Information-Seeking in Cancer Survivors: Application of the Comprehensive Model of Information Seeking to HINTS 2007 Data

Hartoonian, Narineh; Ormseth, Sarah R.; Hanson, Eric R.; Bantum, Erin O’Carroll; Owen, Jason E.

doi:10.1080/10810730.2013.872730

Cited by 58 publications

(60 citation statements)

References 57 publications

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“…Advances in cancer screening and treatment mean that cancer survivors are living longer [6] and they are seeking information about how lifestyle factors may influence their prognosis [7–9]. For those who are overweight or obese, the potential implications of losing weight are particularly relevant.…”

Section: Introductionmentioning

confidence: 99%

Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review

et al. 2017

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BackgroundExcess adiposity is a risk factor for poorer cancer survival, but there is uncertainty over whether losing weight reduces the risk. We conducted a critical review of the literature examining weight loss and mortality in overweight or obese cancer survivors.MethodsWe systematically searched PubMed and EMBASE for articles reporting associations between weight loss and mortality (cancer-specific or all-cause) in overweight/obese patients with obesity-related cancers. Where available, data from the same studies on non-overweight patients were compared.ResultsFive articles describing observational studies in breast cancer survivors were included. Four studies reported a positive association between weight loss and mortality in overweight/obese survivors, and the remaining study observed no significant association. Results were similar for non-overweight survivors. Quality assessment indicated high risk of bias across studies.ConclusionsThere is currently a lack of observational evidence that weight loss improves survival for overweight and obese cancer survivors. However, the potential for bias in these studies is considerable and the results likely reflect the consequences of disease-related rather than intentional weight loss. There is a need for stronger study designs, incorporating measures of intentionality of weight loss, and extended to other cancers.

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Section: Introductionmentioning

confidence: 99%

Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review

et al. 2017

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“…The CMIS [14,15] provides a theoretical framework for this research developed to explain and predict cancer-related health information seeking and source utilization and has been tested in diverse settings [14,15,20-23] including online communication environments [24]. Integrating concepts from uses and gratification research, the health belief model, and a model of media exposure and appraisal, the CMIS proposes three primary levels of variables that influence cancer information seeking.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Online Cancer Prevention Information Seeking Among Patients and Caregivers Across the Digital Divide: A Cross-Sectional, Correlational Study

Ginossar¹

2016

JMIR Cancer

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BackgroundThe digital divide is a recognized public health problem caused by social determinants that exacerbate health disparities. Despite the “tectonic shift” in how most of the public obtains cancer information, underserved communities are at increased risk of being digitally marginalized. However, research that examines factors underlying eHealth information seeking in diverse health contexts is lacking.ObjectiveThe aim of this paper is to explore preferences and use of eHealth cancer prevention information (CPI) among patients and caregivers attending a minority-serving oncology clinic using the comprehensive model of information seeking as a theoretical framework. Specifically, the study examined the role of social determinants and prevention orientation in differences in preference and use of the Internet for CPI seeking among this diverse sample.MethodsSurvey methodology was used to identify social determinants and behavioral factors, including prevention orientation as correlates and predictors of respondents’ (n=252) preferences and use of eHealth for CPI seeking.ResultsLess than half (112/252, 44.4%) of respondents said that if faced with the need to seek CPI, they would seek this information online. In the final logistic regression model, education, ethnicity, age, and prevention orientation made significant contributions to the model (P<.05). Specifically, for each year increase in age, participants were 3% less likely to use the Internet for CPI seeking (P=.011). Compared to college graduates, respondents who did not complete high school were 11.75 times less likely to cite the Internet as a CPI carrier (P<.001) and those with a high school education were 3 times (2.99, P=.015) less likely. In addition, the odds that a Spanish speaker would cite the Internet as a CPI carrier were one-fifth (22%) of non-Hispanic whites (P=.032) and about one-quarter (26%) of English-speaking Latinos (P=.036). Finally, with each one point increase on the prevention orientation scale, respondents were 1.83 times less likely to cite online CPI seeking (P=.05).ConclusionsSocial determinants to health have profound influence on eHealth CPI seeking. Providers and policy makers should focus on meeting patients and family members’ CPI needs following diagnosis and increase eHealth accessibility and availability of evidence-based CPI to diverse populations. Future research is needed to unravel further differences in eHealth CPI seeking, including those among Native Americans that emerged as an additional digitally underserved racial/ethnic group. Finally, additional factors underlying these differences should be explored to better tailor CPI eHealth information to diverse communities’ information needs.

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“…This could potentially lead to patients and survivors sourcing information elsewhere. Many report using the internet to source nutrition and lifestyle information (Hartoonian, Ormseth, Hanson, Bantum, & Owen, 2014;Mayer et al, 2006).…”

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confidence: 99%

Nutrition guidance for cancer patients and survivors—A review of the websites of Irish healthcare and charitable organisations and cancer centres

et al. 2020

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Objective To determine availability of nutrition information for cancer patients and survivors from Irish healthcare organisations, cancer charity and support groups and assess its quality and readability. Design Cross‐sectional. Setting The National Health Service Executive websites were searched, as were the sites of the ten largest cancer charities/support groups identified through the Benefacts website. An additional internet search was conducted to ensure no large organisations/support groups were missed (February 2019). Quality of nutrition content was assessed using an evidence‐based checklist and readability assessed using two validated formulas. Results Thirty‐two websites were identified, five contained nutrition information for cancer patients (15.6%), and three for cancer survivors (9.3%). The quality of the nutrition content ranged from 19.5 to 29/40 (mean ± SD, 23.2 ± 3.2; median = 21, interquartile range (IQR) = 7). There was a lack of practical strategies for implementation. Only 40% of material had an acceptable readability level (sixth–seventh grade level). Readability scores (mean ± SD) were 68.5 ± 6.0 for Flesch Reading Ease Score and 7.8 ± 1.1 for Flesch–Kincaid Grade Level Score. Conclusion There is limited nutrition information on Irish health and cancer websites and in particular very few tailored to cancer survivors. Irish health and cancer organisations should consider providing nutrition information that is easily accessible to all.

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Information-Seeking in Cancer Survivors: Application of the Comprehensive Model of Information Seeking to HINTS 2007 Data

Cited by 58 publications

References 57 publications

Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review

Weight Loss and Mortality in Overweight and Obese Cancer Survivors: A Systematic Review

Predictors of Online Cancer Prevention Information Seeking Among Patients and Caregivers Across the Digital Divide: A Cross-Sectional, Correlational Study

Nutrition guidance for cancer patients and survivors—A review of the websites of Irish healthcare and charitable organisations and cancer centres

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