Pediatr Gastroenterol Hepatol Nutr.  2020 Nov;23(6):548-577. 10.5223/pghn.2020.23.6.548.

Role for Social Media in Pediatric Liver Disease: Caregiver and Provider Perspectives

Affiliations
  • 1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • 2Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • 3Parent Advocate, Montgomery, IL, USA
  • 4Parent Advocate, Houston, TX, USA
  • 5Department of Surgery, Ohio State University, Columbus, OH, USA
  • 6Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA
  • 7Department of Pediatrics, University of Miami, Miami, FL, USA

Abstract

Purpose
To better understand the benefits and harms of engagement with online pediatric liver disease communities within social media.
Methods
We conducted a survey of caregivers of children with liver disease participating in online pediatric liver disease communities within social media, as well as a survey of healthcare providers (e.g., physicians, surgeons, nurse coordinators) from this field to better understand the perceived benefits and harms of participation.
Results
Among 138 caregivers of children with liver disease that completed the survey, 97.8% agreed social media was a good place to learn about patient experiences and 88% agreed it was a good source of general information. Among caregivers, 84.8% agreed social media helps them to better advocate for their child. While 18% agreed that the information over social media was equal to the information from their healthcare team and 19% neither agreed/disagreed, only 3% indicated they would use this information to change care without telling their provider; in contrast, among 217 healthcare providers, 55% believed social media may lead caregivers to change management without telling their team.
Conclusion
Engagement with online disease-specific communities in social media yields several benefits for caregivers and, in contrast to healthcare providers' concerns, participation is unlikely to lead to problems including caregivers changing the treatment plan without first discussing these plans with their team. Openness between caregivers and medical teams about the role for social media can help to improve trust and maximize the potential benefits of engagement with these groups.

Keyword

Social media; Facebook; Patient participation
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