information needs, sources of information, and decisional roles in women with breast cancer. , 1996 .

[15]  R. Overberg,et al.  Illness stories on the Internet: features of websites disclosing breast cancer patients' illness stories in the Dutch language. , 2006, Patient education and counseling.