Cited by 22Complex Network Analysis TechniquesSocial Media in Health EducationHealth Literacy and Information Accessibility

Mapping power law distributions in digital health social networks: Methods, interpretations, and practical implications

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van Mierlo, Trevor, Hyatt, Douglas, Ching, Andrew T·2015·Journal of Medical Internet Research

Abstract

BACKGROUND: Social networks are common in digital health. A new stream of research is beginning to investigate the mechanisms of digital health social networks (DHSNs), how they are structured, how they function, and how their growth can be nurtured and managed. DHSNs increase in value when additional content is added, and the structure of networks may resemble the characteristics of power laws. Power laws are contrary to traditional Gaussian averages in that they demonstrate correlated phenomena. OBJECTIVES: The objective of this study is to investigate whether the distribution frequency in four DHSNs can be characterized as following a power law. A second objective is to describe the method used to determine the comparison. METHODS: Data from four DHSNs—Alcohol Help Center (AHC), Depression Center (DC), Panic Center (PC), and Stop Smoking Center (SSC)—were compared to power law distributions. To assist future researchers and managers, the 5-step methodology used to analyze and compare datasets is described. RESULTS: All four DHSNs were found to have right-skewed distributions, indicating the data were not normally distributed. When power trend lines were added to each frequency distribution, R(2) values indicated that, to a very high degree, the variance in post frequencies can be explained by actor rank (AHC .962, DC .975, PC .969, SSC .95). Spearman correlations provided further indication of the strength and statistical significance of the relationship (AHC .987. DC .967, PC .983, SSC .993, P<.001). CONCLUSIONS: This is the first study to investigate power distributions across multiple DHSNs, each addressing a unique condition. Results indicate that despite vast differences in theme, content, and length of existence, DHSNs follow properties of power laws. The structure of DHSNs is important as it gives insight to researchers and managers into the nature and mechanisms of network functionality. The 5-step process undertaken to compare actor contribution patterns can be replicated in networks that are managed by other organizations, and we conjecture that patterns observed in this study could be found in other DHSNs. Future research should analyze network growth over time and examine the characteristics and survival rates of superusers.

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Authors
van Mierlo, T., Hyatt, D., & Ching, A. T.
Affiliations
University of Toronto (CA)
Venue
Journal of Medical Internet Research
Published
2015-06-25
Volume
17
Issue
6
Pages
e160
ISSN
1438-8871 (ISSN-L)
OpenAlex
W1624537879
Cited by
22
References
45
Citations by year
2025: 3 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 1
FWCI
2.10
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Medical Internet Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • CentAUR (University of Reading) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
University of Toronto
Topics
  • Physical Sciences › Physics and Astronomy › Statistical and Nonlinear Physics › Complex Network Analysis Techniques
  • Social Sciences › Health › Social Media in Health Education
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Keywords
power-law distribution, frequency distribution, right-skewed distributions, superusers, network structure, panic disorder, smoking cessation, online health communities
MeSH terms
Depressive Disorder, Humans, Power, Psychological, Smoking, Social Behavior, Social Support, Smoking Cessation, Panic Disorder, Telemedicine, Alcohol-Related Disorders, Internet, Social Networking

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