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Comparison of Social Support Content Within Online Communities for High- and Low-Survival-Rate Cancers


CIN: Computers, Informatics, Nursing: August 2011 - Volume 29 - Issue 8 - p 461-467
doi: 10.1097/NCN.0b013e318214093b
Feature Article

People experiencing cancer use the Internet for many reasons, particularly for social support. This study sought to determine how social support content within online support communities for different cancers varied according to cancer survival rate. A quantitative content analysis was conducted on 3717 posts from eight online communities focused on cancers with high and low 5-year relative survival rates. Using Optimal Matching Theory, we predicted that low-survival-rate communities would have more emotional support content than high-survival-rate communities, and high-survival-rate communities would have more informational support content than low-survival-rate communities. Emotional support content was consistently more common than informational support. Overall, high-survival-rate communities had a greater proportion of posts containing emotional support content (75%) than low-survival-rate communities (66%) (χ 2 1 = 20.89 [n = 2235], P < .001). Furthermore, low-survival-rate communities had a greater proportion of posts containing informational support content (46%) than high-survival-rate communities (36%) (χ 2 1 = 21.13 [n = 2235], P< .001). Although the relationships between survival rate and support types were significant, they were not as hypothesized. Deviations from theoretically predicted results suggest that individuals experiencing low-survival-rate cancers may have a greater desire for informational support online than individuals experiencing high-survival-rate cancers.

Author Affiliations: College of Nursing-Adult Health, Wayne State University, Detroit, MI (Dr Buis); College of Communication Arts and Sciences, Michigan State University, East Lansing (Dr Whitten).

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Lorraine R. Buis, PhD, Wayne State University, College of Nursing, 5557 Cass Ave, Room 368, Detroit, MI 48202 (

© 2011 Lippincott Williams & Wilkins, Inc.