American Oncologists’ Views of Internet Use by Cancer Patients: A Mail Survey of American Society of Clinical Oncology Members

2003 ◽  
Vol 21 (5) ◽  
pp. 942-947 ◽  
Author(s):  
Paul R. Helft ◽  
Fay Hlubocky ◽  
Christopher K. Daugherty

Purpose: Americans are turning more and more frequently to the Internet to obtain health information. The specific effects on patients, doctors, and the clinical encounter are not well known. Methods: A brief mail survey was sent to a systematic sample of 5% of medical oncologists and hematologist/oncologists listed in the membership directory of the American Society of Clinical Oncology. Results: Response rate to this mail survey was 46.2%. Oncologists’ median estimate of the proportion of their patients using the Internet to obtain cancer information was 30%. Subjects responded that, on average, 10 minutes were added to each patient encounter in which Internet information was discussed. Responding oncologists reported that use of the Internet had the ability to simultaneously make patients more hopeful, confused, anxious, and knowledgeable. Forty-four percent of responding oncologists reported that they sometimes or rarely had difficulty discussing Internet information, and only 9% of subjects reported that they sometimes or always felt threatened when patients brought Internet information to discuss. In narrative responses, oncologists reported both positive and negative effects of Internet use by patients. Conclusion: In this brief mail survey to a systematic sample of American oncologists in academic and community practice, respondents reported that a significant proportion of their patients use the Internet to obtain cancer information. Oncologists viewed Internet information as having both positive and negative effects on the clinical encounter. Further research is needed on the effects of patients’ use of the Internet to obtain cancer information involving both patients and oncologists.

2005 ◽  
Vol 23 (22) ◽  
pp. 4954-4962 ◽  
Author(s):  
Paul R. Helft ◽  
Rachael E. Eckles ◽  
Cynthia Stair Johnson-Calley ◽  
Christopher K. Daugherty

Purpose To evaluate rates, predictors, and barriers to use of the Internet to obtain cancer information among a cohort of cancer patients at an urban county hospital. Patients and Methods Of 208 cancer patients approached, 200 patients completed a structured interview study examining Internet use, perceptions of the accuracy of Internet information, and barriers to use. Results Only 10% of participants reported using the Internet themselves to obtain cancer information. Another 21% reported exposure to Internet information through proxies. The most common barrier to Internet use cited was lack of Internet access, with 44% reporting that they would use the Internet to obtain cancer information if they had Internet access. Younger age and more years of formal education were significantly associated with Internet use, although race and income were not. Less education, African American race, and female sex were associated with lower estimates of the accuracy of Internet information. Fewer years of formal education was associated with increased likelihood of reporting confusion after reading Internet information. Conclusion Very few cancer patients in this study of a cohort of generally disadvantaged individuals used the Internet themselves to obtain cancer information, although many more desired to do so. Significant opportunities for Web-based interventions aimed at improving cancer care outcomes in this population of cancer patients exist. However, further study will be needed to determine how to make such intervention accessible, trustworthy, and understandable to the disadvantaged.


2019 ◽  
Vol 13 (4) ◽  
pp. 200-208 ◽  
Author(s):  
Yusuf Moolla ◽  
Ahmed Adam ◽  
Marlon Perera ◽  
Nathan Lawrentschuk

Background/Aims: In today's information era, patients often seek information regarding health using the internet. We assessed reliability and validity of internet information regarding ‘prostate cancer'. Methods: Search term ‘prostate cancer' used on Google website (June 2017). Critical analysis was performed on first 100 hits using JAMA benchmarks, DISCERN score, Health on the Net. Results: 33 500 000 hits returned. Top 100 hits were critically analyzed. Ten links [duplicate links (n = 7), book reviews (n = 1), dead sites (n = 2)] were excluded, therefore 90 were analyzed. Subcategories assessed included: commercial (53.33%), university/medical center (24.44%), government (13.33%); non-governmental/ non-profit organizations (8.89%). Sub-type of information content assessed included: factual (74.44%), clinical trials (18.89%); stories (5.56%); question and answer (1.11%). Website rated as HONcode seal positive (14,44%) or seal negative (85,56%). Website content based on JAMA benchmarks: 0 benchmarks (4.44%), 1 benchmark (16.67%), 2 benchmarks (34.44%), 3 benchmarks (27.78%), 4 benchmarks (16.67%). DISCERN score rated: ‘low' score (16-32) = 12 websites (13.33%), ‘moderate' score (33-64 points) = 68 websites (75.56%), ‘high' score (≥ 65 points) = 10 websites (11.11%). Conclusion: Critical assessment of ‘Prostate Cancer' information on the internet, showed that overall quality was observed to be accurate, however majority of individual websites are unreliable as a source of information by itself for patients. Doctors and patients need to be aware of this ‘quality vs quantity' discrepancy when sourcing PCa information on the internet.


2020 ◽  
Vol 13 (2) ◽  
pp. 310
Author(s):  
Yuli Candrasari ◽  
Salshabilla Permata ◽  
Afifah Rachmania ◽  
Dyva Claretta

The growth in the number of netizens is now the impact of increasingly easy internet penetration and high penetration of social media that is easily accessed via smartphone gadgets. Research conducted by Candrasari (2016) states that female internet users cannot be separated from their social media. Within a day of 2-3 hours, his time is spent accessing digital media. Therefore digital competencies are needed for girls to avoid the negative effects of the internet. The purpose of this study is to get a picture of the competence of adolescent girls. Digital competence is a form of using technology safely and critically to facilitate work, get entertainment and to communicate (E. Encabo & Murcia, J: 2011: 166). This research was conducted on adolescent girls in Surabaya with qualitative research methods. Data obtained through in-depth interviews, participant observation, and literature studies. The results of the study indicate that the digital competence of adolescent girls is still not good, especially in the categories of skills using the internet, information management and responsibility for using internet which is still low. Only in the category of communication and sharing digital competence of young women is good


Author(s):  
Emily B. Peterson ◽  
Megan J. Shen ◽  
Jennifer Gueguen Weber ◽  
Carma L. Bylund

The rise of the internet has dramatically changed the way that patients seek cancer-related information, as well as how they discuss these topics with their healthcare providers. Patients’ increased access to web-acquired information has created a power shift in clinician–patient communication, which may either have a beneficial effect on the relationship (e.g. when patients engage in better shared decision-making) or a harmful effect (e.g. when patients directly challenge their provider’s opinions). This chapter first explores how patients utilize the internet both to acquire cancer-related health information and to seek social support through online forums and support groups. The chapter then draws from facework theories to better understand how clinicians and patients introduce, discuss, and evaluate internet information. The chapter concludes with suggested guidelines and exemplary statements to improve clinician–patient communication about health information found on the internet.


Comunicar ◽  
2014 ◽  
Vol 22 (43) ◽  
pp. 163-171 ◽  
Author(s):  
Sebastiano Costa ◽  
Francesca Cuzzocrea ◽  
Antonella Nuzzaci

Media use plays an important role in the social, emotional, and cognitive development of young individuals and accounts for a large portion of their time. For this reason it is important to understand the variables that contribute to improve the use of the Internet as a source of information and knowledge in formal and informal contexts. How is it possible to exploit the huge potential of this tool to help people learn? What are the cognitive and social characteristics that help individuals experience the Internet without being overwhelmed by its negative effects? What skills are needed to select and manage information and communication? What type of Internet use creates new relationships and ways of learning? A sample of 191 subjects was examined to determine certain characteristic differences between subjects with high and low levels of Internet use. The results show that individuals with high levels of Internet use have higher extroversion and openness scores. The research analyses the use of the Internet in informal contexts to determine the benefits that may result from Internet use in education which may include the development of the skill set necessary to evaluate information critically and analytically and build independent attitudes. El uso de Internet ofrece un importante espacio para el desarrollo social, emocional y cognitivo de los jóvenes y ocupa gran parte de su tiempo libre. Por lo tanto, es muy importante observar algunas variables que contribuyen a mejorar su uso como fuente de información y conocimiento en contextos formales e informales. ¿Cómo, entonces, aprovechar el enorme potencial de esta herramienta para ayudar a las personas en su aprendizaje?, ¿cuáles son las características cognitivas y sociales que ayudan a utilizarla sin que les afecte negativamente?, ¿qué habilidades se necesitan para seleccionar y gestionar la información y la comunicación?, ¿qué tipos de usos de Internet suscitan aprendizaje y nuevas y diferentes relaciones? En una muestra de 191 sujetos se examinan las diferentes características entre los sujetos con alto y bajo nivel de uso. Los resultados muestran que los individuos con alto nivel de uso de Internet tienen una puntuación más alta en lo que se refiere a las características de extroversión y apertura. La investigación se basa en un marco teórico que parte del análisis del uso de en un contexto informal para llegar a una reflexión sobre las posibilidades y ventajas que pueden derivarse de su uso en la educación, y del conjunto de habilidades que es necesario desarrollar para utilizar y evaluar la información de manera crítica y analítica y para construir una mente abierta y una actitud independiente.


Electronics ◽  
2021 ◽  
Vol 10 (23) ◽  
pp. 2923
Author(s):  
Elizabeth Cañas ◽  
Estefanía Estévez

The intensive use of the Internet and communication technologies among adolescents has increased addiction and/or their problematic use. The innovative and revolutionary development of this technology can have negative effects on the mental and physical health of its users, and it seems to have a greater impact on adolescents. As this is causing a public health problem, the objective of this study was to review the different intervention and prevention programs for this problem in adolescents. A total of 14 programs met the inclusion criteria. The analysis of the programs allows for the identification of effective intervention designs for prevention, and also for the treatment of the current problems derived from the use of the Internet and technological devices among adolescent users.


Author(s):  
Chiung-Wen Chien ◽  
Shan-Ju L. Chang

This paper discusses Internet-related information behaviours of elementary school teachers in Taiwan, investigating their information needs, seeking behaviors, and use within an educational context. This study places an emphasis on investigating both work and non-work related use of Internet information by elementary school teachers. Research participants responded to a questionnaire on their internet search behaviours. In-depth interviews of 30 respondents were then performed. Results show that the boundary between work and non-work related use of the Internet is blurring. Participating elementary school teachers in Taiwan use the Internet for many tasks, and there are several technical and personal barriers to overcome before the technology can be fully utilized in the daily activities of educators.


Author(s):  
Shilpa Suresh Bisen ◽  
Yogesh M Deshpande

The rationale of the article is to describe the use of the Internet for psychological treatment in a clinical setting. Internet-based psychotherapy as a therapeutic tool, that offers an anonymous way for people to search for information and participate in treatment. Research studies on web-based psychotherapy for the major depressive disorder, anxiety disorders and other psychological conditions has grown swiftly in the last decades. Findings revealed that some forms of Internet-based treatments often lead to results similar to those of traditional face to face psychotherapy. The advantages of Internet-based interventions are high-cost effectiveness, greater access to evidence-based treatment, and greater access to patients in remote locations. The deterioration of symptoms, the emergence of new psychological symptoms, a high rate of abandonment and the frustration caused by technical problems are some of the negative effects of Internet interventions. In conclusion, there is now ample evidence that Internet based-interventions work for common mental disorders such as depression, anxiety disorder, alcohol consumption, smoking cessation, eating disorders, headaches and insomnia. Research on interventions on the Internet is advancing at high speed, while the proliferation and prolonged implementation of interventions on the Internet in regular assistance is still in its infancy.


Author(s):  
Valentina Boursier ◽  
Valentina Manna

Internet usage represents a risky opportunity for the youngest. Due to its social, communicative and emotional function in adolescents' lives, it may provide benefits and facilitations to their relationships. On the other hand, the excessive use of the Internet can harmfully affect their daily routines, with negative effects on their psychological state. Considering the widespread use of the Internet in everyday life during this developmental stage, the authors question the applicability of the concept of “addiction” and provide empirical data about the adaption of a useful instrument to measure problematic relationships with the Internet. The establishment of a cut-off procedure is proposed for screening purpose to identify at risk and problematic users. Moreover, differences by gender and age are explored and discussed. A comprehensive model of the Problematic Relationships with the Internet is presented and analyzed in comparison with the main perspectives and measures in literature.


Author(s):  
Valentina Boursier ◽  
Valentina Manna

Internet usage represents a risky opportunity for the youngest. Due to its social, communicative and emotional function in adolescents' lives, it may provide benefits and facilitations to their relationships. On the other hand, the excessive use of the Internet can harmfully affect their daily routines, with negative effects on their psychological state. Considering the widespread use of the Internet in everyday life during this developmental stage, the authors question the applicability of the concept of “addiction” and provide empirical data about the adaption of a useful instrument to measure problematic relationships with the Internet. The establishment of a cut-off procedure is proposed for screening purpose to identify at risk and problematic users. Moreover, differences by gender and age are explored and discussed. A comprehensive model of the Problematic Relationships with the Internet is presented and analyzed in comparison with the main perspectives and measures in literature.


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