Bernat Jennifer K, Skolarus Ted A, Hawley Sarah T, Haggstrom David A, Darwish-Yassine May, Wittmann Daniela A
Indiana University School of Nursing, 1111 Middle Dr., Indianapolis, IN, 46202, USA.
University of Michigan, Ann Arbor, MI, USA.
J Cancer Surviv. 2016 Dec;10(6):1089-1095. doi: 10.1007/s11764-016-0552-5. Epub 2016 May 26.
Many prostate cancer survivors have lasting symptoms and disease-related concerns for which they seek information. To understand survivors' information-seeking experiences, we examined the topics of their information searches, their overall perceptions of the search, and perceptions of their health information seeking self-efficacy (i.e., confidence in their ability to obtain information). We hypothesized that negative search experiences and lower health information seeking self-efficacy would be associated with certain survivor characteristics such as non-white race, low income, and less education.
This was a retrospective study using data from the Michigan Prostate Cancer Survivor Study (state-based survey of long-term prostate cancer survivor outcomes, N = 2499, response rate = 38 %). Participants recalled their last search for information and reported the topics and overall experience. We conducted multivariable regression to examine the association between survivor characteristics and the information-seeking experience.
Nearly a third (31.7 %) of prostate cancer survivors (median age of 76 years and 9 years since diagnosis) reported having negative information-seeking experiences when looking for information. However, only 13.4 % reported having low health information-seeking self-efficacy. Lower income and less education were both significantly associated with negative information-seeking experiences.
Our findings suggest that many long-term prostate cancer survivors have negative experiences when searching for information, and lower income and less education were survivor factors related to negative information-seeking experiences.
We advocate for ongoing, information needs assessment at the point-of-care as the survivorship experience progresses to assess and potentially improve survivors' quality of life.
许多前列腺癌幸存者存在持久的症状以及与疾病相关的担忧,为此他们寻求信息。为了解幸存者的信息寻求经历,我们研究了他们信息搜索的主题、对搜索的总体认知以及对自身健康信息寻求自我效能感(即对获取信息能力的信心)的认知。我们假设负面的搜索经历和较低的健康信息寻求自我效能感会与某些幸存者特征相关,如非白人种族、低收入和受教育程度较低。
这是一项回顾性研究,使用了密歇根前列腺癌幸存者研究的数据(基于该州的长期前列腺癌幸存者结局调查,N = 2499,应答率 = 38%)。参与者回忆他们最近一次的信息搜索,并报告主题和总体经历。我们进行了多变量回归分析,以研究幸存者特征与信息寻求经历之间的关联。
近三分之一(31.7%)的前列腺癌幸存者(中位年龄76岁,确诊后9年)报告在寻找信息时存在负面的信息寻求经历。然而,只有13.4%的人报告健康信息寻求自我效能感较低。低收入和受教育程度较低均与负面的信息寻求经历显著相关。
我们的研究结果表明,许多长期前列腺癌幸存者在搜索信息时存在负面经历,低收入和受教育程度较低是与负面信息寻求经历相关的幸存者因素。
随着生存经历的推进,我们提倡在医疗护理点持续进行信息需求评估,以评估并可能改善幸存者的生活质量。