Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases

Increasingly, patient-generated safety insights are shared online, via general social media platforms or dedicated healthcare fora which give patients the opportunity to discuss their disease and treatment options. We evaluated three areas of potential interest for the use of social media in pharmac...

Full description

Bibliographic Details
Main Authors: Greg Powell, Vijay Kara, Jeffery L. Painter, Lorrie Schifano, Erin Merico, Andrew Bate
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.901355/full
_version_ 1811249240057315328
author Greg Powell
Vijay Kara
Jeffery L. Painter
Lorrie Schifano
Erin Merico
Andrew Bate
author_facet Greg Powell
Vijay Kara
Jeffery L. Painter
Lorrie Schifano
Erin Merico
Andrew Bate
author_sort Greg Powell
collection DOAJ
description Increasingly, patient-generated safety insights are shared online, via general social media platforms or dedicated healthcare fora which give patients the opportunity to discuss their disease and treatment options. We evaluated three areas of potential interest for the use of social media in pharmacovigilance. To evaluate how social media may complement existing safety signal detection capabilities, we identified two use cases (drug/adverse event [AE] pairs) and then evaluated the frequency of AE discussions across a range of social media channels. Changes in frequency over time were noted in social media, then compared to frequency changes in Food and Drug Administration Adverse Event Reporting System (FAERS) data over the same time period using a traditional disproportionality method. Although both data sources showed increasing frequencies of AE discussions over time, the increase in frequency was greater in the FAERS data as compared to social media. To demonstrate the robustness of medical/AE insights of linked posts we manually reviewed 2,817 threads containing 21,313 individual posts from 3,601 unique authors. Posts from the same authors were linked together. We used a quality scoring algorithm to determine the groups of linked posts with the highest quality and manually evaluated the top 16 groups of posts. Most linked posts (12/16; 75%) contained all seven relevant medical insights assessed compared to only one (of 1,672) individual post. To test the capability of actively engage patients via social media to obtain follow-up AE information we identified and sent consents for follow-up to 39 individuals (through a third party). We sent target follow-up questions (identified by pharmacovigilance experts as critical for causality assessment) to those who consented. The number of people consenting to follow-up was low (20%), but receipt of follow-up was high (75%). We observed completeness of responses (37 out of 37 questions answered) and short average time required to receive the follow-up (1.8 days). Our findings indicate a limited use of social media data for safety signal detection. However, our research highlights two areas of potential value to pharmacovigilance: obtaining more complete medical/AE insights via longitudinal post linking and actively obtaining rapid follow-up information on AEs.
first_indexed 2024-04-12T15:43:04Z
format Article
id doaj.art-36c8e1001ad94331ae469bba8b42a388
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-04-12T15:43:04Z
publishDate 2022-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-36c8e1001ad94331ae469bba8b42a3882022-12-22T03:26:44ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-06-011310.3389/fphar.2022.901355901355Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use CasesGreg Powell0Vijay Kara1Jeffery L. Painter2Lorrie Schifano3Erin Merico4Andrew Bate5GSK, Durham, NC, United StatesGSK, London, United KingdomGSK, Durham, NC, United StatesGSK, Durham, NC, United StatesCollege of Pharmacy, Northeast Ohio Medical University, Rootstown, OH, United StatesGSK, London, United KingdomIncreasingly, patient-generated safety insights are shared online, via general social media platforms or dedicated healthcare fora which give patients the opportunity to discuss their disease and treatment options. We evaluated three areas of potential interest for the use of social media in pharmacovigilance. To evaluate how social media may complement existing safety signal detection capabilities, we identified two use cases (drug/adverse event [AE] pairs) and then evaluated the frequency of AE discussions across a range of social media channels. Changes in frequency over time were noted in social media, then compared to frequency changes in Food and Drug Administration Adverse Event Reporting System (FAERS) data over the same time period using a traditional disproportionality method. Although both data sources showed increasing frequencies of AE discussions over time, the increase in frequency was greater in the FAERS data as compared to social media. To demonstrate the robustness of medical/AE insights of linked posts we manually reviewed 2,817 threads containing 21,313 individual posts from 3,601 unique authors. Posts from the same authors were linked together. We used a quality scoring algorithm to determine the groups of linked posts with the highest quality and manually evaluated the top 16 groups of posts. Most linked posts (12/16; 75%) contained all seven relevant medical insights assessed compared to only one (of 1,672) individual post. To test the capability of actively engage patients via social media to obtain follow-up AE information we identified and sent consents for follow-up to 39 individuals (through a third party). We sent target follow-up questions (identified by pharmacovigilance experts as critical for causality assessment) to those who consented. The number of people consenting to follow-up was low (20%), but receipt of follow-up was high (75%). We observed completeness of responses (37 out of 37 questions answered) and short average time required to receive the follow-up (1.8 days). Our findings indicate a limited use of social media data for safety signal detection. However, our research highlights two areas of potential value to pharmacovigilance: obtaining more complete medical/AE insights via longitudinal post linking and actively obtaining rapid follow-up information on AEs.https://www.frontiersin.org/articles/10.3389/fphar.2022.901355/fulladverse event reportingsafety signal detectionfollow-up reportsocial mediapatient forumshealthcare fora
spellingShingle Greg Powell
Vijay Kara
Jeffery L. Painter
Lorrie Schifano
Erin Merico
Andrew Bate
Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases
Frontiers in Pharmacology
adverse event reporting
safety signal detection
follow-up report
social media
patient forums
healthcare fora
title Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases
title_full Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases
title_fullStr Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases
title_full_unstemmed Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases
title_short Engaging Patients via Online Healthcare Fora: Three Pharmacovigilance Use Cases
title_sort engaging patients via online healthcare fora three pharmacovigilance use cases
topic adverse event reporting
safety signal detection
follow-up report
social media
patient forums
healthcare fora
url https://www.frontiersin.org/articles/10.3389/fphar.2022.901355/full
work_keys_str_mv AT gregpowell engagingpatientsviaonlinehealthcareforathreepharmacovigilanceusecases
AT vijaykara engagingpatientsviaonlinehealthcareforathreepharmacovigilanceusecases
AT jefferylpainter engagingpatientsviaonlinehealthcareforathreepharmacovigilanceusecases
AT lorrieschifano engagingpatientsviaonlinehealthcareforathreepharmacovigilanceusecases
AT erinmerico engagingpatientsviaonlinehealthcareforathreepharmacovigilanceusecases
AT andrewbate engagingpatientsviaonlinehealthcareforathreepharmacovigilanceusecases