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Jokar AHR, Roche S, Karimi H. Stuttering on Instagram: What is the focus of stuttering-related Instagram posts and how do users engage with them? JOURNAL OF FLUENCY DISORDERS 2023; 78:106021. [PMID: 37972424 DOI: 10.1016/j.jfludis.2023.106021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 09/19/2023] [Accepted: 11/02/2023] [Indexed: 11/19/2023]
Abstract
PURPOSE Instagram has become a popular platform for sharing and seeking health-related information, including stuttering. However, concerns have been raised about the accuracy, confidentiality, and potential negative impact of such information. This study aims to examine how stuttering is defined and understood on Instagram, and how users engage with related content. METHODS We analyzed highly engaged Instagram posts with the hashtag "#Stuttering" published within a year and their corresponding comments using thematic analysis. RESULTS The results revealed four main themes and nine sub-themes that highlighted different understandings of stuttering on Instagram, including the need for intervention, emotional impact on people who stutter, positive meanings, and mental health implications. User engagement varied based on the nature of the post, with users showing appreciation, objections, seeking advice, celebrating success stories, mocking, or advocating for people who stutter. CONCLUSION Although Instagram can serve as a means of normalizing stuttering and highlighting success stories, it raises concerns about the promotion of non-evidence-based treatments and the use of stuttering for political or entertainment purposes. This study emphasizes the need to critically evaluate health-related information presented on social media platforms. To provide reliable information to PWS and their families who seek information on social media, it is recommended to promote evidence-based information on stuttering through trustworthy organizations such as the National Stuttering Association or the Stuttering Foundation, particularly on special occasions like International Stuttering Awareness Day.
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Affiliation(s)
| | - Steven Roche
- Faculty of Health, Charles Darwin University, Australia
| | - Hamid Karimi
- Faculty of Health, Charles Darwin University, Australia.
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Leko Krhen A, Šušak L. Internet searches conducted by people who stutter: association with speech-language therapy and severity of stuttering. LOGOP PHONIATR VOCO 2023; 48:146-153. [PMID: 35412931 DOI: 10.1080/14015439.2022.2044513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 01/12/2022] [Accepted: 02/16/2022] [Indexed: 10/18/2022]
Abstract
Stuttering is a fluency disorder that is multidimensional because it involves more than speech difficulties. People who stutter can use the Internet to find out more about their condition and connect with other people in the same position, yet in Croatia, there are not nearly as many online sources on stuttering or as many possibilities to connect with other people who stutter as in the USA or Great Britain. If one does not speak English well, a lot of information about stuttering will simply be denied to them, especially to those who have never received speech therapy. The present study, the first of its kind in Croatia, was conducted in order to understand how often and for what reasons people who stutter search for Internet resources related to their condition. The study also assessed whether Internet use depended on age, experience with speech-language therapy, self-reported satisfaction with such therapy, and self-assessed severity of stuttering. An online questionnaire integrating the 9-Point Stuttering Severity Scale was developed for this study and administered to 51 individuals aged 18 years and older in Croatia. All collected data and findings on the internet searches come from the questionnaire. Age did not significantly affect the frequency or purpose of Internet searches. Individuals who were not attending speech therapy were more likely to search online sources about stuttering than those who received it before. People who rated their stuttering as severe were more likely to search online sources for stuttering than those who rated their condition as mild. These results suggest that there is a need for more useful, high-quality online content and materials in Croatian for people who stutter. Such resources would offer people who stutter a new world of support, mutual understanding, shared experiences and knowledge, and ways for them to help themselves.
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Affiliation(s)
- Ana Leko Krhen
- Department of Speech and Language Pathology, Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia
| | - Lucia Šušak
- Elementary School Eugen Kumičić, Slatina, Croatia
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Raj EX, Daniels DE, Thomson PE. Facebook groups for people who stutter: An extension of and supplement to in-person support groups. JOURNAL OF COMMUNICATION DISORDERS 2023; 101:106295. [PMID: 36603411 DOI: 10.1016/j.jcomdis.2022.106295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 12/02/2022] [Accepted: 12/16/2022] [Indexed: 06/17/2023]
Abstract
INTRODUCTION Online support group experiences, using social networking websites like Facebook, have shown much promise in past research unrelated to stuttering. Therefore, this study aimed to determine the utility of a Facebook-based stuttering support group that was created as an extension of and supplement to an in-person stuttering support group as a means of providing psychosocial support for people who stutter (PWS). METHOD A qualitative approach that was inspired by ethnography was used to explore the experiences of seven participants (six participants who stutter and one participant who does not stutter) who digitally connect on a private Facebook-based stuttering support group that was created as an extension of and supplement to an already existing in-person stuttering support group. The main question posed to the participants related to describing their experiences being a member of the Facebook-based stuttering support group. RESULTS Data analysis revealed two major themes, which included the benefits and challenges of participating in a Facebook-based stuttering support group. Each major theme contained five subthemes. Specific results are discussed with reference to past research, as well as implications for practice and recommendations for future research. CONCLUSIONS There are numerous benefits and challenges associated with being a member of a Facebook-based stuttering support group. However, the overall utility of a Facebook-based stuttering support group, used in tandem with an in-person stuttering support experience, seems to provide members with a useful and impactful way to gain psychosocial support from other PWS.
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Affiliation(s)
- Erik X Raj
- Monmouth University, Department of Speech-Language Pathology, 400 Cedar Avenue, West Long Branch, NJ 07764, USA.
| | - Derek E Daniels
- Wayne State University, Department of Communication Sciences and Disorders, 5201 Cass Avenue, 103 Prentis Building, Detroit, MI 48202, USA
| | - Paula E Thomson
- Monmouth University, Department of Speech-Language Pathology, 400 Cedar Avenue, West Long Branch, NJ 07764, USA
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Evaluation of the Quality of Information Available on the Internet Regarding Chronic Ankle Instability. Medicina (B Aires) 2022; 58:medicina58101315. [PMID: 36295476 PMCID: PMC9606900 DOI: 10.3390/medicina58101315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 09/13/2022] [Accepted: 09/19/2022] [Indexed: 11/17/2022] Open
Abstract
Background and objectives: Most Koreans obtain medical information from the Internet. Despite the vast amount of information available, there is a possibility that patients acquire false information or are dissatisfied. Chronic ankle instability (CAI) is one of the most common sports injuries that develops after an ankle sprain. Although the information available on the Internet related to CAI has been evaluated in other countries, such studies have not been conducted in Korea. Materials and Methods: The key term “chronic ankle instability” was searched on the three most commonly used search engines in Korea. The top 150 website results were classified into university hospital, private hospital, commercial, non-commercial, and unspecified websites by a single investigator. The websites were rated according to the quality of information using the DISCERN instrument, accuracy score, and exhaustivity score. Results: Of the 150 websites, 96 were included in the analysis. University and private hospital websites had significantly higher DISCERN, accuracy, and exhaustivity scores compared to the other websites. Conclusions: Accurate medical information is essential for improving patient satisfaction and treatment outcomes. The quality of websites should be improved to provide high-quality medical information to patients, which can be facilitated by doctors.
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Staemmler H, Sauer S, Kreutzer EP, Brandt J, Jordan K, Kreuter M, Kriegsmann M, Goldschmidt H, Müller-Tidow C, Egerer G, Kriegsmann K. Quality of Online Information on Multiple Myeloma Available for Laypersons. Curr Oncol 2022; 29:4522-4540. [PMID: 35877218 PMCID: PMC9324394 DOI: 10.3390/curroncol29070358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 06/15/2022] [Accepted: 06/24/2022] [Indexed: 11/16/2022] Open
Abstract
Online information can increase patients’ competence and engagement. However, there are concerns regarding invalid information. Overall, 300 websites and 50 YouTube videos on multiple myeloma (MM) were evaluated. The websites did not differ between the search engines or search ranks. The median time since the last update was 9 months. The 63 unique websites showed a poor general quality (median JAMA score 2 of 4, only 18% with a valid HON certificate). The patient- (user-) focused quality was medium to poor (median sum DISCERN score 41 out of 80 points). The overall reading level was difficult requiring at least a 12th US school grade. The content level was low (median 24 out of 73 points). Sixteen percent contained misleading/wrong facts. Websites provided by foundation/advocacies showed a significantly higher general and patient- (user-) focused quality. For videos, the median time since upload was 18 months. Judged by the HON foundation score ~80% of videos showed a medium general quality. The patient- (user-) focused quality was medium to poor (median sum DISCERN score 43 points). The content level was very low (median 8 points). MM relevant websites and videos showed a medium to low general, patient- (user-) focused and content quality. Therefore, incorporation of quality indices and regular review is warranted.
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Affiliation(s)
- Henrike Staemmler
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Sandra Sauer
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Emma Pauline Kreutzer
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Juliane Brandt
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Karin Jordan
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Michael Kreuter
- Center for Interstitial and Rare Lung Diseases, Department of Pneumology, Thoraxklinik, University Hospital Heidelberg, 69126 Heidelberg, Germany;
- German Center for Lung Research (DZL), 69120 Heidelberg, Germany;
| | - Mark Kriegsmann
- German Center for Lung Research (DZL), 69120 Heidelberg, Germany;
- Institute of Pathology, University Hospital Heidelberg, 69120 Heidelberg, Germany
| | - Hartmut Goldschmidt
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
- National Center for Tumor Diseases (NCT), University Hospital Heidelberg, 69120 Heidelberg, Germany
| | - Carsten Müller-Tidow
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Gerlinde Egerer
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
| | - Katharina Kriegsmann
- Department of Hematology, Oncology and Rheumatology, University Hospital Heidelberg, Im Neuenheimer Feld 410/69120, 69120 Heidelberg, Germany; (H.S.); (S.S.); (E.P.K.); (J.B.); (K.J.); (H.G.); (C.M.-T.); (G.E.)
- Correspondence: ; Tel.: +49-6221-56-37238
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Accuracy and Reliability of Internet Resources for Information on Monoclonal Gammopathy of Undetermined Significance-What Information Is out There for Our Patients? Cancers (Basel) 2021; 13:cancers13184508. [PMID: 34572733 PMCID: PMC8465467 DOI: 10.3390/cancers13184508] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 08/28/2021] [Accepted: 09/03/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Online information gathering can increase patients' engagement in decision-making. The quality of online resources available for monoclonal gammopathy of undetermined significance (MGUS) was evaluated. METHODS 900 websites from Google, Bing, Yahoo, and 150 YouTube videos were assessed. RESULTS The websites did not differ regarding their search rank or between the search engines. The median time since last update was 24 months. The 86 unique websites showed a medium to poor general quality (JAMA score 3/4, only 8.1% websites with a valid HON certificate). The patient- (user-) focused quality was poor (sum DISCERN score 27/80 points). The reading level was difficult (11th US school grade). The content level was very low (13/50 points). 12.8% of websites contained misleading/wrong facts. Websites provided by scientific/governmental organizations had a higher content level. For the 61 unique videos, the median time since upload was 34 months. The videos showed a medium general quality (HON Foundation score). The patient- (user-) focused quality was poor (sum DISCERN score 24 points). The content level was very low (6 points). CONCLUSION MGUS-relevant online sources showed a low quality that was provided on a high reading level. Incorporation of quality indices and regular review of online content is warranted.
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