ABCR  Vol.9 No.2 , April 2020
Information Needs of Breast Cancer Patients at Cancer Diseases Hospital, Lusaka, Zambia
Abstract: Background: Breast cancer is the second most common cancer worldwide and the second most common among Zambian women. Breast cancer diagnosis being a stressful experience, causes psychological and emotional disruption that can be abated by meeting information needs of the affected patients. In light of the escalating cases of Breast cancer among the Zambian women, the study examined a special aspect of cancer management which is usually neglected in most cases. Aim: The main objective of the study was to assess information needs of breast cancer patients at the Cancer Diseases Hospital in Lusaka, Zambia using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Methods: A descriptive cross-sectional design was used to elicit the information needs of breast cancer patients. One hundred and ten (97% response rate) participants were selected using simple random sampling method and data was collected using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Stata 10.0 (StataCorp, 2008) was employed for all quantitative data analysis and graphical presentation of data. Results: The overall score for information needs was obtained by adding the scores across all the five information needs categories which were further divided into three categories namely: low important scores, of less than 50%, moderately important scores of 50% - 70% and highly important scores ranged above 70% of the 200 total scores. Out of the 110 participants recruited, 88 (80%) indicated that the information across the five categories was moderately important. Logistic regression of information needs and posited determinants revealed that anxiety levels; education level; presence of co-morbidity; and being on treatment were significant determinants of patients’ informational needs (Effect’s p 0.05). Conclusion: The findings of this study support the idea that breast cancer patients are seeking more information on their illness, hence information provision is one of the most important factors for providing high quality cancer care across the whole cancer continuum. Therefore, appreciating the information needs of breast cancer patients is substantial in improving care.
Cite this paper: Namushi, B. , Makukula, M. and Mukwato, P. (2020) Information Needs of Breast Cancer Patients at Cancer Diseases Hospital, Lusaka, Zambia. Advances in Breast Cancer Research, 9, 34-53. doi: 10.4236/abcr.2020.92004.

[1]   Ferlay, J., Soerjomataram, I., Ervik, M., Dikshit, R., Eser, S., Mathers, C., et al. (2013) GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11. International Agency for Research on Cancer, Lyon, France.

[2]   Jemal, A., Bray, F., Forman. D., O’Brien, M., Ferlay, J., Center, M., et al. (2012) Cancer Burden in Africa and Opportunities for Prevention. Cancer, 118, 4372-4384.

[3]   Cancer Diseases Hospital (2016) Annual Report, Lusaka.

[4]   Al-Amri, A. (2010) Saudi towards Disclosure of Cancer Information. Middle East Journal of Cancer, 1, 175-180.

[5]   Katowa, M.P., Mwape, L., Maimbolwa, C.M., Muleya, C.M. and Namushi, L.B. (2015) Stress and Coping with Cervical Cancer by Patients: A Qualitative Inquiry. International Journal of Psychology and Counseling, 7, 94-105.

[6]   Holmes, D.M. (2008) Breast Cancer Patients’ Expressed Information Needs: Results of a Literature Review. University of Victoria, Victoria.

[7]   Ganz, P.A. (2008) Psychological and Social Aspects of Breast Cancer. Oncology Continuing Medical Education Journal, 22, 642-650.

[8]   Ankem, K. (2015) Assessing Cancer Patients’ Health Information Needs: A Standardized Approach. iRinformation Research, 20, No. 2.

[9]   Husson, O., Mols, F. and van de Poll-Franse, L.V. (2011) The Relation between Information Provision and Health Related Quality of Life, Anxiety and Depression among Cancer Survivors: A Systematic Review. Annals of Oncology, 22, 761-762.

[10]   Yi, M., Cho, J., Dong-Young, N., Mi-Ryung, S., Jung-Lim, L. and Hee-Soon, J. (2007) Informational Needs of Korean Women with Breast Cancer: Cross-Cultural Adaptation of the Toronto Informational Needs Questionnaire of Breast Cancer. Asian Nursing Research, 1, 176-186.

[11]   Yusuf, T.I. (2012) Information Needs Sources and Information Seeking Behaviour of Women Artisans in Offa Metropolis. Library Philosophy and Practice, 10, 2012.

[12]   Eheman, C., Berkowitz, Z., Lee, J.W., Mohile, S.G., Purnell, J.Q., Roscoe, J.A., et al. (2009) Information-Seeking Styles among Cancer Patients before and after Treatment by Demographics and Use of Information Sources. Journal of Health Communication, 14, 487-502.

[13]   Li, P.W., So, W.K., Fong, D.Y., Lui, L.Y., Lo, J.C. and Lau, S.F. (2011) The Information Needs of Breast Cancer Patients in Hong Kong and Their Levels of Satisfaction with the Provision of Information. Cancer Nursing, 34, 49-57.

[14]   Lei, C.P., Har, Y.C. and Abdullah, K.L. (2011) Informational Needs of Breast Cancer Patients on Chemotherapy: Differences between Patients’ and Nurses’ Perceptions. Asian Pacific Journal of Cancer Prevention, 12, 797-802.

[15]   Ladd, L.D. (2016) Information Needs and Information Sources of Patients Diagnosed with Rare Cancer. Virginia Commonwealth University VCU Scholars Compass.

[16]   Halkett, G., Lobb, A.E., Kristjanson, L. and Spry, N. (2012) Information Needs and Preferences of Women as They Proceed through Radiotherapy for Breast Cancer. Patient Education and Counselling, 86, 396-404.

[17]   Patient Information Forum Website (2012) Faculty of Pharmaceutical Medicine Annual Symposium: Life or Livelihood: Does Adherence to Medicines Matter?

[18]   Galloway, S., Graydon, J.D.H., Evans-Boyden, B., et al. (1997) Informational Needs of Women with a Recent Diagnosis of Breast Cancer: Development and Initial Testing of a Tool. Journal of Advanced Nursing, 25, 1175-1183.

[19]   Thompson, E. (2015) Hamilton Rating Scale for Anxiety (HAM: A Questionnaire Review). Occupational Medicine, 65, 601.

[20]   McLeod, S. (2008) Attitude Measurement. Likert Scale, Likert Scale.

[21]   Leydon, M.G., Boulton, M., Moynihan, C., Jones, A., Mossman, J., Boudioni, M., et al. (2000) Cancer Patients’ Information Needs and Information Seeking Behaviour: In Depth Interview Study. British Medical Journal, 320, 909-913.

[22]   Tariman, J.D., Doorenbos, A., Karen, G., Schepp, K.G., Singhal, S. and Berry, D.L. (2014) Information Needs Priorities in Patients Diagnosed with Cancer: A Systematic Review. Journal of the Advanced Practitioner in Oncology, 5, 115-122.

[23]   You, J., Lu, Q., Zvolensky, J.M., Meng, Z., Kay Garcia, G. and Lorenzo Cohen, L. (2017) Anxiety- and Health-Related Quality of Life among Patients with Breast Cancer: Across Cultural Comparison of China and the United States. Journal of Global Oncology, 4, 1-9.

[24]   Faller, H., Strahl, A., Richard, M., Niehues, C. and Meng, K. (2016) The Prospective Relationship between Satisfaction with Information and Symptoms of Depression and Anxiety in Breast Cancer: A Structural Equation Modeling Analysis. Psychooncology, 26, 1741-1748.

[25]   Baine, M., Sahak, F., Lin, C., Chakraborty, S., Lyden, E. and Batra, S.K. (2011) Marital Status and Survival in Pancreatic Cancer Patients: A SEER Based Analysis. PLoS ONE, 6, e21052.

[26]   Greco, A., Cappelletti, E.R., Monzani, D., Pancani, L., D’Addario, M., Magrin, M.E., et al. (2016) A Longitudinal Study on the Information Needs and Preferences of Patients after an Acute Coronary Syndrome. BMC Family Practice, 20, 136.

[27]   Eames, S., Hoffmann, T., Worrall, L. and Read, S. (2010) Stroke Patients’ and Carers’ Perception of Barriers to Accessing Stroke Information. Top Stroke Rehabilitation, 17, 69-78.