がん患児の親における情報探索行動と治療選択同意との関連
疾患を持つ子どもの親とその家族は, 医療者との治療に関する意思決定において情報を必要とすることが分かっているものの, 小児がんの子どもを持つ親の情報探索行動については殆ど明らかとなっていない. 本研究は, 親の治療決定の同意との関連から親の情報探索行動を明らかにすることを目的とする. さまざまな医療情報源の使用頻度と他の決定要因との調査を行い, どの種類の情報源が子どもの治療決定に関する親の同意に影響を与えるかについて重回帰分析を用いて評価した. 僅かではあるが主治医（β= 1.72, p = .028）と, 主治医が所属する機関に関わらず広く医療機関のウェブサイト（β= 0.87, p =...
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| Published in | 情報メディア研究 Vol. 20; no. 1; pp. 1 - 18 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
情報メディア学会
21.05.2021
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| Online Access | Get full text |
| ISSN | 1348-5857 1349-3302 |
| DOI | 10.11304/jims.20.1 |
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| Abstract | 疾患を持つ子どもの親とその家族は, 医療者との治療に関する意思決定において情報を必要とすることが分かっているものの, 小児がんの子どもを持つ親の情報探索行動については殆ど明らかとなっていない. 本研究は, 親の治療決定の同意との関連から親の情報探索行動を明らかにすることを目的とする. さまざまな医療情報源の使用頻度と他の決定要因との調査を行い, どの種類の情報源が子どもの治療決定に関する親の同意に影響を与えるかについて重回帰分析を用いて評価した. 僅かではあるが主治医（β= 1.72, p = .028）と, 主治医が所属する機関に関わらず広く医療機関のウェブサイト（β= 0.87, p = .016）が治療決定の同意に正の影響を与えること, 医師が発信するウェブサイト（β= -0.8, p = .042）が治療決定の同意に負の影響を与えること, 親の批判的ヘルスリテラシーよりも伝達的ヘルスリテラシー（β= 0.63, p = .003）が情報探索行動の決定的要因としての治療決定の同意に関連することが分かった. これらの結果は, 医師が発信するウェブサイトを利用する親は, 複数の医師からの情報についても探索し, 情報源として主治医及び医療機関のウェブサイトを利用する親より治療選択の同意に慎重である可能性を示唆した. 親の情報探索における伝達的ヘルスリテラシーが治療選択の同意において関連が深いことは, 親が診断の初期段階に幅広い情報源を使用したことを示唆している. そのため医療スタッフ及び情報提供の専門家は, 小児がんの子どもを持つ親の情報探索行動が個人属性に影響されることを考慮し, 診断の初期段階で親の識字能力や学歴に応じた情報を提供する必要があることを考察した. |
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| AbstractList | 疾患を持つ子どもの親とその家族は, 医療者との治療に関する意思決定において情報を必要とすることが分かっているものの, 小児がんの子どもを持つ親の情報探索行動については殆ど明らかとなっていない. 本研究は, 親の治療決定の同意との関連から親の情報探索行動を明らかにすることを目的とする. さまざまな医療情報源の使用頻度と他の決定要因との調査を行い, どの種類の情報源が子どもの治療決定に関する親の同意に影響を与えるかについて重回帰分析を用いて評価した. 僅かではあるが主治医（β= 1.72, p = .028）と, 主治医が所属する機関に関わらず広く医療機関のウェブサイト（β= 0.87, p = .016）が治療決定の同意に正の影響を与えること, 医師が発信するウェブサイト（β= -0.8, p = .042）が治療決定の同意に負の影響を与えること, 親の批判的ヘルスリテラシーよりも伝達的ヘルスリテラシー（β= 0.63, p = .003）が情報探索行動の決定的要因としての治療決定の同意に関連することが分かった. これらの結果は, 医師が発信するウェブサイトを利用する親は, 複数の医師からの情報についても探索し, 情報源として主治医及び医療機関のウェブサイトを利用する親より治療選択の同意に慎重である可能性を示唆した. 親の情報探索における伝達的ヘルスリテラシーが治療選択の同意において関連が深いことは, 親が診断の初期段階に幅広い情報源を使用したことを示唆している. そのため医療スタッフ及び情報提供の専門家は, 小児がんの子どもを持つ親の情報探索行動が個人属性に影響されることを考慮し, 診断の初期段階で親の識字能力や学歴に応じた情報を提供する必要があることを考察した. |
| Author | 後藤, 裕明 渡辺, 真希子 中山, 伸一 |
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J Japanese Soc Ped Oncol Nurs 2018, vol.13, no.1, p.7-16. (Japanese). 6. Wilson, TD. A re-examination of information seeking behavior in the context of activity theory. Infor Res 2006, vol.11, no.4, p.260. 29. Morita T, Narimatsu H, Matsumura T, Kodama Y, Hori A, Kishi Y, Kusumi E, Hamaki T, Kobayashi K, Yuji K, Tanaka Y, Nakata Y, Kami M. A study of cancer information for cancer patients on the internet. Int J Clin Oncol 2007, vol.12, no.6, p.440-7. 8. Talja S, Hansen P. Information sharing. (Information Science and Knowledge Management book series, vol. 8). Springer, Dordrecht, 2006. 19. Symes Y, Song L, Heineman RG, Barbosa BD, Tatum K, Greene G, Weaver M, Chen RC. Involvement in decision making and satisfaction with treatment among partners of patients with newly diagnosed localized prostate cancer. Oncol Nurs Forum 2015, vol.42, no.6, p.672-9. 4. Carter SR, Moles R, White L, Chen TF. Medication information seeking behavior of patients who use multiple medicines: how does it affect adherence? Patient Educ Couns 2013, vol.92, no.1, p.74-80. 27. Walsh MC, Trentham-Dietz A, Schroepfer T, Reding DJ, Campbell B, Foote ML, Kaufman S, Barrett M, Remington PL, Cleary JF. Cancer information sources used by patients to inform and influence treatment decisions. J Health Commun 2010, vol.15, no.4, p.445-63. 11. Miwa M. Information behavior, Bensei Publishing; 2012. ISBN: 978-4585054320 (Japanese) 20. Brehaut JC, O'Connor AM, Wood TJ, Hack TF, Siminoff L, Gordon E, Feldman-Stewart D. Validation of a decision regret scale. Med Decis Making 2003, vol.23, no.4, p.281-92. 32. Riklin E, Talaei-Khoei M, Merker VL, Sheridan MR, Jordan JT, Plotkin SR, Vranceanu AM. First report of factors associated with satisfaction in patients with neurofibromatosis. Am J Med Genet Part A. 2016, vol.173, no.3, p.671-7. 30. Sakai Y, Kunimoto C, Kurata K. Health Information Seeking Behavior in Japan: Results of the 2008/2013 Survey 2015. Journal of Japan Society of Library and Information Science. 2015, vol.61, no.2, p.82-95. 10. Hashimoto H, Tani Y. A Literature Review of the Information Collected by Parents of Children with Cancer and How it was Used. International nursing care research 2016, vol.15, no. 3, p.81-89. 16. National Cancer Institute. Childhood cancers. URL: http://www.mhlw.go.jp/file/05-Shingikai-10901000-Kenkoukyoku-Soumuka/0000095429.pdf [accessed 2018_03_30] 14. Kostagiolas P, Martzoukou K, Georgantzi G, Niakas D. Information seeking behaviour of parents of paediatric patients for clinical decision making: The central role of information literacy in a participatory setting. Infor Res 2013, vol.18, no.3, p.1-30. 22. Chen S. Information needs and information sources of family caregivers of cancer patients. Aslib Journal of Information Management 2014, vol.66, no.6, p.623-639. 13. Hilger C, Otto I, Hill C, Huber T, Kendel F. “Dr. Google”-information-seeking behavior and disease-specific anxiety among men with localized prostate cancer. Urologe A 2019, vol.58, no.9, p.1050-56. doi: 10.1007/s00120-018-0769-1 28. Lewis N, Martinez LS. Does the number of cancer patients' close social ties affect cancer-related information seeking through communication efficacy? Testing a mediation model. J Health Commun 2014, vol.19, no.9, p.1076-97. 26. Kilicarslan-Toruner E, Akgun-Citak E. Information-seeking behaviours and decision-making process of parents of children with cancer. Eur J Oncol Nurs 2013, vol.17, no. 2, p.176-83. 5. Ministry of General Affairs. The spreading of smart phone and ICT utilization: Usage rate of the ICT services, 2016. URL: http://www.soumu.go.jp/johotsusintokei/whitepaper/ja/h28/html/nc132120.html [accessed 2018_03_30] (Japanese) 1. Kaplan RM, Frosch DL. Decision making in medicine and health care. Annu Rev Clin Psychol 2005, no.1, p.1525-56. 33. Tan SS, Goonawardene N. Internet health information seeking and the patient-physican relationship: a systematic review. J Med Internet Res 2017, vol.19, no.1, p.e9. 31. Bansal A, Koepl LM, Fedorenko CR, et. al. Information Seeking and Satisfaction with Information Sources Among Spouses of Men with Newly Diagnosed Local-Stage Prostate Cancer. J Cancer Educ 2018, vol.33, no.2, p.325-331. 9. Nakajima M, Kuroki S, Shinkoda, H. Information-Seeking Experiences and Decision-Making Roles of Japanese Women with Breast Cancer. Fukuoka Med. J. 2012, vol.103, no. 6, p.120-130. 7. Case DO. Information needs and information seeking: Looking for information 3rd ed., Emerald, 2012. ISBN: 978-1780526546 12. Davies NJ, Kinman G, Thomas RJ, Bailey T. Information satisfaction in breast and prostate cancer patients: implications for quality of life. Psycho-Oncology 2008, vol.17, no.10, p.1048-52. doi: 10.1002/pon.1305 2. Jung M. Determinants of health information-seeking behavior: implications for post-treatment cancer patients. Asian Pac J Cancer Prev 2014, vol.15, no.16, p.6499-504. 15. Foundation for Promotion of Cancer Research. Cancer statistics in Japan -2017; 2017. URL: https://ganjoho.jp/data/reg_stat/statistics/brochure/2017/cancer_statistics_2017.pdf [accessed 2018_03_30] (Japanese) 25. Matsuyama RK, Kuhn LA, Molisani A, Wilson-Genderson MC. Cancer patients' information needs the first nine months after diagnosis. Patient Educ Couns 2013, vol.90, no.1, p.96-102. 17. Atherton PJ, Smith T, Singh JA, Huntington J, Diekmann BB, Huschka M, Sloan JA. The relation between cancer patient treatment decision-making roles and quality of life. Cancer 2013, vol.119, no.12, p.2342-9. |
| References_xml | – reference: 20. Brehaut JC, O'Connor AM, Wood TJ, Hack TF, Siminoff L, Gordon E, Feldman-Stewart D. Validation of a decision regret scale. Med Decis Making 2003, vol.23, no.4, p.281-92. – reference: 24. Ishikawa H, Takeucchi T, Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care. 2008, vol.31, no.5, p.874-9. – reference: 7. Case DO. Information needs and information seeking: Looking for information 3rd ed., Emerald, 2012. ISBN: 978-1780526546 – reference: 28. Lewis N, Martinez LS. Does the number of cancer patients' close social ties affect cancer-related information seeking through communication efficacy? Testing a mediation model. J Health Commun 2014, vol.19, no.9, p.1076-97. – reference: 16. National Cancer Institute. Childhood cancers. URL: http://www.mhlw.go.jp/file/05-Shingikai-10901000-Kenkoukyoku-Soumuka/0000095429.pdf [accessed 2018_03_30] – reference: 5. Ministry of General Affairs. The spreading of smart phone and ICT utilization: Usage rate of the ICT services, 2016. URL: http://www.soumu.go.jp/johotsusintokei/whitepaper/ja/h28/html/nc132120.html [accessed 2018_03_30] (Japanese) – reference: 27. Walsh MC, Trentham-Dietz A, Schroepfer T, Reding DJ, Campbell B, Foote ML, Kaufman S, Barrett M, Remington PL, Cleary JF. Cancer information sources used by patients to inform and influence treatment decisions. J Health Commun 2010, vol.15, no.4, p.445-63. – reference: 4. Carter SR, Moles R, White L, Chen TF. Medication information seeking behavior of patients who use multiple medicines: how does it affect adherence? Patient Educ Couns 2013, vol.92, no.1, p.74-80. – reference: 1. Kaplan RM, Frosch DL. Decision making in medicine and health care. Annu Rev Clin Psychol 2005, no.1, p.1525-56. – reference: 8. Talja S, Hansen P. Information sharing. (Information Science and Knowledge Management book series, vol. 8). Springer, Dordrecht, 2006. – reference: 13. Hilger C, Otto I, Hill C, Huber T, Kendel F. “Dr. Google”-information-seeking behavior and disease-specific anxiety among men with localized prostate cancer. Urologe A 2019, vol.58, no.9, p.1050-56. doi: 10.1007/s00120-018-0769-1 – reference: 22. Chen S. Information needs and information sources of family caregivers of cancer patients. Aslib Journal of Information Management 2014, vol.66, no.6, p.623-639. – reference: 6. Wilson, TD. A re-examination of information seeking behavior in the context of activity theory. Infor Res 2006, vol.11, no.4, p.260. – reference: 11. Miwa M. Information behavior, Bensei Publishing; 2012. ISBN: 978-4585054320 (Japanese) – reference: 31. Bansal A, Koepl LM, Fedorenko CR, et. al. Information Seeking and Satisfaction with Information Sources Among Spouses of Men with Newly Diagnosed Local-Stage Prostate Cancer. J Cancer Educ 2018, vol.33, no.2, p.325-331. – reference: 10. Hashimoto H, Tani Y. A Literature Review of the Information Collected by Parents of Children with Cancer and How it was Used. International nursing care research 2016, vol.15, no. 3, p.81-89. – reference: 15. Foundation for Promotion of Cancer Research. Cancer statistics in Japan -2017; 2017. URL: https://ganjoho.jp/data/reg_stat/statistics/brochure/2017/cancer_statistics_2017.pdf [accessed 2018_03_30] (Japanese) – reference: 9. Nakajima M, Kuroki S, Shinkoda, H. Information-Seeking Experiences and Decision-Making Roles of Japanese Women with Breast Cancer. Fukuoka Med. J. 2012, vol.103, no. 6, p.120-130. – reference: 14. Kostagiolas P, Martzoukou K, Georgantzi G, Niakas D. Information seeking behaviour of parents of paediatric patients for clinical decision making: The central role of information literacy in a participatory setting. Infor Res 2013, vol.18, no.3, p.1-30. – reference: 19. Symes Y, Song L, Heineman RG, Barbosa BD, Tatum K, Greene G, Weaver M, Chen RC. Involvement in decision making and satisfaction with treatment among partners of patients with newly diagnosed localized prostate cancer. Oncol Nurs Forum 2015, vol.42, no.6, p.672-9. – reference: 26. Kilicarslan-Toruner E, Akgun-Citak E. Information-seeking behaviours and decision-making process of parents of children with cancer. Eur J Oncol Nurs 2013, vol.17, no. 2, p.176-83. – reference: 25. Matsuyama RK, Kuhn LA, Molisani A, Wilson-Genderson MC. Cancer patients' information needs the first nine months after diagnosis. Patient Educ Couns 2013, vol.90, no.1, p.96-102. – reference: 23. Watanabe M, Katayama F, Kajiyama Y. Information needs of and resources for parents of children in the diagnostic phase of cancer. J Japanese Soc Ped Oncol Nurs 2018, vol.13, no.1, p.7-16. (Japanese). – reference: 30. Sakai Y, Kunimoto C, Kurata K. Health Information Seeking Behavior in Japan: Results of the 2008/2013 Survey 2015. Journal of Japan Society of Library and Information Science. 2015, vol.61, no.2, p.82-95. – reference: 32. Riklin E, Talaei-Khoei M, Merker VL, Sheridan MR, Jordan JT, Plotkin SR, Vranceanu AM. First report of factors associated with satisfaction in patients with neurofibromatosis. Am J Med Genet Part A. 2016, vol.173, no.3, p.671-7. – reference: 2. Jung M. Determinants of health information-seeking behavior: implications for post-treatment cancer patients. Asian Pac J Cancer Prev 2014, vol.15, no.16, p.6499-504. – reference: 12. Davies NJ, Kinman G, Thomas RJ, Bailey T. Information satisfaction in breast and prostate cancer patients: implications for quality of life. Psycho-Oncology 2008, vol.17, no.10, p.1048-52. doi: 10.1002/pon.1305 – reference: 17. Atherton PJ, Smith T, Singh JA, Huntington J, Diekmann BB, Huschka M, Sloan JA. The relation between cancer patient treatment decision-making roles and quality of life. Cancer 2013, vol.119, no.12, p.2342-9. – reference: 29. Morita T, Narimatsu H, Matsumura T, Kodama Y, Hori A, Kishi Y, Kusumi E, Hamaki T, Kobayashi K, Yuji K, Tanaka Y, Nakata Y, Kami M. A study of cancer information for cancer patients on the internet. Int J Clin Oncol 2007, vol.12, no.6, p.440-7. – reference: 3. Ishikawa H, Takeda Hiroko (translated), Debora L, Judith AH. Doctors Talking with patients/patients talking with doctors 2nd ed., Shinohara-shinsha Publishing; 2007. ISBN: 978-4884123048 (Japanese) – reference: 33. Tan SS, Goonawardene N. Internet health information seeking and the patient-physican relationship: a systematic review. J Med Internet Res 2017, vol.19, no.1, p.e9. – reference: 18. Davison BJ, Breckon EN. Impact of health information-seeking behavior and personal factors on preferred role in treatment decision making in men with newly diagnosed prostate cancer. Cancer Nurs 2012, vol.35, no.6, p.411-18. – reference: 21. Watanabe M, Narimatsu H. The development of “Treatment decision consent scale”: Exploratory factor analysis of treatment decision-making for cancer patients. Japanese Journal of Public Health (Preparing for submission) |
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