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Web Chats Help the Chronically Ill

Stephen Samuel writes "Both the CBC and the BBC are reporting on the results of a survey which found that along with an informative, up-to-date, and non-commercialized site, chat-rooms are crucial to the health and well-being of chronically ill patients being provided with 'interactive health communication applications'. Read the original summary of the report (PDF), or google's HTML translation of same" From the BBC article: "The researchers found such sites have largely positive effects on users, making them feel better informed and more socially supported. Overall, people who used such sites appeared to see improvements in the way they looked after their health and in their clinical condition. They also had improved self-efficacy - a person's belief in their ability to carry out potentially-beneficial actions. "

61 comments

  1. This just in... by Rob_Ogilvie · · Score: 5, Funny

    Socializing makes humans feel better.

    --
    Rob
    1. Re:This just in... by Anonymous Coward · · Score: 0

      so does sex except for that 'chronically ill' thing. chat rooms are more realistic.

    2. Re:This just in... by Nik13 · · Score: 3, Insightful

      Yes it does. But socializing and finding people who understand when you're through something difficult can be hard. No offense, but unless you've been through this yourself (or perhaps a close friend or family member), you have NO idea how hard it can be... I was on a chronic pain management program not long ago (T4-T7 messed up), and it wasn't just the profesionnals that helped - it was great for all of us to see we're not alone, to find people that finally understand what you're though, that care, that believe you, that don't think it's in your head or that you're faking and make more friends. (OK, most people don't seem to doubt, but we still tend to believe they do...) Docs will give you pain meds, but it's quite frankly not enough.

      I've heard of 2 other places around here to meet people that live with chronic pain. One's at the hospital downtown (and the average person there is 50 years older than I am), or somewhere that's quite a long drive (and I can't drive because I'm taking too much morphine) and it's still all old folks... I haven't found any good forums or anything on IRC.

      Living with chronic pain (especially when you're single parent) is pretty hard, and I doubt living with any other chronic condition is any easier. I've been considering creating some kind of online help comminity for a while but I just don't have the time or energy right now.

      --
      ///<sig />
    3. Re:This just in... by goliard · · Score: 3, Informative

      You are being flip, but I'm a graduate student in Mental Health Counseling (as well as a web developer :), and a number of my professors -- including the quite wonderful one I had for my class in Group Therapy, the class text for which extensively documented the benefits of support groups -- are openly skeptical that computer-mediated communication (CMC) even counts as socializing!

      In a strange way, this research supports the controversial contention that CMC actually is socializing, because it shows that some of the results of in-person support groups may also be found in virtual support groups. That certainly suggests the same psychological processes and interpersonal dynamics are going on in both cases, and that is most definitely not a foregone conclusion!

      --
      -*- Any technology indistinguishable from magic is insufficiently advanced -*-
    4. Re:This just in... by Rob_Ogilvie · · Score: 1

      Indeed, I was being quite flip. :-)

      I was completely unaware that mental health professionals were skeptical about the value of "CMC" as it relates to socializing. Some of my best friends, I think, are those I have never met before except via email and instant messages. Would they discount them as "social" friends entirely?

      What is the basis for their beliefs?

      I would be quite interested to hear more about this. Hit me on email (rob@axpr.net) if you like, /. isn't the best place, I've found, for back-and-forth conversations.... if you can count communication in an electronic format as conversations. :-)

      --
      Rob
    5. Re:This just in... by Anonymous Coward · · Score: 0

      You know, I'd be curious if there is any way to research whether the need for socializing is actually a product of human evolution. It may be that stable, well integrated loners wound up a box lunch, and only those who actually NEEDED to stay in a group, despite any problems within the group, survived. Nice to know that reliance on others is a genetic issue, and not a sign of a lack of emotional strength.

    6. Re:This just in... by MaXiMiUS · · Score: 0

      We are not alone!

      --
      It's never just a game when you're winning. - George Carlin
    7. Re:This just in... by Anonymous Coward · · Score: 0

      Those of us in Hospice read Slashdot for reassurance and humor.

    8. Re:This just in... by Kodachi1980 · · Score: 1

      I recently finished a master's in counselor education, and some of my professors were excited about the possibilities of CMC and online counseling. The criticisms seemed to be: 1) You miss nonverbal communication such as tone, posture, facial expression, etc. 2) Confidentiality concerns with online communications 3) If you were practicing therapy online, there would be no way to garantee that all participants were in a state where you were licensed to practice.

  2. Wait, when... by Anonymous Coward · · Score: 5, Funny

    ..were Web Chats Help the Chronically II and Web Chats Help the Chronically I posted?

    1. Re:Wait, when... by Anonymous Coward · · Score: 0

      Suggested rename: The Help-Web Chat Chronicles

      Otherwise it makes no sense.

    2. Re:Wait, when... by FreemanPatrickHenry · · Score: 1

      I think it's like my mother--she was chronically 37 for the longest.

      --
      I have discovered a truly marvelous .sig which, unfortunately, this space is too small to contain.
    3. Re:Wait, when... by eonlabs · · Score: 1

      I thought EA produced them two years ago, but they didn't sell very well.

      --
      I wouldn't consider the mad hatter mad. Just reality impaired. He sure can make a mean cup of tea.
    4. Re:Wait, when... by Anonymous Coward · · Score: 0

      Web Chats Help the Chronically 1337

  3. Exception by obli · · Score: 5, Funny

    I know one chronic illness it doesn't do anything good for - MMORPG addictions.

    1. Re:Exception by pyrrhonist · · Score: 1
      I know one chronic illness it doesn't do anything good for - MMORPG addictions.

      It's a new MMORPG - "Chronically III".

      I didn't like the first two, but the third is supposed to be really good.

      --
      Show me on the doll where his noodly appendage touched you.
    2. Re:Exception by cdrdude · · Score: 0

      yeah, the best thing for those is World of Warcraft....Anyway, time to go back to WoWing, I've been away for 10 minutes; my Orc Warlock is feeling lonely.

      --
      This sig is neither interesting, nor humorous. Including meta-humor.
  4. No man/woman is an island by OffTheLip · · Score: 3, Insightful

    One of the super secret benefits of the internet is the way the seemingly unconnected can be connected.

  5. A Flock of people. by Anonymous Coward · · Score: 1, Insightful

    In other words as social beings we don't do well without contact with others.

  6. My name is.. by Sir+Pallas · · Score: 0, Offtopic

    My name is Sir Pallas.. and I am.. chronically.. three.

    1. Re:My name is.. by Anonymous Coward · · Score: 0

      If this humor's too subtle for you guys, we can always have a food fight.
      FOOD FIGHT!!!

  7. Seems obvious by Anonymous Coward · · Score: 1, Insightful

    Social interaction with others in a similar situation and becoming an active participant in your treatment. The chat room part is just a new convenient mechanism for accomplishing that.

  8. Oh, we're all connected, all the time by glomph · · Score: 2, Interesting

    You'll never walk (or do anything else) alone! http://www.nytimes.com/2005/10/23/technology/23col lege.html?emc=eta1

  9. So this means... by $RANDOMLUSER · · Score: 2, Funny
    Reading and posting on Slashdot makes me more well adjusted?

    WTF???

    --
    No folly is more costly than the folly of intolerant idealism. - Winston Churchill
  10. The one part that corporate America needs to see by Caspian · · Score: 5, Insightful
    ...along with an informative, up-to-date, and non-commercialized site...


    Translation: Nobody likes pop-ups, pop-unders, annoying Flash ads, "Will you take our survey?" ads, or obvious commercial slant on Web pages.
    --
    With spending like this, exactly what are "conservatives" conserving?
  11. Perpetuating by obli · · Score: 1

    One of the major things that influence the treatment of an illness, especially in psychology is the patient and doctor's belief that the treatment will actually work.
    Now wouldn't this study just perpetuate the positive effects of socializing over the internet by making patients think it's a part of the treatment that will work?

    Sounds good to me.

  12. Is this like A New Hope starting at IV? by IainMH · · Score: 1, Funny

    When are 'Web Chats Help the Chronicly' 1 & 2 coming out?

    1. Re:Is this like A New Hope starting at IV? by FidelCatsro · · Score: 1

      20 years time and they won't help as much

      --
      The only things certain in war are Propaganda and Death. You can never be sure which is which though
  13. I wonder if this works for investing... by ScentCone · · Score: 1

    Because the people helping out with all of that interactive, positive-anecdote information on Exploding Growth Micro-Cap Stocks all seem so generous with their time, and their message boards are all so positive and upbeat. I always feel so good about the time I spend learning about my options.

    --
    Don't disappoint your bird dog. Go to the range.
  14. Re:The one part that corporate America needs to se by VJ42 · · Score: 1

    Indeed. On the other hand, although I use adblock, if I like a site, I'll disable it (ctrl-shift-B) reload, and click on some of the ads. Websites need to generate income somehow, in order to cover hosting costs at the minimum.

    --
    If I have nothing to hide, you have no reason to search me
  15. Wired Humanity by adolfojp · · Score: 3, Insightful

    I've seen a number of people get better from depression just by meeting people with similar conditions online.

    The web does't bring us apart, it brings us together :-)

    Adolfo

    PS. My last dates have been met online. It allows me to meet women with similar interests instead of just going to a bar and scanning whats available.

    1. Re:Wired Humanity by LiquidCoooled · · Score: 1

      It brings us together in different ways however.

      When there is a common thread drawing like minded folks together, the web can be a wonderful place (slash trolls aside, this place draws together like minded ppl).
      Where it turns is when people start abusing this and unfortunately the web makes it really easy to put on a fake persona.

      Whilst you should enjoy yourself and relax on the web, people should remember not to become too embedded in the web and remember the real people in the same building/surroundings are also there to support them.

      --
      liqbase :: faster than paper
    2. Re:Wired Humanity by mccalli · · Score: 1
      PS. My last dates have been met online. It allows me to meet women with similar interests instead of just going to a bar and scanning whats available.

      I think I can see the flaw in your technique. It's traditional to scan who's available, not merely what's available. I mean, I'm pretty sure the fire extinguisher has no previous engagements but...

      Cheers,
      Ian

  16. I'm chronically III II. by Elad+Alon · · Score: 2, Funny

    I'm chronically III II.

    --
    News for merdes. Shit that matters.
    Ask me about my sig.
  17. Trustworthiness by cagle_.25 · · Score: 2, Interesting
    FTA,
    "Be deemed trustworthy, both immediately and on subsequent or return visits. A site can establish its trustworthiness by: being accurate having no commercial links being authored or sponsored by a known trustworthy organisation (e.g. the NHS, a local hospital or well-known university) not displaying advertisements. Trust has to be maintained, and can be lost if the site is not updated regularly.
    This turns out to be the most important characteristic. My wife sees patients all the time whose parents have "diagnosed" them based on web info. The web info is usually designed to undermine the trust in the patient's primary care doc by appealing to knowledge that the "medical community has surpressed." The only way to win here is for docs to have information that is both accurate and *viewed* as accurate out there on the web, for free.
    --
    Human being (n.): A genetically human, genetically distinct, functioning organism.
    1. Re:Trustworthiness by SandiConoverJones · · Score: 1
      Well, with many diseases, treatments vary a great deal by country. Some times knowing what else is used and available elsewhere can be helpful.

      Of course, there are other great elements to online support groups.
      • anonymity
      • immediacy
      There can be great comfort, after a diagnosis to talk to someone who has been through the ropes. In a support group you can freely complain about having a bad day, when you know that your family doesn't want to hear it again. Your fellow sufferers can commiserate with you, and sometimes offer productive suggestions.
  18. Okay, offtopic... by SharpFang · · Score: 1

    ...but shoudln't something be done about the fonts? I read the title as "..,chronically 3". I reread it three times before I got it, I=l and they look totally identical. People in computer security business should treat this seriously, there are already viruses using names like RundII.exe

    --
    45 5F E1 04 22 CA 29 C4 93 3F 95 05 2B 79 2A B2
  19. it helped me by slothman32 · · Score: 3, Insightful

    It actually helped me. I seemed to talk less before I was on the web conversing with others, though I don't know if /. users are robots who can pass the Turing test. Since I am more introverted it actually help me become less.

    --
    Why don't you guys have friends or journals?
    1. Re:it helped me by Fruit · · Score: 1
      though I don't know if /. users are robots who can pass the Turing test.

      Neither, sadly.

  20. part corporate America needs to see-Double Vision. by Anonymous Coward · · Score: 0

    Funny how with OSS it's OK to charge for free things so a good thing will continue. But it's not OK to either charge, or ask for a reciprocal agreement in order to continue a good thing in reference to the Web.

  21. what about the... by Anonymous Coward · · Score: 0, Funny

    ... Chronically I & II :P

  22. A typical chat by Ranger · · Score: 1

    Is it really a good idea to hook sick people up with sick people? I can imagine how it might go:

    *[sick_person] enters the chatroom.*
    *[chatter] enters the chatroom.*
    sick person: Hi, I have three months to live.
    chatter: What are you wearing?
    sick_person: I'm wearing a hospital gown.
    chatter: Is it open at the front or the back?
    sick_person: Huh? The back.
    ...

    And it's all downhill from there.

    --
    "You'll get nothing, and you'll like it!"
  23. Re:part corporate America needs to see-Double Visi by VJ42 · · Score: 1

    I don't understand your point. No one has ever charged me for F(O)SS, I've donated, as I've donated to websites, weather by clicking ads, or cash. However I've never used a pay-for web service (unless you count selling on Ebay) as nearly all these are duplicated on public domain or free websites. If I like the product or service enough(and happen to be in a generious mood) I'll pay somthing, otherwise not.

    --
    If I have nothing to hide, you have no reason to search me
  24. Only fair by Slashdiddly · · Score: 1

    Considering how many get chronically ill in the first place

  25. pfew got to be 4 and older by Anonymous Coward · · Score: 0

    Pfew I am so happy i am not chronically 3, got to be 4, 5 and all the way up to 21. Pretty sure I wont get stuck somewhere in the future too. (but i dont see how chatting will help 3 jearolds can even read/write!)

  26. Where the Doctor stops and Patient begins by Fox_1 · · Score: 3, Insightful

    The timing of this article is interesting in that I was doing a google search on my disease to catch up on the latest news and went to slashdot to give myself a break. In the treatment of a medical problem most of a Doctor's focus is on the immediate present symptoms. That's the way they were trained, that's the nature of a triage based health model. The problem is that if the medical problem isn't short term in nature much of the treatment is enough to get the patient out the door, but leaves that person ill-equipped to face the future of their disease/injury/etc. Sometimes there are support groups, but monthly meetings and sometimes just the lack of local membership usually make them of limited use. The online forums and websites dedicated to various chronic conditions are now starting to fill that need for Patients. Some of them are sponsored or run by Medical Professionals, however it's the Patients who actually make the site a success. People coming together to share information about their problems and support others in their time of need. I have only physically met 4 people with my disease in 15 years, online I have tapped into a community of 1000's, 10's of 1000's.

    --
    The rock, the vulture, and the chain
  27. Ironic... by moviepig.com · · Score: 1
    Web Chats Help the Chronically Ill

    So, web-chatting is a cure. And all this time I thought it was a symptom...

    --
    Seeing bad movies only encourages them. Watch responsibly
    1. Re:Ironic... by Anonymous Coward · · Score: 0

      You're being glib, but it's the fucking truth. While there is a marginal amount of good that comes from bringing people who are remote distances together, this good is heavily mitigated by the freak factor.

      On the net, every kind of kook, racist and freak is out there, with it's own 'community'. and in these so-called 'communities' all any of them ever do is sit aruond, have little net-dramas (read Live Journal some time for a classic example) and retreat further and further from reality.

      This isnt' good, this isn't healthy, it's fucking retarded, in fact. If you're sick, or even if you're simply 'different' the answer isn't to disappear up inside your own asshole (or the assholes of others -goatse link goes here-). The answer is to unplug the fucking computer, and engage in activities that involve the REAL world. Stop trying to hook up with black transexual heroin addicts with OCD, get involved with NORMAL people who are doing POSITIVE THINGS out in the REAL WORLD.

      Depending on the internet for social interaction is negative, I don't give a fuck what anyone says; there's NOTHING positive about it.

      (posted anonymously as I can't afford negative karma)

  28. Betcher rump it helps! by MsWillow · · Score: 2, Informative

    I've got secondary progressive multiple sclerosis. Can't take beta seron, can't find a doctor for novantrone, the only other drug for SPMS. I found out about a different drug therapy, antibiotics and statins, that I can get, and is helping me, from a BBS linked to multiplesclerosissucks.com. It's been a life- and sanity-saver for me.

    --

    Lemon curry?
  29. Paranoid Schizophrenia by grumpygrodyguy · · Score: 1

    Can anyone recommend a good chat-room for sufferers of Paranoid Schizophrenia?

    --
    The government has a defect: it's potentially democratic. Corporations have no defect: they're pure tyrannies. -Chomsky
    1. Re:Paranoid Schizophrenia by Anonymous Coward · · Score: 1, Informative

      Schizophrenia.com has a chat room and message board... Nice site, really. Been going there for years.

    2. Re:Paranoid Schizophrenia by darkonc · · Score: 1

      I was going to make a flippant comment about you not trusting my answer, but you should look at the AC's comments about http://schizophrenia.com/

      --
      Sometimes boldness is in fashion. Sometimes only the brave will be bold.
  30. Good info by Dark+Paladin · · Score: 1

    I've been working on a project to secure this communications in a health care environment - this way, veterans at home with disabilities can still communicate with their fellow veterans/health care physicians, but in a secure environment so HIPAA guidelines are met. I'll have to show this to my boss, but this is encouraging.

  31. web chat by digster · · Score: 1

    Havingsuffered chronic fatigue syndrome for 2 yrs, and been confined to a house for a yr due to it, i can assure you that being able to talk to ppl, even not specifically relalting to your illness is invaluable. A big part of chronic illness is the fact you suddenly become disengaged from society. Friends, family slowy start to stay away as your not the person you once were. The web based chat takes away the necessity of being physically capable of actually going somewhere to talk. It kept me sane through the long hours of many days and nights confined in a chair, and i even managed to be useful by volunteering as tech support for gamespy arcade, thus lifting my self worth and self esteem when it was rock bottom, so to all doubters, wait till its your turn, you will count it as a blessing.

    1. Re:web chat by Anonymous Coward · · Score: 0

      I'll agree with everything being said in that post.

      Unfortunately I've been housebound for the past 7 years due to CFS and, while I wasn't an extraverted party animal in my late teens when this began, I would've gone insane without the bonds the internet can bring. Even without contact with similar sufferers I can interact with other "normal" people on their level, and be treated as if I'm not subhuman (which is something people in real life still struggle to deal with).

      Luke

  32. Must be pretty good by Anonymous Coward · · Score: 0

    Heck, I haven't seen I or II, so Chronically III is a real surprise. Must be pretty good to justify two sequels.

    Yuk, yuk

  33. Support SItes Take Up Slack by chromozone · · Score: 1

    I have been part of a large group for teens with such problems as self-injury, depression, eating disorders etc.( recoveryourlife.com )and I have found it to be very helpful since it provides an alternative to the many teens who feel alienated from their parents,therapists and schools. It's well known that if teens are feeling depressed and suicidal etc. they will usually talk to their friends before most of the adults in their lives - if at all. A well run forum can give a kid a place to decompress if not to even find a solution in time.

    Teens resistance to speaking with parents, teachers, therapists etc. is often justified. Many kids are abused and neglected at home, and will hesitate to talk with anyone about a problem (indeed many of them assume its their fault and that they deserve their problems as punishment for being "worthless"). When some do find themselves in treatment they become the focus, as if they aksed for the problem and all difficulties stem from them.

    A kid can be getting degraded at home, and when they begin to demonstrate problems from the stresses, they get hit with a few labels from the DSM and
    then chemically embalmed, while the real culprits are allowed to keep tearing the kid down. For a lot of teens, their obvious problems are the result of the secret sins of others who will never be get focused on.

    Seeing a lot of teens in one place over time is very interesting since the a lot of trends become more visible - trends that are often supported by information in the media such as this article about support sites. One fact that becomes clear is that many kids find no relief from "meds" and indeed lament the side effects.

    Teens are given medications in a manner similiar to how a mechanic goes about fixing a car when they don't know what the cause is. Kids are given a medication to see if it will work, and then when it doesn't they will be given another medication and so on. Meds "get tossed at the wall to see if anything sticks". Most of the time the meds don't work and indeed very often it makes kids feel worse. The begin to understand they are guinea pigs.

    One scenario is that a teacher will notice a kid having problems and refer them to the counselor. The counselor takes a crack at solving any problem and then passed the kid on to a therapist, who will then pass the kid on to a psychiatrist. The psychiatrist will do a little "chit-chat, soft-shoe therapy" and then try a sequence of meds which usually make the kid feel worse. Then when nothing works the kid is labeled "Borderline" or something, and in any event deemed difficult to treat and sent back to the parents - one of whom is often crazier than the kid ever was.

    The mainstream system and approach to helping kids is broken. Not only are the solutions not efective for an original problem, but they often make problems worse with a back-asswards approach that deepens a kids psychotic haze and never addresses any original cause.

    As families break down under relentless pressures, propaganda, and excuses the problems kids have continue to escalate. Kids today are growing-up in mean, loveless world, with often only a sham culture and misinformation to fall back on. The real roots of problems are ignored and a kid getting knocked down the stairs once a week is asked to believe they are "probably" depressed because of their "genes" or brain abnormality as scan research "may" suggest - lots of "probablies" and "mays" get definately acted on in modern pasychology.

    Any one support site will not necessarily resemble another, and some sites can be debilitating if poorly moderated or conceived. That said, I have found that many kids who feel isolated benefit from finding each other and being able to compare notes and even to socialize (many kids justifiably feel awful at school). Well run Forums on the web can really help kids to talk about what their problems are when they feel like they can't at home or with the therapist who usually wants to attack the symptom.

  34. There are many reasons why by darkonc · · Score: 1
    As nik13 pointed out, it can be very relieving to have somebody to talk to who understands what you're going thru....
    Sometimes it's nice to be able to say to somebody "man, it took me 1/2 an hour to get the feeling back in my left leg this morning", and people understand exactly what you mean -- You don't have to take 5 minutes to explain why, or worry about people looking at you like you grew an extra arm. The expectation of a common experience releases some of the stress.

    There's also an issue in that the doctors don't have the committment to the problem that the patients do. Even a specialist in the field has dozens (if not hundreds) of patients to deal with with a wide mix of illnesses. It's not as worthwhile for them to try every different non-pharmecutical solution out there, and pharmaceutical companies have no incentive to tell you if drinking water a certain way every morning is just as good as spending $45/day on phalanxomil. (and a doctor mentioning something like that could be at risk of a lawsuit -- either from a patient for whom the treatment didn't work, or from a parmaceutical company pissed off about dropping sales of phalanxomil)

    And for those psychologists who don't believe that online 'socializing' is even comparable to the live version, a chat line can help you to link up with the 4 fellow sufferers who live withing a 1/2 hour's travel of your home.

    --
    Sometimes boldness is in fashion. Sometimes only the brave will be bold.
  35. In full agreement! by fluffyhelengmail.com · · Score: 1

    I sit and spend hours administrating a website which (to date) has had 16,000 teenagers register on the forums of (in the past year alone). They do this because they want friends, a support network and a bit of advice. I could have told the BBC that online support websites help people who are depressed or disabled or ill, friendships and talking to others really do help to improve an individual's condition. I've seen teenagers use the site, leave for a little bit and then thank us a couple of months down the line for the support which we gave them. I've seen amazing things happen! Online volunteering is seriously a worthwhile thing to do, amazing things can happen. You don't need to grab a spade to help others, just spare a bit of your time. ;)

    --
    stay fluffy.