title: Why patients go online: multiple sclerosis, the internet, and physician-patient communication.
abstract: BACKGROUND
  The online information seeking of multiple sclerosis (MS) patients, their reasons for doing so, and its importance for physician-patient communication have not been described.
  
  
  METHODS
  Patients (n = 61) presenting for the first time at an MS clinic from December 2003 to July 2005 were interviewed pre- and postappointment and administered standard measures of pain and health quality of life. Consultations were audio recorded. Quantitative data were analyzed in light of qualitative data.
  
  
  RESULTS
  Eighty-two percent of patients reported gathering medical information online before their first appointment; 36% discussed this information with their physician. Qualitative reasons for Internet information seeking and for not communicating it show some signs of wariness of health care potentially leading to nonadherence.
  
  
  CONCLUSIONS
  Most MS patients are informed by online information, but are unlikely to discuss that research with physicians for reasons that may have implications for patient adherence.
authors.affiliation: Department of Anthropology, Miami University, Oxford, OH 45056, USA. hayrolmc@muohio.edu
authors.forename: M Cameron
authors.initials: MC
authors.lastname: Hay
authors.forename: Cynthia
authors.initials: C
authors.lastname: Strathmann
authors.forename: Eli
authors.initials: E
authors.lastname: Lieber
authors.forename: Kimberly
authors.initials: K
authors.lastname: Wick
authors.forename: Barbara
authors.initials: B
authors.lastname: Giesser
mesh_terms: D000328:Adult; D000368:Aged; D003142:Communication; D005260:Female; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D008490:Medical Informatics; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology*; D010358:Patient Participation; D010817:Physician-Patient Relations; D012189:Retrospective Studies