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The Impact of a Multimedia Informational Intervention on Healthcare Service Use Among Women and Men Newly Diagnosed With Cancer

Loiselle, Carmen G. PhD, RN; Dubois, Sylvie PhD(c), MEd, MBA, RN

doi: 10.1097/01.NCC.0000343371.24517.66
Articles

This quasi-experimental longitudinal study documented the impact of a comprehensive cancer informational intervention using information technology on healthcare service use among individuals newly diagnosed with cancer. Women with breast cancer (n = 205) and men with prostate cancer (n = 45) were recruited within 8 weeks of diagnosis at 4 university teaching hospitals in Montreal, Quebec, Canada. The intervention group (n = 148) received a 1-hour training on information technology use, a CD-ROM on cancer, and a list of reputable cancer-related Web sites. The intervention material was available for a period of 8 weeks. The control group (n = 102) received usual care. Self-reported questionnaires were completed at T1 (baseline), T2 (1 week after intervention), and T3 (3 months after intervention). Using multivariate statistics, the experimental group reported significantly more satisfaction with cancer information received compared to the control group. No significant differences were found between experimental and control groups in their reliance on healthcare services. However, women as opposed to men spent more time with nurses, were more satisfied with cancer information received, and relied more heavily on health services. Future research would explore whether the latter observations reflect genuine sex differences or are more contingent on the specific cancer diagnosis.

Authors' Affiliations: School of Nursing, McGill University, Montreal, Quebec, Canada (Dr Loiselle and Ms Dubois); and Centre for Nursing Research, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada (Dr Loiselle).

Corresponding author: Carmen G. Loiselle, PhD, RN, School of Nursing, McGill University, 3506 University St, Montreal, Quebec, Canada, H3A 2A7 (carmen.loiselle1@mcgill.ca).

Accepted for publication July 1, 2008.

© 2009 Lippincott Williams & Wilkins, Inc.