Abstract
This study describes Internet use by breast cancer patients highlighting search patterns and examining the impact of web-based information on the clinical encounter. From September 2011 to January 2012, breast cancer patients at a cancer center completed a survey. Answers were closed and open-ended. Eighty-one patients were approached and 56 completed the survey. Forty-five (80 %) respondents used the Internet and 32 (71 %) searched for breast cancer information. All used Google as their principal search engine. To evaluate quality, 47 % referred to author credentials and 41 % examined references. Most sought information with respect to treatment or prognosis. Eighty percent felt that the information increased their knowledge and influenced treatment decision making for 53 %. This study highlights search patterns and factors used by breast cancer patients in seeking web-based information. Physicians must appreciate that patients use the Internet and address discrepancies between information sought and that which is available.
This is a preview of subscription content,
to check access.References
Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW (2002) Patients' use of the Internet for medical information. J Gen Intern Med 17:180–185
Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, Viswanath K (2005) Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med 165:2618–2624
Harris Interactive (2010) “Cyberchrondriacs” on the rise? http://www.harrisinteractive.com/vault/HI-Harris-Poll-Cyberchondriacs-2010-08-04.pdf. Accessed 16 Jan 2013
Ahmad F, Hudak PL, Bercovitz K, Hollenberg E, Levinson W (2006) Are physicians ready for patients with Internet-based health information? J Med Internet Res 8:e22
Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI (2002) Use of the Internet by women with breast cancer. J Med Internet Res 4:E9
Quinn EM, Corrigan MA, McHugh SM, Murphy D, O'Mullane J, Hill AD, Redmond HP (2012) Breast cancer information on the internet: analysis of accessibility and accuracy. Breast 21(4):514–517. doi:10.1016/j.breast.2012.01.020
Dickerson SS, Reinhart A, Boemhke M, Akhu-Zaheya L (2011) Cancer as a problem to be solved: internet use and provider communication by men with cancer. Comput Inform Nurs 29:388–395
McMullan M (2006) Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. Patient Educ Couns 63:24–28
van de Poll-Franse LV, van Eenbergen MC (2008) Internet use by cancer survivors: current use and future wishes. Support Care Cancer 16:1189–1195
Castleton K, Fong T, Wang-Gillam A, Waqar MA, Jeffe DB, Kehlenbrink L, Gao F, Govindan R (2011) A survey of Internet utilization among patients with cancer. Support Care Cancer 19:1183–1190
McHugh SM, Corrigan M, Morney N, Sheikh A, Lehane E, Hill AD (2011) A quantitative assessment of changing trends in Internet usage for cancer information. World J Surg 35:253–257
Ziebland S, Chapple A, Dumelow C, Evans J, Prinjha S, Rozmovits L (2004) How the internet affects patients' experience of cancer: a qualitative study. BMJ 328:564
Silberg WM, Lundberg GD, Musacchio RA (1997) Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor–Let the reader and viewer beware. JAMA 277:1244–1245
Bader SA, Braude RM (1998) “Patient informatics”: creating new partnerships in medical decision making. Acad Med 73:408–411
Hoffman-Goetz L, Clarke JN (2000) Quality of breast cancer sites on the World Wide Web. Can J Public Health 91:281–284
Berland GK, Elliott MN, Morales LS, Algazy JI, Kravitz RL, Broder MS, Kanouse DE, Munoz JA, Puyol JA, Lara M, Watkins KE, Yang H, McGlynn EA (2001) Health information on the Internet: accessibility, quality, and readability in English and Spanish. JAMA 285:2612–2621
Eysenbach G (2003) The impact of the Internet on cancer outcomes. CA Cancer J Clin 53:356–371
Eysenbach G, Kohler C (2002) How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. BMJ 324:573–577
Hollander S, Lanier D (2001) The physician-patient relationship in an electronic environment: a regional snapshot. Bull Med Libr Assoc 89:397–399
Pereira JL, Koski S, Hanson J, Bruera ED, Mackey JR (2000) Internet usage among women with breast cancer: an exploratory study. Clin Breast Cancer 1:148–153
Harris I (2003) What does “The discovery of grounded theory” have to say to medical education? Adv Health Sci Educ Theory Pract 8:49–61
Fraenkel J, Wallen N (2008) How to design and evaluate research in education, 7th edn. MacGraw Hill, Boston
Satterlund MJ, McCaul KD, Sandgren AK (2003) Information gathering over time by breast cancer patients. J Med Internet Res 5:e15
Metz JM, Devine P, DeNittis A, Jones H, Hampshire M, Goldwein J, Whittington R (2003) A multi-institutional study of Internet utilization by radiation oncology patients. Int J Radiat Oncol Biol Phys 56:1201–1205
Meric F, Bernstam EV, Mirza NQ, Hunt KK, Ames FC, Ross MI, Kuerer HM, Pollock RE, Musen MA, Singletary SE (2002) Breast cancer on the world wide web: cross sectional survey of quality of information and popularity of websites. BMJ 324:577–581
Wang L, Wang J, Wang M, Liang Y, Xu D (2011) Use experience evaluation of Google search for obtaining medical knowledge: a case study. Int J Data Min Bioinforma 5:626–639
Jadad AR (2004) A view from the Internet age: let's build a health system that meets the needs of the next generation. CMAJ 171:1457–1458
Charnock D, Shepperd S, Needham G, Gann R (1999) DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Commun Health 53:105–111
Deshpande A, Jadad AR (2009) Trying to measure the quality of health information on the internet: is it time to move on? J Rheumatol 36:1–3
Health on the Net Foundation (2004) Health on the net (HON) foundation code of conduct for medical and health websites
Abbott VP (2000) Web page quality: can we measure it and what do we find? A report of exploratory findings. J Public Health Med 22:191–197
Winker MA, Flanagin A, Chi-Lum B, White J, Andrews K, Kennett RL, DeAngelis CD, Musacchio RA (2000) Guidelines for medical and health information sites on the internet: principles governing AMA web sites. American Medical Association. JAMA 283:1600–1606
Bylund CL, D'Agostino TA, Ostroff J, Heerdt A, Li Y, Dickler M (2012) Exposure to and intention to discuss cancer-related internet information among patients with breast cancer. J Oncol Pract 8:40–45
Nagler RH, Gray SW, Romantan A, Kelly BJ, DeMichele A, Armstrong K, Schwartz JS, Hornik RC (2010) Differences in information seeking among breast, prostate, and colorectal cancer patients: results from a population-based survey. Patient Educ Couns 81(Suppl):S54–S62
Nagler RH, Romantan A, Kelly BJ, Stevens RS, Gray SW, Hull SJ, Ramirez AS, Hornik RC (2010) How do cancer patients navigate the public information environment? Understanding patterns and motivations for movement among information sources. J Cancer Educ 25:360–370
Murray A, Sharpe A (2013) Human Capital and Productivity in British Columbia. http://www.csls.ca/reports/csls2011-10.pdf. Accessed 16 Jan 2013
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nguyen, S.K.A., Ingledew, PA. Tangled in the Breast Cancer Web: an Evaluation of the Usage of Web-Based Information Resources by Breast Cancer Patients. J Canc Educ 28, 662–668 (2013). https://doi.org/10.1007/s13187-013-0509-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-013-0509-6