Inspire, Arlington, Virginia, USA.
Division of Genetics and Genomics, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts, USA.
Health Expect. 2023 Aug;26(4):1524-1535. doi: 10.1111/hex.13755. Epub 2023 Apr 16.
Technological improvements alone have not led to the integration of genomic medicine across a broad range of diseases and populations. For genomic medicine to be successfully implemented across specialties and conditions, the challenges patients and caregivers experience need to be identified using a multi-faceted understanding of the context in which these obstacles occur and how they are experienced. Individuals affected by rare conditions, like Ehlers-Danlos syndromes (EDS) and hypermobility spectrum disorders (HSD), express numerous challenges with accessing genomic medicine. Many patients living with rare diseases seek information and find comfort in online health communities.
Social media conversations facilitated through online health communities are windows into patients' and caregivers' authentic experiences. To date, no other study has examined genomic medicine barriers by analysing the content of social media posts, yet the novel methodological approach of social media listening permits the analysis of virtual, organic conversations about lived experiences.
RESULTS/CONCLUSIONS: Using a modified social-ecological model, this study found that social-structural and interpersonal barriers most frequently impede access to genomic medicine for patients and caregivers living with EDS and HSD.
Data were retrieved through social media conversations facilitated through publicly accessible health communities through Inspire, an online health community. Social media listening permits the analysis of virtual, organic conversations about lived experiences.
仅技术改进并未导致基因组医学在广泛的疾病和人群中得到整合。为了使基因组医学在各专业和各种情况下成功实施,需要使用对发生这些障碍的背景的多方面理解以及对这些障碍的体验方式的理解,来确定患者和照护者所经历的挑战。受罕见疾病影响的个体,如埃勒斯-当洛斯综合征(EDS)和高活动性谱系障碍(HSD),在获得基因组医学方面面临着许多挑战。许多患有罕见疾病的患者在在线健康社区中寻求信息并获得安慰。
通过在线健康社区促进的社交媒体对话为了解患者和照护者的真实体验提供了窗口。迄今为止,尚无其他研究通过分析社交媒体帖子的内容来检查基因组医学障碍,但社交媒体倾听的新颖方法允许对虚拟的、有机的关于生活体验的对话进行分析。
结果/结论:本研究使用改良的社会生态模型发现,对于患有 EDS 和 HSD 的患者和照护者来说,社会结构和人际障碍最常阻碍他们获得基因组医学。
通过 Inspire 等在线健康社区,通过公开的健康社区促进的社交媒体对话中检索到数据。社交媒体倾听允许对虚拟的、有机的关于生活体验的对话进行分析。