Internet-based eHealth technology for emotional well-being among the older adults with a family cancer history: full mediation effects of health information self-efficacy and cancer fatalism

BMC Psychol. 2024 Apr 25;12(1):232. doi: 10.1186/s40359-024-01701-0.

Abstract

Background: Older adults with a family cancer history (FCH) face an increased cancer risk, which may adversely impact their emotional well-being. Internet-based eHealth technologies (IETs) provide a potential solution to this challenge. This study examines the influence of using IETs on the emotional well-being of older adults with FCH. It also delves into the mediating pathways through health information self-efficacy and cancer fatalism.

Methods: This study conducted a mediation analysis using data from the Health Information National Trends Survey (HINTS 6) collected from March 2022 to November 2022, focusing on older adults with FCH who had previously searched for cancer-related information (N = 1,280).

Results: In the mediation model, no positive direct associations between IETs usage and emotional well-being were found. Only health information self-efficacy and cancer fatalism were found to mediate the relationship between IETs usage and emotional well-being serially (β = 0.007, 95% CI [0.003, 0.012]).

Conclusions: The findings inform health information professionals and healthcare practitioners on enhancing the impact of IETs usage on individual health information self-efficacy, which mitigates cancer fatalism, contributing to better emotional well-being in the digital era.

Keywords: Cancer fatalism; Emotional well-being; Family cancer history; Health information self-efficacy; eHealth.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Emotions
  • Female
  • Humans
  • Internet
  • Male
  • Mediation Analysis
  • Mental Health
  • Middle Aged
  • Neoplasms* / psychology
  • Self Efficacy*
  • Telemedicine* / methods