Skip to main content
Top
Published in: Supportive Care in Cancer 1/2011

01-01-2011 | Original Article

Needs of women with breast cancer as communicated to physicians on the Internet

Authors: Juhee Cho, Katherine C. Smith, Debra Roter, Eliseo Guallar, Dong-Young Noh, Daniel E. Ford

Published in: Supportive Care in Cancer | Issue 1/2011

Login to get access

Abstract

Purpose

With improved access to health information via the Internet, an increasing number of women with breast cancer are using this venue to obtain information about their illness and treatment from physicians. This study aims to identify the needs of women with breast cancer who communicate with physicians on the Internet.

Methods

From a total of 4,424 requests posted by Korean women with breast cancer to a physician run Internet Q&A board during 2003 to 2007, we sampled 1,355 representative requests according to different type of online user identification and analyzed these using a qualitative content analytic approach to identify the nature of the requests.

Results

The vast majority of women (93.5%) used the online Q&A board to seek informational support from physicians. They requested information across a broad range of topics, including treatment (38.4% of requests), physical condition (31.7%), and lifestyle/self-care (24%). Women at different disease stages made requests in different informational domains. Few (<5%) postings were direct requests for emotional support, but emotional requests were often embedded within informational requests. Over 63% of requests expressed concern and worry, and about 75% of the requests included at least one emotional expression. There was no difference by type of online user identification with respect to the subject and purpose of the requests.

Conclusions

Korean women with breast cancer expressed diverse needs related to their physical and psychological conditions in their online requests to physicians via a Q&A board. While future research should establish and evaluate the role of internet communications for cancer management, we conclude that an online Q&A board can be a valuable tool in assisting breast cancer patients in managing their physical and psychosocial needs as well as communicating these needs to physicians.
Literature
1.
go back to reference Mols F, Vingerhoet A, Coebergh JW et al (2005) Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer 41:2613–2619CrossRefPubMed Mols F, Vingerhoet A, Coebergh JW et al (2005) Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer 41:2613–2619CrossRefPubMed
2.
go back to reference Jenkins V, Fallowfield L, Saul J (2001) Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer 84:48–51CrossRefPubMed Jenkins V, Fallowfield L, Saul J (2001) Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer 84:48–51CrossRefPubMed
3.
go back to reference Pimentel FL, Ferreira JS, Vila Real M et al (1999) Quantity and quality of information desired by Portuguese cancer patients. Support Care Cancer 7:407–412CrossRefPubMed Pimentel FL, Ferreira JS, Vila Real M et al (1999) Quantity and quality of information desired by Portuguese cancer patients. Support Care Cancer 7:407–412CrossRefPubMed
4.
go back to reference Tattersall MH, Gattellari M, Voigt K et al (2002) When the treatment goal is not cure: are patients informed adequately? Support Care Cancer 10:314–321CrossRefPubMed Tattersall MH, Gattellari M, Voigt K et al (2002) When the treatment goal is not cure: are patients informed adequately? Support Care Cancer 10:314–321CrossRefPubMed
5.
go back to reference Halstead MT, Fernsler JI (1994) Coping strategies of long-term cancer survivors. Cancer Nurs 17:94–100CrossRefPubMed Halstead MT, Fernsler JI (1994) Coping strategies of long-term cancer survivors. Cancer Nurs 17:94–100CrossRefPubMed
6.
go back to reference Neuling SJ, Winefield HR (1988) Social support and recovery after surgery for breast cancer: frequency and correlates of supportive behaviours by family, friends and surgeon. Soc Sci Med 27:385–392CrossRefPubMed Neuling SJ, Winefield HR (1988) Social support and recovery after surgery for breast cancer: frequency and correlates of supportive behaviours by family, friends and surgeon. Soc Sci Med 27:385–392CrossRefPubMed
7.
go back to reference Vivar CG, McQueen A (2005) Informational and emotional needs of long-term survivors of breast cancer. J Adv Nurs 51:520–528CrossRefPubMed Vivar CG, McQueen A (2005) Informational and emotional needs of long-term survivors of breast cancer. J Adv Nurs 51:520–528CrossRefPubMed
8.
go back to reference Baile WF, Aaron J (2005) Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol 17:331–335CrossRefPubMed Baile WF, Aaron J (2005) Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol 17:331–335CrossRefPubMed
9.
go back to reference Clayman ML, Boberg EW, Makoul G (2008) The use of patient and provider perspectives to develop a patient-oriented website for women diagnosed with breast cancer. Patient Educ Couns 72:429–435CrossRefPubMed Clayman ML, Boberg EW, Makoul G (2008) The use of patient and provider perspectives to develop a patient-oriented website for women diagnosed with breast cancer. Patient Educ Couns 72:429–435CrossRefPubMed
10.
go back to reference Fitch MI, Bakker D, Conlon M (1999) Important issues in clinical practice: perspectives of oncology nurses. Can Oncol Nurs J 9:151–164PubMed Fitch MI, Bakker D, Conlon M (1999) Important issues in clinical practice: perspectives of oncology nurses. Can Oncol Nurs J 9:151–164PubMed
11.
go back to reference Chan A, Woodruff RK (1997) Communicating with patients with advanced cancer. J Palliat Care 13:29–33PubMed Chan A, Woodruff RK (1997) Communicating with patients with advanced cancer. J Palliat Care 13:29–33PubMed
12.
go back to reference Eidinger RN, Schapira DV (1984) Cancer patients’ insight into their treatment, prognosis, and unconventional therapies. Cancer 53:2736–2740CrossRefPubMed Eidinger RN, Schapira DV (1984) Cancer patients’ insight into their treatment, prognosis, and unconventional therapies. Cancer 53:2736–2740CrossRefPubMed
13.
go back to reference Mackillop WJ, Stewart WE, Ginsburg AD et al (1988) Cancer patients’ perceptions of their disease and its treatment. Br J Cancer 58:355–358PubMed Mackillop WJ, Stewart WE, Ginsburg AD et al (1988) Cancer patients’ perceptions of their disease and its treatment. Br J Cancer 58:355–358PubMed
15.
go back to reference Degner LF, Kristjanson LJ, Bowman D et al (1997) Information needs and decisional preferences in women with breast cancer. JAMA 277:1485–1492CrossRefPubMed Degner LF, Kristjanson LJ, Bowman D et al (1997) Information needs and decisional preferences in women with breast cancer. JAMA 277:1485–1492CrossRefPubMed
16.
go back to reference Lin CT, Wittevrongel L, Moore L et al (2005) An Internet-based patient-provider communication system: randomized controlled trial. J Med Internet Res 7:e47CrossRefPubMed Lin CT, Wittevrongel L, Moore L et al (2005) An Internet-based patient-provider communication system: randomized controlled trial. J Med Internet Res 7:e47CrossRefPubMed
17.
go back to reference Cline RJ (2003) Everyday interpersonal communication and health. In: Thompson TL, Dorsey AM, Miller KI et al (eds) Handbook of health communication. Lawrence Erlbaum Associates, Mahwah, New Jersey, pp 285–318 Cline RJ (2003) Everyday interpersonal communication and health. In: Thompson TL, Dorsey AM, Miller KI et al (eds) Handbook of health communication. Lawrence Erlbaum Associates, Mahwah, New Jersey, pp 285–318
18.
go back to reference Gillotti CM (2003) Medical disclosure and decision-making: excavating the complexities of physician-patient information exchange. In: Thompson TL, Dorsey AM, Miller KI et al (eds) Handbook of health communication. Lawrence Erlbaum Associates, Mahwah, New Jersey, pp 163–182 Gillotti CM (2003) Medical disclosure and decision-making: excavating the complexities of physician-patient information exchange. In: Thompson TL, Dorsey AM, Miller KI et al (eds) Handbook of health communication. Lawrence Erlbaum Associates, Mahwah, New Jersey, pp 163–182
19.
go back to reference McGeady D, Kujala J, Ilvonen K (2008) The impact of patient-physician web messaging on healthcare service provision. Int J Med Inform 77:17–23CrossRefPubMed McGeady D, Kujala J, Ilvonen K (2008) The impact of patient-physician web messaging on healthcare service provision. Int J Med Inform 77:17–23CrossRefPubMed
20.
go back to reference Ziebland S, Chapple A, Dumelow C et al (2004) How the internet affects patients’ experience of cancer: a qualitative study. BMJ 328:564CrossRefPubMed Ziebland S, Chapple A, Dumelow C et al (2004) How the internet affects patients’ experience of cancer: a qualitative study. BMJ 328:564CrossRefPubMed
21.
go back to reference Ahn SH, Yoo KY (2006) Chronological changes of clinical characteristics in 31, 115 new breast cancer patients among Koreans during 1996–2004. Breast Cancer Res Treat 99:209–214CrossRefPubMed Ahn SH, Yoo KY (2006) Chronological changes of clinical characteristics in 31, 115 new breast cancer patients among Koreans during 1996–2004. Breast Cancer Res Treat 99:209–214CrossRefPubMed
22.
go back to reference Korean Breast Cancer Society (2004) Nationwide Korean breast cancer data of 2002. J Korean Breast Cancer Soc 7:72–83 Korean Breast Cancer Society (2004) Nationwide Korean breast cancer data of 2002. J Korean Breast Cancer Soc 7:72–83
23.
go back to reference Hur HK (2000) Information needs of women with breast cancer. J Korean Acad Adult Nurs 12:286–295 Hur HK (2000) Information needs of women with breast cancer. J Korean Acad Adult Nurs 12:286–295
24.
go back to reference Kim GY, Hur HK (2002) Information needs of patients with cancer in Korea. J Korean Acad Adult Nurs 14:135–143 Kim GY, Hur HK (2002) Information needs of patients with cancer in Korea. J Korean Acad Adult Nurs 14:135–143
25.
go back to reference Yi M, Lee EO, Park YO et al (2003) A descriptive study on educational and counseling needs of breast cancer patients based on the treatment stages. J Korean Oncol Nurs 3:5–14 Yi M, Lee EO, Park YO et al (2003) A descriptive study on educational and counseling needs of breast cancer patients based on the treatment stages. J Korean Oncol Nurs 3:5–14
27.
go back to reference Galloway S, Graydon J, Harrison D et al (1997) Informational needs of women with a recent diagnosis of breast cancer: development and initial testing of a tool. J Adv Nurs 25:1175–1183CrossRefPubMed Galloway S, Graydon J, Harrison D et al (1997) Informational needs of women with a recent diagnosis of breast cancer: development and initial testing of a tool. J Adv Nurs 25:1175–1183CrossRefPubMed
28.
go back to reference Yi M, Cho J, Noh DY et al (2007) Informational needs of Korean women with breast cancer: cross-cultural adaptation of the Toronto informational needs questionnaire of breast cancer. Asian Nurs Res 1:176–186CrossRef Yi M, Cho J, Noh DY et al (2007) Informational needs of Korean women with breast cancer: cross-cultural adaptation of the Toronto informational needs questionnaire of breast cancer. Asian Nurs Res 1:176–186CrossRef
29.
go back to reference Lee CO (1997) Quality of life and breast cancer survivors. Psychosocial and treatment issues. Cancer Pract 5:309–316PubMed Lee CO (1997) Quality of life and breast cancer survivors. Psychosocial and treatment issues. Cancer Pract 5:309–316PubMed
30.
go back to reference Omne-Ponten M, Holmberg L, Sjoden PO (1994) Psychosocial adjustment among women with breast cancer stages I and II: six-year follow-up of consecutive patients. J Clin Oncol 12:1778–1782PubMed Omne-Ponten M, Holmberg L, Sjoden PO (1994) Psychosocial adjustment among women with breast cancer stages I and II: six-year follow-up of consecutive patients. J Clin Oncol 12:1778–1782PubMed
32.
go back to reference StataCorp (2008) Statistical Software: Release 10.0. Stata Corporation, College Station, TX StataCorp (2008) Statistical Software: Release 10.0. Stata Corporation, College Station, TX
33.
go back to reference Gamble K (1998) Communication and information: the experience of radiotherapy patients. Eur J Cancer Care (Engl) 7:153–161CrossRef Gamble K (1998) Communication and information: the experience of radiotherapy patients. Eur J Cancer Care (Engl) 7:153–161CrossRef
34.
go back to reference Harris KM (2003) How do patients choose physicians? Evidence from a national survey of enrollees in employment-related health plans. Health Serv Res 38:711–732CrossRefPubMed Harris KM (2003) How do patients choose physicians? Evidence from a national survey of enrollees in employment-related health plans. Health Serv Res 38:711–732CrossRefPubMed
35.
go back to reference Hinds G, Moyer A (1997) Support as experienced by patients with cancer during radiotherapy treatments. J Adv Nurs 26:371–379CrossRefPubMed Hinds G, Moyer A (1997) Support as experienced by patients with cancer during radiotherapy treatments. J Adv Nurs 26:371–379CrossRefPubMed
36.
go back to reference van der Molen B, Hutchison G (1999) Learning to live with cancer: the UK experience of a European patient education and support programme. Eur J Cancer Care (Engl) 8:170–173CrossRef van der Molen B, Hutchison G (1999) Learning to live with cancer: the UK experience of a European patient education and support programme. Eur J Cancer Care (Engl) 8:170–173CrossRef
37.
go back to reference McCaughan E, Thompson K (2000) Informational needs of cancer patients receiving chemotherapy at a day case unit in northern Ireland. J Adv Nurs 9:851–858 McCaughan E, Thompson K (2000) Informational needs of cancer patients receiving chemotherapy at a day case unit in northern Ireland. J Adv Nurs 9:851–858
38.
go back to reference Rose JH (1990) Social support and cancer: adult patients’ desire for support from family, friends, and health professionals. Am J Community Psychol 18:439–464CrossRefPubMed Rose JH (1990) Social support and cancer: adult patients’ desire for support from family, friends, and health professionals. Am J Community Psychol 18:439–464CrossRefPubMed
39.
go back to reference Schain WS (1990) Physician-patient communication about breast cancer. A challenge for the 1990s. Surg Clin North Am 70:917–936PubMed Schain WS (1990) Physician-patient communication about breast cancer. A challenge for the 1990s. Surg Clin North Am 70:917–936PubMed
40.
go back to reference Roter DL, Larson S, Sands DZ et al (2008) Can e-mail messages between patients and physicians be patient-centered? Health Commun 23:80–86CrossRefPubMed Roter DL, Larson S, Sands DZ et al (2008) Can e-mail messages between patients and physicians be patient-centered? Health Commun 23:80–86CrossRefPubMed
Metadata
Title
Needs of women with breast cancer as communicated to physicians on the Internet
Authors
Juhee Cho
Katherine C. Smith
Debra Roter
Eliseo Guallar
Dong-Young Noh
Daniel E. Ford
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 1/2011
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-009-0794-0

Other articles of this Issue 1/2011

Supportive Care in Cancer 1/2011 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine