@Article{info:doi/10.2196/48860,
author="Davidson, Anne Cara
and Booth, Richard
and Jackson, Teresa Kimberley
and Mantler, Tara",
title="Toxic Relationships Described by People With Breast Cancer on Reddit: Topic Modeling Study",
journal="JMIR Cancer",
year="2024",
month="Feb",
day="23",
volume="10",
pages="e48860",
keywords="breast cancer",
keywords="intimate partner violence",
keywords="meaning extraction method",
keywords="Reddit",
keywords="sentiment analysis",
keywords="social media",
keywords="social support",
keywords="toxic relationships",
keywords="topic modelling",
abstract="Background: Social support is essential to promoting optimal health outcomes for women with breast cancer. However, an estimated 12\% of women with breast cancer simultaneously experience intimate partner violence (IPV; physical, psychological, or sexual abuse by an intimate partner). Women who experience IPV during breast cancer may lack traditional social support, and thus seek out alternative sources of support. Online community forums, such as Reddit, can provide accessible social connections within breast cancer--specific communities. However, it is largely unknown how women with breast cancer use Reddit to describe and seek support for experiences of IPV. Objective: This study aims to explore how patients with breast cancer describe toxic relationships with their partners and immediate family members on Reddit. Methods: This exploratory, cross-sectional, topic-modeling study analyzed textual data from 96 users in the r/breastcancer subreddit in February 2023. The meaning extraction method, inclusive of principal component analysis, was used to identify underlying components. Components were subjected to sentiment analysis and summative content analysis with emergent categorical development to articulate themes. Results: Seven themes emerged related to toxic relationships: (1) contextualizing storytelling with lymph nodes, (2) toxic behavior and venting emotions, (3) abandonment and abuse following diagnosis, (4) toxic relationships and social-related fears, (5) inner strength and navigating breast cancer over time, (6) assessing social relationships and interactions, and (7) community advice and support. Toxic relationships were commonly characterized by isolation, abandonment, and emotional abuse, which had profound emotional consequences for patients. Reddit facilitated anonymous venting about toxic relationships that helped patients cope with intense feelings and stress. Exchanging advice and support about navigating toxic relationships during breast cancer were core functions of the r/breastcancer community. Conclusions: Findings emphasized the value of Reddit as a source of social support for patients with breast cancer experiencing toxic relationships. Clinicians who understand that many patients with breast cancer experience toxic relationships and considerable psychological sequelae are better prepared to support their patients' holistic well-being. Further investigation of Reddit as a possible resource for advice, information, and support has the potential to help inform clinical practice and subsequently, patient health outcomes. ",
doi="10.2196/48860",
url="https://cancer.jmir.org/2024/1/e48860",
url="http://www.ncbi.nlm.nih.gov/pubmed/38393769"
}


@Article{info:doi/10.2196/45011,
author="Renner, Simon
and Loussikian, Paul
and Foulqui{\'e}, Pierre
and Marrel, Alexia
and Barbier, Valentin
and Mebarki, Adel
and Sch{\"u}ck, St{\'e}phane
and Bharmal, Murtuza",
title="Patient and Caregiver Perceptions of Advanced Bladder Cancer Systemic Treatments: Infodemiology Study Based on Social Media Data",
journal="JMIR Cancer",
year="2023",
month="Mar",
day="27",
volume="9",
pages="e45011",
keywords="bladder cancer",
keywords="social media",
keywords="patient",
keywords="caregiver",
keywords="chemotherapy",
keywords="immunotherapy",
keywords="qualitative research",
keywords="cancer treatment",
keywords="first-line therapy",
keywords="patient support",
keywords="adverse event",
keywords="peer support",
keywords="cancer",
keywords="oncology",
keywords="perception",
keywords="pharmacotherapy",
keywords="opinion",
keywords="attitude",
abstract="Background: In 2022, it was estimated that more than 80,000 new cases of bladder cancer (BC) were diagnosed in the United States, 12\% of which were locally advanced or metastatic BC (advanced BC). These forms of cancer are aggressive and have a poor prognosis, with a 5-year survival rate of 7.7\% for metastatic BC. Despite recent therapeutic advances for advanced BC, little is known about patient and caregiver perceptions of different systemic treatments. To further explore this topic, social media can be used to collect the perceptions of patients and caregivers when they discuss their experiences on forums and online communities. Objective: The aim of this study was to assess patient and caregiver perceptions of chemotherapy and immunotherapy for treating advanced BC from social media--posted data. Methods: Public posts on social media in the United States between January 2015 and April 2021 from patients with advanced BC and their caregivers were collected. The posts included in this analysis were geolocalized to the United States; collected from publicly available domains and sites, including social media sites such as Twitter and forums such as patient association forums; and were written in English. Posts mentioning any line of chemotherapy or immunotherapy were qualitatively analyzed by two researchers to classify perceptions of treatments (positive, negative, mixed, or without perception). Results: A total of 80 posts by 69 patients and 142 posts by 127 caregivers mentioning chemotherapy, and 42 posts by 31 patients and 35 posts by 32 caregivers mentioning immunotherapy were included for analysis. These posts were retrieved from 39 public social media sites. Among patients with advanced BC and their caregivers, treatment perceptions of chemotherapy were more negative (36\%) than positive (7\%). Most of the patients' posts (71\%) mentioned chemotherapy factually without expressing a perception of the treatment. The caregivers' perceptions of treatment were negative in 44\%, mixed in 8\%, and positive in 7\% of posts. In combined patient and caregiver posts, immunotherapy was perceived positively in 47\% of posts and negatively in 22\% of posts. Caregivers also posted more negative perceptions (37\%) of immunotherapy than patients (9\%). Negative perceptions of both chemotherapy and immunotherapy were mainly due to side effects and perceived lack of effectiveness. Conclusions: Despite chemotherapy being standard first-line therapy for advanced BC, negative perceptions were identified on social media, particularly among caregivers. Addressing these negative perceptions of treatment may improve treatment adoption. Strengthening support for patients receiving chemotherapy and their caregivers to help them manage side effects and understand the role of chemotherapy in the treatment of advanced BC would potentially enable a more positive experience. ",
doi="10.2196/45011",
url="https://cancer.jmir.org/2023/1/e45011",
url="http://www.ncbi.nlm.nih.gov/pubmed/36972135"
}


@Article{info:doi/10.2196/44693,
author="Wassersug, Richard",
title="How I Built My Personal, Patient-Centered Health Care Team: Instead of Doctors, I Started With Students",
journal="JMIR Cancer",
year="2023",
month="Feb",
day="6",
volume="9",
pages="e44693",
keywords="prostate cancer",
keywords="mentorship",
keywords="medical education",
keywords="students",
keywords="patient with cancer",
keywords="urologist",
keywords="support",
keywords="researchers",
keywords="patient-centered",
keywords="colleagues",
keywords="health care training",
doi="10.2196/44693",
url="https://cancer.jmir.org/2023/1/e44693",
url="http://www.ncbi.nlm.nih.gov/pubmed/36745488"
}