An Exploratory Study of Predictors of Participation in a Computer Support Group for Women With Breast Cancer (original) (raw)

Social and psychological determinants of participation in internet-based cancer support groups

Supportive care in …, 2010

Purpose In this study, we identified the social and psychological characteristics of Danish cancer patients that determine use of the internet for support. Materials and methods We invited 230 cancer patients taking part in a public rehabilitation program to participate in an internet module comprising training in the retrieval of cancer-related information from the internet and selfsupport groups. Persons who were motivated to join the internet groups (N = 100; 47%) were compared with persons who chose not to participate (N = 111) on the basis of self-reported baseline questionnaire data. Nineteen persons either did not return the questionnaire or had missing values in confounding variables. Results Cancer patients who were motivated to participate in internet support groups belong to higher socioeconomic groups (based on household income and employment) compared to non-participants. We observed no difference between the two groups in quality of life or psychological well-being, while coping to some extent seemed related to participation in internet support groups.

Predictors and Effects of Training on an Online Health Education and Support System for Women with Breast Cancer

Journal of Computer-Mediated Communication, 2010

Many breast cancer patients currently turn to Internet-based education and support to help them cope with their illness. This study explores the role of training in influencing how patients use a particular Interactive Cancer Communication System (ICCS) over time and also examines what pre-test characteristics predict which people are most likely to opt in or out of training in the first place. With use of pre-test survey and unobtrusive individual records of ICCS system use data (N = 216), nonparametric tests revealed that only having a later stage of cancer predicted whether or not patients participated in training. Results indicated that participating in training was a significant predictor of higher levels of using the CHESS system. In particular, the repeated measures analysis of covariance found the significant interaction as well as main effect of group (i.e., training vs. no training) and time (i.e., individual's CHESS usages at different times) in interactive and information CHESS services, suggesting that 1) the training group has a higher level of usage than the no training group, 2) both of the groups' usage decreased over time, and 3) these joint patterns hold over time. Practical guidelines for future ICCS campaign implementation are discussed.

Communication in health-related online social support groups/communities: A review of research on predictors of participation, applications of social support theory, and health outcomes

This article reviews literature on online support groups/communities for individuals facing health concerns. Specifically, the article focuses on predictors of online support group/community participation, major theoretical frameworks that have been applied to the study of online support groups/communities, and coping strategies and health outcomes for individuals facing health concerns. Finally, the article discusses the strengths and limitations of existing empirical studies in this area; presents a critique of the relative merits and limitations of a number of theoretical frameworks that have been applied to the study of online support groups/communities for people facing health concerns; and it provides an agenda for future communication research on health-related online support groups/communities.

Self-Reported Differences in Empowerment Between Lurkers and Posters in Online Patient Support Groups

Journal of Medical Internet Research, 2008

Patients who visit online support groups benefit in various ways. Results of our earlier study indicated that participation in online support groups had a profound effect on the participants' feelings of "being empowered." However, most studies of online patient support groups have focused on the members of these groups who actively contribute by sending postings (posters). Thus far, little is known about the impact for "lurkers" (ie, those who do not actively participate by sending postings).

Communicating Breast Cancer On-Line: Support and Empowerment on the Internet

Women & Health, 1997

Using participant-observation and discourse analysis, this study explores the communication occurring on the Breast Cancer List, an on-line discussion group which continues to grow in membership and activity. Issues discussed include the evolution of the List, who participates, what topics are discussed. Three major dimensions are identified: exchange of information, social support, and personal empowerment. Social support via computer is compared with face-to-face groups. Empowerment centers on enhanced decision-making and preparation for new illness-related experiences. The influence of gender is considered in terms of communicative style and limitations of access. It is concluded that the List fulfills the functions of a community, with future concerns about information control and the potential to enhance patient-provider understanding.