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Conaty S, Ike JD, Lane W, Bayerle H, Logan RA, Parker RM. Understanding Breast Cancer Images in Art History as a Form of Health Communication. JOURNAL OF HEALTH COMMUNICATION 2024; 29:340-346. [PMID: 38695299 DOI: 10.1080/10810730.2024.2342364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2024]
Abstract
Can art and visual images meant for public consumption (museums, galleries, social media platforms) serve as a critical form of health communication for breast cancer patients? For their clinicians? For the population at large? Art history research methods are applied to a range of breast cancer images in western art in order to understand what the images communicate to us about patient experience, agency, and inequity in health care at the time of their construction. The following is a selective look at western art as it reflects and informs our understanding of breast cancer over time.
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Affiliation(s)
| | - John David Ike
- Department of Medicine, Trent Center for Bioethics, Humanities & History of Medicine, Duke University, School of Medicine, Durham, NC, USA
| | - Whitney Lane
- Microsurgery Fellow, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Henry Bayerle
- Classics, Oxford College of Emory University, Atlanta, GA, USA
| | - Robert A Logan
- School of Journalism, University of Missouri-Columbia, National Library of Medicine, North Bethesda, MD, USA
| | - Ruth M Parker
- Center for Ethics, Emory University, Atlanta, GA, USA
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Ludwigson A, Huynh V, Vemuru S, Romandetti K, Fisher C, Coons HL, Pettigrew J, Hampanda K, Kaoutzanis C, Ahrendt G, Afghahi A, Stewart C, Tevis S. Characterizing informational needs and information seeking behavior of patients with breast cancer. Am J Surg 2024; 227:100-105. [PMID: 37863795 DOI: 10.1016/j.amjsurg.2023.09.047] [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: 06/29/2023] [Revised: 09/27/2023] [Accepted: 09/30/2023] [Indexed: 10/22/2023]
Abstract
BACKGROUND Appropriate information may facilitate adjustment to cancer diagnoses. Our study aims to characterize informational satisfaction in breast cancer patients and assess resources used by patients to gain information. METHODS Newly diagnosed Stage 0-III breast cancer patients seen at an academic medical center between May and September 2020 received questionnaires assessing information satisfaction. Patients indicated resources used to obtain information along with satisfaction with information received in various topics. A subset of questionnaire respondents completed semi-structured interviews. RESULTS Fifty-two (35 %) patients completed the questionnaire. Patients received information from physicians (96 %), the internet (81 %), nurses (79 %), and fellow breast cancer patients (54 %). Interview participants preferred receiving information from providers when making medical decisions but found patient forums and social media to be important adjuncts for receiving information. CONCLUSION Patients are satisfied with information received about diagnosis and treatment, but finances, sexual health, and fertility are less frequently discussed.
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Affiliation(s)
- Abigail Ludwigson
- University of Colorado School of Medicine, 13001 E 17th Pl, Aurora, CO, USA.
| | - Victoria Huynh
- Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
| | - Sudheer Vemuru
- Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
| | - Karina Romandetti
- Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
| | - Christine Fisher
- Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA
| | - Helen L Coons
- Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA
| | - Jessica Pettigrew
- Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO, USA
| | - Karen Hampanda
- Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, CO, USA
| | - Christodoulos Kaoutzanis
- Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
| | - Gretchen Ahrendt
- Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
| | - Anosheh Afghahi
- Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA
| | - Camille Stewart
- Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
| | - Sarah Tevis
- Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA
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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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Aydin SO, Tasargol O. Spinal Cord Stimulation and Related Health Information on Social Media: An Analysis of Instagram Posts. Cureus 2023; 15:e45129. [PMID: 37842402 PMCID: PMC10569752 DOI: 10.7759/cureus.45129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2023] [Indexed: 10/17/2023] Open
Abstract
INTRODUCTION Spinal cord stimulation (SCS) has been a well-established, effective, minimally invasive procedure for the treatment of chronic medically refractory neuropathic pain involving the limbs and trunk. Social media platforms, including Instagram, are increasingly being used for medical education and sharing patient experiences. This study aimed to investigate posts related to SCS on Instagram. METHODS AND MATERIALS This study presents a comprehensive analysis of Instagram posts utilizing the hashtags #spinalcordneuromodulation, #spinalcordstimulation, #spinalcordstimulationsurgery, #spinalcordstimulationtherapy, and #spinalcordstimulationimplant, all of which were collected on August 1, 2023. The outcomes were organized into four distinct source-based categories: posts generated by medical practitioners (both surgeons and non-surgeons); content shared by medical organizations; content created by patients; and content from indeterminate categories. The content was further classified based on its nature, encompassing educational material and reflections on patient or physician experiences. Moreover, the impact of users was evaluated in terms of their follower count and the count of posts. RESULTS The search yielded a total of 4983 posts. The majority of posts were created by medical practitioners (38.53%, n = 1920). The distribution of remaining Instagram posts about SCS was as follows: medical organizations for 35% (n = 1744), patients for 24.12% (n = 1202), and indeterminate categories for 2.35% (n = 117). Among the collected posts, 348 (41.4%) originated from accounts associated with medical practitioners, 286 (34%) from medical organizations, 145 (17.2%) from patients, and 62 (7.4%) remained unspecified. The statistical analysis revealed a significant difference in follower distribution between medical practitioners and all other groups (p<0.001). Reported side effects included pain over the implant (n = 257; 88.92%), lead migration (n = 18; 6.22%), infection (n = 9; 3; 11%), and seroma (n = 5; 1.73%). CONCLUSIONS When searching for posts about SCS on Instagram, one is more likely to encounter posts authored by medical practitioners that are mostly focused on educational content. Posts created by medical practitioners may be overshadowed and buried among numerous other posts created by patients. We suggest posting educational medical content with the hashtag #MedEd in an attempt to make educational content more easily accessible.
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Affiliation(s)
- Serdar O Aydin
- Neurosurgery, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, TUR
| | - Omer Tasargol
- Anesthesiology, Dr. Burhan Nalbantoglu State Hospital, Nicosia, CYP
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Kose HC. Exploring the Use of Facet Joint Injections Through Instagram. Cureus 2023; 15:e38554. [PMID: 37292571 PMCID: PMC10245078 DOI: 10.7759/cureus.38554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2023] [Indexed: 06/10/2023] Open
Abstract
PURPOSE Facet joint injection (FJI) is a minimally invasive procedure used to relieve pain and inflammation in the facet joints of the spine. In light of the growing presence of social media, it is essential to comprehend its effects on the healthcare industry. Little is known about how FJI is discussed on Instagram. The purpose of this study was to investigate the characteristics and production sources of FJI-related posts on Instagram. METHODS AND MATERIALS This study provides a descriptive analysis of Instagram posts with the keywords #facetjointinjection, #facetjointinjections, #facetinjection, #facetinjections, #facetblock, and #facetblocks on March 1, 2023. The results were categorized by source into four groups; posts created by healthcare professionals (surgeon/non-surgeon), medical organizations, patients, or not otherwise specified. The content was categorized by type (educational and patient/physician experience) and user influence (number of followers and posts). RESULTS The search resulted in 2718 posts. Most post uploaders were mainly physicians (43.1%, n = 275). The distribution of remaining Instagram users with FJIs posts was as follows: 27.1% (n=173) patients, 16.3% (n=104) medical organizations, and 13.4% (n=86) not otherwise specified. Among the posts, 1136 (41.7 %) were from accounts created by patients, 1015 (37.3%) by physicians, 441 (16.2%) by medical organizations, and 126 (4.6%) were unspecified. The analysis showed a significant difference in the distribution of posts among patients and physicians, as well as patients and other unspecified groups (p<0.05). The reported side effects were as follows: pain around the injection site (36%), swelling (17%), weight gain (15%), and anxiety (32%). CONCLUSIONS This study demonstrates that physicians are widely present on social media. However, when searching for posts about facet joint interventions, posts written by patients are more likely to be seen by the public. The results of this article emphasize the impact physicians have on online platforms and the need to raise FJI awareness on Instagram. Due to a lack of information and their anxiety about the unknown, patients have voiced hesitation about undergoing FJIs. To address this issue, it is the responsibility of physicians to enhance the accessibility of accurate information for patients in order to alleviate their anxiety. Additionally, reputable pain medicine societies and qualified specialists should upload credible posts on facet joint interventions that include accurate information, high-quality images and videos, and proper scientific commentary, with the aim of enhancing the quality of online health information.
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Affiliation(s)
- Halil C Kose
- Pain Medicine, Kocaeli City Hospital, Kocaeli, TUR
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Williams KDA, Dougherty SA, Lattie EG, Guidry JPD, Carlyle KE. Examining Hashtag Use of #blackboyjoy and #theblackmancan and Related Content on Instagram: Descriptive Content Analysis. JMIR Form Res 2022; 6:e34044. [PMID: 35916699 PMCID: PMC9379788 DOI: 10.2196/34044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 02/28/2022] [Accepted: 06/29/2022] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Social media is widely accessible and increasingly utilized. Social media users develop hashtags and visual, text-based imagery to challenge misrepresentations, garner social support, and discuss a variety of mental health issues. Understanding how Black men are represented on social media and are using social media may be an avenue for promoting their engagement with and uptake of digital mental health interventions. OBJECTIVE The aim of this study was to conduct a content analysis of posts containing visual and text-based components related to representations of Black men's race, gender, and behaviors. METHODS An exploratory, descriptive content analysis was conducted for 500 Instagram posts to examine characteristics, content, and public engagement of posts containing the hashtags #theblackmancan and #blackboyjoy. Posts were selected randomly and extracted from Instagram using a social network mining tool during Fall 2018 and Spring 2019. A codebook was developed, and all posts were analyzed by 2 independent coders. Analyses included frequency counts and descriptive analysis to determine content and characteristics of posts. Mann-Whitney U tests and Kruskal-Wallis H tests were conducted to assess engagement associated with posts via likes, comments, and video views. RESULTS Of the 500 posts extracted, most were image based (368/500, 73.6%), 272/500 (54.4%) were posted by an individual and 135/500 (27.0%) by a community organization, 269/500 (53.8%) were posted by individuals from Black populations, and 177/500 (35.4%) posts contained images of only males. Posts depicted images of Black men as fathers (100/500, 20.0%), Black men being celebrated (101/500, 20.2%), and Black men expressing joy (217/500, 43.4%). Posts (127/500, 25.4%) also depicted Black men in relation to gender atypical behavior, such as caring for children or styling their children's hair. Variables related to education and restrictive affection did not show up often in posts. Engagement via likes (median 1671, P<.001), comments (P<.001), and views (P<.001) for posts containing #theblackmancan was significantly higher compared with posts containing #blackboyjoy (median 140). Posts containing elements of celebrating Black men (P=.02) and gender atypical behavior (P<.001) also had significantly higher engagement. CONCLUSIONS This is one of the first studies to look at hashtag use of #blackboyjoy and #theblackmancan. Posts containing #blackboyjoy and #theblackmancan promoted positive user-generated visual and text-based content on Instagram and promoted positive interactions among Black and diverse communities. With the popularity of social media and hashtag use increasing, researchers and future interventional research should investigate the potential for such imagery to serve as culturally relevant design components for digital mental health prevention efforts geared towards Black men and the communities they exist and engage with.
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Affiliation(s)
- Kofoworola D A Williams
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Sharyn A Dougherty
- Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States
| | - Emily G Lattie
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Jeanine P D Guidry
- Robertson School of Media and Culture, College of Humanities and Sciences, Virginia Commonwealth University, Richmond, VA, United States
| | - Kellie E Carlyle
- Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, Richmond, VA, United States
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Manganello JA, Kane C, Roberts K, Klein EG, McAdams RJ, McKenzie LB. A Year of Child Injury Prevention on Instagram. JOURNAL OF HEALTH COMMUNICATION 2021; 26:636-644. [PMID: 34632948 DOI: 10.1080/10810730.2021.1985658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Injury is the leading cause of death for children but little is known about what types of injury prevention messages are communicated on Instagram. Conducted in the United States, the aim of this study was to better understand child injury prevention messages on Instagram to develop recommendations for the future. Informed by Social Cognitive Theory, a quantitative content analysis was conducted on all Instagram posts from selected organizations from May 2018 through April 2019. Of the 818 injury prevention posts, almost all included an image (575, 70%) or video (211, 26%). Of the 575 images, 245 (42.46%) had in image that did not match the topic of the post. Regarding injury prevention recommendations, 579 posts (71%) provided a clear action that parents should take. For these posts, 115 (20%) had an image that communicated the desired safety recommendation, but many more (285, 50%) did not; in 23 cases it was not clear if there was a match or not. There are missed opportunities for child health and injury organizations to reach parents and caregivers through Instagram. Posts made during the study period often lacked specificity about action-oriented measures and failed to utilize images that demonstrated the recommended practices. Organizations posting on Instagram and other social media platforms should provide clear action tips and utilize images that depict child injury prevention recommendations.
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Affiliation(s)
- Jennifer A Manganello
- School of Public Health, Department of Health Policy Management, and Behavior, University at Albany, One University Place, New York, USA
| | - Cassandra Kane
- School of Public Health, University at Albany, Rensselaer, New York, USA
| | - Kristin Roberts
- Center for Injury Research and Policy, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA
| | | | - Rebecca J McAdams
- Center for Injury Research and Policy, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Lara B McKenzie
- Center for Injury Research and Policy, Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA
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