Rare disease narratives on social media: A content analysis

Purpose: Social media provides an opportunity for the expression of people with rare conditions and may provide valuable insight into lived experiences to inform genomic care. Our objective was to describe the nature and content of rare disease video narratives on social media. Methods: We reviewed...

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Main Authors: Hannah J. Park, Cassidy J. Scott, Hadley Stevens Smith, Monica H. Wojcik
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Genetics in Medicine Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2949774425008830
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author Hannah J. Park
Cassidy J. Scott
Hadley Stevens Smith
Monica H. Wojcik
author_facet Hannah J. Park
Cassidy J. Scott
Hadley Stevens Smith
Monica H. Wojcik
author_sort Hannah J. Park
collection DOAJ
description Purpose: Social media provides an opportunity for the expression of people with rare conditions and may provide valuable insight into lived experiences to inform genomic care. Our objective was to describe the nature and content of rare disease video narratives on social media. Methods: We reviewed content on a short-video-format social media website containing the tags of #raredisease, #raredisorder, or #raredisorders. Two authors independently coded videos for content matter and conducted thematic analysis using a mixed deductive-inductive approach. The demographic characteristics of the content and names of specific rare conditions were documented when available, as were the characteristics of the videos themselves. Results: We reviewed 500 videos created by 299 unique users and identified 6 major themes: Spreading Awareness, Guidance for Others, Intimate View into Life, Interactions with Health care, Responses, and Requests for Support. The video narrators were typically family members or caregivers (50.2%) or the person affected (46.6%); a small percentage were health care professionals (2.2%). People with rare diseases in the video comprised both children (40.6%) and adults (52.6%). A total of 189 rare conditions were mentioned, the most common being Ehler-Danlos syndrome (7.8%), Sanfilippo syndrome (1.8%), and narcolepsy (1.8%). Conclusion: Our data suggest that video-format social media allows community building among people affected by rare conditions. Insights from narratives expressed in this format may contribute to a better understanding of medical experiences in the context of daily life, both positive and negative, fostering empathy and leading to improvements in genomic medicine practice.
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spelling doaj-art-390fcb66b99241348643e3fc3d5de9902025-08-20T02:47:13ZengElsevierGenetics in Medicine Open2949-77442025-01-01310284410.1016/j.gimo.2025.102844Rare disease narratives on social media: A content analysisHannah J. Park0Cassidy J. Scott1Hadley Stevens Smith2Monica H. Wojcik3Division of Newborn Medicine, Boston Children’s Hospital and Harvard Medical School, Boston, MA; Division of Genetics and Genomics, Department of Pediatrics, Boston Children’s Hospital and Harvard Medical School, Boston, MADivision of Newborn Medicine, Boston Children’s Hospital and Harvard Medical School, Boston, MA; Division of Genetics and Genomics, Department of Pediatrics, Boston Children’s Hospital and Harvard Medical School, Boston, MADepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston MA; Center for Bioethics, Harvard Medical School, Boston, MADivision of Newborn Medicine, Boston Children’s Hospital and Harvard Medical School, Boston, MA; Division of Genetics and Genomics, Department of Pediatrics, Boston Children’s Hospital and Harvard Medical School, Boston, MA; Correspondence and requests for materials should be addressed to Monica H. Wojcik, Boston Children's Hospital, 300 Longwood Avenue, Hunnewell 4th Floor, Boston, MA 02115Purpose: Social media provides an opportunity for the expression of people with rare conditions and may provide valuable insight into lived experiences to inform genomic care. Our objective was to describe the nature and content of rare disease video narratives on social media. Methods: We reviewed content on a short-video-format social media website containing the tags of #raredisease, #raredisorder, or #raredisorders. Two authors independently coded videos for content matter and conducted thematic analysis using a mixed deductive-inductive approach. The demographic characteristics of the content and names of specific rare conditions were documented when available, as were the characteristics of the videos themselves. Results: We reviewed 500 videos created by 299 unique users and identified 6 major themes: Spreading Awareness, Guidance for Others, Intimate View into Life, Interactions with Health care, Responses, and Requests for Support. The video narrators were typically family members or caregivers (50.2%) or the person affected (46.6%); a small percentage were health care professionals (2.2%). People with rare diseases in the video comprised both children (40.6%) and adults (52.6%). A total of 189 rare conditions were mentioned, the most common being Ehler-Danlos syndrome (7.8%), Sanfilippo syndrome (1.8%), and narcolepsy (1.8%). Conclusion: Our data suggest that video-format social media allows community building among people affected by rare conditions. Insights from narratives expressed in this format may contribute to a better understanding of medical experiences in the context of daily life, both positive and negative, fostering empathy and leading to improvements in genomic medicine practice.http://www.sciencedirect.com/science/article/pii/S2949774425008830GeneticsGenomicsNarrativeRare diseaseSocial media
spellingShingle Hannah J. Park
Cassidy J. Scott
Hadley Stevens Smith
Monica H. Wojcik
Rare disease narratives on social media: A content analysis
Genetics in Medicine Open
Genetics
Genomics
Narrative
Rare disease
Social media
title Rare disease narratives on social media: A content analysis
title_full Rare disease narratives on social media: A content analysis
title_fullStr Rare disease narratives on social media: A content analysis
title_full_unstemmed Rare disease narratives on social media: A content analysis
title_short Rare disease narratives on social media: A content analysis
title_sort rare disease narratives on social media a content analysis
topic Genetics
Genomics
Narrative
Rare disease
Social media
url http://www.sciencedirect.com/science/article/pii/S2949774425008830
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AT monicahwojcik rarediseasenarrativesonsocialmediaacontentanalysis