Knijnenburg Sebastiaan L, Kremer Leontien C, van den Bos Cor, Braam Katja I, Jaspers Monique W M
Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands.
Pediatr Blood Cancer. 2010 Jan;54(1):123-7. doi: 10.1002/pbc.22207.
Knowledge about past disease, treatment, and possible late effects has previously been shown to be low in survivors of childhood cancer and their relatives. This study investigated the information needs of childhood cancer survivors and their parents and explored possible determinants for differences in information need and health-related Internet use.
Childhood cancer survivors or their parents were contacted to complete a questionnaire about their characteristics, Internet use and requirements/expectations of a website on late effects (N = 160).
One-hundred forty-five questionnaires (90.6%) were returned. Of the 69 respondents (49.3%) who had visited a late effects outpatient clinic prior to the survey, 20 (29.0%) had questions left after the consult. The large majority of the population had home access to Internet and 71 respondents (49.3%) used Internet for medical questions. Only 15 respondents (10.5%) used Internet to look for information on late effects of childhood cancer and only 4 survivors found what they were looking for. Main information items requested were information about recognizing late effects, personalized information on late effects treatment and information on self-care. Only six respondents (4.2%) stated they would not visit a late effects website if it would be available.
The need for late effects information showed to be of high priority by the majority of respondents, as was their interest in visiting a late effects website. In the development of a late effects website, attention should be given to patient information tailored to the personal situation of the website's users.
先前研究表明,儿童癌症幸存者及其亲属对既往疾病、治疗及可能的晚期效应的了解程度较低。本研究调查了儿童癌症幸存者及其父母的信息需求,并探讨了信息需求差异及与健康相关的互联网使用的可能决定因素。
联系儿童癌症幸存者或其父母,以完成一份关于他们的特征、互联网使用情况以及对晚期效应网站的要求/期望的问卷(N = 160)。
共返回145份问卷(90.6%)。在调查前曾就诊于晚期效应门诊的69名受访者(49.3%)中,20人(29.0%)在咨询后仍有疑问。绝大多数人家里能上网,71名受访者(49.3%)使用互联网查询医疗问题。只有15名受访者(10.5%)使用互联网查找儿童癌症晚期效应的信息,只有4名幸存者找到了他们想要的信息。主要需求的信息项目包括关于识别晚期效应的信息、晚期效应治疗的个性化信息以及自我护理信息。只有6名受访者(4.2%)表示,如果有晚期效应网站,他们不会访问。
大多数受访者表示对晚期效应信息的需求具有高度优先性,他们对访问晚期效应网站也很感兴趣。在开发晚期效应网站时,应关注根据网站用户个人情况量身定制的患者信息。