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Senior Patients Online: Which Functions Should a Good Patient Website Offer?

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Part of the Lecture Notes in Computer Science book series (LNISA,volume 8010)


This study proposes a theoretical framework for patient website functions and provides empirical input for the framework. A pilot survey among younger (aged 50 – 64, M = 55.95, SD = 4.48, n = 21) and older (aged 65 – 84, M = 72.79, SD = 6.33, n = 14) cancer patients revealed that patients’ website preferences vary across type of website functions as well as across age groups. Whereas the majority of patients reported high preference for website functions in general (e.g., information provision), preferences varied across preferred delivery methods of these functions. Furthermore, differences in information preferences indicate a trend of younger patients preferring to search information themselves whereas older patients seem to prefer receiving disease relevant information and practical tips. We provide first evidence for patient preferences regarding specific website functions and thus provide practical implications for website design.


  • aging
  • information preferences
  • patient website functions
  • cancerrelated information


  1. Garssen, J.: Demografie Van De Vergrijzing (Demography of Aging),

  2. World Health Organization: 10 Facts on Ageing and the Life Course,

  3. Dutch Cancer Society: Kanker in Nederland Tot 2020: Trends En Prognoses (Cancer in the Netherlands Up to 2020: Trends and Prognoses) (2011),

  4. American Cancer Society: Cancer Facts and Figures (2012),

  5. Morrell, R.W.: Older Adults, Health Information, and the World Wide Web. Lawrence Erlbaum Associates, Inc., Mahwah (2002)

    Google Scholar 

  6. Statistics Netherlands: Ouderen Maken Een Inhaalslag Op Het Internet (Elderly Catching Up on the Internet),

  7. Ziebland, S.: The Importance of Being Expert: The Quest for Cancer Information on the Internet. Soc. Sci. Med. 59, 1783–1793 (2004)

    CrossRef  Google Scholar 

  8. Pernice, K., Nielsen, J.: Web Usability for Senior Citizens: Design Guidelines Based on Usability Studies with People Age 65 and Older. Nielsen Norman Group, Fremont (2002)

    Google Scholar 

  9. Parrott, R., Raup Krieger, J., Silk, K., et al.: Aging Adults and Online Cancer Information: Promises and Pitfalls in an Era of Genomic Health Care. In: Sparks, L., O’Hair, H., Kreps, G. (eds.) Cancer, Communication and Aging, pp. 47–66. Hampton Press, Inc., New York (2008)

    Google Scholar 

  10. Becker, S.A.: A Study of Web Usability for Older Adults Seeking Online Health Resources. ACM Transactions on Computer-Human Interaction (TOCHI) 11, 387–406 (2004)

    CrossRef  Google Scholar 

  11. Alemagno, S.A., Niles, S.A., Treiber, E.A.: Using Computers to Reduce Medication Misuse of Community-Based Seniors: Results of a Pilot Intervention Program. Geriatric Nursing 25, 281–285 (2004)

    CrossRef  Google Scholar 

  12. Neafsey, P.J., Strickler, Z., Shellman, J., et al.: An Interactive Technology Approach to Educate Older Adults about Drug Interactions Arising from Over-the-Counter Self-Medication Practices. Public Health Nursing 19, 255–262 (2002)

    CrossRef  Google Scholar 

  13. Gustafson, D.H., Hawkins, R.P., Boberg, E.W., et al.: CHESS: 10 Years of Research and Development in Consumer Health Informatics for Broad Populations, Including the Underserved. Int. J. Med. Inf. 65, 169–177 (2002)

    CrossRef  Google Scholar 

  14. Money, A.G., Lines, L., Fernando, S., Elliman, A.D.: e-Government Online Forms: Design Guidelines for Older Adults in Europe. Universal Access in the Information Society 10, 1–16 (2011)

    CrossRef  Google Scholar 

  15. Jones, J.B., Snyder, C.F., Wu, A.W.: Issues in the Design of Internet-Based Systems for Collecting Patient-Reported Outcomes. Quality of Life Research 16, 1407–1417 (2007)

    CrossRef  Google Scholar 

  16. Albada, A., van Dulmen, S., Otten, R., et al.: Development of E-Info Geneca: A Website Providing Computer-Tailored Information and Question Prompt Prior to Breast Cancer Genetic Counseling. Journal of Genetic Counseling 18, 326–338 (2009)

    CrossRef  Google Scholar 

  17. Albada, A., Ausems, M.G.E.M., Otten, R., et al.: Use and Evaluation of an Individually Tailored Website for Counselees Prior to Breast Cancer Genetic Counseling. Journal of Cancer Education 26, 670–681 (2011)

    CrossRef  Google Scholar 

  18. Clayman, M.L., Boberg, E.W., Makoul, G.: The use of Patient and Provider Perspectives to Develop a Patient-Oriented Website for Women Diagnosed with Breast Cancer. Patient Educ. Couns. 72, 429–435 (2008)

    CrossRef  Google Scholar 

  19. Lafky, D.B., Horan, T.A.: Prospective Personal Health Record Use among Different User Groups: Results of a Multi-Wave Study. In: 41st Hawaii International Conference on System Sciences, pp. 233–241. IEEE Press, New York (2008)

    Google Scholar 

  20. Tang, P.C., Ash, J.S., Bates, D.W., et al.: Personal Health Records: Definitions, Benefits, and Strategies for Overcoming Barriers to Adoption. Journal of the American Medical Informatics Association 13, 121–126 (2006)

    CrossRef  Google Scholar 

  21. Staudinger, U.M., Bluck, S.: A view on midlife development from life-span theory. In: Lachman, M.E. (ed.) Handbook of Midlife Development, pp. 3–39. John Wiley & Sons, New York (2001)

    Google Scholar 

  22. Silliman, R.A., Troyan, S.L., Guadagnoli, E., Kaplan, S.H., Greenfield, S.: The impact of age, marital status, and physician-patient interactions on the care of older women with breast carcinoma. Cancer 80, 1326–1334 (1997)

    CrossRef  Google Scholar 

  23. Kaelber, D.C., Jha, A.K., Johnston, D., et al.: A Research Agenda for Personal Health Records (PHRs). Journal of the American Medical Informatics Association 15, 729–736 (2008)

    CrossRef  Google Scholar 

  24. López-Nores, M., Blanco-Fernández, Y., Pazos-Arias, J.J., et al.: The iCabiNET System: Harnessing Electronic Health Record Standards from Domestic and Mobile Devices to Support Better Medication Adherence. Computer Standards & Interfaces 34, 109–116 (2012)

    CrossRef  Google Scholar 

  25. Carstensen, L.L., Fung, H.H., Charles, S.T.: Socioemotional Selectivity Theory and the Regulation of Emotion in the Second Half of Life. Motiv. Emotion 27, 103–123 (2003)

    CrossRef  Google Scholar 

  26. Ferguson, T.: Online Patient-Helpers and Physicians Working Together: A New Partnership for High Quality Health Care. BMJ 321, 1129–1132 (2000)

    CrossRef  Google Scholar 

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Bol, N., Scholz, C., Smets, E.M.A., Loos, E.F., de Haes, H.C.J.M., van Weert, J.C.M. (2013). Senior Patients Online: Which Functions Should a Good Patient Website Offer?. In: Stephanidis, C., Antona, M. (eds) Universal Access in Human-Computer Interaction. User and Context Diversity. UAHCI 2013. Lecture Notes in Computer Science, vol 8010. Springer, Berlin, Heidelberg.

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