Older Patients’ Recall of Online Cancer Information: Do Ability and Motivation Matter More than Chronological Age?

Bol, Nadine; Smets, Ellen M. A.; Burgers, Jacobus A.; Samii, Suzy; Haes, Hanneke C. J. M. de; Weert, Julia C.M. van

doi:10.1080/10810730.2017.1394400

Cited by 14 publications

(14 citation statements)

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“…A post-hoc analysis in which second opinions (n ¼ 13) were excluded showed a similar, slightly stronger effect of anxiety on recall (b ¼ .32, p ¼ .005), demonstrating the robustness of our findings. Finally, although a fair proportion of variance in information recall was explained by our model, it is important to consider other potentially relevant factors in explaining information recall (e.g., future time perspective, anger after receiving a cancer diagnosis) [50].…”

Section: Limitations and Future Research Directionsmentioning

confidence: 99%

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

et al. 2018

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Introduction: One-day fast track programs for cancer diagnostics and treatment planning are increasingly being implemented in health care. Fast-track programs are highly effective at reducing waiting times, and thus well received by patients and healthcare providers. However, these programs may also burden patients, as patients generally receive a lot of information from multiple healthcare providers within a short time span. This might increase anxiety and negatively impact recall of medical information in newly diagnosed patients. This study examines whether anxiety influences information recall at the moment of diagnosis, and whether this relation differs for younger and older patients. Methods: Data were collected from 78 colorectal cancer patients visiting a one-day fast-track multidisciplinary outpatient clinic. All consultations that took place were recorded on a video. Anxiety was measured at baseline (T1) and immediately after consultations (T2) with the STAI-6. Information recall was assessed by telephone within 36-48 hours after patients' visit (T3) using open questions. Results: After consultations (T2), 32% of patients experienced clinical anxiety levels. Patients recalled $60% of medical information (T3). Information recall was negatively impacted by anxiety (b ¼-.28, p ¼ .011), and negatively related to higher age (b ¼-.23, p ¼ .031), and lower education level (b ¼ .27, p ¼ .013). Although older patients (M ¼ 53.99) recalled 11% less information than younger patients (M ¼ 64.84), age was not related to anxiety and did not moderate the anxiety-recall relationship. Conclusion: High levels of anxiety after receiving a cancer diagnosis negatively influence how much information patients remember after visiting a one-day fast-track clinic. This calls for interventions that may reduce patients' anxiety as much as reasonably possible and support patients' information recall. Researchers, practitioners, and hospitals are encouraged to continue exploring ways to optimize information provision to cancer patients in current modern healthcare.

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Section: Limitations and Future Research Directionsmentioning

confidence: 99%

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

et al. 2018

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“…Research on such potential predictors of information needs in older patients with cancer is scarce [6], while insight therein is exactly what can help to reduce unmet needs. If we can identify different types of older patients with cancer based on their information needs and other related characteristics, such as their degree of psychological distress [10], ability and motivation to seek information [11], participation in medical decision making [12], and their demographics [13], we can create potentially effective tools for clinicians to adapt their communication to older patients with cancer.…”

Section: Introductionmentioning

confidence: 99%

Tailored communication for older patients with cancer: Using cluster analysis to identify patient profiles based on information needs

Bol

Linn

Smets

et al. 2020

Journal of Geriatric Oncology

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Introduction: Understanding how information needs of older patients with cancer vary is essential for patientcentered communication. Little research has considered the potential complex patterns in information needs among older patients with cancer. This study aims to identify profiles of older patients with cancer based on differences in their information needs. Materials and Methods: Two-hundred and twenty-three patients with cancer and survivors aged 70 years or older completed an online survey. Based on an extensive scoping review, we included measures on information needs (i.e., monitoring coping style and type of information needs as measured with QUOTE) and related factors (i.e., psychological distress, ability, motivation, participation in decision making, and demographics). Profiles were identified using k-means cluster analysis. Results: Analysis revealed three profiles of older patients with cancer exhibiting differences in monitoring coping style and type of information needs: the so-called "information seeker" (38.8%), the "listener" (47.2%), and the "information avoider" (14.0%). Besides differences in information needs, the profiles differed on psychological distress (i.e., intrusive thinking, cancer worry, and intolerance of uncertainty), ability (i.e., self-efficacy in interaction with physician), and motivation (i.e., information goals and future time perspective). Discussion: Our findings revealed a nuanced perspective to information needs of older patients with cancer by combining two measurements of information needs with factors contributing to these needs. Clinicians could use these results to increase their awareness of the complexity and heterogeneity of information needs in older patients with cancer and to tailor their information to the needs of older patients.

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“…The different processes explaining knowledge acquisition and information recall can be related to a patient’s motivation (eg, website involvement) or ability (eg, communication self-efficacy) to process information. Although ELM and LC4MP are useful frameworks in understanding how mode tailoring can enhance motivation and ability to process information, how these processes translate to specific variables explaining knowledge and recall of information in the cancer context has only been briefly explored [5,6,40]. For instance, Bol et al used ELM and LC4MP to identify motivation- and ability-related factors in the literature deemed relevant for processing of online cancer information [40].…”

Section: Introductionmentioning

confidence: 99%

Tailored Web-Based Information for Younger and Older Patients with Cancer: Randomized Controlled Trial of a Preparatory Educational Intervention on Patient Outcomes

Nguyen¹,

Smets²,

Bol³

et al. 2019

J Med Internet Res

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Background Many patients with cancer, including older patients (aged ≥65 years), consult the Web to prepare for their doctor’s visit. In particular, older patients have varying needs regarding the mode in which information is presented (eg, via textual, visual, or audiovisual modes) owing to age-related sensory (eg, impaired vision and hearing) and cognitive decline (eg, reduced processing speed). Therefore, Web-based information targeted at older patient populations is likely to be used and processed more effectively, and evaluated more positively, when tailored to age-related capabilities and preferences. This, in turn, may benefit patient outcomes. Objective This randomized controlled trial tested the effects of a Web-based tailored educational intervention among newly diagnosed younger (<65 years) and older (≥65 years) patients with cancer. We compared the intervention group who viewed a mode-tailored website (ie, enabling patients to tailor information using textual, visual, and audiovisual modes) with 3 control groups view a nontailored website (ie, text only, text with images, and text with videos). We examined website experience outcomes (ie, website satisfaction, website involvement, knowledge, anxiety, and communication self-efficacy) and consultation experience outcomes (ie, question asking during consultation, anxiety, and information recall). Methods Patients from a multidisciplinary outpatient clinic (N=232) viewed a mode-tailored or nontailored website as preparation before their hospital consultations to discuss diagnosis and treatment. Data were collected before (T1), during (T2), and after (T3) visitation. Website experience outcomes were assessed with questionnaires (T1). Patients’ question asking was coded from videotaped consultations, and anxiety was assessed through a questionnaire (T2). Telephone interviews were conducted to assess knowledge acquired from the website before (T1) and after consultation (T3), and information recall from the consultation (T3). Results The preparatory website was well used across all conditions (mean 34 min). Younger patients viewing the mode-tailored website were more satisfied before consultation (P=.02) and reported lower anxiety after consultation (P=.046; vs text only). This pattern was not found in older patients. Mode tailoring yielded no other significant differences in patient outcomes. Regression analyses showed that website involvement (beta=.15; P=.03) and, to a lesser extent, website satisfaction (beta=.15; P=.05) positively associated with knowledge before consultation (T1). In turn, higher knowledge before consultation (beta=.39; P<.001), together with time on the website (beta=.21; P=.002; T1), predicted information recall from consultations (T3). Patients with higher knowledge before consultation (T1) also reported higher knowledge from the website afterward (T3; beta=.22; P=.003). Conclusions Offering preparatory online information before consultations benefits information processing and patient outcomes of both younger and older newly diagnosed patients with cancer. Younger patients benefit even more when information is offered in a mode-tailored manner. We discuss the theoretical, methodological, and practical implications for patient-provider communication research in an electronic health era. Clinical Trial Netherlands Trial Register NTR5904; https://www.trialregister.nl/trial/5750

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Older Patients’ Recall of Online Cancer Information: Do Ability and Motivation Matter More than Chronological Age?

Cited by 14 publications

References 50 publications

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

Fear and forget: how anxiety impacts information recall in newly diagnosed cancer patients visiting a fast-track clinic

Tailored communication for older patients with cancer: Using cluster analysis to identify patient profiles based on information needs

Tailored Web-Based Information for Younger and Older Patients with Cancer: Randomized Controlled Trial of a Preparatory Educational Intervention on Patient Outcomes

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