MD Undergraduate Program, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Radiation Oncology, BC Cancer Agency, Vancouver Centre, Vancouver, BC, Canada.
J Cancer Educ. 2022 Oct;37(5):1349-1356. doi: 10.1007/s13187-021-01960-0. Epub 2021 Jan 26.
The aim of this study is to assess the Internet usage pattern amongst glioma patients and to characterize its impact in their decision-making and clinical interactions. Glioma patients attending a tertiary cancer center between June and December 2019 were invited to participate in this study. A 26-item survey consisting of closed and open-ended questions was distributed with a unique identifier. Quantitative data were analyzed with descriptive statistics using SPSS Statistical package, and qualitative data with grounded theory approach. Thirty-two patients completed the survey. Demographics varied in age, time since diagnosis, glioma type, and level of education. Eighty-one percent were identified as "Internet users" who sought online glioma information. Google was the most popular search engine (96%), with "glioma" being the most frequent search term. The selection of websites often relied on perceived credibility and top search hits. The most searched topic was prognosis (73%). The majority of patients found that online information was easy to understand, and this did not vary significantly amongst age groups. Website quality was always assessed by 60% of patients. Only 62% patients found the Internet a useful resource, and 70% patients found it facilitated their understanding. Most patients discussed their Internet findings with a physician, largely regarding concerns about reliability. There is variable glioma information available online. Patients with glioma use the Internet as a resource, with variable impact on their interactions and decision-making. This information can be used by physicians, educators, and website developers to support glioma patients' needs.
本研究旨在评估脑胶质瘤患者的互联网使用模式,并分析其对患者决策和临床互动的影响。2019 年 6 月至 12 月,我们邀请了在一家三级癌症中心就诊的脑胶质瘤患者参与这项研究。研究采用了包含封闭式和开放式问题的 26 项调查问卷,并为每个患者分配了唯一的识别码。定量数据采用 SPSS 统计软件进行描述性统计分析,定性数据采用扎根理论方法进行分析。共有 32 名患者完成了问卷调查。患者的人口统计学特征在年龄、诊断后时间、脑胶质瘤类型和教育程度方面存在差异。81%的患者被确定为“互联网使用者”,他们会在网上搜索脑胶质瘤相关信息。96%的患者使用谷歌作为搜索引擎,“脑胶质瘤”是最常搜索的术语。患者选择网站主要依据网站的可信度和搜索排名。搜索最多的话题是预后(73%)。大多数患者认为网上信息易于理解,且不同年龄组之间没有显著差异。60%的患者始终会评估网站质量。只有 62%的患者认为互联网是一个有用的资源,70%的患者认为它有助于他们理解相关信息。大多数患者会与医生讨论他们在网上找到的信息,主要是针对可靠性的担忧。网上有各种各样的脑胶质瘤相关信息。脑胶质瘤患者会将互联网作为一种资源,但对他们的互动和决策的影响各不相同。医生、教育工作者和网站开发者可以利用这些信息来满足脑胶质瘤患者的需求。