Do women attending a screening mammogram access
eHealth information from the internet?
Aditi Dey
School of Health Information Management
Faculty of Health Sciences, University of Sydney
NSW, Australia
Beth Reid
School of Health Information Management
Faculty of Health Sciences, University of Sydney
NSW, Australia
Robyn Godding
BreastScreen, The Cottage, Royal North Shore Hospital
Northern Sydney and Lower Central Coast
NSW, Australia
Andrew Campbell
School of Behavioural and Community Health Sciences
Faculty of Health Sciences, University of Sydney
NSW, Australia
Abstract— A longitudinal study is being conducted on a
cohort of 415 women at a breast screening service in Sydney
to determine any changes to their behaviour of access of
eHealth information and also explore the predictors and user
needs over a two-year period. Behaviour of access of eHealth
information has been studied in cancer patients [1-4], but no
previous study has looked at people’s behaviour of internet
access of information prior to their diagnosis and followed
them through a continuum of diagnosis and treatment. This
longitudinal study is being conducted in three phases. In the
first phase (recruitment of women in the cohort), women’s
baseline characteristics, behaviour and perceptions of access
were explored. Preliminary analysis shows that though 80% of
women accessed the internet and 62% accessed health related
information from the internet, only 7% of women had accessed
breast health and screening information from the internet. It is
also interesting to note that 70% of women expressed a
perceived need to obtain more information from the internet if
diagnosed with breast cancer. This study supports using the
internet as a viable way of communicating health information
to women in all age groups particularly the 50-69 years age
group.
Keywords- Breast screening, eHealth, perceptions, behaviour
I. INTRODUCTION
In today’s world, many people, across all age groups, access
the internet for health related information. Previous studies
have focused on internet searching behavior of cancer
patients,
9-19
but no previous study has looked at people’s
behavior of internet access of information prior to their
diagnosis and followed them through a continuum of
diagnosis and treatment. This longitudinal study follows a
cohort of women at a breast screening service to determine
any changes to their knowledge, perceptions and behavior of
internet access of information and explores the predictors of
internet access and user needs over a period of two years. In
the first phase (recruitment of women in the cohort), women’s
baseline characteristics, behavior and perceptions of access of
the internet were explored and are presented in this paper.
II. METHOD
We conducted this study in a breast screening service in
Sydney. This breast screening service is one of seven units in
the northern Sydney and lower central coast region of
BreastScreen NSW.
A longitudinal study is being conducted in three phases over a
period of two years. The study period for this research is
October 2004 to June 2006. Phase one (baseline period)
started with recruiting women in the study when they came for
their screening mammogram at the clinic. This paper utilizes
data from Phase1 of the study.
Four hundred and sixty one eligible women were invited to
participate in the study from October 2004 to December 2004.
Of these women, four hundred and fifteen women agreed to
participate and were recruited in the cohort study
(participation rate=90%). Women who were unable to
communicate in English were excluded from the study. Since
the study focussed on women’s access of electronic sources of
information (from the internet) on breast health and screening
and since these are mostly available only in English, excluding
women who are unable to communicate in English would not
have any significant impact on this study.
The written self-administered questionnaire was developed
after a detailed literature review of the topic. The
questionnaire had 38 multiple-choice or short answer
questions divided into ten sections. The questionnaire was
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