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Artificial Intelligence in Health





                                        ORIGINAL RESEARCH ARTICLE
                                        Experiences of Alzheimer’s disease and

                                        related dementia family caregivers on Reddit
                                        communities: A topic modeling and sentiment

                                        analysis



                                        Yulin Hswen 1,2  , Jiangmei Xiong 3  , Margaret Hurley , and Thu T. Nguyen *
                                                                                      4
                                                                                                        5
                                        1 Department of Epidemiology and Biostatistics, University of California San Francisco,
                                        San Francisco, California, United States of America
                                        2 Bakar Computational Health Sciences Institute, University of California San Francisco,
                                        San Francisco, California, United States of America
                                        3 Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, United
                                        States of America
                                        4 John Snow Inc, Washington, D.C., United States of America
                                        5 Department of Epidemiology and Biostatistics, College Park, University of Maryland School of
                                        Public Health, District of Columbia, United States of America



                                        Abstract

                                        Alzheimer’s disease and related dementias (ADRD) are a spectrum of disorders
                                        characterized by cognitive decline, which pose significant challenges for both
                                        affected individuals and their caregivers. Previous literature has focused on patient
            *Corresponding author:      family surveys which do not always capture the breadth of authentic experiences
            Yulin Hswen
            (yulin.hswen@ucsf.edu)      of the caregiver. Online social media platforms provide a space for individuals to
                                        share their experiences and obtain advice toward caring for those with ADRD. This
            Citation: Hswen Y, Xiong J,
            Hurley M, Nguyen TT. Experiences   study leverages Reddit, a platform frequented by caregivers seeking advice for caring
            of Alzheimer’s disease and related   for a family member with advice for ADRD. To identify the topics of discussion or
            dementia family caregivers on   advice that most caregivers seek and sought after, we employed structured topic
            Reddit communities: A topic
            modeling and sentiment analysis.   modeling techniques such as BERTopic to analyze the content of these posts and
            Artif Intell Health. 2024;1(3):127-135.   use an intertopic distance map to discern the variation in themes across different
            doi: 10.36922/aih.3075      Reddit categories. In addition, we analyze the sentiment of the Reddit postings
            Received: March 4, 2024     using Valence Aware Dictionary and Sentiment Reasoner to deduce the degree of
            Accepted: June 7, 2024      negative, positive, and neutral sentiment of the discussion posts. Our findings reveal
                                        that the topics that caregivers most frequently discuss and seek advice for were
            Published Online: July 30, 2024  related to caregiver stories, community support, and concerns ADRD. Specifically,
            Copyright: © 2024 Author(s).   we aimed to reproduce an organic Reddit search of caregiving of abuse on family
            This is an Open-Access article   member,  financial  struggles,  symptoms  of  hallucinations,  and  repetition  in  ADRD
            distributed under the terms of the
            Creative Commons Attribution   family members. These results underscore the importance of online communities
            License, permitting distribution,   for gaining a comprehensive understanding of the multifaceted experiences and
            and reproduction in any medium,   challenges faced by ADRD caregivers.
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience   Keywords: Alzheimer’s disease and related dementias; Alzheimer’s; Dementia; Caregiver;
            Publishing remains neutral with   Reddit; Social media; Natural language processing; Sentiment analysis; Topic analysis;
            regard to jurisdictional claims in
            published maps and institutional   BERTopic
            affiliations.



            Volume 1 Issue 3 (2024)                        127                               doi: 10.36922/aih.3075
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