Format

Send to

Choose Destination
Psychooncology. 2017 Nov;26(11):1810-1817. doi: 10.1002/pon.4367. Epub 2017 Feb 10.

Perceived needs for the information communication technology (ICT)-based personalized health management program, and its association with information provision, health-related quality of life (HRQOL), and decisional conflict in cancer patients.

Sim JA1, Chang YJ2, Shin A3, Noh DY4,5, Han W4,5, Yang HK4,5, Kim YW6, Kim YT4,7, Jeong SY4,5, Yoon JH6,8, Kim YJ6,8, Heo D4,6, Kim TY4,6, Oh DY4, Wu HG4,9, Kim HJ9, Chie EK9, Kang KW1,4,10, Kim JH11, Yun YH1,4,12.

Author information

1
Department of Biomedical Science, Seoul National University College of Medicine, Seoul, South Korea.
2
Research Institute and Hospital, National Cancer Center, Goyang-si, South Korea.
3
Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
4
Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.
5
Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
6
Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
7
Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
8
Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea.
9
Department of Radiation Oncology, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
10
Department of Nuclear Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
11
Division of Biomedical Informatics, Seoul National University College of Medicine, Seoul, South Korea.
12
Institute of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea.

Abstract

OBJECTIVE:

The use of information communication technology (ICT)-based tailored health management program can have significant health impacts for cancer patients. Information provision, health-related quality of life (HRQOL), and decision conflicts were analyzed for their relationship with need for an ICT-based personalized health management program in Korean cancer survivors.

METHODS:

The health program needs of 625 cancer survivors from two Korean hospitals were analyzed in this cross-sectional study. Multivariate logistic regression was used to identify factors related to the need for an ICT-based tailored health management system. Association of the highest such need with medical information experience, HRQOL, and decision conflicts was determined. Furthermore, patient intentions and expectations for a web- or smartphone-based tailored health management program were investigated.

RESULTS:

Cancer survivors indicated high personalized health management program needs. Patients reporting the highest need included those with higher income (adjusted odds ratio [aOR], 1.70; 95% [confidence interval] CI, 1.10-2.63), those who had received enough information regarding helping themselves (aOR, 1.71; 95% CI, 1.09-2.66), and those who wished to receive more information (aOR, 1.59; 95% CI, 0.97-2.61). Participants with cognitive functioning problems (aOR, 2.87; 95%CI, 1.34-6.17) or appetite loss (aOR, 1.77; 95% CI, 1.07-2.93) indicated need for a tailored health care program. Patients who perceived greater support from the decision-making process also showed the highest need for an ICT-based program (aOR, 0.49; 95% CI, 0.30-0.82).

CONCLUSIONS:

We found that higher income, information provision experience, problematic HRQOL, and decisional conflicts are significantly associated with the need for an ICT-based tailored self-management program.

KEYWORDS:

HRQOL; ICT; cancer; oncology; perceived need; self-management

PMID:
28054737
DOI:
10.1002/pon.4367
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center