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The Construction of Expertise in  the Age of the Internet:  Psychotropic Drug Knowledge in Online Consumer Accounts Shannon Hughes, MSW, Ph.D. Candidate Florida International University, Miami, FL Non-presenting author:  David Cohen, Ph.D. Medicine 2.0 , Toronto, Ontario September 4-5, 2008
Speech of Drug User is Fundamental ,[object Object],[object Object],[object Object],Brunton, Lazo, & Parker (2006). Goodman & Gilman’s The Pharmacological Basis of Therapeutics, 11 th  ed.
Randomized Controlled Trial (RCT) Mutes Users’ Voices ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pharma Funds 70% of Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heres et al., 2006 Turner, et al., 2008
[object Object],[object Object],[object Object],(Ross et al., 2007;  The New York Times , 2007)
Drugs are Marketing-Driven ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],$29.9 billion industry reporting $57.5 billion  independent estimates (Donohue, Cevasco & Rosenthal, 2007) (Gagnon & Lexchin, 2008) ,[object Object],[object Object],[object Object]
Consumer Drug Experiences on the Internet ,[object Object],[object Object],[object Object]
Typology of Sites ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where Can You Get The Full Drug Story? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Are Consumer Drug Accounts Credible? ,[object Object],[object Object],- O'Neill, 2007
Head of Operations of a consumer-centric site: ,[object Object],[object Object]
Owner/moderator of a consumer-run forum: ,[object Object],[object Object]
Gauging Pharma Activity using Wikiscanner ,[object Object],[object Object],[object Object],[object Object]
Pharma Wikipedia Edits, 2002-2007 Omeprazole :  Deleted  sentence about heavy marketing of Nexium in the face of generic competition;  Added  summaries of several studies where Nexium outperforms Prilosec Drotrecogin alfa :  Deleted  word “deceptive” before “marketing campaign” ;    Deleted  6 contraindications GlaxoSmithKline :  Added  paragraph about “Good Works” of company Total Edits Edits related to meds/pharma Example edited entries Astra Zeneca 949 23 (2.4%) quetiapine ; omeprazole  Eli Lilly 832 38 (4.6%) drotrecogin alfa; Talk:fluoxetine GSK 1,148 31 (2.7%) GlaxoSmithKline
Authenticity is unresolved and evolving ,[object Object],[object Object]
Research, Clinical, Consumer Implications ,[object Object],[object Object],[object Object]

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Construction of Expertise in the Age of the Internet: Psychotropic Drug Knowledge in Consumer-Constructed Websites

  • 1. The Construction of Expertise in the Age of the Internet: Psychotropic Drug Knowledge in Online Consumer Accounts Shannon Hughes, MSW, Ph.D. Candidate Florida International University, Miami, FL Non-presenting author: David Cohen, Ph.D. Medicine 2.0 , Toronto, Ontario September 4-5, 2008
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  • 14. Pharma Wikipedia Edits, 2002-2007 Omeprazole : Deleted sentence about heavy marketing of Nexium in the face of generic competition; Added summaries of several studies where Nexium outperforms Prilosec Drotrecogin alfa : Deleted word “deceptive” before “marketing campaign” ; Deleted 6 contraindications GlaxoSmithKline : Added paragraph about “Good Works” of company Total Edits Edits related to meds/pharma Example edited entries Astra Zeneca 949 23 (2.4%) quetiapine ; omeprazole Eli Lilly 832 38 (4.6%) drotrecogin alfa; Talk:fluoxetine GSK 1,148 31 (2.7%) GlaxoSmithKline
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