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    for high school completion, which means that a large proportion of Canadians would not be able to comprehend the majority of resources evaluated in this study [24]. The inability to read and comprehend resources available can have negative effects on cancer caregivers’ psychological and physical health, as well as the quality of care they Bleomycin Sulfate are able to provide [4]. It should be noted, however, that although online resources are one avenue where caregivers seek information, there do exist other forms of information which were not reviewed in this study. Additionally, there are many supportive care services which promote information sharing and communication between patients, caregivers, and the treatment team, which have been shown to be very useful for cancer caregivers [1,5].
    Resource quality was also low, reflecting low reliability and inadequate details on self-care strategies. There was a general lack of details on the sources of information used to compile the publication, which calls into question the accuracy and validation of the information available. Though the majority of resources outlined self-care strategies, many failed to provide details on how each strategy works and propose the benefits and risks of each self-care strategy.
    Most resources met less than half of caregivers’ unmet supportive care needs. Resources that fail to address cancer caregivers’ most pressing needs are not useful and may not be used by caregivers. This may be due to a lack of knowledge on the part of national and community-based cancer organizations, accredited universities, and major cancer centers on the unmet supportive care needs of cancer caregivers. These results might also explain why caregivers continue to report unmet information needs [5].
    In this Bleomycin Sulfate study, different age versions of the same online resource were included if they appeared through the Google Search or Environmental Scan. As such, the 2014 and 2017 editions of Cancer Council Australia’s booklet, Caring for Someone with Cancer were included in this study and both editions were ranked in the top
    3. Interestingly, the 2017 Edition scored slightly higher than the 2014 Edition in terms of the SAM and the unmet needs assessment, demonstrating that the authors have made minor but important changes which have made the booklet more suitable and useful for cancer caregivers. Given the ease with which online information can be updated, authors can and should make changes to online resources in an attempt to improve resource suitability, readability, quality, and usefulness.
    Several limitations identified in seed coat study, include: (1) we were unable to ascertain which resources are most popular and most frequently visited by caregivers, (2) we did not have context on which resources are currently recommended by physicians, (3) we did not have context on the resources currently available and utilized by cancer centers and hospitals, and (4) we only evaluated English-language resources. These points will need to be addressed in a further study.
    4.2 Conclusion
    This was the first study to evaluate the suitability, readability, quality, and usefulness of the online resources available to cancer caregivers. Overall, study findings suggest that the resources available to cancer
    caregivers are not optimal and fail to address caregivers’ most pressing needs. Of the 55 resources evaluated, Cancer Council Australia’s booklet, Caring for Someone with Cancer (2014 and 2017 Eds.) and the American Cancer Society’s webpages, Caregivers and Families, ranked top three in two of the three assessment categories.
    4.3 Practice Implications
    With the shift in the acquisition of health information from print to online resources, publicly available resources retrievable through popular online search engines should adequately address caregivers’ information needs. Though other forms of information and support are available to cancer caregivers, the findings of this study suggest that there is an urgent need to improve and enhance online resources in the form of webpages, online booklets, and online fact sheets, in order to diminish misinformation and misunderstanding, which can have far-reaching effects on cancer caregivers and the care recipient.Our findings will allow health care professionals to better address the needs of cancer caregivers by recommending information resources that are most appropriate and most likely to meet their unmet care needs.