Evaluating the User-Perceived Benefit of a Virtual Lung Cancer Patient Education and Support Community: LVNG With Lung Cancer

Mona L. Martin, RN, MPA, Kristin Bucklen, BS, MBA, Lise J. Hall, BA, MBA, Dann Wonser, MA, LPC, Genevieve de Renne, MA, OTR/L, FAOTA, Beth Sandy, MSN
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Abstract

Background: The accessibility and quality of network support for people living with lung cancer (PLW) and their support partners (SP) can vary. Virtual platforms provide unique opportunities for PLW/SP peer support and disease education. Methods: Using a novel dual approach, we determined the user-perceived impact of the AstraZeneca-sponsored Facebook community, LVNG With Lung Cancer (facebook.com/LVNGWithLungCancerUS), and measured the social/behavioral impact on PLW/SP. Qualitative 1-hour phone interviews were conducted with community members aged ≥ 18 years. Additionally, inbound community comments (December 2015–October 2016) were retrospectively analyzed and categorized. Results: 18 PLW and 2 SP were interviewed. Mean years since diagnosis was 2.75 (range, 0.08–17). Of the total expressions of benefit (n = 513) made during the interviews, 32% focused on increased health knowledge; 28% on social impacts of the community (e.g., having a supportive environment); and 18% conveyed feelings of empowerment. Community membership led to behavioral change in many respondents: 55% asked their doctor more questions, and 50% gave advice to others. Inbound community comments (24,336 posts from 12,187 unique members) reflected the themes offered during interviews as important reasons to participate: 63% of posts asked for or shared cancer information; 98% provided emotional support/understanding; and 84% were inspirational/optimistic. Conclusions: This analysis of the real-world impact of a virtual community provided insight into the benefit that members derive. We hypothesize that once members’ emotional and educational needs were met, they were empowered and/or inspired to take positive actions leading to better health behaviors and increased quality of life—an outcome that may apply to other diseases.
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评估虚拟肺癌患者教育和支持社区的用户感知效益:肺癌 LVNG
背景:肺癌患者(PLW)及其支持伙伴(SP)获得网络支持的机会和质量各不相同。虚拟平台为肺癌患者/支持伙伴提供了独特的同伴支持和疾病教育机会。方法:我们采用一种新颖的双重方法,确定了由 AstraZeneca 赞助的 Facebook 社区 LVNG With Lung Cancer(facebook.com/LVNGWithLungCancerUS)的用户感知影响,并测量了对 PLW/SP 的社会/行为影响。对年龄≥ 18 岁的社区成员进行了 1 小时的定性电话访谈。此外,还对收到的社区意见(2015 年 12 月至 2016 年 10 月)进行了回顾性分析和分类。结果:18 名 PLW 和 2 名 SP 接受了访谈。确诊后的平均年限为 2.75 年(范围为 0.08-17 年)。在访谈期间所表达的受益总人数(n = 513)中,32%集中在健康知识的增长上;28%集中在社区的社会影响上(例如,拥有一个支持性的环境);18%表达了增强能力的感受。社区成员身份使许多受访者的行为发生了改变:55% 的受访者向医生提出了更多问题,50% 的受访者向他人提供了建议。社区内的评论(来自 12,187 名独特会员的 24,336 篇帖子)反映了访谈中提出的作为参与重要原因的主题:63%的帖子询问或分享癌症信息;98%的帖子提供情感支持/理解;84%的帖子鼓舞人心/乐观向上。结论:通过分析虚拟社区对现实世界的影响,我们可以深入了解成员从中获得的益处。我们假设,一旦成员的情感和教育需求得到满足,他们就会得到授权和/或激励,从而采取积极行动,改善健康行为,提高生活质量--这一结果可能适用于其他疾病。
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