Internet-based interactive support for cancer patients: Are integrated systems better? (2024)

Gustafson, D. H., Hawkins, R., Mctavish, F., Pingree, S., Chen, W. C., Volrathongchai, K., Stengle, W., Stewart, J. A., & Serlin, R. C. (2008). Internet-based interactive support for cancer patients: Are integrated systems better? Journal of Communication, 58(2), 238-257. https://doi.org/10.1111/j.1460-2466.2008.00383.x

Gustafson, David H. ; Hawkins, Robert ; Mctavish, Fiona et al. / Internet-based interactive support for cancer patients : Are integrated systems better?. In: Journal of Communication. 2008 ; Vol. 58, No. 2. pp. 238-257.

@article{1c6997db85f545eca32fe9c0473d40d3,

title = "Internet-based interactive support for cancer patients: Are integrated systems better?",

abstract = "To compare the benefits of the Internet generally versus a focused system of services, 257 breast cancer patients were randomly assigned to a control group, access to the Internet with links to high-quality breast cancer sites, or access to an eHealth system (Comprehensive Health Enhancement Support System, CHESS) that integrated information, support, and decision and analysis tools. The intervention lasted 5 months, and self-report data on quality of life, health-care competence, and social support were collected at pretest and at 2-, 4-, and 9-month posttests. CHESS subjects logged on more overall than Internet subjects and accessed more health resources, but the latter used non health-related sites more. Subjects with access to the Internet alone experienced no better outcomes than controls at any of the 3 time points, compared to pretest levels. Subjects with CHESS experienced greater social support during the intervention period and had higher scores on all 3 outcomes at 9 months, 4 months after the intervention ended. CHESS subjects also scored higher than those with Internet access during the intervention period but not significantly after the intervention ended. Thus, CHESS (with one simple interface and integrated information, communication, and skills services) helped newly diagnosed breast cancer patients even after computers were removed. In contrast, patients received little benefit from Internet access, despite having links to a variety of high-quality sites.",

author = "Gustafson, {David H.} and Robert Hawkins and Fiona Mctavish and Suzanne Pingree and Chen, {Wei Chih} and Kanittha Volrathongchai and William Stengle and Stewart, {James A.} and Serlin, {Ronald C.}",

year = "2008",

month = jun,

doi = "10.1111/j.1460-2466.2008.00383.x",

language = "英语",

volume = "58",

pages = "238--257",

journal = "Journal of Communication",

issn = "0021-9916",

number = "2",

}

Gustafson, DH, Hawkins, R, Mctavish, F, Pingree, S, Chen, WC, Volrathongchai, K, Stengle, W, Stewart, JA & Serlin, RC 2008, 'Internet-based interactive support for cancer patients: Are integrated systems better?', Journal of Communication, vol. 58, no. 2, pp. 238-257. https://doi.org/10.1111/j.1460-2466.2008.00383.x

Internet-based interactive support for cancer patients: Are integrated systems better? / Gustafson, David H.; Hawkins, Robert; Mctavish, Fiona et al.
In: Journal of Communication, Vol. 58, No. 2, 06.2008, p. 238-257.

Research output: Contribution to journal › Journal Article › peer-review

TY - JOUR

T1 - Internet-based interactive support for cancer patients

T2 - Are integrated systems better?

AU - Gustafson, David H.

AU - Hawkins, Robert

AU - Mctavish, Fiona

AU - Pingree, Suzanne

AU - Chen, Wei Chih

AU - Volrathongchai, Kanittha

AU - Stengle, William

AU - Stewart, James A.

AU - Serlin, Ronald C.

PY - 2008/6

Y1 - 2008/6

N2 - To compare the benefits of the Internet generally versus a focused system of services, 257 breast cancer patients were randomly assigned to a control group, access to the Internet with links to high-quality breast cancer sites, or access to an eHealth system (Comprehensive Health Enhancement Support System, CHESS) that integrated information, support, and decision and analysis tools. The intervention lasted 5 months, and self-report data on quality of life, health-care competence, and social support were collected at pretest and at 2-, 4-, and 9-month posttests. CHESS subjects logged on more overall than Internet subjects and accessed more health resources, but the latter used non health-related sites more. Subjects with access to the Internet alone experienced no better outcomes than controls at any of the 3 time points, compared to pretest levels. Subjects with CHESS experienced greater social support during the intervention period and had higher scores on all 3 outcomes at 9 months, 4 months after the intervention ended. CHESS subjects also scored higher than those with Internet access during the intervention period but not significantly after the intervention ended. Thus, CHESS (with one simple interface and integrated information, communication, and skills services) helped newly diagnosed breast cancer patients even after computers were removed. In contrast, patients received little benefit from Internet access, despite having links to a variety of high-quality sites.

AB - To compare the benefits of the Internet generally versus a focused system of services, 257 breast cancer patients were randomly assigned to a control group, access to the Internet with links to high-quality breast cancer sites, or access to an eHealth system (Comprehensive Health Enhancement Support System, CHESS) that integrated information, support, and decision and analysis tools. The intervention lasted 5 months, and self-report data on quality of life, health-care competence, and social support were collected at pretest and at 2-, 4-, and 9-month posttests. CHESS subjects logged on more overall than Internet subjects and accessed more health resources, but the latter used non health-related sites more. Subjects with access to the Internet alone experienced no better outcomes than controls at any of the 3 time points, compared to pretest levels. Subjects with CHESS experienced greater social support during the intervention period and had higher scores on all 3 outcomes at 9 months, 4 months after the intervention ended. CHESS subjects also scored higher than those with Internet access during the intervention period but not significantly after the intervention ended. Thus, CHESS (with one simple interface and integrated information, communication, and skills services) helped newly diagnosed breast cancer patients even after computers were removed. In contrast, patients received little benefit from Internet access, despite having links to a variety of high-quality sites.

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U2 - 10.1111/j.1460-2466.2008.00383.x

DO - 10.1111/j.1460-2466.2008.00383.x

M3 - 文章

AN - SCOPUS:47949088204

SN - 0021-9916

VL - 58

SP - 238

EP - 257

JO - Journal of Communication

JF - Journal of Communication

IS - 2

ER -

Gustafson DH, Hawkins R, Mctavish F, Pingree S, Chen WC, Volrathongchai K et al. Internet-based interactive support for cancer patients: Are integrated systems better? Journal of Communication. 2008 Jun;58(2):238-257. doi: 10.1111/j.1460-2466.2008.00383.x