Kelleher Erin F, Giampietro Philip F, Moreno Megan A
Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, United States.
Division of Medical Genetics, Department of Pediatrics, Rutgers Robert Wood Johnson School of Medicine, New Brunswick, NJ, United States.
JMIR Pediatr Parent. 2020 Oct 30;3(2):e16367. doi: 10.2196/16367.
Young people with genetic conditions often face challenges coping with their health condition. It can be difficult for them to meet someone with a similar condition, which is important for reinforcement of chronic illness management recommendations. Social media is used by 97% of young people in the United States and may provide those with these disorders a space for emotional expression and support. However, there is a scarcity of literature related to the use of social media among adolescents with genetic conditions as an indicator of their perception regarding their own condition.
The purpose of this pilot study was to obtain preliminary data to assess and understand social media use by young people with connective tissue disorders and determine whether they use social media to connect with patients with similar conditions or whether they would be interested in doing so.
We undertook a pilot study of selected connective tissue disorders occurring in young people between the ages of 11 and 25 years, including Marfan syndrome; Ehlers-Danlos syndrome subtypes classical, classical-like, cardiac-valvular, and vascular; Beals congenital contractual arachnodactyly; and Alport hereditary nephritis. The study took place within one pediatric clinical system. Patients were identified through electronic medical record search and International Classification of Diseases, Ninth Revision, coding at a Midwest university-based clinical system. Study subjects completed a short survey describing their experiences with their connective tissue disorders, their means of self-expression, their existing network of persons to communicate with, and their use of social media. Data analysis included nominal and bivariate regressions to compare social media use in relation to age.
Our 31 participants (42% response rate) were 55% female (17/31) and their average age was 18 years (SD 5). All participants used social media and there were no statistically significant differences between social media use and age. The majority of participants (25/30, 83%) reported that they never used social media to discuss their condition (P=.09), and only 17% (5/30) knew someone online with a similar condition (P=.50). Most participants (19/30, 63%) said they would communicate with someone with a similar disorder (P=.64).
We found that young individuals with connective tissue disorders use at least one type of social media. A majority did not use social media to discuss their condition or know someone online with a similar condition. However, many persons were interested in finding others similarly affected. Social media could serve as a platform for young people with connective tissue disorders to connect. Peer support is important in disease management and adolescent development. Future studies should aim at understanding social media use among young people with connective tissue disorders and helping them connect with other people who have similar conditions.
患有遗传性疾病的年轻人在应对自身健康状况时常常面临挑战。对他们来说,很难遇到患有类似疾病的人,而这对于强化慢性病管理建议很重要。在美国,97%的年轻人使用社交媒体,这可能为患有这些疾病的人提供一个情感表达和获得支持的空间。然而,关于患有遗传性疾病的青少年使用社交媒体作为其对自身状况认知指标的文献却很匮乏。
本试点研究的目的是获取初步数据,以评估和了解患有结缔组织疾病的年轻人对社交媒体的使用情况,并确定他们是否利用社交媒体与患有类似疾病的患者建立联系,或者他们是否有兴趣这样做。
我们对11至25岁年轻人中出现的选定结缔组织疾病进行了一项试点研究,包括马凡综合征;埃勒斯-当洛综合征的经典型、类经典型、心脏瓣膜型和血管型亚型;贝斯先天性挛缩性蜘蛛指;以及奥尔波特遗传性肾炎。该研究在一个儿科临床系统内进行。通过电子病历搜索和基于中西部大学临床系统的《国际疾病分类(第九版)》编码来识别患者。研究对象完成了一项简短调查,描述他们在结缔组织疾病方面的经历、自我表达的方式、现有的交流对象网络以及他们对社交媒体的使用情况。数据分析包括名义回归和双变量回归,以比较社交媒体使用与年龄的关系。
我们的31名参与者(回复率为42%)中,55%为女性(17/31),平均年龄为18岁(标准差为5)。所有参与者都使用社交媒体,社交媒体使用与年龄之间没有统计学上的显著差异。大多数参与者(25/30,83%)报告说他们从未使用社交媒体讨论自己的病情(P = 0.09),只有17%(5/30)的人在网上认识患有类似疾病的人(P = 0.50)。大多数参与者(19/30,63%)表示他们愿意与患有类似疾病的人交流(P = 0.64)。
我们发现患有结缔组织疾病的年轻人至少使用一种社交媒体。大多数人没有使用社交媒体讨论自己的病情,也没有在网上认识患有类似疾病的人。然而,许多人有兴趣寻找其他受类似影响的人。社交媒体可以作为患有结缔组织疾病的年轻人建立联系的平台。同伴支持在疾病管理和青少年发展中很重要。未来的研究应旨在了解患有结缔组织疾病的年轻人对社交媒体的使用情况,并帮助他们与其他患有类似疾病的人建立联系。