Demographic and psychosocial characteristics associated with use of a prostate cancer survivorship website: implications from a multisite randomized controlled trial.

Details

• Personal Author:
  Bator A ; Diefenbach MA ; Handorf EA ; Hudson SV ; Marziliano A ; Miller SM ; Tagai EK
• Description:
  Background: Many prostate cancer (PC) survivors experience disease and treatment-related symptomatology in both the physical and psychosocial domains. Although the benefits and barriers to using web-based resources for cancer patients are well-documented, less research has focused on the personal characteristics important for efficient tailoring and targeting of information that are associated with usage. Objective: We used the Cognitive-Social Health Information Processing (C-SHIP) framework to guide our exploration of personal characteristics associated with use of PROGRESS, an informational PC survivorship website that addresses physical, emotional, interpersonal, and practical concerns relevant for PC survivors. Methods: PC survivors (N=217) were randomized to the intervention arm (PROGRESS) of a randomized controlled trial. Of those randomized to the intervention arm, 84 used PROGRESS, and 133 did not use PROGRESS. Multivariable analyses evaluated demographic and psychosocial characteristics (eg, style of coping, health literacy, self-efficacy, affective states of depression, anxiety, and fatigue) associated with website use. Results: A larger proportion of non-Hispanic White (68/160, 42.5%), compared with non-Hispanic Black (9/40, 23%), participants used PROGRESS (P<.001). Further, PROGRESS users were older in age (P<.001), had a monitoring style of coping (P=.01), and were less depressed (P=.004), anxious (P=.02), and fatigued (P<.001) than nonusers. Education, income, health literacy, blunting style of coping, self-efficacy, and treatment type (radiation therapy or surgery) were not significantly related to use. On multivariable analyses, race (OR 0.28, P<.001), age (OR 1.05, P<.001), monitoring style of coping (OR 1.27, P=.02), and overall mood (OR 0.98, P<.001) remained significant. Conclusions: A combination of monitoring and low levels of negative affect were associated with website use. Additionally, users were older, non-Hispanic White survivors. To ensure that important survivorship-relevant information reaches users, future efforts need to focus on enhancing patient engagement. [Description provided by NIOSH]
• Subjects:
  Age Factors Mental Health Nervous System Occupational Health Safety
• Keywords:
  Author Keywords: Prostate Cancer; Cancer Survivorship; Web-based Resource; Monitoring Style Of Coping; Cancer; Survivorship; EHealth; Emotions; Interpersonal Cancer Survivors; Sociological Factors; Medical Treatment; Psychological Responses; Psychosocial Factors; Mental Health; Age Factors;
• ISSN:
  1438-8871
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New Jersey ; New York ; OSHA Region 2 ; OSHA Region 3 ; Pennsylvania
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  24
• Issue:
  3
• NIOSHTIC Number:
  nn:20065404
• Citation:
  J Med Internet Res 2022 Mar; 24(3):e27890
• Contact Point Address:
  Suzanne M Miller, PhD, Cancer Prevention and Control, Fox Chase Cancer Center/Temple University Health System, 333 Cottman Avenue, Philadelphia, PA
• Email:
  Suzanne.Miller@fccc.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  Feinstein Institute for Medical Research, New York
• Peer Reviewed:
  True
• Start Date:
  20180701
• Source Full Name:
  Journal of Medical Internet Research
• End Date:
  20210630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b55c3d115769f4e17492fba9072a7dbcd81c346912f46ae9ba42fc7eca62f84c001d59c8565c8fdbc10e6f322ecaca25b328661d644f5a1991d2fbc1e6ed46ab
• Download URL:
  https://stacks.cdc.gov/view/cdc/248837/cdc_248837_DS1.pdf
• File Type:
  [PDF - 177.76 KB ]