Health information needs and health-related quality of life in a diverse population of long-term cancer survivors
Abstract Objective To investigate health information needs and their association with health-related quality of life (HRQOL) in a diverse, population-based sample of long-term cancer survivors. Methods We analyzed health information needs from 1197 cancer survivors 4–14 years post-diagnosis drawn fr...
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| Veröffentlicht in: | Patient education and counseling 2012-11, Vol.89 (2), p.345-352 |
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| creator | Kent, Erin E Arora, Neeraj K Rowland, Julia H Bellizzi, Keith M Forsythe, Laura P Hamilton, Ann S Oakley-Girvan, Ingrid Beckjord, Ellen B Aziz, Noreen M |
| description | Abstract Objective To investigate health information needs and their association with health-related quality of life (HRQOL) in a diverse, population-based sample of long-term cancer survivors. Methods We analyzed health information needs from 1197 cancer survivors 4–14 years post-diagnosis drawn from two cancer registries in California. Multivariable regression models were used to identify factors associated with endorsement of total number and different categories of needs. The relationship between number of needs and HRQOL and effect modification by confidence for obtaining information was examined. Results Survivors reported a high prevalence of unmet information needs in the following categories: side effects & symptoms : 75.8%; tests & treatment : 71.5%; health promotion : 64.5%; interpersonal & emotional : 60.2%; insurance : 39.0%; and sexual functioning & fertility : 34.6%. Survivors who were younger, non-White, and did not receive but wanted a written treatment summary reported a higher number of needs. Number of information needs was inversely related to mental well-being, particularly for those with low confidence for obtaining information ( P < 0.05). Conclusion These patterns suggest disparities in access to important health information in long-term survivors and that affect HRQOL. Practice Implications Findings suggest a need for tailored interventions to equip survivors with comprehensive health information and to bolster skills for obtaining information. |
| doi_str_mv | 10.1016/j.pec.2012.08.014 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4560240</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0738399112003424</els_id><sourcerecordid>1349696593</sourcerecordid><originalsourceid>FETCH-LOGICAL-c638t-e3b84442508459a49f93b302667ee8407d06004e5b1b49fda12cfddeda1891da3</originalsourceid><addsrcrecordid>eNqFUstuEzEUHSEQTQsfwAZ5yWaCX-PYQqqEKqBIlVgAa8ux7zQOHntiz0TK39chbQUs6MqWzkP33nOa5g3BS4KJeL9djmCXFBO6xHKJCX_WLIhcsbYjjD9vFnjFZMuUImfNeSlbjLEQnLxszijDlMhOLJrdNZgwbZCPfcqDmXyKKAK4gkx0aPMbbDMEM4FDu9kEPx1Q6lHwPVQRMsj5PeQCaEzjHE4GRzzF23aCPCBrooWMypz3fp9yedW86E0o8Pr-vWh-fv704-q6vfn25evVx5vWCianFthacs5phyXvlOGqV2xdxxZiBSA5XjksMObQrcm6gs4QanvnoH6kIs6wi-by5DvO6wGchThlE_SY_WDyQSfj9d9I9Bt9m_aadwJTjqvBu3uDnHYzlEkPvlgIwURIc9H1xkoo0Sn2NLWOTVZMUPU0lTAliKRUVio5UW1OpWToH4cnWB8LoLe6FkAfC6Cx1LUAVfP2z60fFQ-JV8KHEwHq7fcesi7WQ43I-Qx20i75_9pf_qO2wUdvTfgFByjbNOdYQ9VEl6rR348NPBaQUIwZp5zdAYAW1yY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1139618228</pqid></control><display><type>article</type><title>Health information needs and health-related quality of life in a diverse population of long-term cancer survivors</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Kent, Erin E ; Arora, Neeraj K ; Rowland, Julia H ; Bellizzi, Keith M ; Forsythe, Laura P ; Hamilton, Ann S ; Oakley-Girvan, Ingrid ; Beckjord, Ellen B ; Aziz, Noreen M</creator><creatorcontrib>Kent, Erin E ; Arora, Neeraj K ; Rowland, Julia H ; Bellizzi, Keith M ; Forsythe, Laura P ; Hamilton, Ann S ; Oakley-Girvan, Ingrid ; Beckjord, Ellen B ; Aziz, Noreen M</creatorcontrib><description>Abstract Objective To investigate health information needs and their association with health-related quality of life (HRQOL) in a diverse, population-based sample of long-term cancer survivors. Methods We analyzed health information needs from 1197 cancer survivors 4–14 years post-diagnosis drawn from two cancer registries in California. Multivariable regression models were used to identify factors associated with endorsement of total number and different categories of needs. The relationship between number of needs and HRQOL and effect modification by confidence for obtaining information was examined. Results Survivors reported a high prevalence of unmet information needs in the following categories: side effects & symptoms : 75.8%; tests & treatment : 71.5%; health promotion : 64.5%; interpersonal & emotional : 60.2%; insurance : 39.0%; and sexual functioning & fertility : 34.6%. Survivors who were younger, non-White, and did not receive but wanted a written treatment summary reported a higher number of needs. Number of information needs was inversely related to mental well-being, particularly for those with low confidence for obtaining information ( P < 0.05). Conclusion These patterns suggest disparities in access to important health information in long-term survivors and that affect HRQOL. Practice Implications Findings suggest a need for tailored interventions to equip survivors with comprehensive health information and to bolster skills for obtaining information.</description><identifier>ISSN: 0738-3991</identifier><identifier>EISSN: 1873-5134</identifier><identifier>DOI: 10.1016/j.pec.2012.08.014</identifier><identifier>PMID: 23021856</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; California ; Cancer ; Cancer survivorship ; Consumer Health Information ; Ethnic Groups - psychology ; Female ; Follow-Up Studies ; Health information ; Health Services Accessibility ; Health Services Needs and Demand ; Health Status ; Health-related quality of life ; Healthcare Disparities ; Humans ; Information needs ; Internal Medicine ; Logistic Models ; Male ; Middle Aged ; Needs Assessment ; Neoplasms - ethnology ; Neoplasms - psychology ; Nursing ; Patient Education as Topic ; Population Surveillance ; Quality of care ; Quality of Health Care ; Quality of Life ; SEER Program ; Self-efficacy ; Socioeconomic Factors ; Surveys and Questionnaires ; Survivors ; Survivors - psychology ; Time Factors</subject><ispartof>Patient education and counseling, 2012-11, Vol.89 (2), p.345-352</ispartof><rights>2012</rights><rights>Published by Elsevier Ireland Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c638t-e3b84442508459a49f93b302667ee8407d06004e5b1b49fda12cfddeda1891da3</citedby><cites>FETCH-LOGICAL-c638t-e3b84442508459a49f93b302667ee8407d06004e5b1b49fda12cfddeda1891da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0738399112003424$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30977,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23021856$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kent, Erin E</creatorcontrib><creatorcontrib>Arora, Neeraj K</creatorcontrib><creatorcontrib>Rowland, Julia H</creatorcontrib><creatorcontrib>Bellizzi, Keith M</creatorcontrib><creatorcontrib>Forsythe, Laura P</creatorcontrib><creatorcontrib>Hamilton, Ann S</creatorcontrib><creatorcontrib>Oakley-Girvan, Ingrid</creatorcontrib><creatorcontrib>Beckjord, Ellen B</creatorcontrib><creatorcontrib>Aziz, Noreen M</creatorcontrib><title>Health information needs and health-related quality of life in a diverse population of long-term cancer survivors</title><title>Patient education and counseling</title><addtitle>Patient Educ Couns</addtitle><description>Abstract Objective To investigate health information needs and their association with health-related quality of life (HRQOL) in a diverse, population-based sample of long-term cancer survivors. Methods We analyzed health information needs from 1197 cancer survivors 4–14 years post-diagnosis drawn from two cancer registries in California. Multivariable regression models were used to identify factors associated with endorsement of total number and different categories of needs. The relationship between number of needs and HRQOL and effect modification by confidence for obtaining information was examined. Results Survivors reported a high prevalence of unmet information needs in the following categories: side effects & symptoms : 75.8%; tests & treatment : 71.5%; health promotion : 64.5%; interpersonal & emotional : 60.2%; insurance : 39.0%; and sexual functioning & fertility : 34.6%. Survivors who were younger, non-White, and did not receive but wanted a written treatment summary reported a higher number of needs. Number of information needs was inversely related to mental well-being, particularly for those with low confidence for obtaining information ( P < 0.05). Conclusion These patterns suggest disparities in access to important health information in long-term survivors and that affect HRQOL. Practice Implications Findings suggest a need for tailored interventions to equip survivors with comprehensive health information and to bolster skills for obtaining information.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>California</subject><subject>Cancer</subject><subject>Cancer survivorship</subject><subject>Consumer Health Information</subject><subject>Ethnic Groups - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health information</subject><subject>Health Services Accessibility</subject><subject>Health Services Needs and Demand</subject><subject>Health Status</subject><subject>Health-related quality of life</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Information needs</subject><subject>Internal Medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Neoplasms - ethnology</subject><subject>Neoplasms - psychology</subject><subject>Nursing</subject><subject>Patient Education as Topic</subject><subject>Population Surveillance</subject><subject>Quality of care</subject><subject>Quality of Health Care</subject><subject>Quality of Life</subject><subject>SEER Program</subject><subject>Self-efficacy</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Survivors</subject><subject>Survivors - psychology</subject><subject>Time Factors</subject><issn>0738-3991</issn><issn>1873-5134</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFUstuEzEUHSEQTQsfwAZ5yWaCX-PYQqqEKqBIlVgAa8ux7zQOHntiz0TK39chbQUs6MqWzkP33nOa5g3BS4KJeL9djmCXFBO6xHKJCX_WLIhcsbYjjD9vFnjFZMuUImfNeSlbjLEQnLxszijDlMhOLJrdNZgwbZCPfcqDmXyKKAK4gkx0aPMbbDMEM4FDu9kEPx1Q6lHwPVQRMsj5PeQCaEzjHE4GRzzF23aCPCBrooWMypz3fp9yedW86E0o8Pr-vWh-fv704-q6vfn25evVx5vWCianFthacs5phyXvlOGqV2xdxxZiBSA5XjksMObQrcm6gs4QanvnoH6kIs6wi-by5DvO6wGchThlE_SY_WDyQSfj9d9I9Bt9m_aadwJTjqvBu3uDnHYzlEkPvlgIwURIc9H1xkoo0Sn2NLWOTVZMUPU0lTAliKRUVio5UW1OpWToH4cnWB8LoLe6FkAfC6Cx1LUAVfP2z60fFQ-JV8KHEwHq7fcesi7WQ43I-Qx20i75_9pf_qO2wUdvTfgFByjbNOdYQ9VEl6rR348NPBaQUIwZp5zdAYAW1yY</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Kent, Erin E</creator><creator>Arora, Neeraj K</creator><creator>Rowland, Julia H</creator><creator>Bellizzi, Keith M</creator><creator>Forsythe, Laura P</creator><creator>Hamilton, Ann S</creator><creator>Oakley-Girvan, Ingrid</creator><creator>Beckjord, Ellen B</creator><creator>Aziz, Noreen M</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20121101</creationdate><title>Health information needs and health-related quality of life in a diverse population of long-term cancer survivors</title><author>Kent, Erin E ; Arora, Neeraj K ; Rowland, Julia H ; Bellizzi, Keith M ; Forsythe, Laura P ; Hamilton, Ann S ; Oakley-Girvan, Ingrid ; Beckjord, Ellen B ; Aziz, Noreen M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c638t-e3b84442508459a49f93b302667ee8407d06004e5b1b49fda12cfddeda1891da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>California</topic><topic>Cancer</topic><topic>Cancer survivorship</topic><topic>Consumer Health Information</topic><topic>Ethnic Groups - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health information</topic><topic>Health Services Accessibility</topic><topic>Health Services Needs and Demand</topic><topic>Health Status</topic><topic>Health-related quality of life</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Information needs</topic><topic>Internal Medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Neoplasms - ethnology</topic><topic>Neoplasms - psychology</topic><topic>Nursing</topic><topic>Patient Education as Topic</topic><topic>Population Surveillance</topic><topic>Quality of care</topic><topic>Quality of Health Care</topic><topic>Quality of Life</topic><topic>SEER Program</topic><topic>Self-efficacy</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Survivors</topic><topic>Survivors - psychology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kent, Erin E</creatorcontrib><creatorcontrib>Arora, Neeraj K</creatorcontrib><creatorcontrib>Rowland, Julia H</creatorcontrib><creatorcontrib>Bellizzi, Keith M</creatorcontrib><creatorcontrib>Forsythe, Laura P</creatorcontrib><creatorcontrib>Hamilton, Ann S</creatorcontrib><creatorcontrib>Oakley-Girvan, Ingrid</creatorcontrib><creatorcontrib>Beckjord, Ellen B</creatorcontrib><creatorcontrib>Aziz, Noreen M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Patient education and counseling</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kent, Erin E</au><au>Arora, Neeraj K</au><au>Rowland, Julia H</au><au>Bellizzi, Keith M</au><au>Forsythe, Laura P</au><au>Hamilton, Ann S</au><au>Oakley-Girvan, Ingrid</au><au>Beckjord, Ellen B</au><au>Aziz, Noreen M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health information needs and health-related quality of life in a diverse population of long-term cancer survivors</atitle><jtitle>Patient education and counseling</jtitle><addtitle>Patient Educ Couns</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>89</volume><issue>2</issue><spage>345</spage><epage>352</epage><pages>345-352</pages><issn>0738-3991</issn><eissn>1873-5134</eissn><abstract>Abstract Objective To investigate health information needs and their association with health-related quality of life (HRQOL) in a diverse, population-based sample of long-term cancer survivors. Methods We analyzed health information needs from 1197 cancer survivors 4–14 years post-diagnosis drawn from two cancer registries in California. Multivariable regression models were used to identify factors associated with endorsement of total number and different categories of needs. The relationship between number of needs and HRQOL and effect modification by confidence for obtaining information was examined. Results Survivors reported a high prevalence of unmet information needs in the following categories: side effects & symptoms : 75.8%; tests & treatment : 71.5%; health promotion : 64.5%; interpersonal & emotional : 60.2%; insurance : 39.0%; and sexual functioning & fertility : 34.6%. Survivors who were younger, non-White, and did not receive but wanted a written treatment summary reported a higher number of needs. Number of information needs was inversely related to mental well-being, particularly for those with low confidence for obtaining information ( P < 0.05). Conclusion These patterns suggest disparities in access to important health information in long-term survivors and that affect HRQOL. Practice Implications Findings suggest a need for tailored interventions to equip survivors with comprehensive health information and to bolster skills for obtaining information.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>23021856</pmid><doi>10.1016/j.pec.2012.08.014</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over California Cancer Cancer survivorship Consumer Health Information Ethnic Groups - psychology Female Follow-Up Studies Health information Health Services Accessibility Health Services Needs and Demand Health Status Health-related quality of life Healthcare Disparities Humans Information needs Internal Medicine Logistic Models Male Middle Aged Needs Assessment Neoplasms - ethnology Neoplasms - psychology Nursing Patient Education as Topic Population Surveillance Quality of care Quality of Health Care Quality of Life SEER Program Self-efficacy Socioeconomic Factors Surveys and Questionnaires Survivors Survivors - psychology Time Factors |
| title | Health information needs and health-related quality of life in a diverse population of long-term cancer survivors |
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