Evidence map›Paper›PMID 29540337›Full record

ArticleJournal of medical Internet research2018

Detection of Cases of Noncompliance to Drug Treatment in Patient Forum Posts: Topic Model Approach.

Redhouane Abdellaoui, Pierre Foulquié, Nathalie Texier, Carole Faviez, Anita Burgun, Stéphane Schück

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. A systematic literature review of machine learning in online personal health data.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
  2. Article
  3. Observational
  4. Pharmacovigilance in the digital age: gaining insight from social media data.Experimental biology and medicine (Maywood, N.J.) · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Active neural networks to detect mentions of changes to medication treatment in social media.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Infodemiology and Infoveillance: Scoping Review.Journal of medical Internet research · 2020
    Article
  18. Analysis of Answers to Queries among Anonymous Users with Gastroenterological Problems on an Internet Forum.International journal of environmental research and public health · 2020
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Redhouane AbdellaouiUnité de Mixte de Recherche 1138 Team 22, Institut National de la Santé et de la Recherche Médicale / Université Pierre et Marie Curie, Paris, France.ORCID 0000-0002-2938-7478
Pierre FoulquiéKappa Santé, Innovation (Kap Code), Paris, France.ORCID 0000-0003-4485-0835
Nathalie TexierKappa Santé, Innovation (Kap Code), Paris, France.ORCID 0000-0003-3749-254X
Carole FaviezKappa Santé, Innovation (Kap Code), Paris, France.ORCID 0000-0002-1500-0236
Anita BurgunUnité de Mixte de Recherche 1138 Team 22, Institut National de la Santé et de la Recherche Médicale / Université Pierre et Marie Curie, Paris, France.ORCID 0000-0001-6855-4366
Stéphane SchückKappa Santé, Innovation (Kap Code), Paris, France.ORCID 0000-0003-2642-7726
Inserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication nonadherence is a major impediment to the management of many health conditions. A better understanding of the factors underlying noncompliance to treatment may help health professionals to address it. Patients use peer-to-peer virtual communities and social media to share their experiences regarding their treatments and diseases. Using topic models makes it possible to model themes present in a collection of posts, thus to identify cases of noncompliance.

objectiveThe aim of this study was to detect messages describing patients' noncompliant behaviors associated with a drug of interest. Thus, the objective was the clustering of posts featuring a homogeneous vocabulary related to nonadherent attitudes.

methodsWe focused on escitalopram and aripiprazole used to treat depression and psychotic conditions, respectively. We implemented a probabilistic topic model to identify the topics that occurred in a corpus of messages mentioning these drugs, posted from 2004 to 2013 on three of the most popular French forums. Data were collected using a Web crawler designed by Kappa Santé as part of the Detec't project to analyze social media for drug safety. Several topics were related to noncompliance to treatment.

resultsStarting from a corpus of 3650 posts related to an antidepressant drug (escitalopram) and 2164 posts related to an antipsychotic drug (aripiprazole), the use of latent Dirichlet allocation allowed us to model several themes, including interruptions of treatment and changes in dosage. The topic model approach detected cases of noncompliance behaviors with a recall of 98.5% (272/276) and a precision of 32.6% (272/844).

conclusionsTopic models enabled us to explore patients' discussions on community websites and to identify posts related with noncompliant behaviors. After a manual review of the messages in the noncompliance topics, we found that noncompliance to treatment was present in 6.17% (276/4469) of the posts.

Indexed as

Drug MonitoringHumansInternetSocial Mediacompliancedepressioninfodemiologymedication adherencepeer-to-peer supportpsychosissocial mediatext miningvirtual community

Identifiers

PMID29540337
PMCPMC5874436
OpenAlexW2792841064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.