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      Changes in internet use and wishes of cancer survivors: A comparison between 2005 and 2017

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          Abstract

          Background

          Given the major changes in internet use for health communication, the objective of the current study was to compare the internet use and wishes of cancer survivors between 2005 and 2017.

          Methods

          The authors drew a sample of 390 patients in 2005 and 539 patients in 2017 who were diagnosed with breast (128 patients in 2005 and 143 patients in 2017), prostate (96 patients in 2005 and 126 patients in 2017), or gynecologic (89 patients in 2005 and 188 patients in 2017) cancer or lymphoma (77 patients in 2005 and 82 patients in 2017) in 4 different hospitals for the periods 2002 through 2004 and 2014 through 2016. These patients were sent a paper‐based questionnaire that contained 45 questions regarding demographics and 4 functions of internet use: content, communication, community, and e‐health.

          Results

          The response in 2017 (53%) was lower than that in 2005 (75%). Survivors browsed the internet most frequently to search for information regarding cancer shortly after being diagnosed and while waiting for treatment. There was little change noted with regard to the relative importance attached to the various subjects. In 2017, significant increases were evident with regard to finances (+33%), health care insurance (+29%), and genetics and/or heritability (+27%). The wishes expressed in 2005 by patients were realized in part in 2017.

          Conclusions

          A significant sample of cancer survivors in the Netherlands have indicated that the internet is an important source of information regarding their illness. However, little change was evident over the past 15 years with regard to patients' priorities regarding their wishes for internet use. The wishes of users in 2005 were found to accurately reflect the internet use of the majority of patients in 2017. The results of the current study support the belief that health care professionals should expand their online services and tailor them toward the needs and wishes of their patients.

          Abstract

          The internet wishes of patients with cancer reported in 2005 accurately reflect the internet use of the majority of patients in 2017. The current study supports the belief that health care professionals should expand their online services and tailor them toward the needs and desires of their patients.

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          Most cited references21

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          Randomized Trial Comparing a Web-Mediated Follow-up With Routine Surveillance in Lung Cancer Patients.

          The use of web-based monitoring for lung cancer patients is growing in interest because of promising recent results suggesting improvement in cancer and resource utilization outcomes. It remains an open question whether the overall survival (OS) in these patients could be improved by using a web-mediated follow-up rather than classical scheduled follow-up and imaging.
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            Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management.

            Two main psychologic coping styles for dealing with cancer and other health threats have been identified: monitoring (attending to) or blunting (avoiding) potentially threatening information. This article reviews results and implications from this research relevant to cancer screening and management. The Monitor-Blunter Style Scale has been used extensively to assess and categorize patients with regard to these coping styles to predict their differential responses to various cancer-related screening and management regimens. Patients characterized by a monitoring coping style generally are more concerned and distressed about their cancer risk, experience greater treatment side effects, are more knowledgeable about their medical situation, and are less satisfied with and more demanding about the psychosocial aspects of their care. They also prefer a more passive role in clinical decision making, are more adherent to medical recommendations, and manifest greater psychologic morbidity in response to cancer-related threats. Patients fare better (psychologically, behaviorally, and physiologically) when the information they receive about their medical condition is tailored to their own coping styles: generally those with a monitoring style tend to do better when given more information, and those with a blunting style do better with less information. However, patients with a monitoring style who are pessimistic about their future or who face long term, intensely threatening, and uncontrollable medical situations may require not just more information, but also, more emotional support to help them deal with their disease.
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              The Impact of Internet Health Information on Patient Compliance: A Research Model and an Empirical Study

              Background Patients have been increasingly seeking and using Internet health information to become more active in managing their own health in a partnership with their physicians. This trend has both positive and negative effects on the interactions between patients and their physicians. Therefore, it is important to understand the impact that the increasing use of Internet health information has on the patient-physician relationship and patients’ compliance with their treatment regimens. Objective This study examines the impact of patients’ use of Internet health information on various elements that characterize the interactions between a patient and her/his physician through a theoretical model based on principal-agent theory and the information asymmetry perspective. Methods A survey-based study consisting of 225 participants was used to validate a model through various statistical techniques. A full assessment of the measurement model and structural model was completed in addition to relevant post hoc analyses. Results This research revealed that both patient-physician concordance and perceived information asymmetry have significant effects on patient compliance, with patient-physician concordance exhibiting a considerably stronger relationship. Additionally, both physician quality and Internet health information quality have significant effects on patient-physician concordance, with physician quality exhibiting a much stronger relationship. Finally, only physician quality was found to have a significant impact on perceived information asymmetry, whereas Internet health information quality had no impact on perceived information asymmetry. Conclusions Overall, this study found that physicians can relax regarding their fears concerning patient use of Internet health information because physician quality has the greatest impact on patients and their physician coming to an agreement on their medical situation and recommended treatment regimen as well as patient’s compliance with their physician’s advice when compared to the impact that Internet health information quality has on these same variables. The findings also indicate that agreement between the patient and physician on the medical situation and treatment is much more important to compliance than the perceived information gap between the patient and physician (ie, the physician having a higher level of information in comparison to the patient). In addition, the level of agreement between a patient and their physician regarding the medical situation is more reliant on the perceived quality of their physician than on the perceived quality of Internet health information used. This research found that only the perceived quality of the physician has a significant relationship with the perceived information gap between the patient and their physician and the quality of the Internet health information has no relationship with this perceived information gap.
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                Author and article information

                Contributors
                m.vaneenbergen@iknl.nl
                Journal
                Cancer
                Cancer
                10.1002/(ISSN)1097-0142
                CNCR
                Cancer
                John Wiley and Sons Inc. (Hoboken )
                0008-543X
                1097-0142
                03 October 2019
                15 January 2020
                : 126
                : 2 ( doiID: 10.1002/cncr.v126.2 )
                : 408-415
                Affiliations
                [ 1 ] Department of Research Netherlands Comprehensive Cancer Organisation (IKNL) Utrecht the Netherlands
                [ 2 ] Department of Communication and Cognition Tilburg University Tilburg the Netherlands
                [ 3 ] Department of Gynaecology Catharina Hospital Eindhoven the Netherlands
                [ 4 ] Department of Urology Elisabeth‐Tweesteden Hospital, Tilburg and Waalwijk the Netherlands
                [ 5 ] Department of Obstetrics and Gynaecology Elisabeth‐TweeSteden Hospital, Tilburg and Waalwijk the Netherlands
                [ 6 ] Department of Medical and Clinical Psychology Tilburg University Tilburg the Netherlands
                [ 7 ] Division of Psychosocial Research and Epidemiology The Netherlands Cancer Institute Amsterdam the Netherlands
                Author notes
                [*] [* ] Corresponding author: Mies C. H. J. van Eenbergen, MA, Department of Research, Netherlands Comprehensive Cancer Organisation (IKNL), Post Box 19079, 3501 DB Utrecht, the Netherlands; m.vaneenbergen@ 123456iknl.nl

                Author information
                https://orcid.org/0000-0001-6731-3296
                https://orcid.org/0000-0001-8040-1207
                https://orcid.org/0000-0002-9673-7845
                https://orcid.org/0000-0002-2948-0867
                https://orcid.org/0000-0002-1612-0395
                https://orcid.org/0000-0002-6304-7549
                https://orcid.org/0000-0003-0818-2913
                https://orcid.org/0000-0003-0413-6872
                Article
                CNCR32524
                10.1002/cncr.32524
                7004117
                31580497
                2c2c05fd-94fc-4f87-a2f3-0ef3a8434c19
                © 2019 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 13 May 2019
                : 23 August 2019
                : 27 August 2019
                Page count
                Figures: 1, Tables: 4, Pages: 8, Words: 11965
                Categories
                Original Article
                Original Articles
                Discipline
                Listen to the Patient
                Custom metadata
                2.0
                January 15, 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.5 mode:remove_FC converted:06.02.2020

                Oncology & Radiotherapy
                breast cancer,cancer survivors,gynecologic cancer,internet,lymphoma,prostate cancer

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