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Information-Seeking Patterns and Communication Preferences Among Japanese Survivors With Cancer: Cross-Sectional
Manae Hirayama1, Daisuke Kasai1, Ken-Ichi Tabei1
1Graduate School of Industrial Technology, Advanced Institute of Industrial Technology, Tokyo Metropolitan Public University Corporation, 1-10-40, Higashiooi, Shinagawa, Tokyo, 140-0011, Japan, 81 3 3472 7831.
JMIR Cancer
|May 28, 2026
Summary
Cancer survivors
Area of Science:
- Oncology
- Health Psychology
- Health Services Research
Background:
- Growing number of cancer survivors necessitates patient-centered information and communication to mitigate psychological distress.
- Individual differences in information-seeking behaviors and support service utilization among cancer survivors are significant.
- Limited research comprehensively examines cognitive and psychological factors influencing these behaviors, including treatment status, sex, trust, and patient-provider relationships.
Purpose of the Study:
- To identify distinct subgroups of Japanese cancer survivors based on their information-seeking behaviors, difficulties, trust in sources, and intentions to use psychosocial support services.
- To integrate the theory of planned behavior and the patient-provider relationship model for subgroup identification.
- To understand how cognitive and psychological factors shape information needs and support utilization in cancer survivors.
Main Methods:
- A cross-sectional web survey adhering to the CHERRIES checklist was conducted with 350 Japanese cancer survivors.
- Exploratory factor analysis was used to examine information-seeking difficulties and trust in sources.
- Latent class analysis identified subgroups based on survey factors and sociodemographic/clinical characteristics.
Main Results:
- Latent class analysis revealed three subgroups: women under observation, men under observation, and patients under treatment.
- Women under observation showed higher trust in nonmedical information sources compared to men.
- Men under observation reported stronger physician relationships, while patients under treatment faced greater information-seeking difficulties and utilized specific support services more frequently.
Conclusions:
- Information-seeking behaviors, trusted sources, and perceived difficulties vary significantly by sex and treatment stage in Japanese cancer survivors.
- Patients undergoing treatment exhibit high information needs coupled with challenges in information seeking, indicating potential impacts on perceived behavioral control.
- Tailoring psychosocial support and information delivery to specific patient subgroups, considering their communication preferences and trusted sources, is crucial for optimizing care.
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