Jin Ah Sim1, Yoon Jung Chang2, Aesun Shin3, Dong-Young Noh4,5, Wonshik Han4,5, Han-Kwang Yang4,5, Young Whan Kim6, Young Tae Kim4,7, Seoung-Yong Jeong4,5, Jung-Hwan Yoon6,8, Yoon Jun Kim6,8, Daesuk Heo4,6, Tae-You Kim4,6, Do-Youn Oh4, Hong-Gyun Wu4,9, Hak Jae Kim9, Eui Kyu Chie9, Keon Wook Kang1,4,10, Ju Han Kim11, Young Ho Yun1,4,12. 1. Department of Biomedical Science, Seoul National University College of Medicine, Seoul, South Korea. 2. Research Institute and Hospital, National Cancer Center, Goyang-si, South Korea. 3. Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea. 4. Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea. 5. Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea. 6. Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea. 7. Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea. 8. Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea. 9. Department of Radiation Oncology, Seoul National University College of Medicine and Hospital, Seoul, South Korea. 10. Department of Nuclear Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea. 11. Division of Biomedical Informatics, Seoul National University College of Medicine, Seoul, South Korea. 12. Institute of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea.
Abstract
OBJECTIVE: The use of information communication technology (ICT)-based tailored health management program can have significant health impacts for cancer patients. Information provision, health-related quality of life (HRQOL), and decision conflicts were analyzed for their relationship with need for an ICT-based personalized health management program in Korean cancer survivors. METHODS: The health program needs of 625 cancer survivors from two Korean hospitals were analyzed in this cross-sectional study. Multivariate logistic regression was used to identify factors related to the need for an ICT-based tailored health management system. Association of the highest such need with medical information experience, HRQOL, and decision conflicts was determined. Furthermore, patient intentions and expectations for a web- or smartphone-based tailored health management program were investigated. RESULTS: Cancer survivors indicated high personalized health management program needs. Patients reporting the highest need included those with higher income (adjusted odds ratio [aOR], 1.70; 95% [confidence interval] CI, 1.10-2.63), those who had received enough information regarding helping themselves (aOR, 1.71; 95% CI, 1.09-2.66), and those who wished to receive more information (aOR, 1.59; 95% CI, 0.97-2.61). Participants with cognitive functioning problems (aOR, 2.87; 95%CI, 1.34-6.17) or appetite loss (aOR, 1.77; 95% CI, 1.07-2.93) indicated need for a tailored health care program. Patients who perceived greater support from the decision-making process also showed the highest need for an ICT-based program (aOR, 0.49; 95% CI, 0.30-0.82). CONCLUSIONS: We found that higher income, information provision experience, problematic HRQOL, and decisional conflicts are significantly associated with the need for an ICT-based tailored self-management program.
OBJECTIVE: The use of information communication technology (ICT)-based tailored health management program can have significant health impacts for cancerpatients. Information provision, health-related quality of life (HRQOL), and decision conflicts were analyzed for their relationship with need for an ICT-based personalized health management program in Korean cancer survivors. METHODS: The health program needs of 625 cancer survivors from two Korean hospitals were analyzed in this cross-sectional study. Multivariate logistic regression was used to identify factors related to the need for an ICT-based tailored health management system. Association of the highest such need with medical information experience, HRQOL, and decision conflicts was determined. Furthermore, patient intentions and expectations for a web- or smartphone-based tailored health management program were investigated. RESULTS:Cancer survivors indicated high personalized health management program needs. Patients reporting the highest need included those with higher income (adjusted odds ratio [aOR], 1.70; 95% [confidence interval] CI, 1.10-2.63), those who had received enough information regarding helping themselves (aOR, 1.71; 95% CI, 1.09-2.66), and those who wished to receive more information (aOR, 1.59; 95% CI, 0.97-2.61). Participants with cognitive functioning problems (aOR, 2.87; 95%CI, 1.34-6.17) or appetite loss (aOR, 1.77; 95% CI, 1.07-2.93) indicated need for a tailored health care program. Patients who perceived greater support from the decision-making process also showed the highest need for an ICT-based program (aOR, 0.49; 95% CI, 0.30-0.82). CONCLUSIONS: We found that higher income, information provision experience, problematic HRQOL, and decisional conflicts are significantly associated with the need for an ICT-based tailored self-management program.
Authors: Jorge Muriel Fernandez; María José Sánchez Ledesma; Manuel López Millan; María Begoña García Cenador Journal: J Med Syst Date: 2017-03-27 Impact factor: 4.460
Authors: Jin-Ah Sim; Young Ae Kim; Ju Han Kim; Jong Mog Lee; Moon Soo Kim; Young Mog Shim; Jae Ill Zo; Young Ho Yun Journal: Sci Rep Date: 2020-07-01 Impact factor: 4.379