Page 138 - AIH-1-3
P. 138

Artificial Intelligence in Health                                    ADRD caregiver experiences on Reddit



                                                               Furthermore, we employed a sentiment analysis tool
                                                               VADER as an additional method in combination with
                                                               topic analysis to further validate how caregivers feel toward
                                                               caring a family member with dementia. 25-28
                                                               4.2. Burden of ADRD on family members

                                                               Our findings point broadly to the substantial impact of
                                                               ADRD on family caregivers. The physical, emotional, and
                                                               mental stress of diagnosis extends beyond the patient and
                                                               to those who care for them as the disease progresses. There
                                                               is no cure for ADRD, so as patients’ cognitive abilities
                                                               decline, family members become their advocates and care
                                                               experts. The Reddit comments that we analyzed revealed
                                                               high levels of distress among family members, which is
                                                               associated with their increase in responsibilities, difficulty
                                                               navigating  care  options,  disheartening  interactions  with
                                                               symptomatic loved ones, and the strain it puts on other
                                                               areas of their lives. Some illustrative comments are given
            Figure 3. Intertopic distance map for all topics. Source: By authors  in the following:
                                                                  “I feel I have no life and my life revolves around
            4. Discussion                                         taking care of my dad.” (Topic 0)
                                                                  “I’ve worked as a nurse for many, many years, with
            The objective of this study was to determine how Reddit   the last 15 of those being in aged care specialising in
            provides online support to caregivers of ADRD. By     care & it’s always hardest on the family.” (Topic 0)
            performing an organic search and collecting the top      “My Mom is the sole caregiver and it has been
            Reddit postings, we revealed the most prominent topics   extremely hard on her as you’d expect. My Dad is
            of discussion among family caregivers of ADRD patients.   in a long term care facility now and she’s there with
            These results bring to light to perspectives and experiences   him everyday. I feel like Alzheimers has taken away
            of caregivers and determine the sentiment of Reddit   both of my parents, my Dad but also my Mom.”
            community forums. Overall, the sentiment of Reddit posts   (Topic 1)
            was neutral but leaned toward a positive skew because of      “I love my grandma so much and it’s always so 
            the support that Reddit users who were family caregivers   disheartening to visit her in the state that she’s in.”
            of ADRD patients received.                            (Topic 0)
            4.1. Building on previous research                 4.3. Reddit as a resource and form of support for

            Topic modeling has been frequently used to understand   caregivers
            unstructured  data  such  as  those  from  social  media.   Despite the toll that the disease takes on caregivers, our
            Previous  systematic  review  has  evaluated  the  use  of   findings revealed primarily positive comments in the
            topic modeling on social media and overall, it is effective   Reddit forum. This points to the sense of community and
            at understanding themes but has its limitations.  We   support that the Reddit online community offers. For
                                                     21
            employed standard tokenization and the removal of stop   instance, when a user posts a comment on Reddit that
            words, which is essential to the analysis of topics. We,   shares about their caregiving experiences, challenges, or
            however, did not evaluate discussions on social media that   questions, the other users in the forum who have gone
            were multilingual. It is true that multilingual discussions   through similar caregiving situations respond by sharing
            exist on Reddit but, for the purposes of this study, we only   their advice, empathy, and condolences. Several illustrative
            collected texts that were in English. In addition, there are   comments are presented below:
            various topic models that can be used, which can dictate   “I’m so sorry you are so overwhelmed. I hope you
            the interpretation of the data. However, based on this   have someone there you can talk to about this,
            systematic review, LDA analysis is the most frequently used   and relatives to give you a break from caretaking.”
            method as it provides the most robust and clean sectioning   (Topic 1)
            of data into topics. 21-24  LDA topic analysis has also been   “You have every right to feel overwhelmed to see
            used across various dimensions of health and countries.    her deteriorate in front of you and want the best
                                                         23

            Volume 1 Issue 3 (2024)                        132                               doi: 10.36922/aih.3075
   133   134   135   136   137   138   139   140   141   142   143