Communicating health decisions: An analysis of messages posted to online prostate cancer forums - Abstract

Background: Experiential websites such as message forums and blogs allow Prostate Cancer (PCa) patients to communicate their health decisions to peers.

The issues surrounding this form of indirect involvement in public health are little understood.

Objective: This paper explores the types of decision-making processes that people are exposed to on PCa online message boards. The kinds of treatment choices patients are making and the reports of their decision-making processes to peers through an online environment are examined in the context of the Heuristic Systematic Model.

Method: Messages about treatment decision making were collected from four PCa websites. In total, 137 messages were selected from blogs and online forums and their decision-making processes coded.

Results: Men looking online for information about treatment options for PCa are exposed to a range of decision-making processes. Just under half (49.6%) of the messages reported non-systematic decision processes, with deferral to the doctor and proof of cancer removal being the most common. For systematic processing (36.5%), messages most commonly considered treatment outcomes and side-effects. Processes did not vary between the blogs and online forums.

Discussion and Conclusion: Compared to previous studies far fewer messages reported non-systematic decision processes and only a small number of messages reflected lay beliefs or misbeliefs about PCa treatment. Implications for men and their clinicians of seeking health information online are discussed.

Written by:
Sillence E, Mo PK. Are you the author?
Lecturer, PaCT Lab, School of Life Sciences, Northumbria University, Newcastle upon Tyne, UK; Research Assistant Professor, Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, SAR.

Reference: Health Expect. 2012 Feb 2. Epub ahead of print.
doi: 10.1111/j.1369-7625.2011.00745.x

PubMed Abstract
PMID: 22296292