{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T20:22:19Z","timestamp":1789676539262,"version":"4.0.1"},"reference-count":54,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Infodemiology"],"abstract":"\n Background<\/jats:title>\n Patients with cancer increasingly use the internet to seek health information. However, thus far, research treats web-based health information seeking (WHIS) behavior in a rather dichotomous manner (ie, approaching or avoiding) and fails to capture the dynamic nature and evolving motivations that patients experience when engaging in WHIS throughout their disease trajectory. Insights can be used to support effective patient-provider communication about WHIS and can lead to better designed web-based health platforms.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study explored patterns of motivations and emotions behind the web-based information seeking of patients with cancer at various stages of their disease trajectory, as well as the cognitive and emotional responses evoked by WHIS via a scenario-based, think-aloud approach.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In total, 15 analog patients were recruited, representing patients with cancer, survivors, and informal caregivers. Imagining themselves in 3 scenarios\u2014prediagnosis phase (5\/15, 33%), treatment phase (5\/15, 33%), and survivor phase (5\/15, 33%)\u2014patients were asked to search for web-based health information while being prompted to verbalize their thoughts. In total, 2 researchers independently coded the sessions, categorizing the codes into broader themes to comprehend analog patients\u2019 experiences during WHIS.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overarching motives for WHIS included reducing uncertainty, seeking reassurance, and gaining empowerment. At the beginning of the disease trajectory, patients mainly showed cognitive needs, whereas this shifted more toward affective needs in the subsequent disease stages. Analog patients\u2019 WHIS approaches varied from exploratory to focused or a combination of both. They adapted their search strategy when faced with challenging cognitive or emotional content. WHIS triggered diverse emotions, fluctuating throughout the search. Complex, confrontational, and unexpected information mainly induced negative emotions.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study provides valuable insights into the motivations of patients with cancer underlying WHIS and the emotions experienced at various stages of the disease trajectory. Understanding patients\u2019 search patterns is pivotal in optimizing web-based health platforms to cater to specific needs. In addition, these findings can guide clinicians in accommodating patients\u2019 specific needs and directing patients toward reliable sources of web-based health information.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/59625","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T14:01:11Z","timestamp":1732197671000},"page":"e59625","source":"Crossref","is-referenced-by-count":7,"title":["How Patients With Cancer Use the Internet to Search for Health Information: Scenario-Based Think-Aloud 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