J. Med. Internet Res. - Improving access to information and support for patients with less common cancers: hematologic cancer patients' views about Web-based approaches.

Tópicos

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Resumo

CKGROUND: Meeting the psychosocial needs of vulnerable groups such as cancer survivors remains an ongoing challenge. This is particularly so for those who have less access to the usual forms of medical specialist and in-person support networks. Internet-based approaches offer an opportunity to better meet patients' information and support needs by overcoming the barrier of geographic isolation.OBJECTIVE: The aim of the study was to assess the reported level of access to the Internet, preferred sources of information, and preferred sources of support among survivors of hematologic cancers.METHOD: A population-based, Australian state cancer registry invited eligible survivors to complete a survey about psychosocial needs, including items measuring Internet access and patterns of use. Of the 732 eligible survivors invited to participate, 268 (36.6%) completed and returned the pen-and-paper-based survey.RESULTS: The majority of participants (186/254, 73.2%) reported a high level of access to the Internet, with higher Internet access associated with a higher level of education, larger household, younger age, and being married or employed. A total of 62.2% (156/251) of survivors indicated they were likely to use the Internet for accessing information, with the percentage much lower (69/251, 28%) for accessing support via the Internet. Likelihood of using the Internet for support was associated with feeling anxious and being employed.CONCLUSIONS: While the Internet appears to offer promise in increasing equitable access to information and support for cancer survivors for both metropolitan and regional areas, it is viewed less favorably for support and by particular subgroups (eg, older people and those without a university degree) within the survivor population. Promoting greater understanding of this mode of support may be required to achieve its potential. Information and support options other than Web-based approaches may continue to be needed by vulnerable groups of cancer survivors.

Resumo Limpo

ckground meet psychosoci need vulner group cancer survivor remain ongo challeng particular less access usual form medic specialist inperson support network internetbas approach offer opportun better meet patient inform support need overcom barrier geograph isolationobject aim studi assess report level access internet prefer sourc inform prefer sourc support among survivor hematolog cancersmethod populationbas australian state cancer registri invit elig survivor complet survey psychosoci need includ item measur internet access pattern use elig survivor invit particip complet return penandpaperbas surveyresult major particip report high level access internet higher internet access associ higher level educ larger household younger age marri employ total survivor indic like use internet access inform percentag much lower access support via internet likelihood use internet support associ feel anxious employedconclus internet appear offer promis increas equit access inform support cancer survivor metropolitan region area view less favor support particular subgroup eg older peopl without univers degre within survivor popul promot greater understand mode support may requir achiev potenti inform support option webbas approach may continu need vulner group cancer survivor

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