Disparities in cancer care delivery during the COVID-19 pandemic: An update of a prospective, cross-sectional study.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 136-136
Author(s):  
Emily Hsu ◽  
Jyoti Chhabra ◽  
Oscar Serrano ◽  
Katarina Bade ◽  
Alvaro G. Menendez
Keyword(s):  
Social Media ◽  
Health Information ◽  
Cancer Care ◽  
Perceived Risk ◽  
Care Delivery ◽  
Daily Routine ◽  
Social Risk ◽  
Perceived Risks ◽  
Significant Difference ◽  
Sources Of Health Information

136 Background: Impact of COVID19 on cancer care delivery and outcomes remains unknown. Few trials have investigated patients’ perceived risks and benefits, and cancer care delivery (CCD) alterations related to COVID19. We sought to identify differences on behaviors and social determinants of health in Hispanics and other underrepresented populations (H/UP) compared to the general population (GP). Methods: An IRB-approved validated 27-item questionnaire was offered in English and Spanish to all pts receiving cancer care at participating cancer centers over a 6 month period. Examined variables included demographic information, social risk and behavioral factors, preferred sources of health information, and overall satisfaction with CCD during the pandemic. Results: A total of 245 pts were enrolled in the study. Compared to GP, H/UP’s perceived risk of COVID19 was higher with 92.4% vs 85.2% (p = 0.000) more likely to cancel or avoid social gatherings and 69.2% vs 32.1% more likely to change daily routine. H/UP appeared more concerned with personal and financial safety; if unable to find work/get paid for 2 weeks, 24.1% H/UP vs 13% GP would struggle to keep up with expenses. 33.7% H/UP vs 8.6% GP had concerns on ability to secure food and consider COVID19 a major threat to their health (63.9% vs 42.6%, p = 0.003) and financial situation (61.4% vs 35.8%, p = 0.001). H/UP’s perceived benefits of protective measures is higher with 97.4% vs 90.7% routinely practicing social distancing (SD) and 92.8% vs 64.2% in agreement with punitive actions for not following SD. Analysis demonstrated no significant difference by gender, level of education, marital status, however Hispanic ethnicity and Spanish as primary language were significant variables (p = 0.000) in perceived risks and satisfaction with CCD. No major differences were noted on sources of health information although more H/UP relied on social media (26.5% vs 24.7%). H/UP appeared more skeptical about availability and safety of targeted vaccines (28.2% vs 14.8%, p = 0.001). H/UP were less satisfied with CCD during the pandemic (72.1% vs 82.1%, p = 0.024) and also perceived CCD alterations (19.2% vs 7.4%). Conclusions: COVID19-related societal, financial, health and personal fears are increased in H/UP which likely negatively affects quality of life of these at-risk populations. H/UP’s trust in SD recommendations is heightened although linguistically and culturally appropriate information may be deficient. H/UP were more skeptical of the safety and availability of the vaccine, which is consistent with recent reports suggesting deeper fears of experimentation. Interventions aimed to decrease these differences could incorporate standard communications with special attention to social media.

Comparison of patient-reported impact of COVID19 on cancer care delivery: A prospective, cross-sectional study.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 6551-6551
Author(s):  
Emily Hsu ◽  
Jyoti Chhabra ◽  
Oscar Serrano ◽  
Alvaro G. Menendez
Keyword(s):  
Social Media ◽  
Health Information ◽  
Cancer Care ◽  
Care Delivery ◽  
Appropriate Technology ◽  
Daily Routine ◽  
Perceived Risks ◽  
Significant Difference ◽  
Patient Reported ◽  
Sources Of Health Information

6551 Background: Impact of COVID19 on cancer care delivery and outcomes remains unknown. Few trials have investigated patients’ perceived risks and benefits, and cancer care delivery (CCD) alterations related to COVID19. We sought to identify differences on behaviors and social determinants of health in Hispanics and other underrepresented populations (H/UP) compared to the general population (GP). Methods: An IRB-approved validated 27-item questionnaire was offered in English and Spanish to all pts. receiving cancer care at participating cancer centers over a 4 month period. Examined variables included demographic information, social risk and behavioral factors, preferred sources of health information, and overall satisfaction with CCD during the pandemic. Results: A total of 180 pts were enrolled in the study. Compared to GP, H/UP’s perceived risk of COVID19 was higher with 93% vs 87% more likely to cancel or avoid social gatherings and 54% vs 46% more likely to change daily routine. H/UP appeared more concerned with personal and financial safety; if unable to find work/get paid for 2 weeks, 26% H/UP vs 10% GP would struggle to keep up with expenses. 40% H/UP vs 10% GP have concerns on perceived ability to secure food on short term and consider COVID19 a major threat to their health (70% vs 46%) and financial situation (63% vs 35%). H/UP’s perceived benefits of protective measures is higher with 81% vs 60% routinely practicing social distancing (SD) and 79% vs 66% in agreement with punitive actions for not following SD. Analysis demonstrated no significant difference by age, gender, level of education, marital status, however Hispanic ethnicity and Spanish as primary language was a statistically significant variable (p = 0.025) in perceived risks and satisfaction with CCD. No major differences were noted on sources of health information although more H/UP relied on social media (33% vs 24%). H/UP appeared to be more skeptical about availability and safety of targeted vaccines (40% vs 15%). Satisfaction regarding CCD was comparable (84% vs 86%), although more H/UP perceived CCD alterations (15% vs 10%). Going forward, H/UP would prefer to incorporate virtual visits (VV) when possible (36% vs 25%). Conclusions: COVID19-related societal, financial, health and personal fears are increased in H/UP which likely negatively affects quality of life of these at-risk populations. H/UP’s trust in SD recommendations is heightened although linguistically and culturally appropriate information may be deficient. H/UP’s belief in vaccine availability and safety is comparable to GP, although recent reports suggest deeper fear and emphasize their fear of experimentation. Interventions aimed to decrease these differences could incorporate standard communications with special attention to social media. H/UP would prefer to incorporate VV into their care, although most do not possess appropriate technology to do so.

Evolving oncology provider perspectives on care delivery during the COVID-19 pandemic.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18609-e18609
Author(s):  
Divya Ahuja Parikh ◽  
Meera Vimala Ragavan ◽  
Sandy Srinivas ◽  
Sarah Garrigues ◽  
Eben Lloyd Rosenthal ◽  
...  
Keyword(s):  
Cancer Care ◽  
Care Delivery ◽  
The United States ◽  
Advanced Practice ◽  
Curative Surgery ◽  
Time Points ◽  
Patients With Cancer ◽  
Provider Perspectives ◽  
Significant Difference ◽  
The Impact

e18609 Background: The COVID-19 pandemic prompted rapid changes in cancer care delivery. We sought to examine oncology provider perspectives on clinical decisions and care delivery during the pandemic and to compare provider views early versus late in the pandemic. Methods: We invited oncology providers, including attendings, trainees and advanced practice providers, to complete a cross-sectional online survey using a variety of outreach methods including social media (Twitter), email contacts, word of mouth and provider list-serves. We surveyed providers at two time points during the pandemic when the number of COVID-19 cases was rising in the United States, early (March 2020) and late (January 2021). The survey responses were analyzed using descriptive statistics and Chi-squared tests to evaluate differences in early versus late provider responses. Results: A total of 132 providers completed the survey and most were white (n = 73/132, 55%) and younger than 49 years (n = 88/132, 67%). Respondents were attendings in medical, surgical or radiation oncology (n = 61/132, 46%), advanced practice providers (n = 48/132, 36%) and oncology fellows (n = 16/132, 12%) who predominantly practiced in an academic medical center (n = 120/132, 91%). The majority of providers agreed patients with cancer are at higher risk than other patients to be affected by COVID-19 (n = 121/132, 92%). However, there was a significant difference in the proportion of early versus late providers who thought delays in cancer care were needed. Early in the pandemic, providers were more likely to recommend delays in curative surgery or radiation for early-stage cancer (p < 0.001), delays in adjuvant chemotherapy after curative surgery (p = 0.002), or delays in surveillance imaging for metastatic cancer (p < 0.001). The majority of providers early in the pandemic responded that “reducing risk of a complication from a COVID-19 infection to patients with cancer” was the primary reason for recommending delays in care (n = 52/76, 68%). Late in the pandemic, however, providers were more likely to agree that “any practice change would have a negative impact on patient outcomes” (p = 0.003). At both time points, the majority of providers agreed with the need for other care delivery changes, including screening patients for infectious symptoms (n = 128/132, 98%) and the use of telemedicine (n = 114/132, 86%) during the pandemic. Conclusions: We found significant differences in provider perspectives of delays in cancer care early versus late in the pandemic which reflects the swiftly evolving oncology practice during the COVID-19 pandemic. Future studies are needed to determine the impact of changes in treatment and care delivery on outcomes for patients with cancer.

scholarly journals Perceptions of Facebook and Twitter as sources of health information among African-American women

2017 ◽  
Author(s):  
◽  
Casey Adams Jones
Keyword(s):  
Health Care ◽  
Social Media ◽  
African American ◽  
Heart Disease ◽  
Black Women ◽  
African American Women ◽  
Health Information ◽  
Information Seeking ◽  
American Women ◽  
Sources Of Health Information

Objective: The purpose of this study was to explore how African-American women perceive Facebook and Twitter as sources for information about heart disease. Methods: A qualitative study was conducted among 23 women between the ages of 18 and 70, who self-identified as Black and female. Participants were recruited from both urban and rural cities. Data collected during each 60-minute or less focus group session was analyzed and grouped into key themes. Results: Among the Black women who participated in the research, findings indicated that Facebook and Twitter are perceived as credible sources of health information if the material shared comes from a health care professional or organization, or a friend speaking from a personal health experience. Credibility increased if information was presented by a person of color–particularly of the same race. Knowledge gained via social media was largely deemed to be the 05 board for further research via a tool or website that is established within the health care industry. Participants also expounded upon the importance of one advocating for themselves in the doctor's office and fact checking health information and professionals. Conclusion: Health professionals may be able to more effectively communicate health information to Black women via Facebook and Twitter. Recommendations such as establishing credibility and using women of color in visuals are made that may assist in prompting health behavior changes. Key words: Women, African American, health information seeking, social media, heart disease

Users and non-users of P2P accommodation

2019 ◽  
Vol 10 (3) ◽  
pp. 369-382 ◽  
Author(s):  
Dan Huang ◽  
Xinyi Liu ◽  
Dan Lai ◽  
Zhiyong Li
Keyword(s):  
Perceived Risk ◽  
Behavioral Intentions ◽  
Risk Perceptions ◽  
Social Risk ◽  
Collaborative Consumption ◽  
Content Type ◽  
Perceived Risks ◽  
Targeted Marketing ◽  
Risk Dimensions ◽  
Psychological Risk

Purpose To better understand what inhibits people from participating in collaborative consumption, this paper aims to develop research models of users and non-users to examine the relationship between perceived risks and intentions to use peer-to-peer (P2P) accommodation. Moreover, differences of risk perceptions and behavioral intentions between P2P accommodation users and non-users were identified. Design/methodology/approach The method of convenience sampling was used to collect data. Excluding the invalid questionnaires, 520 were kept for further analysis. In this paper, SPSS and partial least squares (PLS) were used to analyze the data. Findings The findings highlighted the important role of perceived risks in determining tourists’ intentions to use P2P accommodation. The results showed that non-users have higher perceived risks in regards to all four risk dimensions (psychological risk, physical risk, performance risk and social risk), and they also have significantly lower behavioral intentions to use P2P accommodation than the users. For users, only the psychological risk has significant negative effects on behavioral intentions, while for non-users, both psychological and physical risks are important inhibitors. Originality/value This paper contributes to a better understanding of the antecedents that influence consumers’ participation in collaborative consumption in the P2P accommodation domain. Second, it extends the literature on perceived risk by discussing users and non-users in this market. Finally, this research provides insights into the P2P accommodation market in China, which enables online travel platforms to develop targeted marketing strategies.

Influence of consumers’ perceived risk on consumers’ online purchase intention

2018 ◽  
Vol 12 (3) ◽  
pp. 309-327 ◽  
Author(s):  
Shaizatulaqma Kamalul Ariffin ◽  
Thenmoli Mohan ◽  
Yen-Nee Goh
Keyword(s):  
Perceived Risk ◽  
Purchase Intention ◽  
Online Shopping ◽  
Social Risk ◽  
Security Risk ◽  
Content Type ◽  
Perceived Risks ◽  
Online Purchase ◽  
Online Retailers ◽  
The Relationship

Purpose This paper aims to examine the relationship between six factors of consumers’ perceived risk and consumers’ online purchase intentions. In particular, this study will examine the relationship between financial risk, product risk, security risk, time risk, social risk and psychological risk and online purchase intention. Design/methodology/approach Survey method was used for the purpose of data collection, and quantitative analysis was used to test the hypotheses. A total of 350 respondents participated on an online survey, and data were quantitatively analyzed via IBM SPSS Statistics 24. Findings The findings from this study suggest consumers’ perceived risks when they intend to purchase online. Five factors of perceived risk have a significant negative influence on consumer online purchase intention, while social risk was found to be insignificant. Among these factors, security risk is the main contributor for consumers to deter from purchasing online. Practical implications This study provides useful information to online retailers in electronic commerce (e-commerce) activities. Previous studies show that many online retailers are still facing some risks in online business, and this will affect the transaction and performance of the retailers. It is hoped that the findings can help online retailers to formulate strategies to reduce risks in the online shopping environment, especially security risks for better e-commerce. Originality/value The development of online shopping has led to some challenges to consumers, which comprise security of payment, data protection, the validity and enforceability of e-contract, insufficient information disclosure, product quality and enforcement of rights. This issue emerged because many online retailers do not understand the main factors that will contribute to consumers’ perceived risk. Consumers’ perceived risks will influence consumer attitudes toward online shopping and purchase behaviors. Studies on consumers’ perceived risks toward online purchase intentions are still inconclusive. Thus, this paper fills the gap in the research area.

scholarly journals Young People’s Experiences and Perceptions of YouTuber-Produced Health Content: Implications for Health Promotion

2020 ◽  
pp. 109019812097496
Author(s):  
Jane Harris ◽  
Amanda Atkinson ◽  
Michael Mink ◽  
Lorna Porcellato
Keyword(s):  
Public Health ◽  
Social Media ◽  
Young People ◽  
Health Information ◽  
Health Organizations ◽  
North West ◽  
Public Health Organizations ◽  
Sources Of Health Information ◽  
Many Sources ◽  
Health Content

The growing diversity and uptake of social media has increased the sources of health information available to young people. YouTube is one of the most popular social media platforms for young people in the United Kingdom, and YouTubers are the most important influencers on the platform producing diverse health content. They are increasingly recognized by popular media and public health organizations as a potentially influential source of health information for young people. This study aimed to qualitatively explore young people’s experiences and perceptions of YouTuber health content. Focus groups (November 2017 to January 2018) with 85 young people (13–18 years) were recruited from schools in a single county in North West England. The findings suggest young people’s engagement with YouTuber health content is dependent on how they encounter it, YouTubers’ motivations for producing it, and the perceived relatability, sincerity, and generalization present in this content. The study confirms YouTuber health content was one of the many sources of health information used by young people and was most frequently encountered during young people’s routine viewing. Collaboration between public health organizations and YouTubers could be promising in communicating health messages to young people already engaged with these YouTubers, as part of wider campaigns or interventions. These messages could be particularly effective if they focused on experiences and norms rather than advice, remained consistent with YouTubers’ existing health content, incorporate clear indicators of accuracy into their narrative, and state their intention to benefit young people.

Mobile Health in Uganda: A Case Study of the Medical Concierge Group

2019 ◽  
Vol 1 (1) ◽  
pp. 9-14
Author(s):  
Louis H. Kamulegeya ◽  
Joseph Ssebwana ◽  
Wilson Abigaba ◽  
John M. Bwanika ◽  
Davis Musinguzi
Keyword(s):  
Social Media ◽  
Mobile Phone ◽  
Health Information ◽  
Mobile Phones ◽  
Information Dissemination ◽  
Care Delivery ◽  
Digital Health ◽  
Health Sector ◽  
Retention Rates ◽  
Health Content

  The ubiquity of mobile phones offers an opportunity for a paradigm change in health-care delivery, which may offer solutions to some of the challenges faced by the health sector in Uganda. The Medical Concierge Group (TMCG) is a digital health company, headquartered in Uganda, which leverages on mobile phone-based platforms – such as short messaging service (SMS), voice calling – and social media to deliver health services. Just over two-thirds (68%) of users of TMCG’s services are males between 18 and 30 years of age. SMS reminders have improved the honouring of health facility appointments among HIV-positive clients, from 60% to 90%; retention rates at supported health facilities have improved from 45% to 89%. Furthermore, information dissemination has been achieved via mobile SMS, wherein subscribers can access health content on diverse topics – such as HIV/AIDS prevention and family planning – by sending messages to a pre-defined short code to a phone line. Over 900 beneficiaries have accessed health content via SMS subscriptions. Social media platforms, including Facebook and Twitter, are used for health information dissemination and have enabled a wider reach to over 13 million beneficiaries accessing health information on TMCG’s Facebook page alone. Tailoring mobile phone-based health content to meet the target beneficiaries’ needs is critical for TMCG’s impact and uptake. With rising rates of phone ownership and Internet connectivity in Uganda, mobile phones offer an affordable and proven adoptable avenue to overcome the chronic challenges faced by the health sector.

scholarly journals Perceptions of Facebook and Twitter as sources of health information among African-American women

2017 ◽  
Author(s):  
◽  
Casey Adams Jones
Keyword(s):  
Health Care ◽  
Social Media ◽  
African American ◽  
Heart Disease ◽  
Black Women ◽  
African American Women ◽  
Health Information ◽  
Information Seeking ◽  
American Women ◽  
Sources Of Health Information

Objective: The purpose of this study was to explore how African-American women perceive Facebook and Twitter as sources for information about heart disease. Methods: A qualitative study was conducted among 23 women between the ages of 18 and 70, who selfidentified as Black and female. Participants were recruited from both urban and rural cities. Data collected during each 60-minute or less focus group session was analyzed and grouped into key themes. Results: Among the Black women who participated in the research, findings indicated that Facebook and Twitter are perceived as credible sources of health information if the material shared comes from a health care professional or organization, or a friend speaking from a personal health experience. Credibility increased if information was presented by a person of color-particularly of the same race. Knowledge gained via social media was largely deemed to be the 05 board for further research via a tool or website that is established within the health care industry. Participants also expounded upon the importance of one advocating for themselves in the doctor's office and fact checking health information and professionals. Conclusion: Health professionals may be able to more effectively communicate health information to Black women via Facebook and Twitter. Recommendations such as establishing credibility and using women of color in visuals are made that may assist in prompting health behavior changes. Key words: Women, African American, health information seeking, social media, heart disease

scholarly journals Mobile Health in Uganda: A Case Study of the Medical Concierge Group

2019 ◽  
Vol 1 (1) ◽  
pp. 9-14
Author(s):  
Louis H. Kamulegeya ◽  
Joseph Ssebwana ◽  
Wilson Abigaba ◽  
John M. Bwanika ◽  
Davis Musinguzi
Keyword(s):  
Social Media ◽  
Mobile Phone ◽  
Health Information ◽  
Mobile Phones ◽  
Information Dissemination ◽  
Care Delivery ◽  
Digital Health ◽  
Health Sector ◽  
Retention Rates ◽  
Health Content

  The ubiquity of mobile phones offers an opportunity for a paradigm change in health-care delivery, which may offer solutions to some of the challenges faced by the health sector in Uganda. The Medical Concierge Group (TMCG) is a digital health company, headquartered in Uganda, which leverages on mobile phone-based platforms – such as short messaging service (SMS), voice calling – and social media to deliver health services. Just over two-thirds (68%) of users of TMCG’s services are males between 18 and 30 years of age. SMS reminders have improved the honouring of health facility appointments among HIV-positive clients, from 60% to 90%; retention rates at supported health facilities have improved from 45% to 89%. Furthermore, information dissemination has been achieved via mobile SMS, wherein subscribers can access health content on diverse topics – such as HIV/AIDS prevention and family planning – by sending messages to a pre-defined short code to a phone line. Over 900 beneficiaries have accessed health content via SMS subscriptions. Social media platforms, including Facebook and Twitter, are used for health information dissemination and have enabled a wider reach to over 13 million beneficiaries accessing health information on TMCG’s Facebook page alone. Tailoring mobile phone-based health content to meet the target beneficiaries’ needs is critical for TMCG’s impact and uptake. With rising rates of phone ownership and Internet connectivity in Uganda, mobile phones offer an affordable and proven adoptable avenue to overcome the chronic challenges faced by the health sector.

scholarly journals The Effects of Perceived Risk, Brand Credibility and Past Experience on Purchase Intention in the Airbnb Context

2020 ◽  
Vol 12 (12) ◽  
pp. 5212 ◽  
Author(s):  
Soo-Hyun Jun
Keyword(s):  
Perceived Risk ◽  
Risk Perceptions ◽  
Purchase Intention ◽  
Past Experience ◽  
Future Research ◽  
Social Risk ◽  
Intention To Stay ◽  
Perceived Risks ◽  
Brand Credibility ◽  
Psychological Risk

This study investigated the main effects of perceived risks, brand credibility and past experience on intention to stay at Airbnb places and the interaction effects of past experience with perceived risks and brand credibility on intention to stay. A survey research method was utilized in South Korea. Our study is the first study to have applied and supported Jacoby and Kaplan’s six constructs in explaining consumers’ risk perceptions in the Airbnb context. One of the primary findings of this study was that past experience played a significant moderating role in the Airbnb context. Social risk and psychological risk had negative effects and performance risk had a positive effect on Airbnb users’ intention to stay. With regard to non-users, psychological risk had a negative effect on intention to stay. These findings indicate that Airbnb users consider more specific risks based on their prior experiences of Airbnb use. This study also revealed that brand credibility had the strongest influence on both Airbnb users’ and non-users’ intention to stay. Consistent with previous research, this finding indicates that brand credibility is a critical variable in consumer decision-making for the intangible and heterogeneous products like accommodation. Based on these findings, theoretical and managerial implications were provided, and limitations and future research were discussed.

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