TY - JOUR
T1 - Evolving information needs among colon, breast, and prostate cancer survivors
T2 - Results from a longitudinal mixed-effects analysis
AU - Tan, Andy S L
AU - Nagler, Rebekah H.
AU - Hornik, Robert C.
AU - DeMichele, Angela
N1 - Publisher Copyright:
© 2015 American Association for Cancer Research.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Background: This study describes how cancer survivors' information needs about recurrence, late effects, and family risks of cancer evolve over the course of their survivorship period. Methods: Three annual surveys were conducted from 2006 to 2008 in a cohort of Pennsylvania cancer survivors diagnosed with colon, breast, or prostate cancer in 2005 (round 1, N = 2,013; round 2, N = 1,293; round 3, N = 1,128). Outcomes were information seeking about five survivorship topics. Key predictors were survey round, cancer diagnosis, and the interaction between these variables. Mixed-effects logistic regression analyses were performed to predict information seeking about each topic, adjusting for demographic variables, clinical characteristics, and clustering of repeated observations within individuals. Results: Information seeking about reducing risks of cancer recurrence was the most frequently reported topic across survivors and over time. Breast cancer survivors were more likely to seek about survivorship topics at round 1 compared with other survivors. In general, information seeking declined over time, but cancer-specific patterns emerged: The decline was sharpest for breast cancer survivors, whereas in later years female colon cancer survivors actually sought more information (about how to reduce the risk of family members getting colon cancer or a different cancer). Conclusion: Cancer survivors' information needs varied over time depending on the topic, and these trends differed by cancer type. Impact: Clinicians may need to intervene at distinct points during the survivorship period with information to address concerns about cancer recurrence, late effects, and family members' risks.
AB - Background: This study describes how cancer survivors' information needs about recurrence, late effects, and family risks of cancer evolve over the course of their survivorship period. Methods: Three annual surveys were conducted from 2006 to 2008 in a cohort of Pennsylvania cancer survivors diagnosed with colon, breast, or prostate cancer in 2005 (round 1, N = 2,013; round 2, N = 1,293; round 3, N = 1,128). Outcomes were information seeking about five survivorship topics. Key predictors were survey round, cancer diagnosis, and the interaction between these variables. Mixed-effects logistic regression analyses were performed to predict information seeking about each topic, adjusting for demographic variables, clinical characteristics, and clustering of repeated observations within individuals. Results: Information seeking about reducing risks of cancer recurrence was the most frequently reported topic across survivors and over time. Breast cancer survivors were more likely to seek about survivorship topics at round 1 compared with other survivors. In general, information seeking declined over time, but cancer-specific patterns emerged: The decline was sharpest for breast cancer survivors, whereas in later years female colon cancer survivors actually sought more information (about how to reduce the risk of family members getting colon cancer or a different cancer). Conclusion: Cancer survivors' information needs varied over time depending on the topic, and these trends differed by cancer type. Impact: Clinicians may need to intervene at distinct points during the survivorship period with information to address concerns about cancer recurrence, late effects, and family members' risks.
UR - http://www.scopus.com/inward/record.url?scp=84941774158&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84941774158&partnerID=8YFLogxK
U2 - 10.1158/1055-9965.EPI-15-0041
DO - 10.1158/1055-9965.EPI-15-0041
M3 - Article
C2 - 25979968
AN - SCOPUS:84941774158
SN - 1055-9965
VL - 24
SP - 1071
EP - 1078
JO - Cancer Epidemiology Biomarkers and Prevention
JF - Cancer Epidemiology Biomarkers and Prevention
IS - 7
ER -