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.
References
American Cancer Society. (2021). Cancer Facts and Figures. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2021/cancer-facts-and-figures-2021.pdf
Attai, D. J., Cowher, M. S., Al-Hamadani, M., Schoger, J. M., Staley, A. C., & Landercasper, J. (2015). Twitter social media is an effective tool for breast cancer patient education and support: Patient-reported outcomes by survey. Journal of Medical Internet Research, 17(7), e188. https://doi.org/10.2196/jmir.4721
Bade, B. C., Thomas, D. D., Scott, J. B., & Silvestri, G. A. (2015). Increasing physical activity and exercise in lung cancer: Reviewing safety, benefits, and application. Journal of Thoracic Oncology, 10(6), 861–871. https://doi.org/10.1097/jto.0000000000000536
Brown Johnson, C. G., Brodsky, J. L., & Cataldo, J. K. (2014). Lung cancer stigma, anxiety, depression, and quality of life. Journal of Psychosocial Oncology, 32(1), 59–73. https://doi.org/10.1080/07347332.2013.855963
de Mello, R. A., & Amaral, G. A. (2020). Biomarkers for non-small cell lung cancer: From the bench to the bedside. Journal of Clinical Medicine, 9(10). https://doi.org/10.3390/jcm9103376
Falisi, A. L., Wiseman, K. P., Gaysynsky, A., Scheideler, J. K., Ramin, D. A., & Chou, W. S. (2017). Social media for breast cancer survivors: A literature review. Journal of Cancer Survivorship, 11(6), 808–821. https://doi.org/10.1007/s11764-017-0620-5
Fitch, M. I. (2019). The changing face of lung cancer: Survivor perspectives on patient engagement. Asia Pacific Journal of Oncology Nursing, 6(1), 17–23. https://doi.org/10.4103/apjon.apjon_43_18
Grant, M., Sun, V., Fujinami, R., Sidhu, R., Otis-Green, S., Juarez, G.,...Ferrell, B. (2013). Family caregiver burden, skills preparedness, and quality of life in non-small cell lung cancer. Oncology Nursing Forum, 40(4), 337–346. https://doi.org/10.1188/13.ONF.337-346
Green, B. M., Van Horn, K. T., Gupte, K., Evans, M., Hayes, S., & Bhowmick, A. (2020). Assessment of adaptive engagement and support model for people with chronic health conditions in online health communities: Combined content analysis. Journal of Medical Internet Research, 22(7), e17338. https://doi.org/10.2196/17338
Harkin, L. J., Beaver, K., Dey, P., & Choong, K. A. (2020). Secret groups and open forums: Defining online support communities from the perspective of people affected by cancer. Digital Health, 6, 2055207619898993. https://doi.org/10.1177/2055207619898993
Hazell, S. Z., Fu, W., Hu, C., Voong, K. R., Lee, B., Peterson, V.,...Hales, R. K. (2020). Financial toxicity in lung cancer: An assessment of magnitude, perception, and impact on quality of life. Annals of Oncology, 31(1), 96–102. https://doi.org/10.1016/j.annonc.2019.10.006
Hsieh, L. Y., Chou, F. J., & Guo, S. E. (2018). Information needs of patients with lung cancer from diagnosis until first treatment follow-up. PLoS One, 13(6), e0199515. https://doi.org/10.1371/journal.pone.0199515
Johansson, V., Islind, A. S., Lindroth, T., Angenete, E., & Gellerstedt, M. (2021). Online communities as a driver for patient empowerment: Systematic review. Journal of Medical Internet Research, 23(2), e19910. https://doi.org/10.2196/19910
Kashian, N., & Jacobson, S. (2020). Factors of engagement and patient-reported outcomes in a stage IV breast cancer Facebook group. Health Communication, 35(1), 75–82. https://doi.org/10.1080/10410236.2018.1536962
Kedia, S. K., Collins, A., Dillon, P. J., Akkus, C., Ward, K. D., & Jackson, B. M. (2020). Psychosocial interventions for informal caregivers of lung cancer patients: A systematic review. Psychooncology, 29(2), 251–262. https://doi.org/10.1002/pon.5271
Kelley, D. E., Kent, E. E., Litzelman, K., Mollica, M. A., & Rowland, J. H. (2019). Dyadic associations between perceived social support and cancer patient and caregiver health: An actor-partner interdependence modeling approach. Psychooncology, 28(7), 1453–1460. https://doi.org/10.1002/pon.5096
Kobayashi, R., & Ishizaki, M. (2020). Relationship between health literacy and social support and the quality of life in patients with cancer: Questionnaire study. Journal of Participatory Medicine, 12(1), e17163. https://doi.org/10.2196/17163
Lheureux, M., Raherison, C., Vernejoux, J. M., Nguyen, L., Nocent, C., Tunon De Lara, M., & Taytard, A. (2004). Quality of life in lung cancer: Does disclosure of the diagnosis have an impact? Lung Cancer, 43(2), 175–182. https://doi.org/10.1016/j.lungcan.2003.08.018
Lu, Y., Wu, Y., Liu, J., Li, J., & Zhang, P. (2017). Understanding health care social media use from different stakeholder perspectives: a content analysis of an online health community. Journal of Medical Internet Research, 19(4), e109. https://doi.org/10.2196/jmir.7087
Luo, X., Gao, L., Li, J., Lin, Y., Zhao, J., & Li, Q. (2020). A critical literature review of dyadic web-based interventions to support cancer patients and their caregivers, and directions for future research. Psychooncology, 29(1), 38–48. https://doi.org/10.1002/pon.5278
McCaughan, E., Parahoo, K., Hueter, I., Northouse, L., & Bradbury, I. (2017). Online support groups for women with breast cancer. Cochrane Database of Systematic Reviews, 3, CD011652. https://doi.org/10.1002/14651858.CD011652.pub2
McIllmurray, M. B., Thomas, C., Francis, B., Morris, S., Soothill, K., & Al-Hamad, A. (2001). The psychosocial needs of cancer patients: fFndings from an observational study. European Journal of Cancer Care, 10(4), 261–269. https://doi.org/10.1046/j.1365-2354.2001.00280.x
Nightingale, C. L., Steffen, L. E., Tooze, J. A., Petty, W., Danhauer, S. C., Badr, H., & Weaver, K. E. (2019). Lung cancer patient and caregiver health vulnerabilities and interest in health promotion interventions: An exploratory study. Global Advances in Health and Medicine, 8, 2164956119865160. https://doi.org/10.1177/2164956119865160
Prapa, P., Papathanasiou, I. V., Bakalis, V., Malli, F., Papagiannis, D., & Fradelos, E. C. (2021). Quality of life and psychological distress of lung cancer patients undergoing chemotherapy. World Journal of Oncology, 12(2–3), 61–66. https://doi.org/10.14740/wjon1371
Rauma, V., Sintonen, H., Rasanen, J. V., Salo, J. A., & Ilonen, I. K. (2015). Long-term lung cancer survivors have permanently decreased quality of life after surgery. Clinical Lung Cancer, 16(1), 40–45. https://doi.org/10.1016/j.cllc.2014.08.004
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Taylor, J., & Pagliari, C. (2019). The social dynamics of lung cancer talk on Twitter, Facebook and Macmillan.org.uk. NPJ Digital Medicine, 2, 51. https://doi.org/10.1038/s41746-019-0124-y
van Eenbergen, M. C., van de Poll-Franse, L. V., Heine, P., & Mols, F. (2017). The impact of participation in online cancer communities on patient reported outcomes: Systematic review. JMIR Cancer, 3(2), e15. https://doi.org/10.2196/cancer.7312
van Eenbergen, M. C., van de Poll-Franse, L. V., Krahmer, E., Verberne, S., & Mols, F. (2018). Analysis of content shared in online cancer communities: Systematic review. JMIR Cancer, 4(1), e6. https://doi.org/10.2196/cancer.7926
van Montfort, E., de Vries, J., Arts, R., Aerts, J. G., Kloover, J. S., & Traa, M. J. (2020). The relation between psychological profiles and quality of life in patients with lung cancer. Supportive Care in Cancer, 28(3), 1359–1367. https://doi.org/10.1007/s00520-019-04923-w
Vijayvergia, N., Shah, P. C., & Denlinger, C. S. (2015). Survivorship in non-small cell lung cancer: Challenges faced and steps forward. Journal of the National Comprehensive Cancer Network, 13(9), 1151–1161. https://doi.org/10.6004/jnccn.2015.0140
Walsh, C. A., & Al Achkar, M. (2021). A qualitative study of online support communities for lung cancer survivors on targeted therapies. Supportive Care in Cancer, 29(8), 4493–4500. https://doi.org/10.1007/s00520-021-05989-1
Wicks, P., Mack Thorley, E., Simacek, K., Curran, C., & Emmas, C. (2018). Scaling PatientsLikeMe via a “generalized platform” for members with chronic illness: Web-based survey study of benefits arising. Journal of Medical Internet Research, 20(5), e175. https://doi.org/10.2196/jmir.9909
Willis, E. (2016). Patients’ self-efficacy within online health communities: Facilitating chronic disease self-management behaviors through peer education. Health Communication, 31(3), 299–307. https://doi.org/10.1080/10410236.2014.950019
Yang, P., Cheville, A. L., Wampfler, J. A., Garces, Y. I., Jatoi, A., Clark, M. M.,...Sloan, J. A. (2012). Quality of life and symptom burden among long-term lung cancer survivors. Journal of Thoracic Oncology, 7(1), 64–70. https://doi.org/10.1097/JTO.0b013e3182397b3e
Zhou, J., & Fan, T. (2019). Understanding the factors influencing patient e-health literacy in online health communities (OHCs): A social cognitive theory perspective. International Journal of Environmental Research and Public Health, 16(14), 2455. https://doi.org/10.3390/ijerph16142455