Digital Diabetics: A Qualitative Analysis of Web 2.0 Support Groups for Type 2 Diabetes

Objective: Given the dramatic increase in the use of new interactive features on the Internet known as Web 2.0 sites, our objective was to determine how features such as member profiles, personal blogs and online social networks were used in virtual communities related to diabetes. Another objective was to describe the type of questions asked and types of support provided in their online discussion forums.

Methods: All original posts and replies in two diabetes discussion forums in web 2.0 enabled virtual communities were recorded for ninety days. Utilization and content from publically available components of the profile pages from a purposive sample of 60 members were also recorded. Content from discussion forums and personal blogs were analyzed using qualitative coding techniques.  Utilization of other Web 2.0 features was recorded to determine frequency of use among sampled members.

Results: 272 original posts and 3605 replies were generated by the participants. Discussion forum analysis revealed that food, medication and blood glucose levels were major themes for original posts.  Replies usually included the empathic and personal experiences of other members.  Group guidance emerged from the multiple replies from the community. Analysis of 204 personal blog entries revealed details about the daily struggles of the participants and rarely discussed diabetes. Replies to blogs were more likely to include religious guidance and expressions of empathy and love.

Conclusion: Those seeking to develop online interventions for type 2 diabetes should consider utilizing Web 2.0 features to provide knowledge and social support of the target population.