title: Provider-patient dialogue about Internet health information: an exploration of strategies to improve the provider-patient relationship.
abstract: OBJECTIVE
  This study examined patients' experiences talking to their providers about internet health information.
  
  
  METHODS
  Participants (n=770) recruited from internet health message boards completed an online survey, including questions focusing on a recent interaction with a provider about internet health information.
  
  
  RESULTS
  Face-saving patient introduction strategies were associated with providers validating patients' efforts. Providers' validation of patients' efforts was associated with higher patient ratings of satisfaction, validation, and reduced concern, while providers' disagreement with the information was associated with lower ratings. The provider taking the information seriously was associated with higher patient satisfaction.
  
  
  CONCLUSIONS
  An understanding of the occurrence of provider-patient talk about internet health information and its relationship to patient satisfaction, validation, and reduced concern is important for providers and medical educators who seek to better understand, and thus improve, provider-patient communication.
  
  
  CONCLUSIONS
  Showing the patient that the information is being seriously considered and validating the patients' efforts in researching the information may ameliorate some of the negative effects of disagreement.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, NY, NY 10022, USA. bylundlc@mskcc.org
authors.forename: Carma L
authors.initials: CL
authors.lastname: Bylund
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Gueguen
authors.forename: Christina M
authors.initials: CM
authors.lastname: Sabee
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Imes
authors.forename: Yuelin
authors.initials: Y
authors.lastname: Li
authors.forename: Amy Aldridge
authors.initials: AA
authors.lastname: Sanford
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D001242:Assertiveness; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D016009:Chi-Square Distribution; D003142:Communication; D003299:Cooperative Behavior; D034462:Dissent and Disputes; D004645:Empathy; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007255:Information Services / Q000458:organization & administration; D020407:Internet / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation / Q000379:methods / Q000523:psychology*; D017060:Patient Satisfaction; D010819:Physician's Role / Q000523:psychology; D010817:Physician-Patient Relations; D012648:Self Care / Q000523:psychology; D011795:Surveys and Questionnaires