Int J Med Inform - Online health consultation: examining uses of an interactive cancer communication tool by low-income women with breast cancer.

Tópicos

{ inform(2794) health(2639) internet(1427) }
{ studi(1119) effect(1106) posit(819) }
{ high(1669) rate(1365) level(1280) }
{ patient(1821) servic(1111) care(1106) }
{ decis(3086) make(1611) patient(1517) }
{ cancer(2502) breast(956) screen(824) }
{ bind(1733) structur(1185) ligand(1036) }
{ use(1733) differ(960) four(931) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ model(2656) set(1616) predict(1553) }
{ health(1844) social(1437) communiti(874) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ data(3008) multipl(1320) sourc(1022) }
{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ concept(1167) ontolog(924) domain(897) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ ehr(2073) health(1662) electron(1139) }
{ cost(1906) reduc(1198) effect(832) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(976) code(926) identifi(902) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ clinic(1479) use(1117) guidelin(835) }
{ howev(809) still(633) remain(590) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ health(3367) inform(1360) care(1135) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ group(2977) signific(1463) compar(1072) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: To examine how psychosocial variables predicted use of an online health consultation service among low-income breast cancer patients and in turn how using this service affected these same psychosocial outcomes.METHOD: This retrospective study included 231 recently diagnosed, low-income (at or below 250% of the federal poverty level) breast cancer patients provided a free computer with 16 weeks of access to the Internet-based 'Ask an Expert' service offered as part of the Comprehensive Health Enhancement Support System (CHESS) "Living with Breast Cancer" program. The use activity included a total of 502 messages submitted to the online health consultation service. The data included five psychosocial variables: information seeking, social support, health self efficacy, participation in health care, and doctor-patient relationship, were collected at both the pre-test and 16-week post-test after using the service. Correlation tests were conducted to examine the relationship between pre- and post-test, and use activity. A multiple regression model was formed for each of five psychosocial variables to examine how use activity of the consultation service was associated with various psychosocial measurements.RESULTS: In total, 865 distinct consulting queries from 502 messages were identified as measurement of patients' use activities (3.74 consulting queries per participant). Use activity had significant negative relationships with pre-test scores across all five psychosocial variables. The regression models found significant positive main effects (use activity) associated with three of these psychosocial variables: health self efficacy, participation in health care and doctor-patient relationship. Use activity of the online consultation service did not have significant relationships with the dependent variables of information seeking and perceived social support.CONCLUSION: Low-income breast cancer patients sought out information from an online cancer information expert. Patients with more negative perceptions at pre-test tended to use the service more. Greater use of the service was associated with improvement in patients' perception of health self-efficacy, participation in health care and doctor-patient relationship. Moreover, use of online health consultation appears to level the differences, narrowing the gaps between those who were worse and better off at pre-test. These findings suggest that online health consultation can serve as an effective complement to other resources, which help low-income, breast cancer patients feel more confident to participate more actively in their health care, become more actively involved in making decisions about their treatments and enhance the relationship with their doctors.

Resumo Limpo

rpose examin psychosoci variabl predict use onlin health consult servic among lowincom breast cancer patient turn use servic affect psychosoci outcomesmethod retrospect studi includ recent diagnos lowincom feder poverti level breast cancer patient provid free comput week access internetbas ask expert servic offer part comprehens health enhanc support system chess live breast cancer program use activ includ total messag submit onlin health consult servic data includ five psychosoci variabl inform seek social support health self efficaci particip health care doctorpati relationship collect pretest week posttest use servic correl test conduct examin relationship pre posttest use activ multipl regress model form five psychosoci variabl examin use activ consult servic associ various psychosoci measurementsresult total distinct consult queri messag identifi measur patient use activ consult queri per particip use activ signific negat relationship pretest score across five psychosoci variabl regress model found signific posit main effect use activ associ three psychosoci variabl health self efficaci particip health care doctorpati relationship use activ onlin consult servic signific relationship depend variabl inform seek perceiv social supportconclus lowincom breast cancer patient sought inform onlin cancer inform expert patient negat percept pretest tend use servic greater use servic associ improv patient percept health selfefficaci particip health care doctorpati relationship moreov use onlin health consult appear level differ narrow gap wors better pretest find suggest onlin health consult can serv effect complement resourc help lowincom breast cancer patient feel confid particip activ health care becom activ involv make decis treatment enhanc relationship doctor

Resumos Similares

J. Med. Internet Res. - Internet use frequency and patient-centered care: measuring patient preferences for participation using the health information wants questionnaire. ( 0,811920980922733 )
Telemed J E Health - Understanding the online health information user profiles in Korea: from a psychological perspective. ( 0,802530028528682 )
Health Info Libr J - Use and value of information sources by parents of child psychiatric patients. ( 0,787004526907407 )
Inform Health Soc Care - Seeking health advice on the Internet in patients with health problems: a cross-sectional population study in Slovenia. ( 0,786959843173857 )
Int J Med Inform - Online health information seeking by people with physical disabilities due to neurological conditions. ( 0,781632246785236 )
J. Med. Internet Res. - Impact of an online medical internet site on knowledge and practice of health care providers: a mixed methods study of the Spinal Cord Injury Rehabilitation Evidence project. ( 0,776160654969968 )
Int J Med Inform - An exploratory study of inactive health information seekers. ( 0,768725297896752 )
Inform Health Soc Care - Internet use for health information among haematology outpatients: a cross-sectional survey. ( 0,760743855631491 )
J. Med. Internet Res. - eHealth literacy: extending the digital divide to the realm of health information. ( 0,759351754889316 )
Telemed J E Health - Factors affecting electronic health information needs in primary care patients. ( 0,745812250321146 )
Health Informatics J - Spanish students' use of the Internet for mental health information and support seeking. ( 0,743448249917541 )
J. Med. Internet Res. - Internet use for health-related information via personal computers and cell phones in Japan: a cross-sectional population-based survey. ( 0,743386744830135 )
J. Med. Internet Res. - Online communication between doctors and patients in Europe: status and perspectives. ( 0,743089072429013 )
J. Med. Internet Res. - Do online mental health services improve help-seeking for young people? A systematic review. ( 0,740114182326187 )
Health Info Libr J - The role of health information kiosks in diverse settings: a systematic review. ( 0,739782624671765 )
Inform Health Soc Care - A community education initiative to improve using online health information: participation and impact. ( 0,739126087801384 )
AMIA Annu Symp Proc - Information is in the eye of the beholder: Seeking information on the MMR vaccine through an Internet search engine. ( 0,732376406086735 )
J. Med. Internet Res. - Online mental health resources in rural Australia: clinician perceptions of acceptability. ( 0,729197762450518 )
Telemed J E Health - Rural adults' use of health-related information online: data from a 2006 National Online Health Survey. ( 0,728977558785848 )
J. Med. Internet Res. - Content and functionality of alcohol and other drug websites: results of an online survey. ( 0,727631304791909 )
Int J Med Inform - Market segmentation of health information use on the Internet in Korea. ( 0,727437792014245 )
J. Med. Internet Res. - What explains usage of mobile physician-rating apps? Results from a web-based questionnaire. ( 0,724865611498522 )
Perspect Health Inf Manag - Evaluation of dengue-related health information on the internet. ( 0,723936376762164 )
J. Med. Internet Res. - Socioeconomic and geographic disparities in health information seeking and Internet use in Puerto Rico. ( 0,722651586177689 )
Int J Med Inform - Internet use by the public to search for health-related information. ( 0,717550661241302 )
J. Med. Internet Res. - Internet use and eHealth literacy of low-income parents whose children have special health care needs. ( 0,717195100498454 )
Telemed J E Health - Attitudes and awareness of web-based self-care resources in the military: a preliminary survey study. ( 0,715542654713444 )
Telemed J E Health - Delivering healthcare information via the internet: cardiac patients' access, usage, perceptions of usefulness, and web site content preferences. ( 0,713752731152457 )
Health Info Libr J - Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts. ( 0,71295602233111 )
Inform Health Soc Care - Health on the Web: An examination of health content and mobilising information on local television Websites. ( 0,711601302400286 )
J Telemed Telecare - An evaluation of telehealth websites for design, literacy, information and content. ( 0,709931689951115 )
J. Med. Internet Res. - Internet skills performance tests: are people ready for eHealth? ( 0,706000424668973 )
J. Med. Internet Res. - Evaluation of a Web-based intervention providing tailored advice for self-management of minor respiratory symptoms: exploratory randomized controlled trial. ( 0,704953596942265 )
J. Med. Internet Res. - Evaluating aspects of online medication safety in long-term follow-up of 136 Internet pharmacies: illegal rogue online pharmacies flourish and are long-lived. ( 0,703808214102961 )
J. Med. Internet Res. - Can online consumers contribute to drug knowledge? A mixed-methods comparison of consumer-generated and professionally controlled psychotropic medication information on the internet. ( 0,703106454923751 )
J. Med. Internet Res. - Understanding determinants of consumer mobile health usage intentions, assimilation, and channel preferences. ( 0,701188326011654 )
J. Med. Internet Res. - Digital inequalities of family life information seeking and family well-being among Chinese adults in Hong Kong: a population survey. ( 0,698697797806175 )
Int J Med Inform - eHealth usage patterns of European general practitioners: a five-year (2002-2007) comparative study. ( 0,697799961107606 )
J. Med. Internet Res. - Parents seeking health-related information on the Internet: cross-sectional study. ( 0,696754835525935 )
J. Med. Internet Res. - Changes over time in the utilization of disease-related Internet information in newly diagnosed breast cancer patients 2007 to 2013. ( 0,695852303876044 )
J. Med. Internet Res. - An international comparison of web-based reporting about health care quality: content analysis. ( 0,695441480619805 )
Telemed J E Health - Adapting the content of cancer web sites to the information needs of patients: reliability and readability. ( 0,695219541569033 )
J. Med. Internet Res. - What do web-use skill differences imply for online health information searches? ( 0,695147762812215 )
AMIA Annu Symp Proc - Social and behavioral history information in public health datasets. ( 0,693531794986943 )
J. Med. Internet Res. - The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. ( 0,693116497794796 )
J. Med. Internet Res. - Consumers' perceptions of patient-accessible electronic medical records. ( 0,691712273448252 )
J Innov Health Inform - Using the Internet as a source of information and support: a discussion paper on the risks and benefits for children and young people with long-term conditions. ( 0,691458562570091 )
J. Med. Internet Res. - Physician choice making and characteristics associated with using physician-rating websites: cross-sectional study. ( 0,691207964866991 )
J. Med. Internet Res. - Use of the internet as a health information resource among French young adults: results from a nationally representative survey. ( 0,690941162370216 )
J. Med. Internet Res. - How patients with schizophrenia use the internet: qualitative study. ( 0,688917366102842 )
BMC Med Inform Decis Mak - Predictive modelling: parents' decision making to use online child health information to increase their understanding and/or diagnose or treat their child's health. ( 0,688492838940524 )
Int J Med Inform - Internet health information seeking is a team sport: analysis of the Pew Internet Survey. ( 0,68494661766386 )
J. Med. Internet Res. - Seeking health information and support online: does it differ as a function of engagement in risky health behaviors? Evidence from the health information national trends survey. ( 0,684356317751931 )
J. Med. Internet Res. - Review of extracting information from the Social Web for health personalization. ( 0,683244609861647 )
Health Info Libr J - 'Quality signposting': the role of online information prescription in providing patient information. ( 0,683166501292225 )
Health Info Libr J - Information needs and information-seeking behaviour analysis of primary care physicians and nurses: a literature review. ( 0,682073400086537 )
J Am Med Inform Assoc - From health search to healthcare: explorations of intention and utilization via query logs and user surveys. ( 0,679568950768509 )
J. Med. Internet Res. - Effects of internet use on health and depression: a longitudinal study. ( 0,676543107242443 )
BMC Med Inform Decis Mak - Use of the internet as a source of health information by Spanish adolescents. ( 0,676427284785356 )
J. Med. Internet Res. - A panel analysis of the strategic association between information and communication technology and public health delivery. ( 0,676422184759208 )
Int J Med Inform - Health information seeking, diet and physical activity: an empirical assessment by medium and critical demographics. ( 0,676301833946285 )
AMIA Annu Symp Proc - Do health care users think electronic health records are important for themselves and their providers?: Exploring group differences in a national survey. ( 0,675278912101409 )
Health Info Libr J - Information behaviour of Canadian pharmaceutical policy makers. ( 0,672643052604093 )
BMC Med Inform Decis Mak - An analysis of online health information on schizophrenia or related conditions: a cross-sectional survey. ( 0,672172730800725 )
J. Med. Internet Res. - Munchausen by internet: current research and future directions. ( 0,671470473823948 )
Health Info Libr J - Determining where physical therapists get information to support clinical practice decisions. ( 0,671095392840101 )
J. Med. Internet Res. - eMental health experiences and expectations: a survey of youths' Web-based resource preferences in Canada. ( 0,670113728245277 )
AMIA Annu Symp Proc - Using a health information exchange system for imaging information: patterns and predictors. ( 0,667359587208331 )
BMC Med Inform Decis Mak - Italian hospitals on the web: a cross-sectional analysis of official websites. ( 0,667294660519697 )
J. Med. Internet Res. - Dr Google and the consumer: a qualitative study exploring the navigational needs and online health information-seeking behaviors of consumers with chronic health conditions. ( 0,666504984528018 )
J Med Syst - The differing privacy concerns regarding exchanging electronic medical records of internet users in Taiwan. ( 0,665177091269481 )
BMC Med Inform Decis Mak - A randomized controlled study about the use of eHealth in the home health care of premature infants. ( 0,664465195940955 )
BMC Med Inform Decis Mak - Surfing the internet for health information: an italian survey on use and population choices. ( 0,664021484948608 )
J. Med. Internet Res. - Exploring the use and effects of deliberate self-harm websites: an Internet-based study. ( 0,660263405845451 )
J. Med. Internet Res. - eHealth literacy 2.0: problems and opportunities with an evolving concept. ( 0,657642665077161 )
J. Med. Internet Res. - Internet search patterns of human immunodeficiency virus and the digital divide in the Russian Federation: infoveillance study. ( 0,656375075057229 )
J Am Med Inform Assoc - Seeking health information online: does limited healthcare access matter? ( 0,655630211831465 )
J. Med. Internet Res. - Improving access to information and support for patients with less common cancers: hematologic cancer patients' views about Web-based approaches. ( 0,655389161339121 )
AMIA Annu Symp Proc - A mobile/web app for long distance caregivers of older adults: functional requirements and design implications from a user centered design process. ( 0,652082517685028 )
Telemed J E Health - Health literacy and willingness to use online health information by teens with asthma and diabetes. ( 0,650710511065249 )
J Med Syst - The quality and characteristics of leading general hospitals' websites in China. ( 0,650020126557847 )
Health Informatics J - Students' trust judgements in online health information seeking. ( 0,648628399200964 )
Comput Methods Programs Biomed - Automatic information timeliness assessment of diabetes web sites by evidence based medicine. ( 0,647970602660022 )
J. Med. Internet Res. - An experimental test of the persuasive effect of source similarity in narrative and nonnarrative health blogs. ( 0,646675073216746 )
Int J Med Inform - Internet skill-related problems in accessing online health information. ( 0,642794507052361 )
J. Med. Internet Res. - Evaluating the process of online health information searching: a qualitative approach to exploring consumer perspectives. ( 0,640513170624638 )
J. Med. Internet Res. - Multiple information sources and consequences of conflicting information about medicine use during pregnancy: a multinational Internet-based survey. ( 0,640365240167073 )
Telemed J E Health - Is the digital divide an obstacle to e-health? An analysis of the situation in Europe and in Italy. ( 0,638418382303109 )
Inform Health Soc Care - Use of and trust in health information on the Internet: a nationwide eight-year follow-up survey. ( 0,637875570956075 )
J Biomed Inform - Implementation of a user-centered framework in the development of a web-based health information database and call center. ( 0,635031919001385 )
AMIA Annu Symp Proc - Who are portal users vs. early e-Visit adopters? A preliminary analysis. ( 0,632201037747396 )
AMIA Annu Symp Proc - Patient moderator interaction in online health communities. ( 0,632126387476458 )
J. Med. Internet Res. - Why do patients and caregivers seek answers from the Internet and online lung specialists? A qualitative study. ( 0,631751924099107 )
J. Med. Internet Res. - Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. ( 0,629313599095013 )
J. Med. Internet Res. - Utilization and perceived problems of online medical resources and search tools among different groups of European physicians. ( 0,629209780791814 )
Int J Med Inform - Factors that influence public engagement with eHealth: A literature review. ( 0,628887772298809 )
J. Med. Internet Res. - The effects of preference for information on consumers' online health information search behavior. ( 0,628436202635631 )
J. Med. Internet Res. - Promoting health in virtual worlds: lessons from second life. ( 0,62678670965059 )
BMC Med Inform Decis Mak - How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study. ( 0,626501717190722 )
Int J Med Inform - A study on Singaporean women's acceptance of using mobile phones to seek health information. ( 0,626178375604426 )