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Demographic and Psychosocial Traits Connected With Use of a Prostate Most cancers Survivorship Website: Implications From a Multisite Randomized Controlled Trial


Background:

Several prostate most cancers (Computer) survivors working experience disease and remedy-related symptomatology in both of those the bodily and psychosocial domains. Despite the fact that the advantages and obstacles to working with net-dependent sources for cancer patients are perfectly-documented, less investigation has focused on the particular features critical for economical tailoring and targeting of info that are associated with use.


Goal:

We made use of the Cognitive-Social Health Information and facts Processing (C-SHIP) framework to guide our exploration of own features connected with use of Progress, an informational Computer survivorship web site that addresses physical, emotional, interpersonal, and functional issues applicable for Personal computer survivors.


Approaches:

Personal computer survivors (N=217) had been randomized to the intervention arm (Progress) of a randomized managed trial. Of people randomized to the intervention arm, 84 applied Development, and 133 did not use Development. Multivariable analyses evaluated demographic and psychosocial features (eg, model of coping, well being literacy, self-efficacy, affective states of despair, stress and anxiety, and tiredness) affiliated with website use.


Results:

A larger proportion of non-Hispanic White (68/160, 42.5%), in comparison 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.


Conclusions:

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.


Trial registration:

ClinicalTrials.gov NCT02224482 https://clinicaltrials.gov/ct2/show/NCT02224482.


Keywords:

cancer cancer survivorship eHealth emotions interpersonal monitoring style of coping prostate cancer survivorship web-based resource.