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

Temple University, Filadelfia, Pennsylvania, United States
Journal of Health Communication (Impact Factor: 1.61). 04/2006; 11(2):219-36. DOI: 10.1080/10810730500526794
Source: PubMed


This study examines the relationship of Internet health information use with patient behavior and self-efficacy among 498 newly diagnosed cancer patients. Subjects were classified by types of Internet use: direct use (used Internet health information themselves), indirect use (used information accessed by friends or family), and non-use (never accessing Internet information). Subjects were recruited from callers of the National Cancer Institute's (NCI's) Cancer Information Service, Atlantic Region. They were classified by type of Internet use at enrollment and interviewed by telephone after 8 weeks. There were significant relationships among Internet use and key study variables: subject characteristics, patient task behavior, and self-efficacy. Subjects' Internet use changed significantly from enrollment to 8 week follow-up; 19% of nonusers and indirect users moved to a higher level of Internet use. Significant relationships also were found among Internet use and perceived patient-provider relationship, question asking, and treatment compliance. Finally, Internet use was also significantly associated with self-efficacy variables (confidence in actively participating in treatment decisions, asking physicians questions, and sharing feelings of concern). The results of this study show that patients who are newly diagnosed with cancer perceive the Internet as a powerful tool, both for acquiring information and for enhancing confidence to make informed decisions.

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    • "Although in everyday life, information seeking about CTs happens less often than information scanning due to an individual's scarce time and motivation to seek CT information (Kelly et al., 2010), information obtained via information seeking tends to have a stronger impact on decision making and behavior change from the information obtained via information scanning (Niederdeppe et al., 2007). For example, previous studies have found that individuals who actively seek health information are more likely than nonseekers to have increased self-efficacy and perceptions of social support (Bass et al., 2006; Fogel, Albert, Schnabel, Ditkoff, & Neugut, 2002; Rains, 2014). "
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    ABSTRACT: Clinical trial (CT) participation is low among African Americans (AAs). To better communicate with AAs about the importance of CTs, the purpose of this study was to explore the communication sources and perceived effective communication channels and strategies through which the general public, AAs, and White individuals receive CT information. A quantitative telephone survey was conducted with AAs and Whites in one Southern state (N = 511). The measures assessed CT sources of information, perceived effectiveness of communication channels and strategies, CT understanding, and CT participation. Descriptive and bivariate analyses were used to compare responses overall and by race. AAs reported being exposed to more CT information than Whites. AAs received CT information most often through television, social media, and doctors compared to Whites. Perceived effectiveness of communication strategies and channels varied by race. AAs preferred simple and easy-to-understand CT information distributed through faith-based organizations. Whites preferred to receive CT information through a trustworthy source (e.g., doctor). There were no significant differences between AAs and Whites in their perceived effectiveness of media sources (e.g., Internet). Recommendations are provided to help health promotion practitioners and CT recruiters tailor information and communicate it effectively to potential AA and White CT participants.
    No preview · Article · Dec 2015 · Health Promotion Practice
    • "As of today, online health information seeking has been associated with various positive outcomes. Bass et al. (2006) showed cancer patients found the Internet as a useful channel for getting necessary health information and increasing their competence for making the right decision. In another study, Samal et al. (2011) found that online information seeking is positively associated with adherence to treatments, even after controlling for potentially confounding variables. "
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    ABSTRACT: The current study investigates people’s use of social networking sites for health purposes and its impact on their perception of social support and their health self-efficacy. A structural model was fitted to test hypothesized relationships between having a health concern, seeking online health information, seeking health-related social support on Facebook, perceived social support from Facebook friends, and health-related self-efficacy. The study also looks at the relative significance of social support dimensions including: emotional, informational, tangible, and esteem dimensions. An analysis of 291 respondents revealed a positive relationship between having health concerns and seeking health-related social support. Seeking support was significantly associated with all four social support dimensions. Among the four support dimensions, emotional support was the only significant predictor of health self-efficacy. Also, emotional support was the dimension that was most prevalent in Facebook contexts. Health information seeking was also positively associated with health self-efficacy but was not significantly related to having a health concern.
    No preview · Article · Sep 2013 · Computers in Human Behavior
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    • "Given this expansive, growing use of the Internet among the general adult population, a host of health related commercial and research websites have been developed (Impicciatore, Pandolfini, Casella, & Bonati, 1997). Research has shown that the Internet may empower patients to improve their health behaviors and to take a more active role in their health care (Bass et al., 2006). Web-based educational interventions may represent an important way to educate relevant populations about critical health issues and to spur the uptake of recommended disease prevention behaviors. "
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    ABSTRACT: Given the extensive use of the Internet for health information, Web-based health promotion interventions are widely perceived as an effective communication channel. The authors conducted this study to determine use of a Web-based intervention intended to improve colorectal cancer screening in a population of women who are at average risk and noncompliant to current screening recommendations. The study was a randomized controlled trial designed to compare the effectiveness of colorectal cancer screening educational materials delivered using the Internet versus a printed format. In 3 years, 391 women seen for routine obstetrics/gynecology follow-up at 2 academic centers provided relevant survey information. Of these, 130 were randomized to the Web intervention. Participants received voluntary access to a password-protected, study-specific Web site that provided information about colorectal cancer and colorectal cancer screening options. The main outcome measures were self-reported and actual Web site use. Only 24.6% of women logged onto the Web site. Age was the only variable that differentiated users from nonusers (p = .03). In contrast, 16% of participants self-reported Web use. There was significant discordance between the veracity of actual and self-reported use (p = .004). Among true users, most (81%) logged on once only. These findings raise questions about how to increase use of important health communication interventions.
    Full-text · Article · Jan 2012 · Journal of Health Communication
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