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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.

Authors :
Sim, Jin Ah
Chang, Yoon Jung
Shin, Aesun
Noh, Dong ‐ Young
Han, Wonshik
Yang, Han ‐ Kwang
Kim, Young Whan
Kim, Young Tae
Jeong, Seoung ‐ Yong
Yoon, Jung ‐ Hwan
Kim, Yoon Jun
Heo, Daesuk
Kim, Tae ‐ You
Oh, Do ‐ Youn
Wu, Hong ‐ Gyun
Kim, Hak Jae
Chie, Eui Kyu
Kang, Keon Wook
Kim, Ju Han
Yun, Young Ho
Source :
Psycho-Oncology. Nov2017, Vol. 26 Issue 11, p1810-1817. 8p. 4 Charts.
Publication Year :
2017

Abstract

<bold>Objective: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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).<bold>Conclusions: </bold>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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10579249
Volume :
26
Issue :
11
Database :
Academic Search Index
Journal :
Psycho-Oncology
Publication Type :
Academic Journal
Accession number :
126134278
Full Text :
https://doi.org/10.1002/pon.4367