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American Behavioral Scientist, Vol. 49, No. 6, 823-834 (2006)
DOI: 10.1177/0002764205283803
© 2006 SAGE Publications

How Underserved Breast Cancer Patients Use and Benefit From eHealth Programs

Implications for Closing the Digital Divide

Bret Shaw

David H. Gustafson

Robert Hawkins

Fiona McTavish

Helene McDowell

Suzanne Pingree

University of Wisconsin–Madison

Denise Ballard

Southwest Georgia Cancer Coalition

This article consolidates insights from 15 years of research examining howthe medically underserved use and benefit from an eHealth program, the Comprehensive Health Enhancement Support System (CHESS). The authors outline results from early feasibility tests to determine if the underserved would use CHESS. Distinctive behaviors of underserved populations who have used CHESS are reported with a focus on how online health information and computer-mediated support groups are used. The article then reports on how the underserved benefit from using CHESS. Best practice recommendations for recruitment and training the underserved are offered, and implications for closing the digital divide are discussed.

Key Words: eHealth • breast cancer • Internet • Interactive Cancer Communication System • CHESS


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