Reducing the digital divide for low-income women with breast cancer: A feasibility study of a population-based intervention
Reducing the digital divide for low-income women with breast cancer: A feasibility study of a population-based intervention
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DOI：
10.1080/10810730500263281
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发表时间：
2005-01-01
影响因子：
4.4
通讯作者：
Hawkins, R
中科院分区：
文献类型：
--
作者：
Gustafson, DH;McTavish, FM;Hawkins, R
帮助服务不足的妇女及其家庭应对乳腺癌的一个根本挑战是向她们提供容易获得的可靠保健信息和支持。对于生活在资源匮乏且往往偏远的农村地区的低收入家庭以及城市地区的低收入家庭来说，这种情况尤其普遍，因为城市地区获得信息和支持的途径可能很复杂，而且势不可挡。互联网是一种具有巨大潜力的机制，可以帮助这些家庭应对乳腺癌。本文描述了美国国家癌症研究所（NCI）癌症信息服务（CIS）提供基于互联网的系统的可行性测试，该系统已被证明可以改善服务不足的乳腺癌患者的生活质量。该测试在威斯康星州农村（低社会经济地位的白人妇女）和密歇根州底特律（低社会经济地位的非洲裔美国妇女）进行，并比较了几种不同传播策略的有效性。利用这些结果，我们提出了CIS电话和合作伙伴计划服务如何有效传播这些信息和支持系统的模型。在此过程中，我们认为可以采取重要步骤，缩小使低收入家庭无法获得有效应对癌症所需资源的数字鸿沟。这是该研究的两篇文章中的第一篇。一篇配套文章报告了对该系统的使用情况和对获得该系统的妇女的影响的评价。
A fundamental challenge to helping underserved women and their families cope with breast cancer is providing them with easily accessible, reliable health care information and support. This is especially trite for low-income families living in rural areas where resources are few, and frequently distant as well as low-income families in urban areas where access to information and support can be complex and overwhelming. The Internet is one mechanism that has tremendous potential to help these families cope with breast cancer. This article describes a feasibility test of the potential for the National Cancer Institute's (NCI's) Cancer Information Service (CIS) to provide access to an Internet-based system that has been shown to improve quality of life for underserved breast cancer patients. The test was conducted in rural Wisconsin (low socioeconomic status [SES] Caucasian women) and in Detroit, Michigan (low SES African American women), and compares the effectiveness of several different dissemination strategies. Using these results we propose a model for how CIS telephone and partnership program services could efficiently disseminate such information and support systems. In doing so we believe that important steps can be taken to close the digital divide that separates low-income families from the resources they need to effectively face cancer. This is the first of two articles coming from this study. A companion article reports on an evaluation of the use and impact of this system on the women who were given access to it.