Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study

BackgroundPsychological factors (eg, depression) and related biological and behavioral responses are associated with numerous physical health outcomes. Most research in this area relies on self-reported assessments of psychological factors, which are difficult to scale becaus...

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Main Authors: Peter James, Claudia Trudel-Fitzgerald, Harold H Lee, Hayami K Koga, Laura D Kubzansky, Francine Grodstein
Format: Article
Language:English
Published: JMIR Publications 2022-04-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2022/4/e32423
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author Peter James
Claudia Trudel-Fitzgerald
Harold H Lee
Hayami K Koga
Laura D Kubzansky
Francine Grodstein
author_facet Peter James
Claudia Trudel-Fitzgerald
Harold H Lee
Hayami K Koga
Laura D Kubzansky
Francine Grodstein
author_sort Peter James
collection DOAJ
description BackgroundPsychological factors (eg, depression) and related biological and behavioral responses are associated with numerous physical health outcomes. Most research in this area relies on self-reported assessments of psychological factors, which are difficult to scale because they may be expensive and time-consuming. Investigators are increasingly interested in using social media as a novel and convenient platform for obtaining information rapidly in large populations. ObjectiveWe evaluated the feasibility of obtaining Facebook data from a large ongoing cohort study of midlife and older women, which may be used to assess psychological functioning efficiently with low cost. MethodsThis study was conducted with participants in the Nurses’ Health Study II (NHSII), which was initiated in 1989 with biennial follow-ups. Facebook does not share data readily; therefore, we developed procedures to enable women to download and transfer their Facebook data to cohort servers (for linkage with other study data they have provided). Since privacy is a critical concern when collecting individual-level data, we partnered with a third-party software developer, Digi.me, to enable participants to obtain their own Facebook data and to send it securely to our research team. In 2020, we invited a subset of the 18,519 NHSII participants (aged 56-73 years) via email to participate. Women were selected if they reported on the 2017-2018 questionnaire that they regularly posted on Facebook and were still active cohort participants. We included an exit survey for those who chose not to participate in order to gauge the reasons for nonparticipation. ResultsWe invited 309 women to participate. Few women signed the consent form (n=52), and only 3 used the Digi.me app to download and transfer their Facebook data. This low participation rate was observed despite modifying our protocol between waves of recruitment, including by (1) excluding active health care workers, who might be less available to participate due to the pandemic, (2) developing a Frequently Asked Questions factsheet to provide more information regarding the protocol, and (3) simplifying the instructions for using the Digi.me app. On our exit survey, the reasons most commonly reported for not participating were concerns regarding data privacy and hesitation sharing personal Facebook posts. The low participation rate suggests that obtaining individual-level Facebook data in a cohort of middle-aged and older women may be challenging. ConclusionsIn this cohort of midlife and older women who were actively participating for over three decades, we were largely unable to obtain permission to access individual-level data from participants’ Facebook accounts. Despite working with a third-party developer to customize an app to implement safeguards for privacy, data privacy remained a key concern in these women. Future studies aiming to leverage individual-level social media data should explore alternate populations or means of sharing social media data.
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spelling doaj.art-872fe579378142c39963f3ff811444af2023-08-28T21:20:58ZengJMIR PublicationsJMIR Formative Research2561-326X2022-04-0164e3242310.2196/32423Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility StudyPeter Jameshttps://orcid.org/0000-0002-2858-1973Claudia Trudel-Fitzgeraldhttps://orcid.org/0000-0001-9989-4259Harold H Leehttps://orcid.org/0000-0001-5778-3227Hayami K Kogahttps://orcid.org/0000-0002-9716-2502Laura D Kubzanskyhttps://orcid.org/0000-0002-4039-2235Francine Grodsteinhttps://orcid.org/0000-0002-2699-7051 BackgroundPsychological factors (eg, depression) and related biological and behavioral responses are associated with numerous physical health outcomes. Most research in this area relies on self-reported assessments of psychological factors, which are difficult to scale because they may be expensive and time-consuming. Investigators are increasingly interested in using social media as a novel and convenient platform for obtaining information rapidly in large populations. ObjectiveWe evaluated the feasibility of obtaining Facebook data from a large ongoing cohort study of midlife and older women, which may be used to assess psychological functioning efficiently with low cost. MethodsThis study was conducted with participants in the Nurses’ Health Study II (NHSII), which was initiated in 1989 with biennial follow-ups. Facebook does not share data readily; therefore, we developed procedures to enable women to download and transfer their Facebook data to cohort servers (for linkage with other study data they have provided). Since privacy is a critical concern when collecting individual-level data, we partnered with a third-party software developer, Digi.me, to enable participants to obtain their own Facebook data and to send it securely to our research team. In 2020, we invited a subset of the 18,519 NHSII participants (aged 56-73 years) via email to participate. Women were selected if they reported on the 2017-2018 questionnaire that they regularly posted on Facebook and were still active cohort participants. We included an exit survey for those who chose not to participate in order to gauge the reasons for nonparticipation. ResultsWe invited 309 women to participate. Few women signed the consent form (n=52), and only 3 used the Digi.me app to download and transfer their Facebook data. This low participation rate was observed despite modifying our protocol between waves of recruitment, including by (1) excluding active health care workers, who might be less available to participate due to the pandemic, (2) developing a Frequently Asked Questions factsheet to provide more information regarding the protocol, and (3) simplifying the instructions for using the Digi.me app. On our exit survey, the reasons most commonly reported for not participating were concerns regarding data privacy and hesitation sharing personal Facebook posts. The low participation rate suggests that obtaining individual-level Facebook data in a cohort of middle-aged and older women may be challenging. ConclusionsIn this cohort of midlife and older women who were actively participating for over three decades, we were largely unable to obtain permission to access individual-level data from participants’ Facebook accounts. Despite working with a third-party developer to customize an app to implement safeguards for privacy, data privacy remained a key concern in these women. Future studies aiming to leverage individual-level social media data should explore alternate populations or means of sharing social media data.https://formative.jmir.org/2022/4/e32423
spellingShingle Peter James
Claudia Trudel-Fitzgerald
Harold H Lee
Hayami K Koga
Laura D Kubzansky
Francine Grodstein
Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study
JMIR Formative Research
title Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study
title_full Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study
title_fullStr Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study
title_full_unstemmed Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study
title_short Linking Individual-Level Facebook Posts With Psychological and Health Data in an Epidemiological Cohort: Feasibility Study
title_sort linking individual level facebook posts with psychological and health data in an epidemiological cohort feasibility study
url https://formative.jmir.org/2022/4/e32423
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