1. Diabetes Self-Management in the Age of Social Media: Large-Scale Analysis of Peer Interactions Using Semiautomated Methods
- Author
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Sahiti Myneni, Adrian V Cebula, Jing Wang, Tavleen Singh, Gloria Villanueva, Kristi Paiva, Brittney Lewis, and Seon Min Kim
- Subjects
Original Paper ,self-management ,Teachable moment ,Self-management ,diabetes ,020205 medical informatics ,social media ,Applied psychology ,Computer applications to medicine. Medical informatics ,digital health ,R858-859.7 ,Health Informatics ,02 engineering and technology ,Online community ,Digital health ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Health promotion ,Health Information Management ,0202 electrical engineering, electronic engineering, information engineering ,Social media ,030212 general & internal medicine ,Psychology ,Social influence - Abstract
Background Online communities have been gaining popularity as support venues for chronic disease management. User engagement, information exposure, and social influence mechanisms can play a significant role in the utility of these platforms. Objective In this paper, we characterize peer interactions in an online community for chronic disease management. Our objective is to identify key communications and study their prevalence in online social interactions. Methods The American Diabetes Association Online community is an online social network for diabetes self-management. We analyzed 80,481 randomly selected deidentified peer-to-peer messages from 1212 members, posted between June 1, 2012, and May 30, 2019. Our mixed methods approach comprised qualitative coding and automated text analysis to identify, visualize, and analyze content-specific communication patterns underlying diabetes self-management. Results Qualitative analysis revealed that “social support” was the most prevalent theme (84.9%), followed by “readiness to change” (18.8%), “teachable moments” (14.7%), “pharmacotherapy” (13.7%), and “progress” (13.3%). The support vector machine classifier resulted in reasonable accuracy with a recall of 0.76 and precision 0.78 and allowed us to extend our thematic codes to the entire data set. Conclusions Modeling health-related communication through high throughput methods can enable the identification of specific content related to sustainable chronic disease management, which facilitates targeted health promotion.
- Published
- 2020