Health-related and cancer-related Internet use by patients treated with total laryngectomy

Support Care Cancer. 2020 Jan;28(1):131-140. doi: 10.1007/s00520-019-04757-6. Epub 2019 Apr 16.

Abstract

Objectives: To investigate among patients treated with a total laryngectomy (TL) (1) Internet-use and Internet use to search for information on health and cancer (content); (2) which patients are most likely to use the Internet in general, for health-related and cancer-related purposes; (3) which other types of eHealth (community, communication, care) are used; and (4) preferences towards future use.

Methods: Patient members of the Dutch TL patient society were asked to complete a questionnaire on Internet use, health-related and cancer-related Internet use, types of eHealth, preferences towards future use, socio-demographics, clinical factors, and quality of life (QOL). Factors associated with Internet use and health-related and cancer-related Internet use were investigated using stepwise logistic regression analysis.

Results: In total, 279 TL patients participated, of whom 68% used the Internet. Of these, 63% used the Internet to search for information on health and 49% on cancer. Younger and higher educated TL patients and those with better QOL used the Internet more often. Patients with worse QOL searched more often for health-related information. Younger patients and those with shorter time since TL searched more often for cancer-related information. The current use of eHealth for communication, community, and care purposes among Internet users was limited (range, 2 to 15%). Many were interested in using these types of eHealth in the future (range, 21 to 72%).

Conclusion: The majority used the Internet, especially to search for information on health and cancer, but only few for communication, community, or care purposes. Many were interested in future use.

Keywords: Larynx; Quality of life; Statistics.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Communication
  • Cross-Sectional Studies
  • Female
  • Humans
  • Information Seeking Behavior*
  • Internet / statistics & numerical data*
  • Laryngeal Neoplasms* / epidemiology
  • Laryngeal Neoplasms* / psychology
  • Laryngeal Neoplasms* / therapy
  • Laryngectomy* / rehabilitation
  • Laryngectomy* / statistics & numerical data
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Quality of Life
  • Social Support
  • Surveys and Questionnaires
  • Telemedicine / statistics & numerical data
  • Voice Quality