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Exploring Patient Blogs
 A Panel Discussion on Communicating the
 Experience of Chronic Pain and Illness
 through Blogging

 Moderator: Pamela Katz Ressler, MS, RN, HN-BC
 Tufts University School of Medicine
 Boston, MA

 Sept15, 2012 Medicine 2.0
 @pamressler
 pamela.ressler@tufts.edu
Panelists
   Renee Berry @rfberry

   Maggie Chesnut @maggiechesnut

   Matthew Katz @subatomicdoc

   Jill Plevinsky @jillplev

   Robert West @westr
Formative Research Study

Communicating the Experience of
 Chronic Pain
and Illness through Blogging

Co-authors: Ressler, Bradshaw, Gualtieri and Chui
Tufts University School of Medicine
“First I was helped,

now I am helping….

a reminder that I am part of the
world,”

                       ~survey participant
Study Abstract
   Background: Formative research is lacking on the psychosocial
    effects and motivating factors for initiating and maintaining a blog.


   Objective: To examine through an online questionnaire the
    perceived psychosocial and health benefit of blogging among
    patients who use this media to communicate their experience of
    chronic pain or illness.


   Sample: N= 230 Female 81.8% with a wide spectrum of chronic
    pain and illness diagnoses and co-morbidities represented.


   Theme Analysis: Open-ended questions explored respondents’
    attitudes, motivations, and explanations; respondents had unlimited
    space in which to answer. These narrative responses were
    qualitatively analyzed and grouped into primary themes and
    subthemes according to the major ideas and concerns expressed.
Results

   89.7% of the respondents have shared their blogs
    with friends and family members, less than half
    (42.1%) have shared their blogs with their health
    care providers

   Most bloggers (60%) had initiated their blogs on
    their own, and the majority (87.8%) of the blogs
    were public and searchable on the Internet.

   6% of respondents stated their health care providers
    had suggested they initiate a blog.
Results
   Respondents reported that initiating and
    maintaining an illness blog resulted in:

    ◦   increased connection with others
    ◦   decreased isolation
    ◦   an opportunity to tell their illness story
    ◦   accountability (to self and others)
    ◦   opportunities for meaning making
    ◦   nurtured a sense of purpose, and
    ◦   furthered understanding of illness.
Conclusions
   Results suggest that chronic pain and illness
    blogging may decrease a sense of isolation
    through the establishment of online
    connections with others and increases a sense
    of purpose to help others in similar situations.

    Experiments involving larger sample
    size, wider range of education level, and
    respondents with different types and magnitude
    of illnesses will be needed to better elucidate
    the mechanism of the observed associations in
    this understudied area.
Panel Discussion
   Comment on the study findings

   Explore blogging as peer to peer support
    for those with chronic pain/illness

   Discuss the role of patient blogs in
    patient-provider communication

   Envision future directions of patient
    centered digital tools of connection and
    communication
Questions and Comments?

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Exploring Patient Blogs: A Panel Discussion at Medicine 2.0 2012 Boston (Ressler)

  • 1. Exploring Patient Blogs A Panel Discussion on Communicating the Experience of Chronic Pain and Illness through Blogging Moderator: Pamela Katz Ressler, MS, RN, HN-BC Tufts University School of Medicine Boston, MA Sept15, 2012 Medicine 2.0 @pamressler pamela.ressler@tufts.edu
  • 2. Panelists  Renee Berry @rfberry  Maggie Chesnut @maggiechesnut  Matthew Katz @subatomicdoc  Jill Plevinsky @jillplev  Robert West @westr
  • 3. Formative Research Study Communicating the Experience of Chronic Pain and Illness through Blogging Co-authors: Ressler, Bradshaw, Gualtieri and Chui Tufts University School of Medicine
  • 4. “First I was helped, now I am helping…. a reminder that I am part of the world,” ~survey participant
  • 5. Study Abstract  Background: Formative research is lacking on the psychosocial effects and motivating factors for initiating and maintaining a blog.  Objective: To examine through an online questionnaire the perceived psychosocial and health benefit of blogging among patients who use this media to communicate their experience of chronic pain or illness.  Sample: N= 230 Female 81.8% with a wide spectrum of chronic pain and illness diagnoses and co-morbidities represented.  Theme Analysis: Open-ended questions explored respondents’ attitudes, motivations, and explanations; respondents had unlimited space in which to answer. These narrative responses were qualitatively analyzed and grouped into primary themes and subthemes according to the major ideas and concerns expressed.
  • 6. Results  89.7% of the respondents have shared their blogs with friends and family members, less than half (42.1%) have shared their blogs with their health care providers  Most bloggers (60%) had initiated their blogs on their own, and the majority (87.8%) of the blogs were public and searchable on the Internet.  6% of respondents stated their health care providers had suggested they initiate a blog.
  • 7. Results  Respondents reported that initiating and maintaining an illness blog resulted in: ◦ increased connection with others ◦ decreased isolation ◦ an opportunity to tell their illness story ◦ accountability (to self and others) ◦ opportunities for meaning making ◦ nurtured a sense of purpose, and ◦ furthered understanding of illness.
  • 8. Conclusions  Results suggest that chronic pain and illness blogging may decrease a sense of isolation through the establishment of online connections with others and increases a sense of purpose to help others in similar situations.  Experiments involving larger sample size, wider range of education level, and respondents with different types and magnitude of illnesses will be needed to better elucidate the mechanism of the observed associations in this understudied area.
  • 9. Panel Discussion  Comment on the study findings  Explore blogging as peer to peer support for those with chronic pain/illness  Discuss the role of patient blogs in patient-provider communication  Envision future directions of patient centered digital tools of connection and communication