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Technology use and its association with health and depressive symptoms in older cancer survivors

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Abstract

Purpose

Acknowledging the expanding influence of technology in the promotion of health and wellness, this study assessed the role of information and communication technology (ICT) use in the lives of older cancer survivors.

Methods

A community sample of cancer survivors aged 65 and older (N = 1411) was extracted from a 2011 U.S. National Health and Aging Trends Study dataset. Weighted multiple regression and multinomial logistic regression analyses were performed to explore the relationships between survey respondents’ ICT use and their self-rated health status and depressive symptoms.

Results

The majority of respondents reported rarely or never engaging in ICT use. Greater use of communication technology such as emailing or texting was associated with decreased risk for severe depressive symptoms and higher self-rated health status. Information technology use was not associated with depressive symptoms and self-rated health status.

Conclusions

Investigation into reasons behind older cancer survivors’ apparent low rates of engagement with ICT is warranted, particularly the examination of access as a potential barrier. Findings indicated that frequent use of communication technology was positively linked with mental and physical wellness. The nature of the relationships between communication technology use and physical and mental health merits further research, helping to determine whether community-based educational efforts to improve technology access and skills may benefit the growing population of older cancer survivors.

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References

  1. Moor, J. S., Mariotto, A. B., Parry, C., Alfano, C. M., Padgett, L., Kent, E. E., et al. (2013). Cancer survivors in the United States: Prevalence across the survivorship trajectory and implications for care. Cancer Epidemiology, Biomarkers & Prevention, 22(4), 561–570.

    Article  Google Scholar 

  2. Parry, C., Kent, E. E., Mariotto, A. B., Alfano, C. M., & Rowland, J. H. (2011). Cancer survivors: A booming population. Cancer Epidemiology, Biomarkers & Prevention, 20(10), 1996–2005.

    Article  Google Scholar 

  3. Fossa, S. D., Loge, J. H., & Dahl, A. A. (2008). Long-term survivorship after cancer: How far have we come. Annals of Oncology, 19(Suppl 5), v25–v29.

    Article  PubMed  Google Scholar 

  4. Grov, E. K., Fosså, S. D., & Dahl, A. A. (2010). Activity of daily living problems in older cancer survivors: A population-based controlled study. Health & Social Care in the Community, 18(4), 396–406.

    Google Scholar 

  5. Keating, N. L., Nørredam, M., Landrum, M. B., Huskamp, H. A., & Meara, E. (2005). Physical and mental health status of older long-term cancer survivors. Journal of the American Geriatrics Society, 53(12), 2145–2152.

    Article  PubMed  Google Scholar 

  6. Mao, J. J., Armstrong, K., Bowman, M. A., Xie, S. X., Kadakia, R., & Farrar, J. T. (2007). Symptom burden among cancer survivors: Impact of age and comorbidity. Journal of the American Board of Family Medicine, 20(5), 434–443.

    Article  PubMed  Google Scholar 

  7. Smith, A. W., Reeve, B. B., Bellizzi, K. M., Harlan, L. C., Klabunde, C. N., Amsellem, M., et al. (2008). Cancer, comorbidities, and health-related quality of life of older adults. Health Care Financing Review, 29(4), 41–56.

    PubMed  PubMed Central  Google Scholar 

  8. Beck, S. L., Towsley, G. L., Caserta, M. S., Lindau, K., & Dudley, W. N. (2009). Symptom experiences and quality of life of rural and urban older adult cancer survivors. Cancer Nursing, 32(5), 359–369.

    Article  PubMed  Google Scholar 

  9. Reyes-Gibby, C. C., Anderson, K. O., Morrow, P. K., Shete, S., & Hassan, S. (2012). Depressive symptoms and health-related quality of life in breast cancer survivors. Journal of Women’s Health, 21(3), 311–318.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Schlairet, M. C., & Benton, M. J. (2011). Quality of life and perceived educational needs among older cancer survivors. Journal of Cancer Education, 27(1), 21–26.

    Article  Google Scholar 

  11. Deimling, G. T., Bowman, K. F., & Wagner, L. J. (2007). The effects of cancer-related pain and fatigue on functioning of older adult, long-term cancer survivors. Cancer Nursing, 30(6), 421–433.

    Article  PubMed  Google Scholar 

  12. Luciani, A., Jacobsen, P. B., Extermann, M., Foa, P., Marussi, D., Overcash, J. A., et al. (2008). Fatigue and functional dependence in older cancer patients. American Journal of Clinical Oncology, 31(5), 424–430.

    Article  PubMed  Google Scholar 

  13. Beatty, L., Kemp, E., Wade, T., & Koczwara, B. (2015). Finding my way: Protocol of a randomised controlled trial evaluating an internet self-help program for cancer-related distress. BMC cancer, 15, 328.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Diefenbach, M. A., & Butz, B. P. (2004). A multimedia interactive education system for prostate cancer patients: Development and preliminary evaluation. Journal of Medical Internet Research, 6(1), 25–31.

    Article  Google Scholar 

  15. Grimsbo, G. H., Finset, A., & Ruland, C. M. (2011). Left hanging in the air: Experiences of living with cancer as expressed through e-mail communications with oncology nurses. Cancer Nursing, 34(2), 107–116.

    Article  PubMed  Google Scholar 

  16. Karahalios, A., Baravelli, C., Carey, M., Schofield, P., Pollard, A., Aranda, S., et al. (2007). An audiovisual information resource to assist in the transition from completion of potentially curative treatment for cancer through to survivorship: A systematic development process. Journal of Cancer Survivorship, 1(3), 226–236.

    Article  CAS  PubMed  Google Scholar 

  17. Loiselle, C. G., Edgar, L., Batist, G., Lu, J., & Lauzier, S. (2010). The impact of a multimedia informational intervention on psychosocial adjustment among individuals with newly diagnosed breast or prostate cancer: A feasibility study. Patient Education and Counseling, 80(1), 48–55.

    Article  PubMed  Google Scholar 

  18. Potter, P., Pion, S., Klinkenberg, D., Kuhrik, M., & Kuhrik, N. (2014). An instructional DVD fall-prevention program for patients with cancer and family caregivers. Oncology Nursing Forum, 41(5), 486–494.

    Article  PubMed  Google Scholar 

  19. Spoelstra, S. L., Given, C. W., Sikorskii, A., Coursaris, C. K., Majumder, A., DeKoekkoek, T., et al. (2015). A randomized controlled trial of the feasibility and preliminary efficacy of a texting intervention on medication adherence in adults prescribed oral anti-cancer agents: Study protocol. Journal of Advanced Nursing, 71(12), 2965–2976.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Klemm, P. (2008). Late effects of treatment for long-term cancer survivors: Qualitative analysis of an online support group. CIN-Computers, Informatics, Nursing, 26(1), 49–58.

    Article  Google Scholar 

  21. Chou, W. S., Liu, B., Post, S., & Hesse, B. (2011). Health-related use among cancer survivors: Data from the Health Information National Trends Survey, 2003–2008. Journal of Cancer Survivorship-Research and Practice, 5(3), 263–270.

    Article  PubMed  Google Scholar 

  22. Dilts, D., Ridner, S. H., Franco, A., & Murphy, B. (2009). Patients with cancer and e-mail: Implications for clinical communication. Supportive Care in Cancer, 17(8), 1049–1056.

    Article  PubMed  Google Scholar 

  23. Saied, A., Sherry, S. J., Castricone, D. J., Perry, K. M., Katz, S. C., & Somasundar, P. (2014). Age-related trends in utilization of the internet and electronic communication devices for coordination of cancer care in elderly patients. Journal of Geriatric Oncology, 5(2), 185–189.

    Article  PubMed  Google Scholar 

  24. Koopman-Boyden, P. G., & Reid, S. L. (2009). Internet/E-mail usage and well-being among 65–84 year olds in New Zealand: Policy implications. Educational Gerontology, 35(11), 990–1007.

    Article  Google Scholar 

  25. Xavier, A. J., Orsi, E., Wardle, J., Demakakos, P., Smith, S. G., & Wagner, C. (2013). Internet use and cancer-preventive behaviors in older adults: Findings from a longitudinal cohort study. Cancer Epidemiology, Biomarkers & Prevention, 22(11), 2066–2074.

    Article  Google Scholar 

  26. Gell, N. M., Rosenberg, D. E., Demiris, G., LaCroix, A. Z., & Patel, K. V. (2015). Patterns of technology use among older adults with and without disabilities. The Gerontologist, 55(3), 412–421.

    Article  PubMed  Google Scholar 

  27. Smith, A. (2014). Older adults and technology. Pew Research Center. 2014, April 3. http://www.pewinternet.org/2014/04/03/older-adults-and-technology-use/. Accessed 27 Feb 2016.

  28. Sum, S., Mathews, R. M., Hughes, I., & Campbell, A. (2008). Internet use and loneliness in older adults. Cyberpsychology & Behavior, 11(2), 208–211.

    Article  Google Scholar 

  29. Cotton, S. R., Anderson, W. A., & McCullough, B. M. (2013). Impact of internet use on loneliness and contact with others among older adults: Cross-sectional analysis. Journal of Medical Internet Research, 15(2), e39.

    Article  Google Scholar 

  30. Cotten, S. R., Ford, G., Ford, S., & Hale, T. M. (2012). Internet use and depression among older adults. Computers in Human Behavior, 28(2), 496–499.

    Article  Google Scholar 

  31. Cotton, S. R., Ford, G., Ford, S., & Hale, T. M. (2014). Internet use and depression among retired older adults in the United States: A longitudinal analysis. The Journals of Gerontology Series B Psychological Sciences and Social Sciences, 69(5), 763–771.

    Article  Google Scholar 

  32. Elliot, A. J., Mooney, C. J., Douthit, K. Z., & Lynch, M. F. (2014). Predictors of older adults’ technology use and its relationship to depressive symptoms and well-being. The Journals of Gerontology Series B Psychological Sciences and Social Sciences, 69(5), 667–677.

    Article  Google Scholar 

  33. Centers for Disease Control and Prevention (CDC). (2010). Current depression among adults—United States, 2006 and 2008. MMWR, 59(38), 1229.

    Google Scholar 

  34. Rodda, J., Walker, Z., & Carter, J. (2011). Depression in older adults. BMJ (Clinical Research ed.), 343, d5219.

    Article  Google Scholar 

  35. Shapira, N., Barak, A., & Gal, I. (2007). Promoting older adults’ well-being through Internet training and use. Aging & Mental Health, 11(5), 477–484.

    Article  CAS  Google Scholar 

  36. Montaquila, J., Freedman, V. A., Edwards, B., & Kasper, J. D. (2012). National Health and Aging Trends Study Round 1 sample design and selection. NHATS Technical Paper#1. Baltimore, MD: Johns Hopkins University School of Public Health.

    Google Scholar 

  37. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41(11), 1284–1292.

    Article  PubMed  Google Scholar 

  38. Li, C., Friedman, B., Conwell, Y., & Fiscella, K. (2007). Validity of the Patient Health Questionnaire 2 (PHQ-2) in identifying major depression in older people. Journal of the American Geriatrics Society, 55(4), 596–602.

    Article  PubMed  Google Scholar 

  39. Freedman, V. A., Kasper, J. D., Cornman, J. C., Agree, E. M., Bandeen-Roche, K., Mor, V., et al. (2011). Validation of new measures of disability and functioning in the National Health and Aging Trends Study. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 66 A(9), 1013–1021.

    Article  Google Scholar 

  40. Montaquila, J., Freedman, V. A., & Kasper, J. D. (2012). Round 1 income imputation. NHATS Technical Paper #3. Baltimore, MD: Johns Hopkins University School of Public Health.

    Google Scholar 

  41. StataCorp (2013). Stata statistical software: Release 13. College Station, TX: StataCorp LP.

    Google Scholar 

  42. Allison, P. D. (1999). Multiple regression: A primer. Thousand Oaks, CA: Pine Forge Press.

    Google Scholar 

  43. Smith, A. (2011). How Americans use text messaging. Pew Research Center. 2011, September 19. http://www.pewinternet.org/2011/09/19/how-americans-use-text-messaging/. Accessed 27 Feb 2016.

  44. Madden, M. (2010). Older adults and social media. Pew Research Center. 2010, August 27. http://www.pewinternet.org/2010/08/27/older-adults-and-social-media/. Accessed 5 Mar 2016.

  45. Chiao, C., Weng, L. J., & Botticello, A. L. (2011). Social participation reduces depressive symptoms among older adults: An 18-year longitudinal analysis in Taiwan. BMC public health, 11(1), 292.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Isaac, V., Stewart, R., Artero, S., Ancelin, M. L., & Ritchie, K. (2009). Social activity and improvement in depressive symptoms in older people: A prospective community cohort study. American Journal of Geriatric Psychiatry, 17(8), 688–696.

    Article  PubMed  Google Scholar 

  47. Blake, H., Mo, P., Malik, S., & Thomas, S. (2009). How effective are physical activity interventions for alleviating depressive symptoms in older people? A systematic review. Clinical Rehabilitation, 23(10), 873–887.

    Article  CAS  PubMed  Google Scholar 

  48. Mammen, G., & Faulkner, G. (2013). Physical activity and the prevention of depression: A systematic review of prospective studies. American Journal of Preventive Medicine, 45(5), 649–657.

    Article  PubMed  Google Scholar 

  49. Shankar, A., McMunn, A., Banks, J., & Steptoe, A. (2011). Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health Psychology, 30(4), 377.

    Article  PubMed  Google Scholar 

  50. Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Hong, Y. A., & Cho, J. (2017). Has the digital health divide widened? Trends of health-related internet use among older adults from 2003 to 2011. The Journals of Gerontology Series B Psychological Sciences and Social Sciences, 72(5), 856–863.

    Google Scholar 

  52. Choi, N. G., & DiNitto, D. M. (2013). Internet use among older adults: Association with health needs, psychological capital, and social capital. Journal of Medical Internet Research, 15(5). https://doi.org/10.2196/jmir.2333.

  53. Ybarra, M., & Suman, M. (2008). Reasons, assessments and actions taken: Sex and age differences in uses of Internet health information. Health Education Research, 23(3), 512–521.

    Article  PubMed  Google Scholar 

  54. Blažun, H., Saranto, K., & Rissanen, S. (2012). Impact of computer training courses on reduction of loneliness of older people in Finland and Slovenia. Computers in Human Behavavior, 28(4), 1202–1212.

    Article  Google Scholar 

  55. White, H., McConnell, E., Clipp, E., Branch, L. G., Sloane, R., Pieper, C., et al. (2002). A randomized controlled trial of the psychosocial impact of providing internet training and access to older adults. Aging & Mental Health, 6(3), 213–221.

    Article  CAS  Google Scholar 

  56. Berg, N. (2010). Non-response Bias. Encyclopedia of Social Measurement (vol. 2, pp. 865–873). In K. Kempf-Leonard (Ed.) London: Academic Press.

    Google Scholar 

  57. Freedman, V. A., & Spillman, B. C. (2016). Making National Estimates with the National Health and Aging Trends Study. NHATS Technical Paper #17. Baltimore, MD: Johns Hopkins University School of Public Health. http://www.NHATS.org.

  58. Wicks, P., Massagli, M., Frost, J., Brownstein, C., Okun, S., Vaughan, T., et al. (2010). Sharing health data for better outcomes on PatientsLikeMe. Journal of Medical Internet Research, 12(2), e19.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Chou, W. Y. S., Prestin, A., Lyons, C., & Wen, K. Y. (2013). Web 2.0 for health promotion: Reviewing the current evidence. American Journal of Public Health, 103(1), e9–e18.

    Article  Google Scholar 

  60. Neuhauser, L., & Kreps, G. L. (2008). Online cancer communication: Meeting the literacy, cultural and linguistic needs of diverse audiences. Patient Education and Counseling, 71(3), 365–377.

    Article  PubMed  Google Scholar 

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Funding

Funding for this research was provided by a grant from the Minnesota Agricultural Experiment Station (MIN-55-017).

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Correspondence to Hee Yun Lee.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Lee, H.Y., Kim, J. & Sharratt, M. Technology use and its association with health and depressive symptoms in older cancer survivors. Qual Life Res 27, 467–477 (2018). https://doi.org/10.1007/s11136-017-1734-y

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