Impact of health information prescription in thyroid cancer
DOI:
https://doi.org/10.5195/jmla.2026.2191Keywords:
information prescription, thyroid cancer, hospital library, psychological health, mental well-being, disease self-management, health librarianshipAbstract
Objectives: Information prescriptions consist in making specific health care information available to patients on their disease from accredited sources, in order to help them understand and manage their disease, stimulating informed participation in health care. In the literature, a few studies have investigated the real effectiveness of prescribing information on the health management of oncological diseases. The scope of our pilot study was to investigate the effectiveness of information prescription, evaluating both patient satisfaction and perception, but also its possible impact on adherence to follow-up programs.
Methods: Prospective pilot study enrolling patients with thyroid cancer. They received informative scientific material on thyroid cancer, dispensed by clinical librarians of the Institute's Library.
Results: 101 patients were enrolled (81% were women with a total mean age of 49.39 years). 26% of patients accessed the institute’s library receiving patient information materials. Comparing data of people who completed the project with those who did not, no differences in sex, age and tumour characteristics were found. We found no statistical differences in terms of adherence to follow-up visits between the two groups of patients, but health information was able to effectively respond to the requests or needs of most patients. Participating patients have improved awareness and knowledge of their disease, patient-doctor relationships, adherence to treatment and communication with family members regarding their disease status, with a final positive impact on one’s psychological well-being and global satisfaction obtained in 65% of people.
Conclusions: This is the first Italian study carried out in the field of oncological endocrinology, demonstrating the positive role health information has on patients’ psychological health and thyroid cancer knowledge.
References
1. Mettler, M. and D. W. Kemper. "Information therapy: Health education one person at a time." Health Promot Pract 4 (2003): 214-7. 10.1177/1524839903004003004. http://www.ncbi.nlm.nih.gov/pubmed/14610991.
2. Kemper, D. W. and M. Mettler. "Information therapy: Prescribing the right information to the right person at the right time." Manag Care Q 10 (2002): 43-6. http://www.ncbi.nlm.nih.gov/pubmed/12561393.
3. Gavgani, V. Z. and A. R. Shiramin. "Physician directed information prescription service (ips): Barriers and drivers." Aslib Proceedings 65 (2013): 224-41. 10.1108/00012531311330629.
4. Okhovati, M., Z. Bagherinezhad, V. Z. Gavgani and H. Safizadeh. "Physician-directed information prescription service. A scoping review." Patient Educ Couns 105 (2022): 3369-80. 10.1016/j.pec.2022.08.002. http://www.ncbi.nlm.nih.gov/pubmed/35985907.
5. D.W. Kemper, M. M. "Information therapy: Prescribed information as a reimbursable medical service." Healthwise (2002): ISBN-10 : 1877930881.
6. Mettler, M. and D. W. Kemper. "Information therapy: The strategic role of prescribed information in disease self-management." Stud Health Technol Inform 121 (2006): 373-83. http://www.ncbi.nlm.nih.gov/pubmed/17095835.
7. Greenfield, S., S. H. Kaplan, J. E. Ware, Jr., E. M. Yano and H. J. Frank. "Patients' participation in medical care: Effects on blood sugar control and quality of life in diabetes." J Gen Intern Med 3 (1988): 448-57. 10.1007/BF02595921. http://www.ncbi.nlm.nih.gov/pubmed/3049968.
8. Beisecker, A. E. and T. D. Beisecker. "Patient information-seeking behaviors when communicating with doctors." Med Care 28 (1990): 19-28. 10.1097/00005650-199001000-00004. http://www.ncbi.nlm.nih.gov/pubmed/2296214.
9. Gleason-Comstock, J., A. Streater, J. Ager, A. Goodman, A. Brody, L. Kivell, A. Paranjpe, J. Vickers, L. Mango, R. Dawood, et al. "Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: A randomized control trial study protocol." BMC Emerg Med 15 (2015): 38. 10.1186/s12873-015-0052-3. http://www.ncbi.nlm.nih.gov/pubmed/26691646.
10. Hester, K. L. M., J. Newton, T. Rapley and A. De Soyza. "Patient information, education and self-management in bronchiectasis: Facilitating improvements to optimise health outcomes." BMC Pulm Med 18 (2018): 80. 10.1186/s12890-018-0633-5. http://www.ncbi.nlm.nih.gov/pubmed/29788946.
11. Petruschke, I., F. Salm, M. Kaufmann, A. Freytag, J. Gensichen, M. Behnke, T. S. Kramer, R. Hanke, P. Gastmeier, S. Schneider, et al. "Evaluation of a multimodal intervention to promote rational antibiotic use in primary care." Antimicrob Resist Infect Control 10 (2021): 66. 10.1186/s13756-021-00908-9. http://www.ncbi.nlm.nih.gov/pubmed/33823926.
12. Siegel, E. R., R. A. Logan, R. L. Harnsberger, K. Cravedi, J. A. Krause, B. Lyon, K. Hajarian, J. Uhl, A. Ruffin and D. A. Lindberg. "Information rx: Evaluation of a new informatics tool for physicians, patients, and libraries." Inf Serv Use 26 (2006): 1-10. 10.3233/isu-2006-26101. http://www.ncbi.nlm.nih.gov/pubmed/17060946.
13. McKnight, M. "Information prescriptions, 1930-2013: An international history and comprehensive review." J Med Libr Assoc 102 (2014): 271-80. 10.3163/1536-5050.102.4.008. http://www.ncbi.nlm.nih.gov/pubmed/25349545.
14. Timm, D. F. and D. Jones. "The information prescription: Just what the doctor ordered!" Journal of Hospital Librarianship (2011): 11(4), 358–65. https://doi.org/10.1080/15323269.2011.611110.
15. Jia, W., M. Sun, G. Huang, B. Payton and W. Yu. "The indirect effects of health information seeking on health lifestyle: Health literacy matters." Health Educ Behav (2024): 10901981241278587. 10.1177/10901981241278587. http://www.ncbi.nlm.nih.gov/pubmed/39308078.
16. Giuse, N. B., T. Y. Koonce, A. B. Storrow, S. V. Kusnoor and F. Ye. "Using health literacy and learning style preferences to optimize the delivery of health information." J Health Commun 17 Suppl 3 (2012): 122-40. 10.1080/10810730.2012.712610. http://www.ncbi.nlm.nih.gov/pubmed/23030566.
17. Koonce, T. Y., N. B. Giuse, S. V. Kusnoor, S. Hurley and F. Ye. "A personalized approach to deliver health care information to diabetic patients in community care clinics." J Med Libr Assoc 103 (2015): 123-30. 10.3163/1536-5050.103.3.004. http://www.ncbi.nlm.nih.gov/pubmed/26213503.
18. Rylance, A. "Using information prescriptions in diabetes." Nurs Times 111 (2015): 12-3. http://www.ncbi.nlm.nih.gov/pubmed/26285435.
19. Dodson, L., R. Bisnauth and N. James. "Information is power." Nurs Manag (Harrow) 15 (2008): 14-9. 10.7748/nm.15.4.14.s17. http://www.ncbi.nlm.nih.gov/pubmed/18669414.
20. D'Alessandro, D. M., C. D. Kreiter, S. L. Kinzer and M. W. Peterson. "A randomized controlled trial of an information prescription for pediatric patient education on the internet." Arch Pediatr Adolesc Med 158 (2004): 857-62. 10.1001/archpedi.158.9.857. http://www.ncbi.nlm.nih.gov/pubmed/15351750.
21. Beaudoin, D. E., N. Longo, R. A. Logan, J. P. Jones and J. A. Mitchell. "Using information prescriptions to refer patients with metabolic conditions to the genetics home reference website." J Med Libr Assoc 99 (2011): 70-6. 10.3163/1536-5050.99.1.012. http://www.ncbi.nlm.nih.gov/pubmed/21243058.
22. Burke, M., P. Carey, L. Haines, A. P. Lampson and F. Pond. "Implementing the information prescription protocol in a family medicine practice: A case study." J Med Libr Assoc 98 (2010): 228-34. 10.3163/1536-5050.98.3.011. http://www.ncbi.nlm.nih.gov/pubmed/20648257.
23. Coberly, E., S. A. Boren, J. W. Davis, A. L. McConnell, R. Chitima-Matsiga, B. Ge, R. A. Logan, W. C. Steinmann and R. H. Hodge. "Linking clinic patients to internet-based, condition-specific information prescriptions." J Med Libr Assoc 98 (2010): 160-4. 10.3163/1536-5050.98.2.009. http://www.ncbi.nlm.nih.gov/pubmed/20428282.
24. Chesser, A. K., N. C. Woods, A. A. Davis and C. J. Bowers. "Prescribing information therapy: Opportunity for improved physician-patient communication and patient health literacy." J Prim Care Community Health 3 (2012): 6-10. 10.1177/2150131911414712. http://www.ncbi.nlm.nih.gov/pubmed/23804848.
25. Coberly, E., S. A. Boren, M. Mittal, J. W. Davis, C. Scoville, R. Chitima-Matsiga, B. Ge, A. Cullina, R. A. Logan, W. C. Steinmann, et al. "Medlineplus-based health information prescriptions: A comparison of email vs paper delivery." Inform Prim Care 20 (2012): 197-205. 10.14236/jhi.v20i3.25. http://www.ncbi.nlm.nih.gov/pubmed/23710844.
26. Keene, N., A. Chesser, T. A. Hart, P. Twumasi-Ankrah and D. D. Bradham. "Preliminary benefits of information therapy." J Prim Care Community Health 2 (2011): 45-8. 10.1177/2150131910385005. http://www.ncbi.nlm.nih.gov/pubmed/23804662.
27. Kinnane, N. A. "Evaluation of a hospital-based cancer information and support centre." Support Care Cancer 20 (2012): 287-300. 10.1007/s00520-010-1071-y. http://www.ncbi.nlm.nih.gov/pubmed/21225290.
28. Leisey, M. R. and J. P. Shipman. "Information prescriptions: A barrier to fulfillment." J Med Libr Assoc 95 (2007): 435-8. 10.3163/1536-5050.95.4.435. http://www.ncbi.nlm.nih.gov/pubmed/17971891.
29. Latifi, M., N. Alishan Karami, M. Beiraghdar, F. Maraki and L. Allahbakhshian Farsani. "Impact of health information prescription on self-care of women with breast cancer." Adv Biomed Res 7 (2018): 139. 10.4103/abr.abr_142_18. http://www.ncbi.nlm.nih.gov/pubmed/30505810.
30. Nabiolahi, A., S. Sedghi, R. Aghili and L. Nemati-Anaraki. "Personalization of health information prescription in diabetes clinical setting: A qualitative study." J Educ Health Promot 10 (2021): 103. 10.4103/jehp.jehp_688_20. http://www.ncbi.nlm.nih.gov/pubmed/34084850.
31. Kazemi Majd, F., V. Z. Gavgani, A. Golmohammadi and A. Jafari-Khounigh. "Effect of physician prescribed information on hospital readmission and death after discharge among patients with health failure: A randomized controlled trial." Health Informatics J 27 (2021): 1460458221996409. 10.1177/1460458221996409. http://www.ncbi.nlm.nih.gov/pubmed/33657912.
32. Zarea Gavgani, V., F. Kazemi Majd, S. Nosratnejad, A. Golmohammadi and H. Sadeghi-Bazargani. "The efficacy of written information intervention in reduction of hospital re-admission cost in patients with heart failure; a systematic review and meta-analysis." J Cardiovasc Thorac Res 7 (2015): 1-5. 10.15171/jcvtr.2015.01. http://www.ncbi.nlm.nih.gov/pubmed/25859308.
33. Lopez Cabezas, C., C. Falces Salvador, D. Cubi Quadrada, A. Arnau Bartes, M. Ylla Bore, N. Muro Perea and E. Homs Peipoch. "Randomized clinical trial of a postdischarge pharmaceutical care program vs regular follow-up in patients with heart failure." Farm Hosp 30 (2006): 328-42. 10.1016/s1130-6343(06)74004-1. http://www.ncbi.nlm.nih.gov/pubmed/17298190.
34. Atienza, F., M. Anguita, N. Martinez-Alzamora, J. Osca, S. Ojeda, L. Almenar, F. Ridocci, F. Valles, J. A. de Velasco and P. S. Group. "Multicenter randomized trial of a comprehensive hospital discharge and outpatient heart failure management program." Eur J Heart Fail 6 (2004): 643-52. 10.1016/j.ejheart.2003.11.023. http://www.ncbi.nlm.nih.gov/pubmed/15302014.
35. Rich, M. W., V. Beckham, C. Wittenberg, C. L. Leven, K. E. Freedland and R. M. Carney. "A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure." N Engl J Med 333 (1995): 1190-5. 10.1056/NEJM199511023331806. http://www.ncbi.nlm.nih.gov/pubmed/7565975.
36. Dong, Z., X. Zhan, W. Liu, D. Rao, M. Yang, Y. Peng, Y. Su and R. Cheng. "Factors influencing the quality of life in survivors of differentiated thyroid cancer based on patient-reported outcomes: A single-center cross-sectional study." Front Endocrinol (Lausanne) 16 (2025): 1565633. 10.3389/fendo.2025.1565633. http://www.ncbi.nlm.nih.gov/pubmed/40370771.
37. Wang, Z., C. Chen, J. Lu and Z. Liu. "The current state and influencing factors of negative social expectations among thyroid cancer patients: A single-center cross-sectional analysis." Front Psychol 16 (2025): 1599652. 10.3389/fpsyg.2025.1599652. http://www.ncbi.nlm.nih.gov/pubmed/40420988.
38. Husson, O., H. Poort, U. M. Sansom-Daly, R. Netea-Maier, T. Links and F. Mols. "Psychological distress and illness perceptions in thyroid cancer survivors: Does age matter?" J Adolesc Young Adult Oncol 9 (2020): 375-83. 10.1089/jayao.2019.0153. http://www.ncbi.nlm.nih.gov/pubmed/31990604.
39. Haugen, B. R., E. K. Alexander, K. C. Bible, G. M. Doherty, S. J. Mandel, Y. E. Nikiforov, F. Pacini, G. W. Randolph, A. M. Sawka, M. Schlumberger, et al. "2015 american thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: The american thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer." Thyroid 26 (2016): 1-133. 10.1089/thy.2015.0020. http://www.ncbi.nlm.nih.gov/pubmed/26462967.
40. Filetti, S., C. Durante, D. Hartl, S. Leboulleux, L. D. Locati, K. Newbold, M. G. Papotti, A. Berruti and E. G. C. E. a. clinicalguidelines@esmo.org. "Thyroid cancer: Esmo clinical practice guidelines for diagnosis, treatment and follow-updagger." Ann Oncol 30 (2019): 1856-83. 10.1093/annonc/mdz400. http://www.ncbi.nlm.nih.gov/pubmed/31549998.
41. Wilson, D., Bateman, H., & Bailey, P. . "Early experience of the contribution of an information specialist within a primary healthcare team: A partnership venture between library and healthcare services." Journal of Librarianship and Information Science 36(3) (2004): 127-34. https://doi.org/10.1177/0961000604048915.
42. Kellerman, R. and L. Kirk. "Principles of the patient-centered medical home." Am Fam Physician 76 (2007): 774-5. http://www.ncbi.nlm.nih.gov/pubmed/17910291.
43. Cortese, D. A. "A vision of individualized medicine in the context of global health." Clin Pharmacol Ther 82 (2007): 491-3. 10.1038/sj.clpt.6100390. http://www.ncbi.nlm.nih.gov/pubmed/17952101.
44. Atkinson, N. L., S. L. Saperstein and J. Pleis. "Using the internet for health-related activities: Findings from a national probability sample." J Med Internet Res 11 (2009): e4. 10.2196/jmir.1035. http://www.ncbi.nlm.nih.gov/pubmed/19275980.
45. Czaja, R., C. Manfredi and J. Price. "The determinants and consequences of information seeking among cancer patients." J Health Commun 8 (2003): 529-62. 10.1080/716100418. http://www.ncbi.nlm.nih.gov/pubmed/14690888.
46. Nabiolahi A., S. S., Aghili R., Nemati-Anaraki L. "Health information prescription system for non communicable diseases: A systematic review and thematic analysis." Russian Open Medical Journal volume 9 - Issue 4 ( 2020): 10.15275/rusomj.2020.0406
47. Christalle, E., J. M. Zill, W. Frerichs, M. Harter, Y. Nestoriuc, J. Dirmaier and I. Scholl. "Assessment of patient information needs: A systematic review of measures." PLoS One 14 (2019): e0209165. 10.1371/journal.pone.0209165. http://www.ncbi.nlm.nih.gov/pubmed/30703103.
48. Alamanou, G. D., A. S. Balokas, V. N. Fotos, E. Patiraki and H. Brokalaki. "Information needs of cancer patients: Validation of the greek cassileth's information styles questionnaire." Eur J Oncol Nurs 20 (2016): 49-57. 10.1016/j.ejon.2015.11.002. http://www.ncbi.nlm.nih.gov/pubmed/26700140.
49. Long, D., H. S. Friedrich-Nel and G. Joubert. "Patients' informational needs while undergoing brachytherapy for cervical cancer." Int J Qual Health Care 28 (2016): 200-8. 10.1093/intqhc/mzv119. http://www.ncbi.nlm.nih.gov/pubmed/26803540.
50. Heidari, H. and M. Mardani-Hamooleh. "Cancer patients' informational needs: Qualitative content analysis." J Cancer Educ 31 (2016): 715-20. 10.1007/s13187-015-0887-z. http://www.ncbi.nlm.nih.gov/pubmed/26205979.
51. Khoshnood, Z., M. Dehghan, S. Iranmanesh and M. Rayyani. "Informational needs of patients with cancer: A qualitative content analysis." Asian Pac J Cancer Prev 20 (2019): 557-62. 10.31557/APJCP.2019.20.2.557. http://www.ncbi.nlm.nih.gov/pubmed/30803220.
52. Koonce, TY; NB, Giuse; and AB, Storrow. "A pilot study to evaluate learning style-tailored information prescriptions for hypertensive emergency department patients." J Med Libr Assoc 99 (2011): 280-9. 10.3163/1536-5050.99.4.005. http://www.ncbi.nlm.nih.gov/pubmed/22022222.
53. Gavgani, V and M Mahami-Oskouei. "The assessment of information prescription service to patients with heart valve disease; applying user‘s satisfaction study." (2012):
54. Jia, X., Y. Pang and L. S. Liu. "Online health information seeking behavior: A systematic review." Healthcare (Basel) 9 (2021): 10.3390/healthcare9121740. http://www.ncbi.nlm.nih.gov/pubmed/34946466.
55. Dalmer, N. K. "Questioning reliability assessments of health information on social media." J Med Libr Assoc 105 (2017): 61-68. 10.5195/jmla.2017.108. http://www.ncbi.nlm.nih.gov/pubmed/28096748.
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