title: Perceived needs for the information communication technology (ICT)-based personalized health management program, and its association with information provision, health-related quality of life (HRQOL), and decisional conflict in cancer patients.
abstract: OBJECTIVE
  The use of information communication technology (ICT)-based tailored health management program can have significant health impacts for cancer patients. Information provision, health-related quality of life (HRQOL), and decision conflicts were analyzed for their relationship with need for an ICT-based personalized health management program in Korean cancer survivors.
  
  
  METHODS
  The health program needs of 625 cancer survivors from two Korean hospitals were analyzed in this cross-sectional study. Multivariate logistic regression was used to identify factors related to the need for an ICT-based tailored health management system. Association of the highest such need with medical information experience, HRQOL, and decision conflicts was determined. Furthermore, patient intentions and expectations for a web- or smartphone-based tailored health management program were investigated.
  
  
  RESULTS
  Cancer survivors indicated high personalized health management program needs. Patients reporting the highest need included those with higher income (adjusted odds ratio [aOR], 1.70; 95% [confidence interval] CI, 1.10-2.63), those who had received enough information regarding helping themselves (aOR, 1.71; 95% CI, 1.09-2.66), and those who wished to receive more information (aOR, 1.59; 95% CI, 0.97-2.61). Participants with cognitive functioning problems (aOR, 2.87; 95%CI, 1.34-6.17) or appetite loss (aOR, 1.77; 95% CI, 1.07-2.93) indicated need for a tailored health care program. Patients who perceived greater support from the decision-making process also showed the highest need for an ICT-based program (aOR, 0.49; 95% CI, 0.30-0.82).
  
  
  CONCLUSIONS
  We found that higher income, information provision experience, problematic HRQOL, and decisional conflicts are significantly associated with the need for an ICT-based tailored self-management program.
authors.affiliation: Department of Biomedical Science, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Jin Ah
authors.identifier: http://orcid.org/0000-0002-3494-3002
authors.initials: JA
authors.lastname: Sim
authors.affiliation: Research Institute and Hospital, National Cancer Center, Goyang-si, South Korea.
authors.forename: Yoon Jung
authors.initials: YJ
authors.lastname: Chang
authors.affiliation: Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Aesun
authors.initials: A
authors.lastname: Shin
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Dong-Young
authors.initials: DY
authors.lastname: Noh
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Wonshik
authors.initials: W
authors.lastname: Han
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Han-Kwang
authors.initials: HK
authors.lastname: Yang
authors.affiliation: Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Young Whan
authors.initials: YW
authors.lastname: Kim
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Young Tae
authors.initials: YT
authors.lastname: Kim
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Surgery, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Seoung-Yong
authors.initials: SY
authors.lastname: Jeong
authors.affiliation: Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.|Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Jung-Hwan
authors.initials: JH
authors.lastname: Yoon
authors.affiliation: Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.|Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Yoon Jun
authors.initials: YJ
authors.lastname: Kim
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Daesuk
authors.initials: D
authors.lastname: Heo
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Internal Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Tae-You
authors.initials: TY
authors.lastname: Kim
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Do-Youn
authors.initials: DY
authors.lastname: Oh
authors.affiliation: Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Radiation Oncology, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Hong-Gyun
authors.initials: HG
authors.lastname: Wu
authors.affiliation: Department of Radiation Oncology, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Hak Jae
authors.initials: HJ
authors.lastname: Kim
authors.affiliation: Department of Radiation Oncology, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Eui Kyu
authors.initials: EK
authors.lastname: Chie
authors.affiliation: Department of Biomedical Science, Seoul National University College of Medicine, Seoul, South Korea.|Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Department of Nuclear Medicine, Seoul National University College of Medicine and Hospital, Seoul, South Korea.
authors.forename: Keon Wook
authors.initials: KW
authors.lastname: Kang
authors.affiliation: Division of Biomedical Informatics, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Ju Han
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Biomedical Science, Seoul National University College of Medicine, Seoul, South Korea.|Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.|Institute of Health Policy and Management, Seoul National University College of Medicine, Seoul, South Korea.
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Yun
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003142:Communication; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D006801:Humans; D000073256:Information Technology; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010465:Perception; D010817:Physician-Patient Relations; D011788:Quality of Life / Q000523:psychology; D056910:Republic of Korea; D012648:Self Care / Q000379:methods*; D012959:Socioeconomic Factors; D017741:Survivors / Q000523:psychology
keywords: HRQOL; ICT; cancer; oncology; perceived need; self-management