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Beyond Privacy: Social
Media’s Ethical Responsibility
to the Clinical Trial Patient
SoCRA
August, 2013
brian@inspire.com @brianloew
A story about...
2
Search
Discovery
Self-organization
Empowerment Audacity
Enlightenment
brian@inspire.com @brianloew
What is Spontaneous Coronary Artery Dissection?
3
Source: Mayo Clinic
brian@inspire.com @brianloew 4
Search
brian@inspire.com @brianloew 5
Discovery
brian@inspire.com @brianloew 6
Discovery
brian@inspire.com @brianloew 7
Discovery
brian@inspire.com @brianloew 8
A personal story
brian@inspire.com @brianloew 9
...the search continues
brian@inspire.com @brianloew
Growth of SCAD members
10
Katherine Leon makes
concrete connections
with others with SCAD
brian@inspire.com @brianloew
Growth of SCAD members
11
Katherine Leon makes
concrete connections
with others with SCAD
brian@inspire.com @brianloew 12
The call to action
brian@inspire.com @brianloew
Growth of SCAD members
13
Laura Haywood-Cory posts
“All the SCAD Ladies”
Katherine Leon makes
concrete connections
with others with SCAD
brian@inspire.com @brianloew
A researcher heeds the call
14
brian@inspire.com @brianloew
Growth of SCAD members
15
Laura Haywood-Cory posts
“All the SCAD Ladies”
Katherine Leon makes
concrete connections
with others with SCAD
Dr. Sharonne Hayes
launches pilot research
brian@inspire.com @brianloew 16
brian@inspire.com @brianloew 17
Initial findings
From Mayo Clinic Proceedings
September, 2011
CONCLUSION
Our pilot demonstrates successful social
networking-enabled research participant
engagement and recruitment among
members of an international disease-
specific online community and outlines a
novel methodology to obtain
retrospective and prospective data from
persons with uncommon, poorly
understood conditions. Our pilot serves
as a model as we develop a more
extensive, much-needed retrospective
and prospective study of SCAD. This
process of recruiting research trial
participants with self-identified conditions
from social networking Internet sites
represents a mechanism to develop a
novel “multicenter disease registry” that
could be replicated to study and propel
medical advances in other uncommon
conditions that may not otherwise be
subjects of active investigation.
brian@inspire.com @brianloew
Growth of SCAD members
18
Laura Haywood-Cory posts
“All the SCAD Ladies”
Katherine Leon makes
concrete connections
with others with SCAD
Dr. Sharonne Hayes
launches pilot research
Initial Mayo findings published
brian@inspire.com @brianloew 19
brian@inspire.com @brianloew 20
The miracle of this community is how our numbers grow. Thanks
to Google, each newly diagnosed woman just types a few
keystrokes and she is viewing our conversations. That is just
amazing. And the closeness that we share is equally
astounding. I find myself talking about Laura, Sharon and so
many others—my new Kansas City friend, Miss Puerto Rico, and
Kathy with the yellow Lab—as if we’ve just sat around a pot of
coffee in my living room. And it isn’t a farce. I’ve found an
individual’s character can shine through brightly in text. Since we
are communicating about real concerns (i.e., issues relating to
health and the quality of our lives), the superficiality dissolves
immediately. I have noticed portion out your energy and
thoughts to those on your wavelength, whereas in day-to-day
life, we often keep up a façade.
-- A member in Lebanon, NJ
brian@inspire.com @brianloew 21
The future
brian@inspire.com @brianloew
In conclusion...
22
Value is created by patients -- not (only) by us.
Many patients want to contribute to research.Patients
need better pathways to access researchers.
Technology matters a great deal.
Technology doesn’t matter at all.
Technology doesn’t matter at all.
A few things we’ve learned about patient-initiated research:

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Beyond Privacy: Social Media’s Ethical Responsibility to the Clinical Trial Patient