Basak Madhusudan, Sharif Omar, Lord Sarah E, Borodovsky Jacob T, Marsch Lisa A, Springer Sandra A, Nunes Edward V, Brackett Charles D, Archibald Luke J, Preum Sarah M
Department of Computer Science, Dartmouth College, Hanover, NH, United States.
Department of Computer Science and Engineering, Bangladesh University of Engineering and Technology, Dhaka, Bangladesh.
J Med Internet Res. 2025 Jun 9;27:e68886. doi: 10.2196/68886.
Buprenorphine is a Food and Drug Administration-approved medication for opioid use disorder. However, individuals with opioid use disorder often report information needs regarding buprenorphine treatment on social media platforms such as Reddit. The field lacks a systematic approach to organizing these data and characterizing treatment information needs that may be unique and unavailable elsewhere.
In this study, we curated and analyzed large-scale data from social media to characterize self-reported buprenorphine treatment information needs using a qualitative analysis.
We collected 15,253 Reddit posts from the subreddit r/Suboxone. Following a standard protocol and guidance from clinical experts, we first identified 5 main themes from the data and then manually coded 6000 posts based on these themes. Finally, we determined the most frequently appearing topics within each theme by analyzing samples from each group.
Among the 6000 posts, 2417 (40.3%) contained a single theme, 2160 (36%) contained two themes, and 834 (13.9%) contained three themes. The most frequent topics found across these themes included reports of psychological and physical effects during recovery, complexities in accessing buprenorphine, and significant information gaps regarding medication administration, tapering, and substance use at different stages of recovery. Moreover, self-treatment strategies and peer-driven advice revealed potential rumors and misinformation.
Our findings can guide the design of interventions to improve patient education and communication. They also help address knowledge gaps and misinformation related to treatment. Additionally, the results can support hypothesis generation for future clinical research on medication for opioid use disorder treatment.
丁丙诺啡是一种经美国食品药品监督管理局批准用于治疗阿片类物质使用障碍的药物。然而,患有阿片类物质使用障碍的个体经常在Reddit等社交媒体平台上报告有关丁丙诺啡治疗的信息需求。该领域缺乏一种系统的方法来整理这些数据并描述可能独特且在其他地方无法获得的治疗信息需求。
在本研究中,我们整理并分析了来自社交媒体的大规模数据,以通过定性分析来描述自我报告的丁丙诺啡治疗信息需求。
我们从子版块r/Suboxone收集了15253条Reddit帖子。遵循标准方案和临床专家的指导,我们首先从数据中确定了5个主要主题,然后根据这些主题对6000条帖子进行手动编码。最后,我们通过分析每组样本确定每个主题中最常出现的话题。
在6000条帖子中,2417条(40.3%)包含一个主题,2160条(36%)包含两个主题,834条(13.9%)包含三个主题。在这些主题中发现的最常见话题包括康复期间心理和身体影响的报告、获取丁丙诺啡的复杂性,以及在康复不同阶段关于药物管理、逐渐减量和物质使用的重大信息差距。此外,自我治疗策略和同伴提供的建议揭示了潜在的谣言和错误信息。
我们的研究结果可以指导干预措施的设计,以改善患者教育和沟通。它们还有助于解决与治疗相关的知识差距和错误信息。此外,研究结果可以支持为未来阿片类物质使用障碍治疗药物的临床研究生成假设。