Exploring patient experiences and concerns in the online Cochlear implant community: A cross‐sectional study and validation of automated topic modelling

Objective There is a paucity of research examining patient experiences of cochlear implants. We sought to use natural language processing methods to explore patient experiences and concerns in the online cochlear implant (CI) community. Materials and Methods Cross‐sectional study of posts on the onl...

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Veröffentlicht in:Clinical otolaryngology 2023-05, Vol.48 (3), p.442-450
Hauptverfasser: Williams, Christopher Y. K., Li, Rosia X., Luo, Michael Y., Bance, Manohar
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container_title Clinical otolaryngology
container_volume 48
creator Williams, Christopher Y. K.
Li, Rosia X.
Luo, Michael Y.
Bance, Manohar
description Objective There is a paucity of research examining patient experiences of cochlear implants. We sought to use natural language processing methods to explore patient experiences and concerns in the online cochlear implant (CI) community. Materials and Methods Cross‐sectional study of posts on the online Reddit r/CochlearImplants forum from 1 March 2015 to 11 November 2021. Natural language processing using the BERTopic automated topic modelling technique was employed to cluster posts into semantically similar topics. Topic categorisation was manually validated by two independent reviewers and Cohen's kappa calculated to determine inter‐rater reliability between machine vs human and human vs human categorisation. Results We retrieved 987 posts from 588 unique Reddit users on the r/CochlearImplants forum. Posts were initially categorised by BERTopic into 16 different Topics, which were increased to 23 Topics following manual inspection. The most popular topics related to CI connectivity (n = 112), adults considering getting a CI (n = 107), surgery‐related posts (n = 89) and day‐to‐day living with a CI (n = 85). Cohen's kappa among all posts was 0.62 (machine vs. human) and 0.72 (human vs. human), and among categorised posts was 0.85 (machine vs. human) and 0.84 (human vs. human). Conclusions This cross‐sectional study of social media discussions among the online cochlear implant community identified common attitudes, experiences and concerns of patients living with, or seeking, a cochlear implant. Our validation of natural language processing methods to categorise topics shows that automated analysis of similar Otolaryngology‐related content is a viable and accurate alternative to manual qualitative approaches.
doi_str_mv 10.1111/coa.14037
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K. ; Li, Rosia X. ; Luo, Michael Y. ; Bance, Manohar</creator><creatorcontrib>Williams, Christopher Y. K. ; Li, Rosia X. ; Luo, Michael Y. ; Bance, Manohar</creatorcontrib><description>Objective There is a paucity of research examining patient experiences of cochlear implants. We sought to use natural language processing methods to explore patient experiences and concerns in the online cochlear implant (CI) community. Materials and Methods Cross‐sectional study of posts on the online Reddit r/CochlearImplants forum from 1 March 2015 to 11 November 2021. Natural language processing using the BERTopic automated topic modelling technique was employed to cluster posts into semantically similar topics. Topic categorisation was manually validated by two independent reviewers and Cohen's kappa calculated to determine inter‐rater reliability between machine vs human and human vs human categorisation. Results We retrieved 987 posts from 588 unique Reddit users on the r/CochlearImplants forum. Posts were initially categorised by BERTopic into 16 different Topics, which were increased to 23 Topics following manual inspection. The most popular topics related to CI connectivity (n = 112), adults considering getting a CI (n = 107), surgery‐related posts (n = 89) and day‐to‐day living with a CI (n = 85). Cohen's kappa among all posts was 0.62 (machine vs. human) and 0.72 (human vs. human), and among categorised posts was 0.85 (machine vs. human) and 0.84 (human vs. human). Conclusions This cross‐sectional study of social media discussions among the online cochlear implant community identified common attitudes, experiences and concerns of patients living with, or seeking, a cochlear implant. Our validation of natural language processing methods to categorise topics shows that automated analysis of similar Otolaryngology‐related content is a viable and accurate alternative to manual qualitative approaches.</description><identifier>ISSN: 1749-4478</identifier><identifier>EISSN: 1749-4486</identifier><identifier>DOI: 10.1111/coa.14037</identifier><identifier>PMID: 36645237</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Automation ; Cochlea ; cochlear implant ; Cochlear Implantation ; Cochlear Implants ; Cross-Sectional Studies ; Humans ; Inspection ; Language ; Modelling ; Natural language processing ; Otolaryngology ; patient experience ; Patient Outcome Assessment ; Reproducibility of Results ; topic modelling ; Transplants &amp; implants</subject><ispartof>Clinical otolaryngology, 2023-05, Vol.48 (3), p.442-450</ispartof><rights>2023 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2023 The Authors. 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K.</creatorcontrib><creatorcontrib>Li, Rosia X.</creatorcontrib><creatorcontrib>Luo, Michael Y.</creatorcontrib><creatorcontrib>Bance, Manohar</creatorcontrib><title>Exploring patient experiences and concerns in the online Cochlear implant community: A cross‐sectional study and validation of automated topic modelling</title><title>Clinical otolaryngology</title><addtitle>Clin Otolaryngol</addtitle><description>Objective There is a paucity of research examining patient experiences of cochlear implants. We sought to use natural language processing methods to explore patient experiences and concerns in the online cochlear implant (CI) community. Materials and Methods Cross‐sectional study of posts on the online Reddit r/CochlearImplants forum from 1 March 2015 to 11 November 2021. Natural language processing using the BERTopic automated topic modelling technique was employed to cluster posts into semantically similar topics. Topic categorisation was manually validated by two independent reviewers and Cohen's kappa calculated to determine inter‐rater reliability between machine vs human and human vs human categorisation. Results We retrieved 987 posts from 588 unique Reddit users on the r/CochlearImplants forum. Posts were initially categorised by BERTopic into 16 different Topics, which were increased to 23 Topics following manual inspection. The most popular topics related to CI connectivity (n = 112), adults considering getting a CI (n = 107), surgery‐related posts (n = 89) and day‐to‐day living with a CI (n = 85). Cohen's kappa among all posts was 0.62 (machine vs. human) and 0.72 (human vs. human), and among categorised posts was 0.85 (machine vs. human) and 0.84 (human vs. human). Conclusions This cross‐sectional study of social media discussions among the online cochlear implant community identified common attitudes, experiences and concerns of patients living with, or seeking, a cochlear implant. Our validation of natural language processing methods to categorise topics shows that automated analysis of similar Otolaryngology‐related content is a viable and accurate alternative to manual qualitative approaches.</description><subject>Adult</subject><subject>Automation</subject><subject>Cochlea</subject><subject>cochlear implant</subject><subject>Cochlear Implantation</subject><subject>Cochlear Implants</subject><subject>Cross-Sectional Studies</subject><subject>Humans</subject><subject>Inspection</subject><subject>Language</subject><subject>Modelling</subject><subject>Natural language processing</subject><subject>Otolaryngology</subject><subject>patient experience</subject><subject>Patient Outcome Assessment</subject><subject>Reproducibility of Results</subject><subject>topic modelling</subject><subject>Transplants &amp; implants</subject><issn>1749-4478</issn><issn>1749-4486</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1uFSEYhonR2FpdeAOGxI0uTgsMh2HcnZzUn6RJN7qefAPftDQMjMBoz85LcO3leSXSc2oXJrLhDXl4-HkJecnZKa_jzEQ45ZI17SNyzFvZraTU6vFDbvUReZbzDWOyYS1_So4apeRaNO0x-XV-O_uYXLiiMxSHoVC8nTHVZDBTCJaaWGMKmbpAyzXSGLwLSLfRXHuERN00e6j7TJymJbiye0c31KSY8-8fPzOa4mIAT3NZ7G4v_AbeWbhbpnGksJQ4QUFLS5ydoVO06OsJV8_JkxF8xhf38wn58v788_bj6uLyw6ft5mJlGqnbFQ6j7RQXGhgIode2UbbTlg0DinEcFBqQCIJ1MHIhuRil0NJy24LRa67b5oS8OXjnFL8umEs_uWzqHSBgXHIvWqWYkmLNK_r6H_QmLqm-rlKacc2EZF2l3h6o_SckHPs5uQnSruesvyusr4X1-8Iq--reuAwT2gfyb0MVODsA353H3f9N_fZyc1D-Ae19o2k</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Williams, Christopher Y. 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K.</creatorcontrib><creatorcontrib>Li, Rosia X.</creatorcontrib><creatorcontrib>Luo, Michael Y.</creatorcontrib><creatorcontrib>Bance, Manohar</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical otolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Williams, Christopher Y. K.</au><au>Li, Rosia X.</au><au>Luo, Michael Y.</au><au>Bance, Manohar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring patient experiences and concerns in the online Cochlear implant community: A cross‐sectional study and validation of automated topic modelling</atitle><jtitle>Clinical otolaryngology</jtitle><addtitle>Clin Otolaryngol</addtitle><date>2023-05</date><risdate>2023</risdate><volume>48</volume><issue>3</issue><spage>442</spage><epage>450</epage><pages>442-450</pages><issn>1749-4478</issn><eissn>1749-4486</eissn><abstract>Objective There is a paucity of research examining patient experiences of cochlear implants. We sought to use natural language processing methods to explore patient experiences and concerns in the online cochlear implant (CI) community. Materials and Methods Cross‐sectional study of posts on the online Reddit r/CochlearImplants forum from 1 March 2015 to 11 November 2021. Natural language processing using the BERTopic automated topic modelling technique was employed to cluster posts into semantically similar topics. Topic categorisation was manually validated by two independent reviewers and Cohen's kappa calculated to determine inter‐rater reliability between machine vs human and human vs human categorisation. Results We retrieved 987 posts from 588 unique Reddit users on the r/CochlearImplants forum. Posts were initially categorised by BERTopic into 16 different Topics, which were increased to 23 Topics following manual inspection. The most popular topics related to CI connectivity (n = 112), adults considering getting a CI (n = 107), surgery‐related posts (n = 89) and day‐to‐day living with a CI (n = 85). Cohen's kappa among all posts was 0.62 (machine vs. human) and 0.72 (human vs. human), and among categorised posts was 0.85 (machine vs. human) and 0.84 (human vs. human). 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subjects Adult
Automation
Cochlea
cochlear implant
Cochlear Implantation
Cochlear Implants
Cross-Sectional Studies
Humans
Inspection
Language
Modelling
Natural language processing
Otolaryngology
patient experience
Patient Outcome Assessment
Reproducibility of Results
topic modelling
Transplants & implants
title Exploring patient experiences and concerns in the online Cochlear implant community: A cross‐sectional study and validation of automated topic modelling
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