A lot of prostate cancer (Laptop) survivors experience illness and therapy-similar symptomatology in both the bodily and psychosocial domains. Though the advantages and barriers to utilizing web-dependent resources for most cancers sufferers are perfectly-documented, significantly less analysis has concentrated on the individual attributes critical for effective tailoring and targeting of details that are connected with usage.
We applied the Cognitive-Social Well being Info Processing (C-SHIP) framework to guidebook our exploration of personalized properties connected with use of Development, an informational Computer system survivorship site that addresses bodily, emotional, interpersonal, and simple problems pertinent for Computer survivors.
Computer survivors (N=217) were randomized to the intervention arm (Progress) of a randomized managed trial. Of all those randomized to the intervention arm, 84 applied Progress, and 133 did not use Progress. Multivariable analyses evaluated demographic and psychosocial characteristics (eg, design and style of coping, health and fitness literacy, self-efficacy, affective states of despair, anxiety, and tiredness) affiliated with web site use.
A larger sized proportion of non-Hispanic White (68/160, 42.5%), as opposed 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.
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.
ClinicalTrials.gov NCT02224482 https://clinicaltrials.gov/ct2/show/NCT02224482.
cancer cancer survivorship eHealth emotions interpersonal monitoring style of coping prostate cancer survivorship web-based resource.