title: Cancer patients' information needs and information seeking behaviour: in depth interview study.
abstract: OBJECTIVE
  To explore why cancer patients do not want or seek information about their condition beyond that volunteered by their physicians at times during their illness.
  
  
  METHODS
  Qualitative study based on in-depth interviews.
  
  
  METHODS
  Outpatient oncology clinics at a London cancer centre.
  
  
  METHODS
  17 patients with cancer diagnosed in previous 6 months.
  
  
  METHODS
  Analysis of patients' narratives to identify key themes and categories.
  
  
  RESULTS
  While all patients wanted basic information on diagnosis and treatment, not all wanted further information at all stages of their illness. Three overarching attitudes to their management of cancer limited patients' desire for and subsequent efforts to obtain further information: faith, hope, and charity. Faith in their doctor's medical expertise precluded the need for patients to seek further information themselves. Hope was essential for patients to carry on with life as normal and could be maintained through silence and avoiding information, especially too detailed or "unsafe" information. Charity to fellow patients, especially those seen as more needy than themselves, was expressed in the recognition that scarce resources-including information and explanations-had to be shared and meant that limited information was accepted as inevitable.
  
  
  CONCLUSIONS
  Cancer patients' attitudes to cancer and their strategies for coping with their illness can constrain their wish for information and their efforts to obtain it. In developing recommendations, the government's cancer information strategy should attend to variations in patients' desires for information and the reasons for them.
authors.affiliation: Cancer and Public Health Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT. g.leydon@lshtm.ac.uk
authors.forename: G M
authors.initials: GM
authors.lastname: Leydon
authors.forename: M
authors.initials: M
authors.lastname: Boulton
authors.forename: C
authors.initials: C
authors.lastname: Moynihan
authors.forename: A
authors.initials: A
authors.lastname: Jones
authors.forename: J
authors.initials: J
authors.lastname: Mossman
authors.forename: M
authors.initials: M
authors.lastname: Boudioni
authors.forename: K
authors.initials: K
authors.lastname: McPherson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*