Engage and withdraw: The role of peer-led online communities in the configuration of knowledge on chronic illness

Authors

  • Amanda Karlsson Aarhus University
  • Carsten Stage Aarhus University
  • Loni Ledderer Aarhus University

DOI:

https://doi.org/10.7146/qhc.138193

Keywords:

chronic illness, configuration of knowledges, peer-led communities, social media, temporality

Abstract

Background: Living with chronic conditions and the dependencies for continual treatment make some citizens turn to peer-led online communities (PLOCs) to seek care and information about their illness. Aim: This article explores the role of PLOCs in the configuration of knowledge on chronic illness and unfolds how temporality of illness influences this process. Methods: A qualitative analysis using a thematic coding process was performed on transcripts from 20 semi-structured interviews conducted in 2022 with people living with various physical chronic conditions and using PLOCs. Within the theme of ‘knowledge’, three sub-themes were identified: peer, medical, and experiential knowledge. Results: The article finds that knowledge on chronic illness is configured by (1) information from peers in PLOCs, (2) medical expertise from doctors and (3) own experiential knowledge. Discussion: The article further discusses how this configuration of knowledge is influenced by temporality and thus is steered by the onset of a diagnosis. Conclusion: The PLOCs play a significant role at the onset of a diagnosis and make a ‘new chronic patient’ engage more, while an ‘experienced patient’ tends to withdraw from PLOCs. The article concludes by outlining the potentials of recognizing PLOCs as spaces where the joining together of various knowledge forms is made possible.

References

Ajana, B. (2017). Digital health and the biopolitics of the Quantified Self. Digital Health, 3. https://doi.org/10.1177/2055207616689509

Bacon, F (2002). The Major Works, Oxford University Press.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Bury, M. (1982). Chronic illness as Biographical Disruption. Sociology of Health & Illness, 4(2), 167-182. https://doi.org/10.1111/1467-9566.ep11339939

Clark, M., Southerton, C., & Driller, M. (2022). Digital self-tracking, habits and the myth of discontinuance: It doesn’t just ‘stop’. New Media & Society, 0(0). https://doi.org/10.1177/14614448221083992

Eysenbach, G. (2008). Medicine 2.0: social networking, collaboration, participation, apomediation, and openness. Journal of Medical Internet Research, 10(3). https://doi.org/10.2196/jmir.1030

Foucault, M., Kritzman, L. D., & Sheridan, A. (1988). Politics, Philosophy, Culture: Interviews and Other Writings, 1977-1984. Routledge.

Franzke, A. S., Bechmann, A., Zimmer, M., & Ess, C. (2020). Internet research: Ethical guidelines 3.0. Association of Internet Researchers. Retrieved from https://aoir.org/reports/ethics3.pdf

Haraway, D. (1988). Situated Knowledges: The Science Question in Feminism and the Privilege of Partial Perspective. Feminist Studies, 14(3), 575-599. https://doi.org/10.2307/3178066

Hvidberg, M. F., Johnsen, S. P., Davidsen, M., & Ehlers, L. (2020). A Nationwide Study of Prevalence Rates and Characteristics of 199 Chronic Conditions in Denmark. PharmacoEconomic, 4(2), 361–380. https://doi.org/10.1007/s41669-019-0167-7

Homewood, S., Karlsson, A., & Vallgårda, A. (2020). Removal as a Method: A Fourth Wave HCI Approach to Understanding the Experience of Self-Tracking. In DIS '20: Proceedings of the 2020 ACM Designing Interactive Systems Conference. 1779-1791. Association for Computing Machinery. https://doi.org/10.1145/3357236.3395425

Jowsey, T (2016). Time and chronic illness: a narrative review. Quality of Life Research, 25, 1093-1102. https://doi.org/10.1007/s11136-015-1169-2

Kingod, N., Cleal, B., Wahlberg, A., & Husted, G. R. (2017). Online Peer-to-Peer Communities in the Daily Lives of People With Chronic Illness: A Qualitative Systematic Review. Qualitative Health Research, 27(1), 89–99. https://doi.org/10.1177/1049732316680203

Kvale, S., & Brinkmann, S. (2009). Interview: Introduktion til et håndværk. (2 ed.) Hans Reitzels Forlag.

Leder, D. (1990). The Absent Body. The University of Chicago Press, Ltd.

Lolholm Gammelby, A. K. (2021). Why people sometimes consult Facebook groups rather than their doctors. Devils in the detail, methods to the madness (Doctoral dissertation, PhD Thesis, Aarhus University, Denmark).

Lupton, D. (2014). The commodification of patient opinion: The digital patient experience economy in the age of big data. Sociology of Health & Illness, 36(6), 856–869. https://doi.org/10.1111/1467-9566.12109

McCosker, A. (2018). Engaging mental health online: Insights from beyondblue ’s forum influencers. New Media & Society, 20(12), 4748-4764. https://doi.org/10.1177/1461444818784303

O’Connor, D. (2010). Apomediation and ancillary care: researcher’s responsibilities in health-related online communities. International Journal of Internet Research Ethics, 3(1), 87-103.

Pousti, H. & Urquhart, C. & Linger, H. (2014). Exploring the Role of social media in Chronic Care Management: A Sociomaterial Approach. IFIP Advances in Information and Communication Technology. 446. https://doi.org/10.1007/978-3-662-45708-5_11

Stage, C., Karlsson, A., Ledderer, L. (forthcoming). Online patient work: On the use of peer-led online communities to process and prevent discontinuity of care. European Journal of Health Communication.

Suchman, L. (2012). Configuration. In C. Lury, & N. Wakeford (Eds.), Inventive Methods: The Happening of the Social (pp. 48-60). Routledge.

Tracy, S. J. (2012). Qualitative Research Methods: Collecting Evidence, Crafting Analysis, Communicating Impact. Wiley-Blackwell.

Tucker, I. M., & Goodings, L. (2017). Digital atmospheres: affective practices of care in Elefriends. Sociology of Health & Illness, 39(4), 629-642. https://doi.org/10.1111/1467-9566.12545

Vicari, S., & Cappai, F. (2016). Health activism and the logic of connective action. A case study of rare disease patient organisations. Information, Communication and Society, 19(11), 1653-1671. https://doi.org/10.1080/1369118X.2016.1154587

Williams, S. (2000), Chronic illness as biographical disruption or biographical disruption as chronic illness? Reflections on a core concept. Sociology of Health & Illness, 22: 40-67. https://doi.org/10.1111/1467-9566.00191

European Commission. (2021). State of Health in the EU: Denmark Country Health Profile 2021. Retrieved from https://eurohealthobservatory.who.int/publications/m/denmark-country-health-profile-2021

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Published

2024-01-30

How to Cite

Karlsson, A., Stage , C., & Ledderer, L. (2024). Engage and withdraw: The role of peer-led online communities in the configuration of knowledge on chronic illness. Qualitative Health Communication, 3(1), 4–16. https://doi.org/10.7146/qhc.138193

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Articles