Influences of eHealth literacy on obtaining knowledge about colorectal cancer among Internet users accessing a reputable cancer website (Preprint)

2019 ◽  
Author(s):  
Seigo Mitsutake ◽  
Ai Shibata ◽  
Kaori Ishii ◽  
Rina Miyawaki ◽  
Koichiro Oka

BACKGROUND To develop websites that enhance Internet users’ health knowledge, it is important to identify relevant factors associated with obtaining health knowledge via the Internet. Although an association between eHealth literacy (eHL) and knowledge of colorectal cancer (CRC) has been reported, little is known whether eHL is associated with obtaining knowledge of CRC via the Internet. OBJECTIVE This study aimed to compare the results obtained from Internet users with high or low eHL in searching and using a reputable cancer website to gain CRC knowledge. METHODS This study used respondents to Internet based pre-and post-surveys conducted in 2012. Potential respondents (n = 3,307) were identified from registered individuals aged 40–59 years (n = 461,160) in a Japanese Internet survey company. A total of 1,069 participants responded (response rate: 32.3%), and these pre-survey responders were then divided into high or low eHL groups using the Japanese eHealth Literacy Scale median score (23.5 points). From each group, 130 randomly selected individuals were invited to review the contents of a reputable CRC website, the Cancer Information Service managed by the National Cancer Center, and to respond to a post-survey via e-mail; responses were obtained from 107 individuals from each group. Twenty responses to knowledge statements regarding the definition, risk factors, screening prevention and symptoms of CRC were obtained at pre- and post-surveys, and differences in the correct responses between high and low eHL groups compared using the McNemar test. RESULTS The mean age of the participants was 49.1 (5.5) years. Four statements showed a significant increase in correct responses in both eHL groups pre- and post-survey: “S4. The risk of CRC is greater as a person gets older” (high eHL: P = 0.039, low eHL: P = 0.012), “S8. Cigarette smoking is a risk factor for CRC” (high eHL: P < 0.001, low eHL: P = 0.020), “S11. Obesity is a risk factor for CRC” (high eHL: P = 0.030, low eHL: P = 0.047), and “S12. Excess alcohol consumption is a risk factor for CRC” (high eHL: P = 0.002, low eHL: P = 0.003). Three statements showed a statistically significant increase in correct responses in the high eHL group only: “S1. CRC is cancer of the colon or rectum” (P = 0.003), “S5. The risk of CRC is the same between men and women” (P = 0.041), and “S9. Red meat intake is a risk factor for CRC” (P = 0.002), whereas only one response did in the low eHL group: “S17. Bloody stools are a symptom of CRC” (P = 0.004). CONCLUSIONS Low eHL Internet users appeared less capable of obtaining knowledge of CRC through searching and understanding information from a reputable cancer website than high eHL Internet users.

Author(s):  
Seigo Mitsutake ◽  
Ai Shibata ◽  
Kaori Ishii ◽  
Rina Miyawaki ◽  
Koichiro Oka

Examining the associations of eHealth literacy (eHL) with obtaining health knowledge from websites would help to clarify the causal pathway between eHL and health knowledge. This study aimed to compare the results obtained from Internet users with high or low eHL in accessing a reputable cancer website to obtain colorectal cancer (CRC) knowledge. A total of 105 participants with high eHL and 103 participants with low eHL accessed a reputable CRC website managed by the National Cancer Center and responded to Internet-based surveys before and after accessing a website in 2012. Twelve responses to knowledge statements regarding CRC were selected based on item response theory, and the differences in correct responses of pre- and post-surveys by each eHL group were compared. Two statements showed a significant increase in correct responses in the high eHL group only: “Red meat intake is a risk factor” (p = 0.002), and “Obesity is a risk factor” (p = 0.029), whereas only one response did so in the low eHL group: “Bloody stools are a symptom” (p = 0.004). Low eHL Internet users appeared less capable of obtaining knowledge of CRC by accessing information from a reputable cancer website than high eHL Internet users.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Shingo Matsuda ◽  
Fusao Ikawa ◽  
Iori Ohzono ◽  
Michitsura Yoshiyama ◽  
Toshikazu Hidaka ◽  
...  

Object: This study aimed to assess the relationships between trend of mortality rate from subarachnoid hemorrhage (SAH) and blood pressure and smoking prevalence among about 700,000 residents of Shimane prefecture, Japan. Methods: A retrospective review was performed to identify the age-adjusted mortality rate from SAH calculated using the standard population of Japan in 2010 and changes in population of Shimane prefecture used the date based on government statistics during 1999 through 2017. Blood pressure dates were extracted from Ministry of Health, Labour and Welfare during 2008 through 2015, and smoking prevalence from Cancer Registry and Statistics. Cancer Information Service, National Cancer Center, Japan every 3 years since 2001. Result: Age-adjusted mortality rate from SAH in Shimane prefecture tended to decline by 3.6% between 1999 through 2017 regardless of gender, as 14.86 (95%CI:14.65-15.07) per 100,000 person-year in 1999 to 7.96 (95%CI:7.81-8.11) in 2017. The Population of Shimane prefecture, where one of the most aging region in Japan, was decreased by 10.4% since 764,291 in 1999 to 684,668 in 2017. Blood pressure was invariable during 2008 through 2015, while smoking prevalence decreased since 2001 to 2016, as 25.0% to 18.0%. Conclusion: Age-adjusted mortality rate from SAH in Shimane prefecture have declined since 1999 to 2017, regardless of decrease of population and advancement of aging region. The factor of decline might be not only development of treatment and management, but decrease of incidence of SAH in Japan accompanied by improvement of smoking prevalence or lifestyle habitation.


2021 ◽  
Vol 15 (8) ◽  
Author(s):  
Sarah Yeo ◽  
Bernhard Eigl ◽  
Sherry Chan ◽  
Christian Kollmannsberger ◽  
Paris-Ann Ingledew

Introduction: Over 70% of Canadians who use the internet search for healthcare information online. This is especially true regarding the young adult population. Testicular cancer is the most commonly diagnosed cancer in men aged 15–29. This study characterizes how testicular cancer patients access healthcare information online, and how this influences their clinical encounters and treatment decisions. Methods: From June 2018 to January 2019, a survey consisting of 24 open and close-ended questions was distributed to testicular cancer patients at a tertiary cancer center. Survey results were evaluated using mixed methods analysis. Results: Fifty-nine surveys were distributed, and 44 responses were received. All respondents used the internet regularly and 82% used the internet as a source of information regarding their cancer. The majority followed top hits from Google when selecting websites to view. Frequent topics searched included treatment details and survivorship concerns. Eighty-nine percent of users found online information easy to understand and 94% found it increased their understanding. For 47% of users, the internet did not influence their clinical consultation nor their treatment decision (53%). Conclusions: Most testicular cancer patients in this study are regular internet users and use the internet to search for testicular cancer information. Healthcare providers should recognize this and can play important roles in discussing online findings with patients to assess their background knowledge and expectations, as well as providing guidance on selecting credible online resources. The results of this study can be used to improve patient-physician communication and education.


2007 ◽  
Vol 22 (S2) ◽  
pp. S26-S34 ◽  
Author(s):  
Madeline La Porta ◽  
Heather Hagood ◽  
Judy Patt ◽  
Julie Keany Hodorowski ◽  
Katherine Treiman

2021 ◽  
pp. 872-880
Author(s):  
Amy E. Leader ◽  
Lisa M. Capparella ◽  
Lauren B. Waldman ◽  
Rebecca B. Cammy ◽  
Alison R. Petok ◽  
...  

PURPOSE eHealth literacy, or the ability to seek, find, understand, and appraise health information from electronic sources, has become increasingly relevant in the era of COVID-19, when so many aspects of patient care became dependent on technology. We aimed to understand eHealth literacy among a diverse sample of patients with cancer and discuss ways for health systems and cancer centers to ensure that all patients have access to high-quality care. METHODS A cross-sectional survey of patients with cancer and caregivers was conducted at an NCI-designated cancer center to assess access to the Internet, smartphone ownership, use of mobile apps, willingness to engage remotely with the health care team, and use of the patient portal. Descriptive statistics and bivariate analyses were used to assess frequencies and significant differences between variables. RESULTS Of 363 participants, 55% (n = 201) were female, 71% (n = 241) identified as non-Hispanic White, and 29% (n = 85) reported that their highest level of education was a high school diploma. Most (90%, n = 323) reported having access to the Internet and most (82%, n = 283) reported owning a smartphone. Younger patients or those with a college degree were significantly more likely to own a smartphone, access health information online, know how to download an app on their own, have an interest in communicating with their health care team remotely, or have an account on the electronic patient portal. CONCLUSION As cancer centers increasingly engage patients through electronic and mobile applications, patients with low or limited digital literacy may be excluded, exacerbating current cancer health disparities. Patient-, provider- and system-level technology barriers must be understood and mitigated.


2012 ◽  
Vol 38 (11) ◽  
pp. 1121-1122
Author(s):  
Swethan Alagaratnam ◽  
Perbinder Grewal ◽  
Santosh Somasundaram ◽  
Georgios Akritidis ◽  
Salvatore Guarino ◽  
...  

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18561-18561 ◽  
Author(s):  
S. Verma ◽  
J. Fralick ◽  
J. Sue ◽  
M. Wu ◽  
G. Dranitsaris ◽  
...  

18561 Background: Understanding the nature of Internet use among cancer patients is important to facilitate patient-education interventions and for providing optimal patient care. This questionnaire study is designed to evaluate Internet use by cancer patients at a cancer centre. Methods: Cancer patients attending ambulatory clinics at a single Canadian cancer centre were approached by their health care staff. Participants filled out self-administered questionnaire collecting information on demographics, frequency of Internet usage, timing of Internet use during treatment course, type of information sought, and information on patient’s comfort level and satisfaction with Internet use. Results: Of the total 250 participants, 174 (70%) had used the Internet before and 76 (30%) had never used the Internet. Users were more likely to be younger, female, have English as their first language, and be of Caucasian descent. Individuals with breast cancer were also more likely to have used the Internet than pts with other malignancies. Of the Internet users (n = 174), the majority (87%, n = 152) accessed the Internet once per week or more, and felt strongly confident (44%, n=76) in navigating the Internet. 29 users (17%) felt that the information on the Internet was not trustworthy. Of the users, 136 (78%) used the Internet to access information on cancer, and reportedly more often before visiting the cancer centre (50%, n = 70) and before starting initiating cancer treatment (78%, n = 106). The users seeking information on cancer were most likely to look for information on cancer treatment (87%, n = 118) and side effects (74%, n = 100). The top three visited sites were those for Canadian cancer society, Google, and American cancer society. Conclusions: Despite wide availability and accessibility of Internet, it is still not being used as a cancer information tool by many of our patients. By ensuring that accurate and comprehensive information is available on the Internet, perhaps even more patients will use this medium as their information resource, to better understand their diagnosis and make optimal treatment decisions. No significant financial relationships to disclose.


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