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Join, Stay or Go?: A Closer Look at Members' Life Cycles in Online Health Communities

Published: 22 April 2021 Publication History

Abstract

Online health communities (OHCs) have become important resources from which members can obtain social support. Since most benefits of OHCs are provided by its members, it is crucial that OHCs maintain a critical mass of active members. This paper examines temporal changes in members' participation in a cancer-orientedOHC, focusing on the changes in members' motivations and behavior as they transition from newcomers to other roles or when they ultimately leave the community. Our work used mixed methods, combining behavioral log analysis, automated content analysis, surveys and interviews. We found that shifts in members' motivations seemed to be driven by two sources: the internal dynamics common to becoming a member of most online communities and the external needs associated with their cancer journey. When members' disease-driven needs for support decreased, most members quit the site. The motivations of those who stayed shifted from receiving support to providing it to others in the community. As in many online communities, old-timers contributed the vast majority of content. However, they encountered challenges that threatened their commitment, including negative emotions related to other members' deaths, which led them to take leaves of absence from the community or to drop out permanently. Implications for the motivation changes ofOHC members are discussed.

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    cover image Proceedings of the ACM on Human-Computer Interaction
    Proceedings of the ACM on Human-Computer Interaction  Volume 5, Issue CSCW1
    CSCW
    April 2021
    5016 pages
    EISSN:2573-0142
    DOI:10.1145/3460939
    Issue’s Table of Contents
    This work is licensed under a Creative Commons Attribution International 4.0 License.

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    Association for Computing Machinery

    New York, NY, United States

    Publication History

    Published: 22 April 2021
    Published in PACMHCI Volume 5, Issue CSCW1

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    1. cancer
    2. online health communities
    3. peer support
    4. social support

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