PDF(Pubmed)
Abstract：
Objective: Disparities in cancer care contribute to higher rates of cancer mortality. Online health information would be a resource for cancer patients to obtain knowledge and make health decisions. However, factors that hinder or facilitate online searching behaviours among patients remain unexplored. The current systematic review aims to identify and synthesise evidence of cancer patients\' barriers to and facilitators of online health information-seeking behaviours. Methods: Electronic databases (PubMed, EMBASE, Scopus) were systematically searched, and a total of 123 full-text studies were reviewed of which 24 met the inclusion criteria. Results: Thematic analysis was performed to identify barriers and facilitators of online health information-seeking behaviours. Seven key themes were identified: (1) socio-demographic characteristics (age, gender, education, income, ethnicity and language), (2) psychosocial aspects (psychological wellbeing, need for a face to face contact, motivation, support), (3) accessibility (Internet access, residence), (4) quality and quantity of information (amount, reliability), (5) cancer stage and symptoms (time since diagnosis, experiencing symptoms), (6) aspects related to healthcare professionals (relationship with the patients and opinions on online health information) and (7) digital literacy (computer skills and literacy). Conclusions: Findings underscore the significance of recognising the multifaceted nature of barriers and facilitators affecting cancer patients\' online health information-seeking behaviours. A strong link between these factors and cancer patients\' ability to make informed decisions and cope effectively with their diagnosis emerged. Consequently, addressing these barriers and leveraging the identified facilitators could lead to improvements in patient-centred care, ultimately contributing to better healthcare services and informed decision-making for cancer patients. Future research should prioritise exploring strategies for enhancing cancer care accessibility across all stakeholders involved.
UNASSIGNED: CRD42023408091.
UNASSIGNED: CRD42023408091.
摘要：
目标：癌症护理中的差异导致癌症死亡率更高。在线健康信息将成为癌症患者获取知识和做出健康决策的资源。然而,阻碍或促进患者在线搜索行为的因素仍未被探索.目前的系统评价旨在确定和综合癌症患者的证据，并促进在线健康信息寻求行为的障碍和促进者。方法：电子数据库(PubMed，EMBASE,Scopus)进行了系统搜索，我们共审查了123项全文研究,其中24项符合纳入标准.结果：进行了主题分析，以确定在线健康信息寻求行为的障碍和促进者。确定了七个关键主题：(1)社会人口特征(年龄，性别,教育,收入,种族和语言)，(2)社会心理方面(心理健康，需要面对面的接触，动机，support),(3)可访问性(互联网接入、residence),(4)信息的质量和数量(数量、可靠性)，（5）癌症分期和症状（自诊断以来的时间，经历症状)，（6）与医疗保健专业人员相关的方面（与患者的关系和对在线健康信息的意见）和（7）数字素养（计算机技能和素养）。结论：研究结果强调了认识到影响癌症患者在线健康信息寻求行为的障碍和促进者的多面性的重要性。这些因素与癌症患者做出明智决定和有效应对诊断的能力之间存在着密切的联系。因此,解决这些障碍并利用已确定的促进者可以改善以患者为中心的护理，最终有助于为癌症患者提供更好的医疗服务和明智的决策。未来的研究应优先考虑探索策略，以增强所有相关利益相关者的癌症护理可及性。
■CRD42023408091。
■CRD42023408091。
