Abstract
Objective
To assess women’s knowledge, patient experience, and treatment decision making regarding overactive bladder (OAB) using digital ethnography.
Methods
Online posts were identified using a data mining service. Two hundred randomized posts were reviewed and coded using grounded theory. We then applied a latent Dirichlet allocation (LDA) probabilistic topic modeling process to review the entire collection of identified posts.
Results
A total of 2618 posts by 1867 unique users from 203 different websites were identified. Our analysis yielded six themes: the impact of OAB on quality of life, patient-physician interactions, online engagement, symptom management, patient knowledge acquisition, and alternative therapies.
Conclusion
Overall, online communities are a source of support for women to self-manage the OAB symptom complex and help overcome treatment pathway challenges. Digital ethnography provides insight into patient knowledge and barriers to patient-centered care, which are important to improve patient outreach. Additionally, we identify similar findings to prior work, indicating the reliability of studying social media.
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References
Haylen BT, De Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4–20. https://doi.org/10.1002/nau.20798.
Stewart WF, Van Rooyen JB, Cundiff GW, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20:327–36. https://doi.org/10.1007/s00345-002-0301-4.
Ganz ML, Smalarz AM, Krupski TL, et al. Economic costs of overactive bladder in the United States. Urology 75:526-532.e18. 2010. https://doi.org/10.1016/j.urology.2009.06.096.
Coyne KS, Sexton CC, Thompson CL, et al. Impact of overactive bladder on work productivity. Urology. 2012;80:97–103. https://doi.org/10.1016/j.urology.2012.03.039.
Nitti VW. Clinical impact of overactive bladder. Rev Urol. 2002;4(Suppl 4):S2–6.
Coyne KS, Sexton CC, Irwin DE, et al. The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008;101:1388–95. https://doi.org/10.1111/j.1464-410X.2008.07601.x.
Anger JT, Nissim HA, Le TX, et al. Women’s experience with severe overactive bladder symptoms and treatment: insight revealed from patient focus groups. Neurourol Urodyn 30:n/a-n/a. 2011. https://doi.org/10.1002/nau.21004.
Smith AL, Nissim HA, Le TX, et al. Misconceptions and miscommunication among aging women with overactive bladder symptoms. Urology. 2011;77:55–9. https://doi.org/10.1016/j.urology.2010.07.460.
Davenport A, Stark S, Quian A, et al. A patient-centered approach to refractory overactive bladder and barriers to third-line therapy. Obstet Gynecol. 2019;134:141–8. https://doi.org/10.1097/AOG.0000000000003320.
Gonzalez G, Vaculik K, Khalil C, et al. Women’s experience with stress urinary incontinence: insights from social media analytics. J Urol. 2020;203:962–8. https://doi.org/10.1097/ju.0000000000000706.
Garcia AC, Standlee AI, Bechkoff J, Cui Y. Ethnographic approaches to the internet and computer-mediated communication. J Contemp Ethnogr. 2009;38:52–84. https://doi.org/10.1177/0891241607310839.
Fox S, Duggan M. Health online 2013. Available at: https://www.pewresearch.org/internet/2013/01/15/health-online-2013/.Retrieved 1 Oct 2020.
Harlow BL, Bavendam TG, Palmer MH, Brubaker L, Burgio KL, Lukacz ES, et al. The prevention of lower urinary tract symptoms (PLUS) research consortium: a transdisciplinary approach toward promoting bladder health and preventing lower urinary tract symptoms in women across the life course. J Women’s Health. 2018;27(3):283–9.
Charmaz K. The grounded theory method: an explication and interpretation. In: Emerson RM, editor. Contemporary filed research. Boston, Ma: Little Brown; 1983. p. 109–27.
Campbell JC, Hindle A, Stroulia E. Latent Dirichlet allocation: extracting topics from software engineering data. Art Sci Anal Softw Data. 2015;3:139–59. https://doi.org/10.1016/B978-0-12-411519-4.00006-9.
van Uden-Kraan CF, Drossaert CHC, Taal E, et al. Empowering processes and outcomes of participation in online support groups for patients with breast cancer, arthritis, or fibromyalgia. Qual Health Res. 2008;18:405–17. https://doi.org/10.1177/1049732307313429.
Gormley EA, Lightner DJ, Burgio KL, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol. 2012;188:2455–63. https://doi.org/10.1016/j.juro.2012.09.079.
Coyne KS, Margolis MK, Jumadilova Z, et al. Overactive bladder and women’s sexual health: what is the impact? J Sex Med. 2007;4:656–66. https://doi.org/10.1111/j.1743-6109.2007.00493.x.
Forde JC, Davila JL, Marks BK, et al. Urogynecological conditions associated with overactive bladder symptoms in women. Can Urol Assoc J. 2017;11:E83–7. https://doi.org/10.5489/cuaj.3962.
Abrams P, Hanno P, Wein A. Overactive bladder and painful bladder syndrome: there need not be confusion. Neurourol Urodyn. 2005;24(2):149–50. https://doi.org/10.1002/nau.20082.
Ackerman AL, Lai HH, Parameshwar PS, et al. Symptomatic overlap in overactive bladder and interstitial cystitis/bladder pain syndrome: development of a new algorithm. BJU Int. 2019;123:682–93. https://doi.org/10.1111/bju.14568.
Funding
This study was funded by a pilot grant from the NIDDK Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium (JTA, BS).
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Authors and Affiliations
Contributions
G Gonzalez: project development, data analysis/collection, manuscript writing.
K Vaculik: data analysis/collection, manuscript writing.
C Khalil: data analysis/collection, manuscript writing.
Y Zekster: project development, manuscript writing.
C Arnold: project development, data analysis/collection, manuscript writing.
CV Almario: project development, data analysis/collection, manuscript writing.
B Spiegel: project development, data analysis/collection.
JT Anger: project development, data analysis/collection, manuscript writing.
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Dr. Jennifer T. Anger is an expert witness for Boston Scientific and advisory board member for Axonics. All other authors report no disclosures.
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Gonzalez, G., Vaculik, K., Khalil, C. et al. Social media analytics of overactive bladder posts: what do patients know and want to know?. Int Urogynecol J 32, 2729–2736 (2021). https://doi.org/10.1007/s00192-021-04686-1
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DOI: https://doi.org/10.1007/s00192-021-04686-1