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Schemmel N, Ulrich L, Lauberger J, Steckelberg A, Lühnen J. Exploring the information needs of patients with osteoarthritis of the knee: a content analysis of Facebook group posts. BMC Musculoskelet Disord 2024; 25:120. [PMID: 38336736 PMCID: PMC10854127 DOI: 10.1186/s12891-024-07240-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 01/29/2024] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND End-stage osteoarthritis of the knee (OAK) is often treated by total knee arthroplasty (TKA). This intervention can significantly improve quality of life. However, many patients are dissatisfied with the outcome of surgery. One of the factors related to dissatisfaction is the of lack integration of patients' preferences, habits and values that are not addressed by physicians. To develop realistic expectations, affected patients need evidence-based information. Our aim was to explore the information needs of patients with OAK to support the development of decision aids and consent forms to promote informed decision-making. Additionally, we investigated whether the information needs during the Covid-19 pandemic differ from those before the pandemic. METHODS The qualitative research design included a social media analysis of Facebook groups. Facebook groups were selected according to the following criteria: Thematic relevance, English or German language, at least one new post per week, from period before and after the start of the Covid-19 pandemic in March 2020. Thematically relevant group posts were analysed according to the content-structuring content analysis of Kuckartz using MaxQDA. RESULTS Out of 448 identified Facebook groups, we screened seven for relevant posts and a total of 77 posts out of 6 groups were selected. The following eight categories were derived during the coding process: access to health care, disease information, TKA indication and contraindication, TKA outcome and quality of life, information needs regarding conservative therapy, strain, attitude towards TKA and attitude towards conservative therapy. The analysis showed that patients with OAK need information about the benefits and risks of TKA and conservative therapies. CONCLUSION This study provides information on the information needs of patients with OAK in order to decide between TKA or conservative therapy. Patients need information about treatment options in due consideration of their immediate living situation to be reliably able to assess potential outcomes. Such Information about TKA should enable patients to assess the individual prognosis with comprehensible and relevant outcome measures. Also, they should be formulated with the living environment of the patients in mind and be linked to possible fears and negative previous experiences with treatments.
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Affiliation(s)
- Nicole Schemmel
- Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, D-06112, Halle (Saale), Germany
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt, Institute of Clinical Nursing Science, Universität zu Berlin, Berlin, Germany
| | - Lydia Ulrich
- Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, D-06112, Halle (Saale), Germany
| | - Julia Lauberger
- Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, D-06112, Halle (Saale), Germany
| | - Anke Steckelberg
- Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, D-06112, Halle (Saale), Germany.
| | - Julia Lühnen
- Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, D-06112, Halle (Saale), Germany
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt, Institute of Clinical Nursing Science, Universität zu Berlin, Berlin, Germany
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Carson M, Moore M, Cicalese O, Dunnewald M, Varker A, Mindell JA, Williamson AA. Variation in Twitter posts referencing pediatric sleep aids. Sleep Health 2023; 9:451-459. [PMID: 37330322 PMCID: PMC10524848 DOI: 10.1016/j.sleh.2023.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 04/25/2023] [Accepted: 04/28/2023] [Indexed: 06/19/2023]
Abstract
OBJECTIVES Over 50% of parents who use social media seek parenting advice, however little is known about social media discussions surrounding child sleep aid use. The current study investigated Twitter posts about the use of pediatric sleep aids (melatonin, cannabidiol, weighted blankets, and essential oils), including post frequency, user characteristics, and content. In addition, variation in tweets before and after the onset of the COVID-19 pandemic was examined. METHODS Twitter was searched over a 25-month period using TweetDeck. Tweets were coded for user characteristics (eg, affiliations, gender) and content (eg, tone, states sleep or health outcomes, reference to a neurodevelopmental condition). RESULTS Of the 2754 tweets analyzed, melatonin was referenced most often (60%), followed by essential oils (23%), weighted blankets (14%), and cannabidiol (3%). Most were published by individual users (77%) and were positive (51%) in tone. About 1-third of tweets noted positive sleep or health effects of the sleep aid and only 7% referenced a neurodevelopmental condition. Tweets about pediatric sleep aids increased during the pandemic, primarily those posts about melatonin. CONCLUSIONS Melatonin is the most commonly discussed sleep aid on Twitter, followed by essential oils. Tweets are primarily positive. The number of tweets about sleep aids, specifically melatonin, has increased with time, with significantly more tweets after the start of the pandemic. Clinicians should consider using this outlet to provide empirically-based information regarding the efficacy and benefits or risks of sleep aid use in children.
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Affiliation(s)
| | - Melisa Moore
- Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | | | - Maja Dunnewald
- Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Abigail Varker
- Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Jodi A Mindell
- Saint Joseph's University, Philadelphia, PA, USA; Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| | - Ariel A Williamson
- Children's Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
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Waring ME, Blackman Carr LT, Heersping GE. Social Media Use Among Parents and Women of Childbearing Age in the US. Prev Chronic Dis 2023; 20:E07. [PMID: 36796010 PMCID: PMC9983604 DOI: 10.5888/pcd20.220194] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Abstract
Many parents and pregnant women in the US use social media to access health-related information. Estimates of current use of different platforms among these populations are needed. We used data from a 2021 Pew Research Center survey to describe use of commercial social media platforms by US parents and US women aged 18 to 39 years. Most US parents and women of childbearing age use YouTube, Facebook, and Instagram, with most engaging daily. Understanding social media use patterns can help public health professionals, health care systems, and researchers reach selected populations with evidence-based health information and health promotion programs.
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Affiliation(s)
- Molly E Waring
- Department of Allied Health Sciences, UConn Center for mHealth & Social Media, University of Connecticut, 358 Mansfield Rd, Unit 1101, Storrs, CT 06269-1101 .,UConn Center of mHealth & Social Media, University of Connecticut, Storrs, Connecticut
| | - Loneke T Blackman Carr
- UConn Center of mHealth & Social Media, University of Connecticut, Storrs, Connecticut.,Department of Nutritional Sciences, University of Connecticut, Storrs, Connecticut
| | - Grace E Heersping
- Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut
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Hrincu V, An Z, Joseph K, Jiang YF, Robillard JM. Dementia Research on Facebook and Twitter: Current Practice and Challenges. J Alzheimers Dis 2022; 90:447-459. [PMID: 36155513 DOI: 10.3233/jad-220525] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Social media is a powerful tool for engaging diverse audiences in dementia research. However, there is little data summarizing current content exchange in this context. OBJECTIVE To inform ethical dementia research engagement on social media, we characterized current practices by analyzing public social media posts. METHODS We retrieved Facebook (2-year period, N = 7,896) and Twitter (1-year period, N = 9,323) posts containing dementia research-related keywords using manual and machine learning-based search strategies. We performed qualitative and quantitative content and sentiment analyses on random samples (10%) of the posts. RESULTS Top Facebook users were advocacy (45%) and health organizations (25%). On Twitter, academics/researchers were the largest user group. Prevention was the most frequently coded theme (Facebook 30%; Twitter 26%), followed by treatment (Facebook 15%; Twitter 18%). Diagnostics had the highest Facebook engagement. Sharing knowledge was the primary form of content exchange (Facebook 63%; Twitter 80%). Most shared journal articles were peer-reviewed and open access. Emotional tone was overall more positive on Facebook. Justice was a prominent ethics topic regarding inequalities related to identity and intersecting modes of marginalization in dementia research. CONCLUSION The findings indicate the importance of social media as an engagement tool of current topics in health research and reveal areas of potential for increased engagement. These data can inform consensus-based best practices for ethical social media application in dementia research.
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Affiliation(s)
- Viorica Hrincu
- Department of Medicine, Division of Neurology, University of British Columbia, Vancouver, BC, Canada
| | - Zijian An
- Department of Computer Science and Engineering, University at Buffalo, Buffalo, NY, USA
| | - Kenneth Joseph
- Department of Computer Science and Engineering, University at Buffalo, Buffalo, NY, USA
| | - Yu Fei Jiang
- Department of Medicine, Division of Neurology, University of British Columbia, Vancouver, BC, Canada
| | - Julie M Robillard
- Department of Medicine, Division of Neurology, University of British Columbia, Vancouver, BC, Canada.,BC Children's and Women's Hospital, Vancouver, BC, Canada
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Kodali N, Sidhu BV, So J, Habib E, Robillard JM, Mulpuri K, Schaeffer EK. Content Analysis of Frequency of Information About Developmental Dysplasia of the Hip on Twitter. Indian J Orthop 2021; 55:1591-1595. [PMID: 34744180 PMCID: PMC8562367 DOI: 10.1007/s43465-021-00553-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 10/15/2021] [Indexed: 02/04/2023]
Abstract
INTRODUCTION Early detection and screening of developmental dysplasia of the hip (DDH) are critical in reducing complications; thus, advocacy and awareness are paramount. Social media, Twitter, in particular, connects users based on their content engagement, allowing global audience to interact with one another, providing an opportunity to spread awareness and support for children and families affected by conditions such as DDH. The objective of this study was to assess the frequency and content of information being published on Twitter pertaining to DDH. METHODS A search strategy using key terms was developed. An a priori coding guide using search terms was then created to establish a framework to identify themes regarding DDH on Twitter. Data were extracted over one-week periods in June and July of 2019 and 2020. An excel-based coding guide was developed to organize and analyze the extracted data. RESULTS A total of 142 tweets were extracted for analysis; 41 in 2019 and 101 in 2020. The most frequently used search terms were hip dysplasia, developmental dysplasia of the hip, and dislocated hip. In 2019, the most frequent tweet authors were healthcare organizations (13/41, 31.7%) and healthcare professionals (12/41, 29.3%). In contrast in 2020, 32.7% (33/101) tweets were authored by patients. Prevention, treatment, and general discussions were top categories in 2019, compared to education, awareness, and general discussions in 2020. CONCLUSION Our data indicate that user engagement with DDH content on Twitter increased by 2.5-fold from 2019 to 2020. We found similar patterns regarding the types of authors and content type in both years. However, focus shifted toward topics of education and awareness in 2020. SIGNIFICANCE Our analysis identified trends and gaps in the use of Twitter that could be implemented by users to optimize messages, such as connecting directly and conversing with users through replies. Findings also indicate the importance of multi-author engagement to increase the breadth of distribution of information. Social media platforms can efficiently disseminate information to a wide range of individuals; however, they must be leveraged appropriately to accurately inform the public about DDH. Engaging with Twitter users hold great potential to promote advocacy and increase early detection and screening for DDH. LEVEL OF EVIDENCE 3.
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Affiliation(s)
- Neha Kodali
- grid.414137.40000 0001 0684 7788Department of Orthopaedic Surgery, British Columbia Children’s Hospital, 1D.18 –4480 Oak St., Vancouver, BC V6H 3V4 Canada
| | - Bernita V. Sidhu
- grid.414137.40000 0001 0684 7788Department of Orthopaedic Surgery, British Columbia Children’s Hospital, 1D.18 –4480 Oak St., Vancouver, BC V6H 3V4 Canada
| | - Judy So
- grid.414137.40000 0001 0684 7788Department of Orthopaedic Surgery, British Columbia Children’s Hospital, 1D.18 –4480 Oak St., Vancouver, BC V6H 3V4 Canada
| | - Eva Habib
- grid.414137.40000 0001 0684 7788Department of Orthopaedic Surgery, British Columbia Children’s Hospital, 1D.18 –4480 Oak St., Vancouver, BC V6H 3V4 Canada
| | - Julie M. Robillard
- grid.17091.3e0000 0001 2288 9830Department of Medicine, University of British Columbia, Vancouver, BC Canada
| | - Kishore Mulpuri
- grid.414137.40000 0001 0684 7788Department of Orthopaedic Surgery, British Columbia Children’s Hospital, 1D.18 –4480 Oak St., Vancouver, BC V6H 3V4 Canada ,grid.17091.3e0000 0001 2288 9830Department of Orthopaedics, University of British Columbia, Vancouver, BC Canada
| | - Emily K. Schaeffer
- grid.414137.40000 0001 0684 7788Department of Orthopaedic Surgery, British Columbia Children’s Hospital, 1D.18 –4480 Oak St., Vancouver, BC V6H 3V4 Canada ,grid.17091.3e0000 0001 2288 9830Department of Orthopaedics, University of British Columbia, Vancouver, BC Canada
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Robillard JM, Bourne SC, Tam MT, Page PM, Lamb EA, Gogal C, Skarsgard ED, Afshar K. Improving the paediatric surgery patient experience: an 8-year analysis of narrative quality data. BMJ Open Qual 2020; 9:bmjoq-2020-000924. [PMID: 32381597 PMCID: PMC7223344 DOI: 10.1136/bmjoq-2020-000924] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 03/20/2020] [Accepted: 04/21/2020] [Indexed: 12/03/2022] Open
Abstract
Background Narrative data about the patient experience of surgery can help healthcare professionals and administrators better understand the needs of patients and their families as well as provide a foundation for improvement of procedures, processes and services. However, units often lack a methodological framework to analyse these data empirically and derive key areas for improvement. The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is aimed at improving the quality of surgical care by collecting patient data and reporting risk-adjusted surgical outcomes for each participant hospital in the programme. Though qualitative data about patient experience are captured as part of the NSQIP database, to date no framework or methodology has been proposed, or reported on, to analyse these data for the purposes of quality improvement. The goal of this study was to demonstrate the feasibility of using content analysis to empirically derive key areas for quality improvement from a sample of 3601 narrative comments about paediatric surgery from patients and families at British Columbia Children’s Hospital. Study design Thematic content analysis conducted on a total of 3601 patient and family narratives received between 2011 and 2018. Results Overall satisfaction with care was high and experiences with healthcare providers at the hospital were positive. Areas for improvement were identified in the themes of health outcomes, communication and surgery timelines. Results informed follow-up interprofessional quality improvement initiatives. Conclusions Recording and analysing patient experience data as part of validated quality improvement programmes such as ACS NSQIP can provide valuable and actionable information to improve quality of care.
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Affiliation(s)
- Julie M Robillard
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada .,BC Children's & Women's Hospitals, Vancouver, British Columbia, Canada
| | - Stephanie C Bourne
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.,BC Children's & Women's Hospitals, Vancouver, British Columbia, Canada
| | - Mallorie T Tam
- Division of Neurology, Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.,BC Children's & Women's Hospitals, Vancouver, British Columbia, Canada
| | - Patricia M Page
- Department of Procedures and Surgical Services, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
| | - Elizabeth A Lamb
- Department of Procedures and Surgical Services, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
| | - Carmina Gogal
- Department of Procedures and Surgical Services, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
| | - Erik D Skarsgard
- Department of Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
| | - Kourosh Afshar
- Department of Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada
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Chambers CT, Dol J, Parker JA, Caes L, Birnie KA, Taddio A, Campbell-Yeo M, Halperin SA, Langille J. Implementation Effectiveness of a Parent-Directed YouTube Video ("It Doesn't Have To Hurt") on Evidence-Based Strategies to Manage Needle Pain: Descriptive Survey Study. JMIR Pediatr Parent 2020; 3:e13552. [PMID: 32130190 PMCID: PMC7081136 DOI: 10.2196/13552] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 05/07/2019] [Accepted: 09/20/2019] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children's pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children. OBJECTIVE This study aimed to develop, implement, and evaluate the implementation effectiveness of a parent-directed YouTube video on evidence-based strategies to manage needle pain in children. METHODS This was a descriptive study. Analytics were extracted from YouTube to describe video reach. A Web-based survey was used to seek parent and health care professional (HCP) feedback about the video. The 2-minute 18-second video was launched on YouTube on November 4, 2013. In the video, a 4-year-old girl tells parents what they should and should not do to help needles hurt less. The key evidence-based messages shared in the video were distraction, deep breathing, and topical anesthetic creams. A group of parents (n=163) and HCPs (n=278) completed the Web-based survey. Measures of reach included number of unique views, country where the video was viewed, sex of the viewer, and length of watch time. The Web-based survey assessed implementation outcomes of the video, such as acceptability, appropriateness, penetration, and adoption. RESULTS As of November 4, 2018 (5 years after launch), the video had 237,132 unique views from 182 countries, with most viewers watching an average of 55.1% (76/138 seconds) of the video. Overall, both parents and HCPs reported strong acceptance of the video (ie, they liked the video, found it helpful, and felt more confident) and reported significant improvements in plans to use distraction, deep breathing, and topical anesthetic creams. CONCLUSIONS This parent-directed YouTube video was an acceptable and appropriate way to disseminate evidence about the procedure of pain management to a large number of parents.
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Affiliation(s)
- Christine T Chambers
- Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
- Department of Pediatrics, Dalhousie University, Halifax, NS, Canada
- Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada
| | - Justine Dol
- Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada
- Faculty of Health, Dalhousie University, Halifax, NS, Canada
| | - Jennifer A Parker
- Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada
| | - Line Caes
- Division of Psychology, Faculty of Natural Sciences, University of Stirling, Stirling, United Kingdom
| | - Kathryn A Birnie
- Alberta Children's Hospital, Calgary, AB, Canada
- Department of Anesthesiology, Perioperative and Pain Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Anna Taddio
- The Hospital for Sick Children, Toronto, ON, Canada
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada
| | - Marsha Campbell-Yeo
- Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada
- Faculty of Health, Dalhousie University, Halifax, NS, Canada
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- Department of Pediatrics, IWK Health Centre, Halifax, NS, Canada
| | - Scott A Halperin
- Department of Pediatrics, Dalhousie University, Halifax, NS, Canada
- Department of Pediatrics, IWK Health Centre, Halifax, NS, Canada
- Canadian Center for Vaccinology, IWK Health Centre, Halifax, NS, Canada
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