Microtia and craniofacial microsomia: Content analysis of facebook groups

Int J Pediatr Otorhinolaryngol. 2020 Nov:138:110301. doi: 10.1016/j.ijporl.2020.110301. Epub 2020 Aug 9.

Abstract

Objective: An increasing number of patients use social media for health-related information and social support. This study's objective was to describe the content posted on Facebook groups for individuals with microtia and/or craniofacial microsomia (CFM) and their families in order for providers to gain insight into patient and family needs and experiences to inform clinical care.

Methods: Two months of posts, images, comments, and "like" responses from two Facebook groups in the US and the UK were recorded and analyzed using content analysis. A secondary analysis identified statements of emotion.

Results: Posts (N = 254) had a total of 7912 "like" responses, 2245 comments, and 153 images. There were three categories of posts: seeking guidance (43%; 9 themes), promoting events/news (33%; 5 themes), and sharing experiences (24%; 3 themes). Across categories, 16% of posts had emotional content. Most comments were responding to posts seeking guidance, including medical care (20%), surgical care (9%), and hearing aids (5%). Promotional posts often aimed to increase CFM awareness. Posts sharing experiences were generally positive, with the highest number of "likes".

Conclusions: Facebook groups members frequently exchanged health-related information, suggesting value placed on input from other families and the convenience of seeking information online. Posts also promoted awareness and shared experiences. Clinical care implications include the need for easily accessible accurate and tailored CFM-related health education. Additionally, providers should demonstrate awareness of health information on social media and may address the potential emotional impact of CFM by facilitating access to resources for social support.

Keywords: Craniofacial microsomia; Goldenhar syndrome; Hemifacial microsomia; Microtia; Online groups; Psychosocial experience; Social media.

MeSH terms

  • Congenital Microtia*
  • Emotions
  • Goldenhar Syndrome*
  • Humans
  • Social Media*
  • Social Support