Prostate cancer patients’ experience and preferences for acquiring information early in their care

Feldman‐Stewart, Deb; Tong, Christine; Brundage, Michael; Bender, Jackie; Robinson, John W.

doi:10.5489/cuaj.4754

Cited by 15 publications

(23 citation statements)

References 6 publications

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“…The questionnaire contained five sections with 40 questions. It was developed by a team of researchers and health care professionals and piloted with five patients prior to implementation [13]. This paper reports on questions pertaining to patterns of internet access and use (n=7), confidence using the internet as a source of health information (n=1), factors associated with health-related internet use including participant demographics (n=8), and what men with prostate cancer want in a website (n=2).…”

Section: Methodsmentioning

confidence: 99%

“…Previously, we reported that for men with prostate cancer in Canada, the most frequently preferred sources of information about prostate cancer and its treatment are a urologist (96%), followed by a family doctor (90%), printed information (85%), other cancer patients (69%), and the internet (68%) [13]. These findings reflect a five-fold increase in the prevalence of health-related internet use among men with prostate in Canada compared to 10 years ago when only 12% of Canadian patients with prostate cancer used the internet as a health resource [14].…”

Section: Introductionmentioning

confidence: 99%

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Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study

Bender¹,

Feldman‐Stewart²,

Tong³

et al. 2019

J Med Internet Res

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BackgroundAfter a prostate cancer diagnosis, men want information about their disease and treatment options. The internet offers a convenient means to deliver health information to patients with prostate cancer. However, there are concerns about the use of the internet among this largely senior population.ObjectiveThis study aimed to determine the patterns and factors associated with the use of the internet as a source of health information among Canadian men with prostate cancer and the features and information required in a website.MethodsPopulation surveys were conducted in four Canadian provinces (British Columbia, Alberta, Saskatchewan, and Ontario) in 2014-2015. Data analyses included descriptive, bivariable, and multivariable analyses. The Pearson Chi-square and univariable regression were used to examine associations between independent variables and health-related internet use. Correlates of health-related internet use were analyzed using multivariable logistic regression.ResultsA total of 1362 patients responded across the four provinces. The mean age of respondents was 69 years (SD 8.2). In addition, 82% (n=1071) were internet users and 71% (n=910) used the internet daily. Further, 65% (n=784) used the internet as a source of prostate cancer information, and 40% (n=521) were confident about using information obtained from the internet to make health decisions. Men who used the internet to obtain prostate cancer information were more likely to be active information seekers (odds ratio [OR]: 4.5, 95% CI 2.6-7.8), be confident using information from the internet to make health decisions (OR: 3.6, 95% CI 2.3-5.7), have broadband internet access (OR: 1.8, 95% CI 1.2-2.7), and have more unmet supportive care needs (OR: 1.05, 95% CI 1.0-1.1). Top features wanted in a website, reported by more than 50% of respondents, were a library of resources (n=893, 65.6%), tools to support treatment decision making (n=815, 59.8%), and tools to help navigate the prostate cancer journey (n=698, 51.2%). Top three topics of information wanted in such a website were treatment options (n=916, 67.3%), disease progression (n=904, 66.4%), and management of side effects (n=858, 63%).ConclusionsOver two-thirds of Canadian patients with prostate cancer surveyed use the internet as a source of health information about prostate cancer, but over half did not feel confident using information from the internet to make health decisions. Being an active information seeker, having confidence in using information from the internet to make health decisions, having broadband internet, and having more unmet supportive care needs were significantly associated with health-related internet use. Future work should examine electronic health literacy interventions as a means to boost men’s confidence in using information from the internet and design websites that include information and features that help men navigate the prostate cancer journey and support treatment decision making and management of side effects.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study

Bender¹,

Feldman‐Stewart²,

Tong³

et al. 2019

J Med Internet Res

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“…One study, performed in 2018 in Canada by Stewart et al, aimed to describe how patients obtain information about prostate cancer once diagnosed and the barriers to do so. 47 Men who were diagnosed with prostate cancer in the last half of 2012, and therefore two years after diagnosis, were eligible for the study. Surveys were mailed to participants and were focused on information needs/decision-making immediately after diagnosis, current needs, internet use, and demographic information.…”

Section: Existing Researchmentioning

confidence: 99%

Evaluating the Quality of Online Health Information about Prostate Cancer Treatment

et al. 2021

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“…The treating physician plays an important role in the prevention, recognition, and treatment of psychosocial consequences of prostate cancer. The physician is the most important information source for prostate cancer patients . However, the main challenge faced by physicians involves when and how to deliver information related to prostate cancer in a manner that could diminish the psychosocial impact of the disease on the patient and their family members .…”

Section: Introductionmentioning

confidence: 99%

“…The physician is the most important information source for prostate cancer patients. 9 However, the main challenge faced by physicians involves when and how to deliver information related to prostate cancer in a manner that could diminish the psychosocial impact of the disease on the patient and their family members. 10 Only a handful of studies have addressed how communication between the cancer patient and his/her physician can influence the patient's psychosocial adjustment to the disease, and how much the physician can and is expected to address and assist with the patient's psychosocial problems.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial adjustment to a prostate cancer diagnosis in a cohort of radical prostatectomy patients in Quebec, Canada

et al. 2019

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Objective The psychosocial impact of a prostate cancer diagnosis significantly affects a patient's quality of life. We studied patient communication at the time of diagnosis and its impact on psychosocial adjustment of patients. Methods This is a cross‐sectional data analysis from self‐administered questionnaires in the PROCURE biobank study, consisting of a cohort of patients with localized prostate cancer undergoing radical prostatectomy in Québec (Canada), 2006 to 2013. Odds ratios (OR) and their respective 95% confidence intervals (95% CI) were calculated using binary or ordered logistic regression models. Results Data from 1841 patients were analyzed. The median age of patients was 62 years (range 41‐80 years), the majority was French‐Canadian (68.3%) and married (79.6%). Most patients (90.1%) considered conversations with their treating physician a useful information source. Patients were dissatisfied on the communication when receiving their diagnosis by telephone (OR = 0.19, 95% CI, 0.11‐0.33). Younger patients were also more dissatisfied. Most patients preferred to receive information on prostate cancer (89.5%) and radical prostatectomy (88.0%) at the time of diagnosis, while only 58.8% and 52.4% of patients received this information at this stage. Patients who were dissatisfied with the communication of the diagnosis had more negative responses, such as increased worries and fear (P < 0.05). The five most useful coping mechanisms were physical activity (62.3%), breathing exercises (44.5%), music (32.8%), faith (30.3%), and muscle relaxation (30.1%), but varied by demographics. Conclusions This study highlights the importance of physicians communicating a prostate cancer diagnosis well to their patients. Patients may benefit from individually tailored interventions to facilitate their overall coping.

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Prostate cancer patients’ experience and preferences for acquiring information early in their care

Abstract: Prostate cancer patients want urologists to provide them with information and are more likely to report being informed if they see both a urologist and a radiation oncologist. Optimal information provision requires that it be provided both on the internet and in print.

Cited by 15 publications

References 6 publications

Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study

Health-Related Internet Use Among Men With Prostate Cancer in Canada: Cancer Registry Survey Study

Evaluating the Quality of Online Health Information about Prostate Cancer Treatment

Psychosocial adjustment to a prostate cancer diagnosis in a cohort of radical prostatectomy patients in Quebec, Canada

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