{"id":"https://openalex.org/W7213440517","doi":"https://doi.org/10.21203/rs.3.rs-10679868/v1","title":"Online Health Information Seeking, Electronic Health Literacy, and Quality of Life Among Breast Cancer Survivors: A Mixed-Methods Study","display_name":"Online Health Information Seeking, Electronic Health Literacy, and Quality of Life Among Breast Cancer Survivors: A Mixed-Methods Study","publication_year":2026,"publication_date":"2026-09-17","ids":{"openalex":"https://openalex.org/W7213440517","doi":"https://doi.org/10.21203/rs.3.rs-10679868/v1"},"language":"en","primary_location":{"id":"doi:10.21203/rs.3.rs-10679868/v1","doi":"https://doi.org/10.21203/rs.3.rs-10679868/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10679868/v1","pdf_url":"https://www.researchsquare.com/article/rs-10679868/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.researchsquare.com/article/rs-10679868/latest.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5151969398","display_name":"Shu-Ya Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189772984","display_name":"Tzu Chi University","ror":"https://ror.org/04ss1bw11","country_code":"TW","type":"education","lineage":["https://openalex.org/I189772984"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Shu-Ya Chen","raw_affiliation_strings":["Tzu Chi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tzu Chi University","institution_ids":["https://openalex.org/I189772984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067850258","display_name":"Chuan\u2010Hsiu Tsai","orcid":"https://orcid.org/0000-0001-7836-2472","observed_orcids":["https://orcid.org/0000-0001-7836-2472"]},"institutions":[{"id":"https://openalex.org/I189772984","display_name":"Tzu Chi University","ror":"https://ror.org/04ss1bw11","country_code":"TW","type":"education","lineage":["https://openalex.org/I189772984"]},{"id":"https://openalex.org/I2802753785","display_name":"Mackay Memorial Hospital","ror":"https://ror.org/015b6az38","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I2802753785"]}],"countries":["TW"],"is_corresponding":true,"raw_author_name":"Chuan-Hsiu Tsai","raw_affiliation_strings":["Taitung Mackay Memorial Hospital","Tzu Chi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Taitung Mackay Memorial Hospital","institution_ids":["https://openalex.org/I2802753785"]},{"raw_affiliation_string":"Tzu Chi University","institution_ids":["https://openalex.org/I189772984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038095090","display_name":"Tsung\u2010Cheng Hsieh","orcid":"https://orcid.org/0000-0003-3024-8675","observed_orcids":["https://orcid.org/0000-0003-3024-8675"]},"institutions":[{"id":"https://openalex.org/I189772984","display_name":"Tzu Chi University","ror":"https://ror.org/04ss1bw11","country_code":"TW","type":"education","lineage":["https://openalex.org/I189772984"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Tsung-Cheng Hsieh","raw_affiliation_strings":["Tzu Chi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tzu Chi University","institution_ids":["https://openalex.org/I189772984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005013414","display_name":"Ching-Chun Ho","orcid":"https://orcid.org/0009-0002-7273-0929","observed_orcids":["https://orcid.org/0009-0002-7273-0929"]},"institutions":[{"id":"https://openalex.org/I4210123378","display_name":"Hualien Tzu Chi Medical Center","ror":"https://ror.org/030k6vb67","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210123378"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Ching-Chun Ho","raw_affiliation_strings":["Hualien Tzu Chi Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hualien Tzu Chi Hospital","institution_ids":["https://openalex.org/I4210123378"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062178139","display_name":"Chia\u2010Chen Yang","orcid":"https://orcid.org/0000-0002-0851-0051","observed_orcids":["https://orcid.org/0000-0002-0851-0051"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chia-Chen Yang","raw_affiliation_strings":["National Defense Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Defense Medical University","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110763599","display_name":"Ming\u2010Shen Dai","orcid":"https://orcid.org/0000-0002-3953-5243","observed_orcids":["https://orcid.org/0000-0002-3953-5243"]},"institutions":[{"id":"https://openalex.org/I1293718874","display_name":"Tri-Service General Hospital","ror":"https://ror.org/007h4qe29","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I1293718874"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Ming-Shen Dai","raw_affiliation_strings":["Tri-Service General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tri-Service General Hospital","institution_ids":["https://openalex.org/I1293718874"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044604876","display_name":"Han\u2010Ting Liu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Han-Ting Liu","raw_affiliation_strings":["Taitung Christian Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Taitung Christian Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5151941706","display_name":"Chien-Yi Ma","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chien-Yi Ma","raw_affiliation_strings":["Taitung Christian Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Taitung Christian Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059461568","display_name":"Hsuen-Fu Lin","orcid":"https://orcid.org/0000-0002-1463-2397","observed_orcids":["https://orcid.org/0000-0002-1463-2397"]},"institutions":[{"id":"https://openalex.org/I4210166820","display_name":"Mennonite Christian Hospital","ror":"https://ror.org/05x3tq720","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210166820"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Hsuen-Fu Lin","raw_affiliation_strings":["Mennonite Christian Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mennonite Christian Hospital","institution_ids":["https://openalex.org/I4210166820"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102843735","display_name":"Cheng-Chih Tsai","orcid":"https://orcid.org/0000-0001-9179-4181","observed_orcids":["https://orcid.org/0000-0001-9179-4181"]},"institutions":[{"id":"https://openalex.org/I189772984","display_name":"Tzu Chi University","ror":"https://ror.org/04ss1bw11","country_code":"TW","type":"education","lineage":["https://openalex.org/I189772984"]},{"id":"https://openalex.org/I2802753785","display_name":"Mackay Memorial Hospital","ror":"https://ror.org/015b6az38","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I2802753785"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Cheng-Chih Tsai","raw_affiliation_strings":["Taitung Mackay Memorial Hospital","Tzu Chi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Taitung Mackay Memorial Hospital","institution_ids":["https://openalex.org/I2802753785"]},{"raw_affiliation_string":"Tzu Chi University","institution_ids":["https://openalex.org/I189772984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159762504","display_name":"Chang-Fen Lai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189772984","display_name":"Tzu Chi University","ror":"https://ror.org/04ss1bw11","country_code":"TW","type":"education","lineage":["https://openalex.org/I189772984"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Chang-Fen Lai","raw_affiliation_strings":["Tzu Chi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tzu Chi University","institution_ids":["https://openalex.org/I189772984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5151965286","display_name":"Shu Hu Chin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189772984","display_name":"Tzu Chi University","ror":"https://ror.org/04ss1bw11","country_code":"TW","type":"education","lineage":["https://openalex.org/I189772984"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Shu Hu Chin","raw_affiliation_strings":["Tzu Chi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tzu Chi University","institution_ids":["https://openalex.org/I189772984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5151930832","display_name":"Sin-Yi Jheng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151721","display_name":"Tri-Service General Hospital Songshan Branch","ror":"https://ror.org/046h7rx26","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I4210151721"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Sin-Yi Jheng","raw_affiliation_strings":["Tri-Service General Hospital, Songhshan Branch"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tri-Service General Hospital, Songhshan Branch","institution_ids":["https://openalex.org/I4210151721"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5067850258"],"corresponding_institution_ids":["https://openalex.org/I189772984","https://openalex.org/I2802753785"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.9086999893188477,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.9086999893188477,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.09109999984502792,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer-survivors","display_name":"breast cancer survivors","score":0.9509999752044678},{"id":"https://openalex.org/keywords/online-health-information-seeking","display_name":"online health information seeking","score":0.9779999852180481},{"id":"https://openalex.org/keywords/ehealth-literacy","display_name":"digital health literacy","score":0.9909999966621399},{"id":"https://openalex.org/keywords/health-related-quality-of-life","display_name":"health-related quality of life","score":0.9760000109672546},{"id":"https://openalex.org/keywords/financial-situation","display_name":"financial conditions","score":0.7110000252723694},{"id":"https://openalex.org/keywords/symptom-interference","display_name":"symptom interference","score":0.8550000190734863},{"id":"https://openalex.org/keywords/chemotherapy","display_name":"chemotherapy","score":0.5199999809265137},{"id":"https://openalex.org/keywords/symptom-self-management","display_name":"symptom self-management","score":0.5910000205039978},{"id":"https://openalex.org/keywords/online-health-information-sources","display_name":"online health information sources","score":0.4099999964237213},{"id":"https://openalex.org/keywords/coping-strategies","display_name":"coping strategies","score":0.3070000112056732},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.39399999380111694},{"id":"https://openalex.org/keywords/health-information-avoidance","display_name":"health information avoidance","score":0.3499999940395355}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7967000007629395},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6615999937057495},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.6347000002861023},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5410000085830688},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5370000004768372},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5313000082969666},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.48899999260902405},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.4814999997615814},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4278999865055084},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4101000130176544},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.39419999718666077},{"id":"https://openalex.org/C3019006561","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Health related quality of life","level":3,"score":0.3882000148296356},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3700000047683716},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.3343000113964081},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.3336000144481659},{"id":"https://openalex.org/C172400760","wikidata":"https://www.wikidata.org/wiki/Q332796","display_name":"Survivorship curve","level":3,"score":0.3230000138282776},{"id":"https://openalex.org/C2779024087","wikidata":"https://www.wikidata.org/wiki/Q18418842","display_name":"Information seeking behavior","level":3,"score":0.32179999351501465},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2962999939918518},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.2935999929904938},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.28940001130104065},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2874000072479248},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.28679999709129333},{"id":"https://openalex.org/C2778996113","wikidata":"https://www.wikidata.org/wiki/Q3117735","display_name":"Support group","level":2,"score":0.2822999954223633},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.2667999863624573},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2603999972343445},{"id":"https://openalex.org/C202645933","wikidata":"https://www.wikidata.org/wiki/Q4930","display_name":"eHealth","level":3,"score":0.2574000060558319},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2572000026702881},{"id":"https://openalex.org/C2982795734","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health information","level":3,"score":0.2567000091075897}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21203/rs.3.rs-10679868/v1","doi":"https://doi.org/10.21203/rs.3.rs-10679868/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10679868/v1","pdf_url":"https://www.researchsquare.com/article/rs-10679868/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.21203/rs.3.rs-10679868/v1","doi":"https://doi.org/10.21203/rs.3.rs-10679868/v1","is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-10679868/v1","pdf_url":"https://www.researchsquare.com/article/rs-10679868/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213440517.pdf","grobid_xml":"https://content.openalex.org/works/W7213440517.grobid-xml"},"referenced_works_count":48,"referenced_works":["https://openalex.org/W1485030839","https://openalex.org/W1938214635","https://openalex.org/W1979290264","https://openalex.org/W2069624259","https://openalex.org/W2109364152","https://openalex.org/W2498119267","https://openalex.org/W2811109485","https://openalex.org/W2900905933","https://openalex.org/W2955677277","https://openalex.org/W2963947768","https://openalex.org/W3034392162","https://openalex.org/W3090523485","https://openalex.org/W3113429715","https://openalex.org/W3113898352","https://openalex.org/W3123435107","https://openalex.org/W3128646645","https://openalex.org/W3134653730","https://openalex.org/W3156741266","https://openalex.org/W3207137208","https://openalex.org/W4200316224","https://openalex.org/W4206413697","https://openalex.org/W4225263876","https://openalex.org/W4304806759","https://openalex.org/W4310602614","https://openalex.org/W4312066217","https://openalex.org/W4315864847","https://openalex.org/W4377007612","https://openalex.org/W4386878297","https://openalex.org/W4387472878","https://openalex.org/W4389798579","https://openalex.org/W4389955058","https://openalex.org/W4391218316","https://openalex.org/W4391449127","https://openalex.org/W4392918020","https://openalex.org/W4403108329","https://openalex.org/W4404421560","https://openalex.org/W4405857833","https://openalex.org/W4406400739","https://openalex.org/W4409555112","https://openalex.org/W4410964899","https://openalex.org/W4413028193","https://openalex.org/W4415103914","https://openalex.org/W4415723545","https://openalex.org/W7119159347","https://openalex.org/W7125406473","https://openalex.org/W7131848878","https://openalex.org/W7134056941","https://openalex.org/W7163670139"],"related_works":["https://openalex.org/W7213903001","https://openalex.org/W4386374210","https://openalex.org/W3123435107","https://openalex.org/W4381550459","https://openalex.org/W4377011369","https://openalex.org/W7148258179","https://openalex.org/W2183552766","https://openalex.org/W4205494581","https://openalex.org/W7134958092","https://openalex.org/W7160076552"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Breast":[2],"cancer":[3,23],"remains":[4],"a":[5,83,205,318],"major":[6],"global":[7,144],"and":[8,15,32,40,67,103,107,132,193,225,247,257,265,267,280,283,294,305,342],"regional":[9],"health":[10,36,42,339],"concern.":[11],"Although":[12],"early":[13],"detection":[14],"advanced":[16],"therapies":[17],"have":[18],"extended":[19],"survival,":[20],"many":[21],"breast":[22],"survivors":[24],"(BCS)":[25],"continue":[26],"to":[27,53,73,276,345],"experience":[28],"persistent":[29],"symptom":[30,47],"burden":[31],"functional":[33],"limitations.":[34],"Online":[35],"information":[37,255,292,340],"seeking":[38,251],"(OHIS)":[39],"electronic":[41],"literacy":[43],"(eHL)":[44],"may":[45,325],"support":[46,333,344],"self-management,":[48,264],"yet":[49],"their":[50],"independent":[51,157],"contributions":[52],"health-related":[54],"quality":[55],"of":[56,115,123,159,239],"life":[57],"(QoL)":[58],"remain":[59],"unclear.":[60],"This":[61],"study":[62],"examined":[63],"how":[64],"eHL,":[65],"OHIS,":[66],"exercise":[68,306],"task":[69],"self-efficacy":[70,307],"(ESE)":[71],"relate":[72],"QoL":[74,96,125,145,161,177],"among":[75],"BCS.":[76],"Methods":[77],"A":[78],"concurrent":[79],"mixed-methods":[80],"design":[81],"integrated":[82],"cross-sectional":[84],"survey":[85],"(N":[86,93],"=":[87,94,150,164,171,188,197,212,220,229],"478)":[88],"with":[89,181,236],"semi-structured":[90],"focus":[91,133],"groups":[92,109],"27).":[95],"was":[97,147,154,178],"assessed":[98],"using":[99,138,260],"the":[100,155],"EORTC":[101],"QLQ-C30":[102],"dichotomized":[104],"into":[105,330],"high":[106,124,160,240],"low":[108],"based":[110],"on":[111,296,327],"an":[112],"empirical":[113],"cutoff":[114],"57.14":[116],"derived":[117],"from":[118,291],"two-cluster":[119],"K-means":[120],"analysis.":[121,140],"Predictors":[122],"were":[126,136,234],"identified":[127,244],"through":[128],"multivariable":[129],"logistic":[130],"regression,":[131],"group":[134],"data":[135],"analyzed":[137],"thematic":[139],"Results":[141],"The":[142],"mean":[143],"score":[146],"58.59":[148],"(SD":[149],"18.14).":[151],"Financial":[152],"status":[153],"strongest":[156],"predictor":[158],"(adequate:":[162],"AOR":[163,170,187],"4.777,":[165],"95%":[166,173,190,199,214,222,231],"CI":[167,174,191,200,215,223,232],"1.765\u201312.925;":[168],"fair:":[169],"3.728,":[172],"1.532\u20139.073).":[175],"Higher":[176],"also":[179],"associated":[180,235],"intensive":[182],"OHIS":[183,304],"(\u2265":[184],"7":[185],"hours/week;":[186],"2.253,":[189],"1.146\u20134.429)":[192],"greater":[194],"ESE":[195],"(AOR":[196,211,219,228],"1.031,":[198],"1.018\u20131.054),":[201],"while":[202,286],"eHL":[203,316],"showed":[204,317],"statistically":[206],"significant":[207],"but":[208],"modest":[209,319],"association":[210],"1.010,":[213],"1.001\u20131.018).":[216],"Symptom":[217],"interference":[218],"0.942,":[221],"0.918\u20130.967)":[224],"recent":[226],"chemotherapy":[227],"0.407,":[230],"0.231\u20130.715)":[233],"lower":[237],"odds":[238],"QoL.":[241],"Thematic":[242],"analysis":[243],"four":[245],"themes":[246],"ten":[248],"subthemes,":[249],"encompassing":[250],"explanations":[252],"for":[253,263,313],"illness,":[254],"appraisal":[256],"decision":[258],"support,":[259],"digital":[261,270,300,335,347],"resources":[262,275],"barriers":[266],"supports":[268],"in":[269,349],"engagement.":[271],"Survivors":[272],"used":[273],"online":[274],"inform":[277],"clinical":[278],"decisions":[279],"manage":[281],"menopausal":[282],"treatment-related":[284],"symptoms,":[285],"some":[287],"described":[288],"protective":[289],"disconnection":[290],"overload":[293],"reliance":[295],"family":[297],"members":[298],"as":[299,309],"proxies.":[301],"Conclusions":[302],"Intensive":[303],"function":[308],"modifiable":[310],"behavioral":[311],"assets":[312],"QoL,":[314],"whereas":[315],"direct":[320],"association,":[321],"suggesting":[322],"its":[323],"benefit":[324],"depend":[326],"active":[328],"mobilization":[329],"self-care.":[331],"Findings":[332],"stage-sensitive":[334],"resources,":[336],"more":[337],"accessible":[338],"platforms,":[341],"family-centered":[343],"promote":[346],"equity":[348],"survivorship":[350],"care.":[351]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-09-17T00:00:00"}