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Artificial Intelligence in Health                                    ADRD caregiver experiences on Reddit



               care for her. It’s a total disruption to your life with   caregivers struggle to manage. Reddit’s candid format
               added responsibilities to have to suddenly care for   brings  unbiased  perspectives  and  insight  into  the  way
               someone with.” (Topic 1)                        that resources, tools, and educational services should be
               “Don’t be *too* hard on yourself if possible. And   diverted in health-care settings for caregivers and patients.
               if you ever want to talk with (or at) someone that   A representative feedback below illustrates this:
               might be able to relate a bit you (and anyone else   “The hardest part for me has been dealing with the
               dealing with this kind of thing) are absolutely,   anger, paranoia, and confabulation that my mom
               seriously,  earnestly,  always  welcome  to  message   presents with.” (Topic 1)
               me.” (Topic 1)
               “Good luck. Please remember to forgive yourself for   5. Limitations
               any frustration you feel. It is natural, normal, and   A limitation of this study is its reliance on Reddit for
               would be weird for you not to have any.” (Topic 0)  data, which, despite providing a rich dataset of caregiver
              As family members manage numerous symptoms       experiences, might not capture the full spectrum of
            that progress over time and vary across ADRD patients,   perspectives available on the array of social media
            Reddit serves as a forum for caregivers to share tips and   platforms. Incorporating data from other platforms such
            recommendations that they have learned. Navigating   as Facebook groups, Twitter, and other online forums
            the care systems, symptoms, and treatment for ADRD is   could offer greater insight. Different platforms often cater
            complex and daunting. For caregivers researching their   to diverse demographics and feature varied caregiving
            loved ones’ symptoms and care situations, Reddit serves   experiences, which could enrich the overall analysis by
            as a wealth of knowledge curated by those with first-hand   presenting a broader range of insights. For this study, we
            experience. Our findings point to Reddit as a resource to   focused on using Reddit data because of its specific forums
            medical for patient care management, supplementary to the   for ADRD caregivers.
            treatment and advice that medical practitioners provide.   A second limitation of the current study is its cross-
            Several illustrative comments are shown in the following:  sectional design, which does not track changes in
               “My wife  and I have been  going  through it  with   discussions and sentiments of ADRD caregivers over time.
               her dad for several years now. He has and is just   With the anonymous nature of Reddit, we are unable to
               now starting to have issues with urine control.   track users longitudinally. A  longitudinal study would
               We believe it’s a side effect from one of his meds.   provide valuable insights into how caregiving challenges
               I advise you check her meds and make adjustments   and needs evolve, reflecting the dynamic nature of
               if you can.” (Topic 0)                          caregiver experiences as the disease progresses or in
               “We are looking for a memory care facility rather   response to changes in social and health care that ADRD
               than a nursing home and I recommend you         family members receive. Such an approach would allow
               research the same.” (Topic 0)                   for the identification of trends and shifts in caregiver
               “After she started becoming more physical with   concerns, offering a deeper understanding of the temporal
               me we decided to put her in a secured facility   dynamics at play. However, the anonymity of this social
               (so she wouldn’t wander off) It was great! They   media data is also critical to capturing organic and honest
               had activities and a routine for her which really   personal caregiving experiences. Research should continue
               eased my guilt for placing her there. Maybe that’s   to prioritize privacy protections and confidentiality for this
               something you should consider.” (Topic 1)       social media data.
              This study underlines the importance of Reddit as a
            resource for caregivers who may be looking for a forum for   6. Future directions
            managing care, sharing experiences, and finding support.  In future studies, new artificial intelligence (AI)-based
                                                               approaches for the analysis of caregiver discussions should
            4.4. Reddit as a resource for practitioners,       be explored. Specifically, transformer-based models, such
            researchers, and health-care organizations
                                                               as GPT-3 and its iterations, could provide a more nuanced
            While it is evident that Reddit forums act as a form of   understanding of context, sentiment, and emotional
            support and guidance for caregivers, our findings can   undertones. The next step in subsequent studies should be
            also be applied in professional health-care settings. The   to test these new generative AI tools to determine whether
            sentiment analysis of recurring topics in Reddit threads   they can match or surpass the performance of currently
            related to Alzheimer’s disease informs health-care   validated natural language processing techniques. This
            providers of some of the most common symptoms that   would enhance the field and also ensure that we evaluate


            Volume 1 Issue 3 (2024)                        133                               doi: 10.36922/aih.3075
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