Toward a greater understanding of breast cancer patients' decisions to discuss cancer-related internet information with their doctors: An exploratory study Journal Article

   


Authors: D'Agostino, T. A.; Ostroff, J. S.; Heerdt, A.; Dickler, M.; Li, Y.; Bylund, C. L.
Article Title: Toward a greater understanding of breast cancer patients' decisions to discuss cancer-related internet information with their doctors: An exploratory study
Abstract: Objective: To investigate differences between breast cancer patients who do and do not discuss cancer-related internet information (CRII) with their doctors. Methods: 70 breast cancer patients completed questionnaires regarding internet use, discussions about CRII, and the doctor-patient relationship. Results: No significant differences were noted across patient, disease, or visit characteristics, or physician reliance between those who intended to discuss CRII and those who did not. Patients who intended to discuss CRII rated significantly higher pre-consultation anxiety levels. No significant differences in satisfaction, anxiety reduction, or trust in physician were found between patients who had discussed and those who had not. Patients' reasons for discussing or not discussing are detailed. Conclusion: Factors influencing patients' decisions to discuss CRII are complex and differ from those identified as leading patients to seek internet information. Future research about internet discussions should investigate the impact of patients' preferred role in treatment, the doctor-patient relationship, anxiety level, attributes of CRII, and physician trust. Practice implications: Understanding the characteristics of patients who do and do not discuss internet information is important given the impact internet information has on healthcare communication and the doctor-patient relationship, including the development of interventions aimed at improving such interactions. © 2012 Elsevier Ireland Ltd.
Keywords: adult; aged; middle aged; patient satisfaction; major clinical study; disease course; cancer patient; prospective studies; breast cancer; internet; patient education as topic; attitude to health; breast neoplasms; questionnaires; health service; questionnaire; psychological aspect; doctor patient relation; patient information; medical information; physician-patient relations; physician; consultation; emotion; doctor-patient communication; patient decision making; information seeking behavior; anxiety; new york; patient attitude; socioeconomic factors; exploratory research; trust; health care need; help seeking behavior; information seeking; cancer related internet information
Journal Title: Patient Education and Counseling
Volume: 89
Issue: 1
ISSN: 0738-3991
Publisher: Elsevier Ireland Ltd.  
Date Published: 2012-10-01
Start Page: 109
End Page: 115
Language: English
DOI: 10.1016/j.pec.2012.05.008
PROVIDER: scopus
PMCID: PMC3462296
PUBMED: 22722063
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-84866630935&partnerID=40&md5=3c8f7874b1aa277ccd5781e0eacb1dbb
Notes: --- - "Export Date: 2 November 2012" - "CODEN: PEDCD" - "Source: Scopus"
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MSK Authors
  1. Yuelin Li
    219 Li
  2. Jamie S Ostroff
    344 Ostroff
  3. Maura N Dickler
    262 Dickler
  4. Alexandra S Heerdt
    110 Heerdt
  5. Carma L Bylund-Lincoln
    101 Bylund-Lincoln
  6. Thomas D'Agostino
    32 D'Agostino
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