Patient Web-Resource Interest and Internet Readiness in Pediatric Inflammatory Bowel Disease

Objective The internet has been touted as a cost-effective method of providing valuable patient education and support resources. However, little is known of the level of internet interest in or access to web-based resources of most chronically ill populations generally, and pediatric populations in particular. Web-based patient resources could be especially applicable to the pediatric inflammatory bowel disease (IBD) population given the potential appeal of an anonymous forum for this group. Methods Tertiary-care clinic patients aged 8–18 years and diagnosed with IBD were surveyed by mail. &khgr;2 and/or analysis of variance were used to compare demographic data from nonresponders and responders and for subgroup analyses. Results Of 162 eligible patients, 63 (38.9%) completed the survey. Responders did not differ significantly from nonresponders by age, sex, or distribution of disease. Overall, 98.4% of those surveyed had internet access, with 61.9% having access at school. Ninety-five percent had used the internet, while 91% expressed interest in visiting a pediatric IBD website for general IBD information (83%), for support (73%), to pose questions (78%) or read (73%) or respond (60%) to questions, or to chat with others (46%). Despite expressed interest, far fewer had ever used the internet as an IBD information (52.4%) or support (9.5%) resource. Similarly, although 15.8% anticipated visiting a pediatric IBD site weekly, only 1.5% had done so in the week of the survey. Conclusions Reported levels of interest in web-based patient resources are high among pediatric IBD patients, yet use may be infrequent.

[1]  R. Baldassano,et al.  Inflammatory bowel disease in pediatric and adolescent patients. , 1999, Gastroenterology clinics of North America.

[2]  L Tetzlaff,et al.  Consumer informatics in chronic illness. , 1997, Journal of the American Medical Informatics Association : JAMIA.

[3]  I. Mühlhauser,et al.  Evidence‐based patient information in diabetes , 2000, Diabetic medicine : a journal of the British Diabetic Association.

[4]  P. Zvára,et al.  The Internet and patient education--resources and their reliability: focus on a select urologic topic. , 1999, Urology.

[5]  Jo Ann Oravec On the “Proper Use” of the Internet , 2001, Journal of health & social policy.

[6]  S. A. Spooner,et al.  Pediatric Internet resources. Creation and growth of the PEDINFO index. , 1997, Archives of pediatrics & adolescent medicine.

[7]  A. Jacobson,et al.  What attracts patients with diabetes to an internet support group? A 21‐month longitudinal website study , 2001, Diabetic medicine : a journal of the British Diabetic Association.

[8]  S. Watt,et al.  Well‐Adjusted Children: An Alternate View of Children with Inflammatory Bowel Disease and Functional Gastrointestinal Complaints , 2000, Inflammatory bowel diseases.

[9]  Borzekowski,et al.  Urban girls, internet use, and accessing health information , 2000, Journal of pediatric and adolescent gynecology.

[10]  Deborah Lewis,et al.  Review: Computer-based Approaches to Patient Education: A Review of the Literature , 1999, J. Am. Medical Informatics Assoc..

[11]  D. Borzekowski,et al.  Adolescent cybersurfing for health information: a new resource that crosses barriers. , 2001, Archives of pediatrics & adolescent medicine.

[12]  K A McKibbon,et al.  Interventions for helping patients to follow prescriptions for medications. , 2002, The Cochrane database of systematic reviews.

[13]  I S Kohane,et al.  Growth and determinants of access in patient e-mail and Internet use. , 2000, Archives of pediatrics & adolescent medicine.

[14]  P. Klemm,et al.  A nontraditional cancer support group. The Internet. , 1998, Computers in nursing.

[15]  P. Reeves Coping in Cyberspace: The Impact of Internet Use on the Ability of HIV-Positive Individuals to Deal with Their Illness , 2000, Journal of health communication.

[16]  C. Betz The continual challenge of empowering children and families. , 2000, Journal of pediatric nursing.

[17]  A Wajda,et al.  Epidemiology of Crohn's disease and ulcerative colitis in a central Canadian province: a population-based study. , 1999, American journal of epidemiology.

[18]  M. Verhoef,et al.  Complementary and alternative medicine use by patients with inflammatory bowel disease: An Internet survey. , 1999, Canadian journal of gastroenterology = Journal canadien de gastroenterologie.