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癌症幸存者的信息支持。

Information support for cancer survivors.

作者信息

Hesse Bradford W, Arora Neeraj K, Burke Beckjord Ellen, Finney Rutten Lila J

机构信息

Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland 20892-7365, USA.

出版信息

Cancer. 2008 Jun 1;112(11 Suppl):2529-40. doi: 10.1002/cncr.23445.

Abstract

Survivors' information-seeking behavior has traditionally been documented through analysis of inquiries to hotlines and cancer information services. Data from these self-selected inquiries tend to be restricted to a time around diagnosis, and to those populations possessing the wherewithal and motivation to seek information actively. The current study used data from a general population survey to assess 1) the prevalence of information-seeking behavior among survivors in the general population, 2) characteristics of seekers versus nonseekers, 3) ratings of information-seeking experience, and 4) actual versus preferred sources of information. Data were analyzed from the 2005 administration of the Health Information National Trends Survey (HINTS). HINTS is a cross-sectional, random digit dial telephone survey, weighted to provide estimates for the general population. Nearly half of all Americans (48.7%) indicated that they have looked for cancer information from 1 source or another. Percentages were highest for those who have been touched by cancer (63.1% of cancer survivors and 54.6% of those with family histories) and lowest for those with no cancer history (27.6% of those with no history). Quality concerns topped the list of information-seeking experiences for those recalling the last time they looked. Patterns of information-seeking revealed a discrepancy between preferred and actual source when tracked over years since diagnosis. Information-seeking is prevalent among cancer survivors and does not diminish over time. Prescriptions are given for reengineering the information environment to improve long-term outcomes for survivors.

摘要

传统上,幸存者的信息寻求行为是通过对热线咨询和癌症信息服务的询问分析来记录的。这些自我选择的询问数据往往局限于诊断前后的一段时间,以及那些有能力和动机积极寻求信息的人群。当前的研究使用了来自一项普通人群调查的数据,以评估:1)普通人群中幸存者信息寻求行为的发生率;2)寻求者与非寻求者的特征;3)信息寻求体验的评分;4)实际信息来源与偏好信息来源。数据来自2005年全国健康信息趋势调查(HINTS)的实施情况。HINTS是一项横断面随机数字拨号电话调查,经过加权处理以提供普通人群的估计值。近一半的美国人(48.7%)表示他们从某个来源寻找过癌症信息。受癌症影响的人群比例最高(癌症幸存者中有63.1%,有家族病史的人中有54.6%),而没有癌症病史的人比例最低(无病史者中有27.6%)。对于那些回忆起上次寻找信息经历的人来说,对信息质量的担忧位居信息寻求体验之首。自诊断以来多年跟踪信息寻求模式发现,偏好来源与实际来源之间存在差异。信息寻求在癌症幸存者中很普遍,并且不会随着时间的推移而减少。文中针对重新设计信息环境以改善幸存者的长期结果给出了建议。

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