{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:46:40Z","timestamp":1792090000868,"version":"4.4.0"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Tel Aviv University","id":[{"id":"https:\/\/ror.org\/04mhzgx49","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To identify distinct archetypes among adult cancer patients based on information-seeking patterns from symptom onset to treatment initiation, including the use of digital and emerging technologies such as generative AI, and to characterize the decision-making dilemmas associated with these pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional study in Israel, between February 2025 and December 2025, among 205 adult cancer patients to examine patterns of information seeking and decision-making during the period from symptom onset to treatment initiation. Participants completed a structured questionnaire assessing reliance on multiple information sources\u2014including medical professionals, family members, digital resources, and generative AI-based tools\u2014before and after diagnosis, along with sociodemographic and clinical characteristics. Patient archetypes were identified using cluster analysis, and decision-making dilemmas were explored using two methods (investigator-led constant comparative analysis and LLM) for open-ended responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four distinct information-seeking archetypes were identified: Digital Natives (27.6%), Family-Centered (38.8%), Balanced Traditional (25.0%), and Medical Professional-Focused (8.6%). Archetypes differed significantly by age, education, and the strongest differentiating factor (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005)\u2014religiosity. Across archetypes, information seeking intensified after diagnosis, relying mostly on family members, internet sources, and additional medical professionals, whereas reliance on generative AI-based tools remained consistently low. Among respondents to the open-ended question, 86% reported significant decision-making dilemmas, most commonly related to treatment selection and choice of healthcare provider or facility.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The marked heterogeneity observed in patients\u2019 information-seeking and decision-making pathways highlights the inadequacy of one-size-fits-all approaches in early cancer care. Implementing tailored, culturally responsive decision support may better align care with patients\u2019 needs during this critical phase.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-11250-4","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:40:26Z","timestamp":1790095226000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond one-size-fits-all: mapping information-seeking and decision-making pathways in cancer care"],"prefix":"10.1007","volume":"34","author":[{"given":"Neta","family":"Shanwetter Levit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mor","family":"Saban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"11250_CR1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h2935","volume":"350","author":"A Rashid","year":"2015","unstructured":"Rashid A (2015) Choosing together: encouraging person centred care and shared decision making. 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Accessed 10 Sep 2026"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11250-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11250-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11250-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:47:51Z","timestamp":1792086471000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11250-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,22]]},"references-count":47,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["11250"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-11250-4","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-9124795\/v1","asserted-by":"object"}]},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,22]]},"assertion":[{"value":"14 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The research was initiated after obtaining formal approval from the Tel Aviv University\u2019s Ethical Review Board (approval number 0008350-4) in accordance with the Declaration of Helsinki. 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