Reciprocity and its Association with Treatment Adherence in an Online Breast Cancer Forum

Zhijun Yin, Lijun Song, B. Malin
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引用次数: 7

Abstract

Online health communities (OHCs) are increasingly relied upon by individuals exchanging social support for diagnoses and treatment regimens. It has been shown that social support from trusted relationships (e.g., family and friends) positively influence treatment adherence in offline environments, but much less is known about the online setting. In this study, we focus on how relationships established in an online breast cancer discussion board induce reciprocity (specifically in the form of reciprocal exchange of support) and its impact on adherence to a five-year hormonal therapy, a highly prevalent long-term treatment for breast cancers, with varying completion rates. We measure reciprocity as responses to forum posts to analyze interactions of over 6,000 patients and 100,000 responses. In doing so, we assess how reciprocity is related to time active in the OHC and the tones communicated by authors in their posts (e.g., emotions, writing styles and social tendencies). We further assess if such reciprocity is associated with treatment adherence. We find the volume of the reciprocity is positively associated with completing the five-year protocol, rather than the rate of the reciprocity or the fraction of the posts that received replies.
互惠性及其与在线乳腺癌论坛治疗依从性的关系
个人越来越依赖在线卫生社区(OHCs)交换社会支持以获得诊断和治疗方案。研究表明,来自可信任关系(如家庭和朋友)的社会支持对线下环境中的治疗依从性有积极影响,但对在线环境的影响知之甚少。在这项研究中,我们重点关注在线乳腺癌讨论板中建立的关系如何诱导互惠(特别是以互惠交换支持的形式)及其对坚持五年激素治疗的影响,这是一种非常普遍的乳腺癌长期治疗,具有不同的完成率。我们通过对论坛帖子的回复来衡量互惠性,以分析超过6,000名患者和100,000个回复的互动。在此过程中,我们评估了互惠性如何与OHC的活跃时间和作者在其帖子中传达的语气(例如情绪、写作风格和社会倾向)相关。我们进一步评估这种互惠是否与治疗依从性有关。我们发现互惠的数量与完成五年协议呈正相关,而不是互惠的比率或收到回复的帖子的比例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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