Minh Hao Nguyen|Ellen M. A. Smets|Nadine Bol|Eugène Loos|H.W.M. van Laarhoven|Debby Geijsen|Mark I. van Berge Henegouwen|Kristien M. A. J. Tytgat|Julia C.M. van Weert
Tailored Web-Based Information for Younger and Older Patients with Cancer: Randomized Controlled Trial of a Preparatory Educational Intervention on Patient Outcomes
University of Zurich|University of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Tilburg University|University of Amsterdam|University of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|University of Amsterdam
many patients cancer including older patients aged 65 years consult web prepare doctors visit particular older patients varying needs regarding mode information presented eg via textual visual audiovisual modes owing agerelated sensory eg impaired vision hearing cognitive decline eg reduced processing speed therefore webbased information targeted older patient populations likely used processed effectively evaluated positively tailored agerelated capabilities preferences turn may benefit patient outcomesthis randomized controlled trial tested effects webbased tailored educational intervention among newly diagnosed younger 65 years older 65 years patients cancer compared intervention group viewed modetailored website ie enabling patients tailor information using textual visual audiovisual modes 3 control groups view nontailored website ie text text images text videos examined website experience outcomes ie website satisfaction website involvement knowledge anxiety communication selfefficacy consultation experience outcomes ie question asking consultation anxiety information recallpatients multidisciplinary outpatient clinic n232 viewed modetailored nontailored website preparation hospital consultations discuss diagnosis treatment data collected t1 t2 t3 visitation website experience outcomes assessed questionnaires t1 patients question asking coded videotaped consultations anxiety assessed questionnaire t2 telephone interviews conducted assess knowledge acquired website t1 consultation t3 information recall consultation t3the preparatory website well used across conditions mean 34 min younger patients viewing modetailored website satisfied consultation p02 reported lower anxiety consultation p046 vs text pattern found older patients mode tailoring yielded significant differences patient outcomes regression analyses showed website involvement beta15 p03 lesser extent website satisfaction beta15 p05 positively associated knowledge consultation t1 turn higher knowledge consultation beta39 p001 together time website beta21 p002 t1 predicted information recall consultations t3 patients higher knowledge consultation t1 also reported higher knowledge website afterward t3 beta22 p003offering preparatory online information consultations benefits information processing patient outcomes younger older newly diagnosed patients cancer younger patients benefit even information offered modetailored manner discuss theoretical methodological practical implications patientprovider communication research electronic health eranetherlands trial register ntr5904 httpswwwtrialregisternltrial5750