#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Content shared on social media for national cancer survivors day 2018


Autoři: Roy Cherian aff001;  Gem Le aff001;  James Whall aff002;  Scarlett Gomez aff003;  Urmimala Sarkar aff001
Působiště autorů: Department of Medicine, Division of General Internal Medicine University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, California, United States of America aff001;  California Northstate University College of Medicine, Elk Grove, California, United States of America aff002;  Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, United States of America aff003
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0226194

Souhrn

Background

Studies estimate that the number of cancer survivors will double by 2050 due to improvements in diagnostic accuracy and treatment efficacy. Despite the growing population of cancer survivors, there is a paucity of research regarding how these individuals experience the transition from active treatment to long-term surveillance. While research has explored this transition from more organized venues, such as support groups for cancer survivors, this paper explores the discourses surrounding cancer survivorship on social media, paying particular attention to how individuals who identify as cancer survivors represent their experience.

Methods

We identified social media posts relating to cancer survivorship on Twitter and Instagram in early June 2018, in order to coincide with National Cancer Survivorship Day on June 3, 2018. We used nine pre-selected hashtags to identify content. For each hashtag, we manually collected the 150 most recent posts from Twitter and the 100 most recent plus the top 9 posts from Instagram. Our preliminary sample included 1172 posts; after eliminating posts from one hashtag due to irrelevance, we were left with 1063 posts. We randomly sampled 200 of these to create a subset for analysis; after review for irrelevant posts, 193 posts remained for analysis (118 from Instagram and 75 from Twitter). We utilized a grounded theory approach to analyze the posts, first open-coding a subset to develop a codebook, then applying the codebook to the rest of the sample and finally memo writing to develop themes.

Results

Overall, there is substantial difference in the tone and thematic content between Instagram and Twitter posts, Instagram takes on a more narrative form that represents journeys through cancer treatment and subsequent survivorship, whereas Twitter is more factual, leaning towards advocacy, awareness and fundraising. In terms of content type, 120 posts (62%) of the sample were images, of which 42 (35%) were images of the individual posting and 28 (23%) were images of patients posted by family or friends. Of the remaining images, 14 (12%) were of support groups and 7 (6%) were of family or friends. We identified four salient themes through analysis of the social media posts from Twitter and Instagram: social support, celebrating milestones and honoring survivors, expressing identity, and renewal vs. rebirth.

Discussion

We observed a marked relationship between physical appearance, functional status and survivorship. Additionally, our findings suggest the importance of social support for cancer patients and survivors as well as the role social media can pay in identity formation.

Conclusion

Our findings suggest that individuals who identify as survivors on social media define their identity fluidly, incorporating elements of physical, emotional and psychological health as well as autonomy.

Klíčová slova:

Cancer detection and diagnosis – Cancer treatment – Patient advocacy – Patients – Psychological and psychosocial issues – Social media – Social research – Twitter


Zdroje

1. From Cancer Patient to Cancer Survivor: Lost in Transition [Internet]. Washington, D.C.: National Academies Press; 2005 [cited 2018 Oct 18]. http://www.nap.edu/catalog/11468

2. Parry C, Kent EE, Mariotto AB, Alfano CM, Rowland JH. Cancer Survivors: A Booming Population. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored Am Soc Prev Oncol. 2011 Oct;20(10):1996–2005.

3. Cancer Treatment & Survivorship Facts & Figures 2016–2017. :44.

4. Bodai BI, Tuso P. Breast Cancer Survivorship: A Comprehensive Review of Long-Term Medical Issues and Lifestyle Recommendations. Perm J. 2015;19(2):48–79. doi: 10.7812/TPP/14-241 25902343

5. Caruso R, Nanni MG, Riba MB, Sabato S, Grassi L. The burden of psychosocial morbidity related to cancer: patient and family issues. Int Rev Psychiatry Abingdon Engl. 2017;29(5):389–402.

6. Almeida SN, Elliott R, Silva ER, Sales CMD. Fear of cancer recurrence: A qualitative systematic review and meta-synthesis of patients’ experiences. Clin Psychol Rev. 2019 Mar;68:13–24. doi: 10.1016/j.cpr.2018.12.001 30617013

7. The Sick Role in Literature and Society | JAMA | JAMA Network [Internet]. [cited 2019 Apr 2]. https://jamanetwork.com/journals/jama/fullarticle/1843607

8. Tiedtke C, de Rijk A, Donceel P, Christiaens M-R, de Casterlé BD. Survived but feeling vulnerable and insecure: a qualitative study of the mental preparation for RTW after breast cancer treatment. BMC Public Health. 2012 Jul 23;12:538. doi: 10.1186/1471-2458-12-538 22824548

9. Kusnanto H, Agustian D, Hilmanto D. Biopsychosocial model of illnesses in primary care: A hermeneutic literature review. J Fam Med Prim Care. 2018;7(3):497–500.

10. Pomery A, Schofield P, Xhilaga M, Gough K. Expert agreed standards for the selection and development of cancer support group leaders: an online reactive Delphi study. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2018;26(1):99–108.

11. McGill BC, Sansom-Daly UM, Wakefield CE, Ellis SJ, Robertson EG, Cohn RJ. Therapeutic Alliance and Group Cohesion in an Online Support Program for Adolescent and Young Adult Cancer Survivors: Lessons from “Recapture Life”. J Adolesc Young Adult Oncol. 2017 Dec;6(4):568–72. doi: 10.1089/jayao.2017.0001 28581346

12. Shin S, Park H. Effect of empowerment on the quality of life of the survivors of breast cancer: The moderating effect of self-help group participation. Jpn J Nurs Sci JJNS. 2017 Oct;14(4):311–9. doi: 10.1111/jjns.12161 28105793

13. Harkin LJ, Beaver K, Dey P, Choong K. Navigating cancer using online communities: a grounded theory of survivor and family experiences. J Cancer Surviv Res Pract. 2017 Dec;11(6):658–69.

14. Klemm P, Bunnell D, Cullen M, Soneji R, Gibbons P, Holecek A. Online Cancer Support Groups: A Review of the Research Literature. CIN Comput Inform Nurs. 2003 Jun;21(3):136. doi: 10.1097/00024665-200305000-00010 12792194

15. O’Carroll Bantum E, Albright CL, White KK, Berenberg JL, Layi G, Ritter PL, et al. Surviving and Thriving With Cancer Using a Web-Based Health Behavior Change Intervention: Randomized Controlled Trial. J Med Internet Res [Internet]. 2014 Feb 24 [cited 2018 Oct 18];16(2). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961702/

16. NW 1615 L. St, Suite 800Washington, Inquiries D 20036USA202-419-4300 | M-857-8562 | F-419-4372 | M. Share of U.S. adults using social media, including Facebook, is mostly unchanged since 2018 [Internet]. Pew Research Center. [cited 2019 Jun 20]. https://www.pewresearch.org/fact-tank/2019/04/10/share-of-u-s-adults-using-social-media-including-facebook-is-mostly-unchanged-since-2018/

17. Street W. Cancer Facts & Figures 2019. Am Cancer Soc. 2019;76.

18. Song H, Nam Y, Gould J, Sanders WS, McLaughlin M, Fulk J, et al. Cancer survivor identity shared in a social media intervention. J Pediatr Oncol Nurs Off J Assoc Pediatr Oncol Nurses. 2012 Apr;29(2):80–91.

19. Dooly M. Performing Identities in Social Media: Focusing on Language Learners’ Identity Construction Online. Alsic Apprentiss Lang Systèmes Inf Commun [Internet]. 2017 Sep 26 [cited 2019 Feb 14];(Vol. 20, n° 1). Available from: http://journals.openedition.org/alsic/3005

20. Thackeray R, Burton SH, Giraud-Carrier C, Rollins S, Draper CR. Using Twitter for breast cancer prevention: an analysis of breast cancer awareness month. BMC Cancer. 2013 Oct 29;13:508. doi: 10.1186/1471-2407-13-508 24168075

21. Bender JL, Jimenez-Marroquin M-C, Jadad AR. Seeking Support on Facebook: A Content Analysis of Breast Cancer Groups. J Med Internet Res [Internet]. 2011 Feb 4 [cited 2019 Jan 29];13(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221337/

22. Falisi AL, Wiseman KP, Gaysynsky A, Scheideler JK, Ramin DA, Chou WS. Social media for breast cancer survivors: a literature review. J Cancer Surviv. 2017 Dec 1;11(6):808–21. doi: 10.1007/s11764-017-0620-5 28601981

23. Chou W-YS, Hunt Y, Folkers A, Augustson E. Cancer survivorship in the age of YouTube and social media: a narrative analysis. J Med Internet Res. 2011 Jan 17;13(1):e7. doi: 10.2196/jmir.1569 21247864

24. Diddi P, Lundy LK. Organizational Twitter Use: Content Analysis of Tweets during Breast Cancer Awareness Month. J Health Commun. 2017 Mar;22(3):243–53. doi: 10.1080/10810730.2016.1266716 28248621

25. Paul MJ, Dredze M, University JH. You Are What You Tweet: Analyzing Twitter for Public Health. :8.

26. Teoh D, Shaikh R, Vogel RI, Zoellner T, Carson L, Kulasingam S, et al. A Cross-Sectional Review of Cervical Cancer Messages on Twitter During Cervical Cancer Awareness Month. J Low Genit Tract Dis. 2018 Jan;22(1):8–12. doi: 10.1097/LGT.0000000000000363 29271850

27. Vraga EK, Stefanidis A, Lamprianidis G, Croitoru A, Crooks AT, Delamater PL, et al. Cancer and Social Media: A Comparison of Traffic about Breast Cancer, Prostate Cancer, and Other Reproductive Cancers on Twitter and Instagram. J Health Commun. 2018;23(2):181–9. doi: 10.1080/10810730.2017.1421730 29313761

28. McCambridge J, de Bruin M, Witton J. The Effects of Demand Characteristics on Research Participant Behaviours in Non-Laboratory Settings: A Systematic Review. PLOS ONE. 2012 Jun 19;7(6):e39116. doi: 10.1371/journal.pone.0039116 22723942

29. Bravo CA, Hoffman-Goetz L. Social Media and Men’s Health: A Content Analysis of Twitter Conversations During the 2013 Movember Campaigns in the United States, Canada, and the United Kingdom. Am J Mens Health. 2017 Nov;11(6):1627–41. doi: 10.1177/1557988315617826 26669771

30. Bravo CA, Hoffman-Goetz L. Tweeting About Prostate and Testicular Cancers: Do Twitter Conversations and the 2013 Movember Canada Campaign Objectives Align? J Cancer Educ Off J Am Assoc Cancer Educ. 2016 Jun;31(2):236–43.

31. Cherian R, Westbrook M, Ramo D, Sarkar U. Representations of Codeine Misuse on Instagram: Content Analysis. JMIR Public Health Surveill. 2018 Mar 20;4(1):e22. doi: 10.2196/publichealth.8144 29559422

32. Definition of HASHTAG [Internet]. [cited 2019 Feb 14]. https://www.merriam-webster.com/dictionary/hashtag

33. Charmaz K. Constructig Grounded Theory: A Practical Guide through Qualitative Analysis. 1st ed. Thousand Oaks, California: SAGE Publications; 2006. (Introducing Qualitative Methods).

34. Chapman AL, Hadfield M, Chapman CJ. Qualitative research in healthcare: an introduction to grounded theory using thematic analysis. J R Coll Physicians Edinb. 2015;45(3):201–5. doi: 10.4997/JRCPE.2015.305 26517098

35. Fuks A. The Military Metaphors of Modern Medicine. :12.

36. Semino E, Demjén Z, Demmen J, Koller V, Payne S, Hardie A, et al. The online use of Violence and Journey metaphors by patients with cancer, as compared with health professionals: a mixed methods study. BMJ Support Palliat Care. 2017 Mar;7(1):60–6. doi: 10.1136/bmjspcare-2014-000785 25743439

37. Gonzalez-Saenz de Tejada M, Bilbao A, Baré M, Briones E, Sarasqueta C, Quintana JM, et al. Association between social support, functional status, and change in health-related quality of life and changes in anxiety and depression in colorectal cancer patients. Psychooncology. 2017;26(9):1263–9. doi: 10.1002/pon.4303 28872742

38. Pfaendler KS, Wenzel L, Mechanic MB, Penner KR. Cervical cancer survivorship: long-term quality of life and social support. Clin Ther. 2015 Jan 1;37(1):39–48. doi: 10.1016/j.clinthera.2014.11.013 25592090

39. Usta YY. Importance of social support in cancer patients. Asian Pac J Cancer Prev APJCP. 2012;13(8):3569–72. doi: 10.7314/apjcp.2012.13.8.3569 23098436

40. Yoo H, Shin DW, Jeong A, Kim SY, Yang H-K, Kim JS, et al. Perceived social support and its impact on depression and health-related quality of life: a comparison between cancer patients and general population. Jpn J Clin Oncol. 2017 Aug 1;47(8):728–34. doi: 10.1093/jjco/hyx064 28531292

41. Zhang H, Zhao Q, Cao P, Ren G. Resilience and Quality of Life: Exploring the Mediator Role of Social Support in Patients with Breast Cancer. Med Sci Monit Int Med J Exp Clin Res. 2017 Dec 17;23:5969–79.

42. Warner EL, Kent EE, Trevino KM, Parsons HM, Zebrack BJ, Kirchhoff AC. Social well-being among adolescents and young adults with cancer: A systematic review. Cancer. 2016 Apr 1;122(7):1029–37. doi: 10.1002/cncr.29866 26848713

43. Fleisch Marcus A, Illescas AH, Hohl BC, Llanos AAM. Relationships between social isolation, neighborhood poverty, and cancer mortality in a population-based study of US adults. PloS One. 2017;12(3):e0173370. doi: 10.1371/journal.pone.0173370 28273125

44. The New York Times Customer Insight Group and Foundation Marketing. The Psychology of Sharing: Why Do People Share Online [Internet]. https://foundationinc.co/wp-content/uploads/2018/12/nyt-final.pdf

45. Caetano SC, Silva CM, Vettore MV. Gender differences in the association of perceived social support and social network with self-rated health status among older adults: a population-based study in Brazil. BMC Geriatr. 2013 Nov 15;13:122. doi: 10.1186/1471-2318-13-122 24229389

46. Sonnenberg CM, Deeg DJH, van Tilburg TG, Vink D, Stek ML, Beekman ATF. Gender differences in the relation between depression and social support in later life. Int Psychogeriatr. 2013 Jan;25(1):61–70. doi: 10.1017/S1041610212001202 22835874

47. McKenzie SK, Collings S, Jenkin G, River J. Masculinity, Social Connectedness, and Mental Health: Men’s Diverse Patterns of Practice. Am J Mens Health. 2018 Sep;12(5):1247–61. doi: 10.1177/1557988318772732 29708008

48. Cohen R, Irwin L, Newton-John T, Slater A. #bodypositivity: A content analysis of body positive accounts on Instagram. Body Image. 2019 Jun 1;29:47–57. doi: 10.1016/j.bodyim.2019.02.007 30831334

49. Berry LL, Davis SW, Godfrey Flynn A, Landercasper J, Deming KA. Is it time to reconsider the term “cancer survivor”? J Psychosoc Oncol. 2019 Aug;37(4):413–26. doi: 10.1080/07347332.2018.1522411 30614422


Článek vyšel v časopise

PLOS One


2020 Číslo 1
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

plice
INSIGHTS from European Respiratory Congress
nový kurz

Současné pohledy na riziko v parodontologii
Autoři: MUDr. Ladislav Korábek, CSc., MBA

Svět praktické medicíny 3/2024 (znalostní test z časopisu)

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#