Patient internet use surrounding cancer clinical trials: clinician perceptions and responses.
Clinician perceptions of patient internet use related to clinical trials are not well documented. This exploratory study surveyed how cancer care providers at one NCI-designated cancer center viewed patient internet use surrounding cancer trials, including whether it affected patient decision making regarding trial enrollment. The sample included 20 oncologists (59%) and 14 (41%) nurses (n=34). Most clinicians (n=26; 76%) perceived the internet as having an effect on whether or not patients decided to enroll in a cancer trial. Two thirds (n=17; 65%) felt that this effect was positive, including in terms of enhancing patient knowledge of, access to, and enrollment in trials. Clinicians were asked if they ever discussed with their patients the topic of going online to find out more about cancer trials. Over half (n=18; 58%) who responded (n=31) to this item said yes; the rest (n=13; 42%) said no. The majority (n=10; 77%) in the "no" category were among those who reported that the internet had an effect on patient decision making. These data provisionally suggest that clinicians may see the internet as having mostly a positive effect on patient decision making about cancer trials, but that their communication efforts with patients do not always logically follow from this perception. Provider-patient discussion about internet use may be an opportunity for clinicians to contribute to improved patient knowledge of and enrollment in cancer trials. More research is needed to confirm and explain the gap between clinician perception and communication regarding trial-related internet use by cancer patients.
Simon
Christian
C
Department of Internal Medicine, Program in Bioethics and Humanities, Roy J and Lucille A Carver College of Medicine, 500 Hawkins Drive, 1-110 MEB Iowa City, IA 52242-1190, United States. christian-simon@uiowa.edu
Schramm
Sarah
S
Hillis
Stephen
S
D035843:Biomedical Research; D002986:Clinical Trials as Topic; D016001:Confidence Intervals; D003625:Data Collection; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D010820:Physicians; D012108:Research Personnel; D012938:Social Perception; D014481:United States