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Study: How beneficial is online communication after a new diagnosis of breast cancer?

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This study is about:

Whether online communication, including email, texting, social media such as Twitter and Facebook, and/or web-based support groups helps patients who are newly diagnosed with breast cancer make decisions about their treatment.

Why is this study important?

Little is known about how newly diagnosed breast cancer patients use online communication in their decision making process.

Study findings: 

  1. Newly diagnosed breast cancer patients who frequently used online communication were more satisfied with their decisions about treatment. 

What does this mean for me?

This study suggests that using online communication can help newly diagnosed breast cancer patients view their treatment decision choices more positively. However, the researchers included many different forms of communication, from texting to web-based support groups, noting that the majority of usage in the study population was for texting and emailing. More work needs to be done to assess other communication methods to see if they positively affect newly diagnosed breast cancer patients.

Posted 8/30/2016

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This article is relevant for:

This article is also relevant for:

people with breast cancer

people with ER/PR + cancer

people with Her2-positive cancer

people with a genetic mutation linked to cancer risk

people with triple negative breast cancer

people newly diagnosed with cancer

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Study background:

Patients can gain lots of information by communicating online with other breast cancer patients about their diagnoses and treatment options. But because little is known about how online communication affects how newly diagnosed breast cancer patients view their treatment decision choices, Lauren Wallner and her colleagues from the University of Michigan, Ann Arbor, and other institutions published a research letter in JAMA Oncology in July 2016 that examined online communication use by these patients during their treatment decision process.

Researchers of this study wanted to know:

Does online communication change how newly diagnosed breast cancer patients view their treatment decision choice?

Population(s) looked at in the study:

The 2,460 women in this study were between the ages of 20-79, and newly diagnosed with breast cancer (stages I-III) between July 2013 and September 2014. The researchers obtained information about these women through the Surveillance, Epidemiology, and End Results () registries of the state of Georgia and Los Angeles County. About 6 months after their breast cancer diagnosis, the women filled out surveys regarding their treatment experiences.

The survey asked:

  1. how often the women used online communication (defined by the researchers as including email, texting, social media such as Twitter and Facebook, and/or web-based support groups) after their breast cancer diagnosis.
  2. how satisfied the women were with their choice of treatment.

The majority (about 59%) of the women were white. Fewer (about 16%) were black, with Latina women (about 14%), and Asian women (about 8%) also included. The average age of women who took the survey was about 62.

Study findings: 

  1. About 41% of women reported that they had some or frequent use of online communication.
    • The most common (about 35%) form of communication used was email and texting.
    • About 12% of women used social media, and about 12% of women used web-based support groups.
  2. White and Asian women used online communication the most (about 46% of white women and about 43% of Asian women).
  3. Younger women (under age 50) with more education tended to use online communication more than older women.
  4. Women who frequently use online communication were more likely to report that they were satisfied with their treatment decision.


The researchers grouped all forms of communication into one category, including texting, Twitter, and web-based support groups into one group. These methods of communication differ from one another—texting may occur with more intimate family members, while Facebook and Twitter may be used for communicating with people whom the women have never met before, but who are experiencing the same issues and feelings. These are all valuable methods of communication; however, it would be helpful to know how each one affects how patients view their decisions.

Additionally, because the researchers did not break up the group of women into different age categories, it is unclear which women benefited the most by their online communication. Nor did the researchers look at how online communication affects women at higher risk for breast cancer due to family history or mutations in cancer risk-increasing genes, or women who had breast cancer. Women with these diagnoses face a different set of decisions, and might have more difficulty finding someone who has faced similar decisions.


The results of this study suggest that online communication may help newly diagnosed breast cancer patients view their decisions more positively. However, wide variation in the results across age and race indicated that some women may have barriers to access online communication. And while the study did look at patient satisfaction, it did not identify or assess the various treatments the women chose or how well these treatments worked for them. More work needs to be done to further understand how online communication impacts patients. 

For those looking for online support, FORCE online one-on-one peer support through our Peer Navigator program.  Our free program matches people considering genetic testing and/or facing with a trained volunteer who has experienced a similar journey. 

Posted 8/30/2016

Share your thoughts on this XRAYS article by taking our brief survey.


Wallner LP, Martinez KA, Li Y, et al. “Use of Online Communication by Patients with Newly Diagnosed Breast Cancer During the Treatment Decision Process.” JAMA Oncology. Published online first on July 28, 2016.  


FORCE receives funding from industry sponsors, including companies that manufacture cancer drugs, tests and devices. All XRAYS articles are written independently of any sponsor and are reviewed by members of our Scientific Advisory Board prior to publication to assure scientific integrity.

Expert Guidelines
Expert Guidelines

The National Comprehensive Cancer Network (NCCN) recommends screening and treatment of distress as part of the recommended standard of care. 

These recommendations include:

  • Healthcare providers should inform patients, families and treatment teams that distress management is a key part of their medical care, and they should provide information about psychosocial services.
  • Ideally, healthcare providers should screen patients for distress at every medical visit— minimally at a patient’s initial visit and then as clinically indicated, especially with changes in disease status (i.e., remission, recurrence, progression or treatment-related complications).
  • Healthcare providers should assess and manage distress according to clinical practice guidelines.
  • Experts in psychosocial aspects of cancer should be readily available, either as staff members or by referral.
  • Assessments should include psychosocial issues (e.g., quality of life and patient and family satisfaction).

Patients should expect to receive distress screening and help at your doctor visits. If your distress isn’t addressed, ask for help. NCCN provides a "Distress During Cancer Care" pamphlet that provides more information.

The American Society for Clinical Oncology (ASCO) points out several therapies for anxiety and stress for patients to consider during or after cancer treatment:

  • acupuncture
  • massage
  • meditation, particularly mindfulness stress-reduction programs
  • music therapy
  • stress management therapy.
  • yoga 

Updated: 02/06/2022

Questions To Ask Your Doctor
Questions To Ask Your Doctor

  • As a new breast cancer patient, what online support groups can I can join?
  • What are the most trustworthy sites to find information on breast cancer?
  • Are there local, in-person support groups that I can join?

Open Clinical Trials
Open Clinical Trials

The following studies on the emotional effects of cancer are enrolling patients: 

Multiple cancers 

Breast cancer


Updated: 12/21/2022

Peer Support
Peer Support

The following organizations offer peer support services for people with, or at high risk for breast cancer:

Updated: 05/07/2024

Who covered this study?

Medical Xpress

Do patients use online communications following a new breast cancer diagnosis? This article rates 3.5 out of 5 stars

Health Imaging

Online communications aid new breast cancer patients, but usage gaps persist This article rates 3.5 out of 5 stars

The Economic Times

How social media is helping breast cancer patients with treatment decisions This article rates 3.5 out of 5 stars

Health Day

'Ppl, I have breast cancer' This article rates 3.5 out of 5 stars


Going online ups patients' satisfaction about tx decisions This article rates 2.5 out of 5 stars

How we rated the media

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