This paper is an assessment of the use of CancerHelp UK, a Web site develop
ed as a resource for people living with cancer. Attitudes to the use of the
site were examined through interviews with 23 patients and relatives in a
two-phase pilot study. The analysis of the data was conducted within a fram
ework derived from activity theory which focused on individual perspectives
, purposes and outcomes and the processes involved in use. Our findings sho
w that the process of using the site and the characteristics of the medium
were regarded as beneficial, although some inexperienced computer users nee
ded some help. There were positive cognitive and affective outcomes for tho
se who had independently chosen to use the site. However, there were differ
ences in process and outcome between independent users and participants who
had been invited to use the resource for evaluation purposes. The study ra
ises questions about the use and evaluation of the World Wide Web for teach
ing and learning through an informal learning activity. The response of par
ticipants to the use of CancerHelp UK indicates that the resource is both u
seful and usable. The authors suggest that the availability of the Web as a
means for learning about cancer may challenge the traditional transmission
-based practice of the medical consultation. (C) 2000 Elsevier Science Ltd.
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