title: How women with breast cancer learn using interactive cancer communication systems.
abstract: To provide insights about how women with breast cancer learn from interactive cancer communication systems (ICCSs), this study examined how use of different types of services that employ conceptually distinct pedagogical methods relates to learning outcomes. The study sample included 231 recently diagnosed, lower income breast cancer patients. Participants were provided a free computer, Internet access and training in how to use an ICCS called the Comprehensive Health Enhancement Support System 'Living with Breast Cancer' program. Data comprised survey information collected at pre-test and 4 months after using the system and computer records of how women used the system (use data). The findings suggest that use of the information and interactive services independently contributed to perceived information competence, though the communication services, including both discussion group and ask an expert, did not. Consistent with expectations, use of discussion group and interactive services amplified the learning effects of using the information services. However, use of the ask an expert service did not amplify the learning effects of using the information services as predicted. Some constructivist pedagogical methods-specifically online support groups and intelligently designed, computer-driven interactive services-may supplement and extend the learning potential of information services delivered via a transmission-oriented pedagogical approach.
authors.affiliation: Center of Excellence in Cancer Communications Research, University of Wisconsin--Madison, WI 53726, USA. bretshaw@chsra.wisc.edu
authors.forename: Bret R
authors.initials: BR
authors.lastname: Shaw
authors.forename: Jeong Yeob
authors.initials: JY
authors.lastname: Han
authors.forename: Timothy
authors.initials: T
authors.lastname: Baker
authors.forename: Jeffre
authors.initials: J
authors.lastname: Witherly
authors.forename: Robert P
authors.initials: RP
authors.lastname: Hawkins
authors.forename: Fiona
authors.initials: F
authors.lastname: McTavish
authors.forename: David H
authors.initials: DH
authors.lastname: Gustafson
mesh_terms: D001943:Breast Neoplasms; D003200:Computer User Training; D005006:Ethnicity; D005260:Female; D006801:Humans; D007255:Information Services; D020407:Internet; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D012959:Socioeconomic Factors