School of Communication, The Ohio State University, Columbus, OH 43210, USA.
Patient Educ Couns. 2010 Dec;81 Suppl(0):S63-9. doi: 10.1016/j.pec.2010.09.004.
This study examines whether cancer patients' Internet use leads them to prefer a more active role in medical decision making and whether the effects of Internet use on active participation preferences vary according to patients' education levels.
Randomly drawn sample (N=2013) from the Pennsylvania Cancer Registry, comprised of breast, prostate, and colon cancer patients, completed mail surveys in the fall of 2006 (overall response rate=64%). Of 2013 baseline respondents, 85% agreed to participate in follow-up survey (N=1703). Of those who agreed, 76% (N=1293) completed follow-up surveys in the fall of 2007.
Cancer patients' Internet use for health information at wave one led them to want to be more active participants in medical decision making at wave two (β=.06, p<.05). This applied to all cancer patients regardless of their education levels.
Higher levels of Internet use among cancer patients may lead patients to want to be more actively involved in medical decision making.
Considering the beneficial effects of patients' active participation in medical decision making, it will be worthwhile for health educators to recommend Internet use to cancer patients.
本研究旨在探讨癌症患者使用互联网是否会促使他们更积极地参与医疗决策,以及互联网使用对积极参与偏好的影响是否因患者的教育水平而异。
本研究从宾夕法尼亚癌症登记处随机抽取了 2013 名(N=2013)乳腺癌、前列腺癌和结肠癌患者,于 2006 年秋季完成了邮件调查(总体响应率=64%)。在 2013 名基线受访者中,85%(N=1703)同意参与后续调查。在同意参与的受访者中,76%(N=1293)于 2007 年秋季完成了后续调查。
在第一波调查中,癌症患者使用互联网获取健康信息,这促使他们在第二波调查中更积极地参与医疗决策(β=.06,p<.05)。这适用于所有癌症患者,无论其教育水平如何。
癌症患者互联网使用程度的提高可能会促使他们更积极地参与医疗决策。
考虑到患者积极参与医疗决策的有益影响,健康教育工作者向癌症患者推荐互联网使用将是值得的。