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
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
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DOI：
10.1080/10810730500526794
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发表时间：
2006-03-01
影响因子：
4.4
通讯作者：
Moore, D
中科院分区：
文献类型：
--
作者：
Bass, SB;Ruzek, SB;Moore, D
本研究以498例新诊断的癌症患者为研究对象，考察了互联网健康信息使用与患者行为和自我效能的关系。受试者按互联网使用类型进行分类：直接使用(使用互联网健康信息本身)、间接使用(朋友或家人访问的信息)和不使用(从不访问互联网信息)。受试者来自大西洋地区国家癌症研究所(NCI‘s)癌症信息服务的呼叫者。他们在注册时根据互联网使用类型进行分类，并在8周后通过电话采访。互联网使用与关键研究变量之间存在显著关系：受试者特征、患者任务行为和自我效能感。受试者的互联网使用从注册到8周的跟踪有显著变化；19%的非使用者和间接使用者转移到更高的互联网使用水平。互联网使用与感知的患者-提供者关系、提问和治疗依从性之间也发现了显著的关系。最后，互联网使用也与自我效能变量显著相关(对积极参与治疗决策、向医生提问以及分享担忧情绪的信心)。这项研究的结果表明，新被诊断为癌症的患者认为互联网是一种强大的工具，既可以获取信息，也可以增强做出明智决定的信心。
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 selfefficacy. 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.