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Designing for search and
discovery is crucial:
an example from rare disease
“This exchange of information with mostly strangers (at first) can take some
pressure off the ones we love. They do care about us, but often will simply not
understand and at times things are better shared will relative strangers.”
Male with Ehlers-Danlos Syndrome, 33,

“In these online communities I get REAL information from those who are living
with this disease. Where we live there are no specialists for NF 1 and very few
doctors who have ever seen it. In these communities online I can find names of
doctors and treatments.”
Woman, 35, caregiver of son with neurofibromatosis type 1

“Being in the sarcoidosis group allowed me to meet friends, learn about my
sarcoidosis disease and ultimately find a doctor who has prescribed a
treatment that is clearing up the symptoms. Some symptoms I didn't even
realize I had, or that they were connected with the disease of sarcoidosis.”
Woman with sarcoidosis, 70, from California




                                 @brianloew / brian@inspire.com   HxD 2013        2
“Online communities show me what others are going through, they help keep
me updated on current NF1 topics, and also provide a place for me to release
my feelings with like-minded people.”
Man with neurofibromatosis type 1, 28

“I've only been diagnosed for four years, but I've learned more about what
makes me the way I am in the six months or so that I've been here than in all
the doctors' appointments over the years.”
Woman with Ehlers-Danlos Syndrome, 54, Virginia

“The knowledge and support I have gained here have helped me make wiser
treatment choices. The sarcoidosis group is truly a family.”
Woman with sarcoidosis, 60, from Pennsylvania


“I very recently found this site and already it has given me a wealth of
knowledge that I am sure will aid my recovery. My knowledge of my condition
has at least tripled in 24 hours!”
Woman with Nephrotic Syndrome, from the UK


                                @brianloew / brian@inspire.com    HxD 2013      3
A story about...

  Search

  Discovery

  Self-organization

  Empowerment

  Chutzpah

  Enlightenment

                   @brianloew / brian@inspire.com   HxD 2013   4
What is Spontaneous Coronary Artery Dissection?




Source: Mayo Clinic




                      @brianloew / brian@inspire.com   HxD 2013   5
Search




         @brianloew / brian@inspire.com   HxD 2013   6
Discovery




            @brianloew / brian@inspire.com   HxD 2013   7
Discovery




            @brianloew / brian@inspire.com   HxD 2013   8
Discovery




            @brianloew / brian@inspire.com   HxD 2013   9
A personal story




                   @brianloew / brian@inspire.com   HxD 2013   10
...the search continues




                    @brianloew / brian@inspire.com   HxD 2013   11
Ja




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                                                                concrete connections
                                         8'                     Katherine Leon makes

                                                                with others with SCAD
                                  Ju
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HxD 2013




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                                         2'
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The call to action




                     @brianloew / brian@inspire.com   HxD 2013   14
Growth of SCAD members
  250"




  200"
               Laura Haywood-Cory posts
               “All the SCAD Ladies”

  150"
         Katherine Leon makes
         concrete connections
         with others with SCAD
  100"




   50"




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                                     @brianloew / brian@inspire.com   HxD 2013   15
A researcher heeds the call




                    @brianloew / brian@inspire.com   HxD 2013   16
Growth of SCAD members
  250"

                                 Dr. Sharonne Hayes
                                 launches pilot research
  200"
               Laura Haywood-Cory posts
               “All the SCAD Ladies”

  150"
         Katherine Leon makes
         concrete connections
         with others with SCAD
  100"




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                                       @brianloew / brian@inspire.com   HxD 2013   17
@brianloew / brian@inspire.com   HxD 2013   18
Initial findings
From Mayo Clinic Proceedings Sep, 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.


                                           @brianloew / brian@inspire.com   HxD 2013   19
Growth of SCAD members
  250"
                                                           Initial Mayo findings published
                                 Dr. Sharonne Hayes
                                 launches pilot research
  200"
               Laura Haywood-Cory posts
               “All the SCAD Ladies”

  150"
         Katherine Leon makes
         concrete connections
         with others with SCAD
  100"




   50"




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                                       @brianloew / brian@inspire.com                       HxD 2013   20
@brianloew / brian@inspire.com   HxD 2013   21
The future




             @brianloew / brian@inspire.com   HxD 2013   22

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Designing for search and discovery is crucial: an example from rare disease

  • 1. Designing for search and discovery is crucial: an example from rare disease
  • 2. “This exchange of information with mostly strangers (at first) can take some pressure off the ones we love. They do care about us, but often will simply not understand and at times things are better shared will relative strangers.” Male with Ehlers-Danlos Syndrome, 33, “In these online communities I get REAL information from those who are living with this disease. Where we live there are no specialists for NF 1 and very few doctors who have ever seen it. In these communities online I can find names of doctors and treatments.” Woman, 35, caregiver of son with neurofibromatosis type 1 “Being in the sarcoidosis group allowed me to meet friends, learn about my sarcoidosis disease and ultimately find a doctor who has prescribed a treatment that is clearing up the symptoms. Some symptoms I didn't even realize I had, or that they were connected with the disease of sarcoidosis.” Woman with sarcoidosis, 70, from California @brianloew / brian@inspire.com HxD 2013 2
  • 3. “Online communities show me what others are going through, they help keep me updated on current NF1 topics, and also provide a place for me to release my feelings with like-minded people.” Man with neurofibromatosis type 1, 28 “I've only been diagnosed for four years, but I've learned more about what makes me the way I am in the six months or so that I've been here than in all the doctors' appointments over the years.” Woman with Ehlers-Danlos Syndrome, 54, Virginia “The knowledge and support I have gained here have helped me make wiser treatment choices. The sarcoidosis group is truly a family.” Woman with sarcoidosis, 60, from Pennsylvania “I very recently found this site and already it has given me a wealth of knowledge that I am sure will aid my recovery. My knowledge of my condition has at least tripled in 24 hours!” Woman with Nephrotic Syndrome, from the UK @brianloew / brian@inspire.com HxD 2013 3
  • 4. A story about... Search Discovery Self-organization Empowerment Chutzpah Enlightenment @brianloew / brian@inspire.com HxD 2013 4
  • 5. What is Spontaneous Coronary Artery Dissection? Source: Mayo Clinic @brianloew / brian@inspire.com HxD 2013 5
  • 6. Search @brianloew / brian@inspire.com HxD 2013 6
  • 7. Discovery @brianloew / brian@inspire.com HxD 2013 7
  • 8. Discovery @brianloew / brian@inspire.com HxD 2013 8
  • 9. Discovery @brianloew / brian@inspire.com HxD 2013 9
  • 10. A personal story @brianloew / brian@inspire.com HxD 2013 10
  • 11. ...the search continues @brianloew / brian@inspire.com HxD 2013 11
  • 12. Ja 0" 50" 100" 150" 200" n 250" $0 7 Ap ' r$0 7' Ju l$0 7 Oc ' t$0 7 Ja ' n$ 08 Ap ' r$0 concrete connections 8' Katherine Leon makes with others with SCAD Ju l$0 8 Oc ' t$0 8 Ja ' n$ 09 Ap ' r$0 9' Ju l$0 9 Oc ' Growth of SCAD members t$0 9 Ja ' n$ 10 Ap ' r$1 0' Ju l$1 0 Oc ' t$1 0 Ja ' n$ 11 Ap ' r$1 1' Ju @brianloew / brian@inspire.com l$1 1 Oc ' t$1 1 Ja ' n$ 12 Ap ' r$1 2' Ju l$1 2 Oc ' t$1 HxD 2013 2' 12
  • 13. Ja 0" 50" 100" 150" 200" n 250" $0 7 Ap ' r$0 7' Ju l$0 7 Oc ' t$0 7 Ja ' n$ 08 Ap ' r$0 concrete connections 8' Katherine Leon makes with others with SCAD Ju l$0 8 Oc ' t$0 8 Ja ' n$ 09 Ap ' r$0 9' Ju l$0 9 Oc ' Growth of SCAD members t$0 9 Ja ' n$ 10 Ap ' r$1 0' Ju l$1 0 Oc ' t$1 0 Ja ' n$ 11 Ap ' r$1 1' Ju @brianloew / brian@inspire.com l$1 1 Oc ' t$1 1 Ja ' n$ 12 Ap ' r$1 2' Ju l$1 2 Oc ' t$1 HxD 2013 2' 13
  • 14. The call to action @brianloew / brian@inspire.com HxD 2013 14
  • 15. Growth of SCAD members 250" 200" Laura Haywood-Cory posts “All the SCAD Ladies” 150" Katherine Leon makes concrete connections with others with SCAD 100" 50" 0" Ap ' 7' Ja ' Ap ' 8' Ja ' Ap ' 9' Ja ' Ap ' 0' Ja ' Ap ' 1' Oc ' Ja ' Ap ' 2' 2' Oc ' Oc ' Oc ' Oc ' Oc ' 7 7 08 8 09 9 10 0 11 1 1 12 7 8 9 0 2 $0 r$0 t$0 r$0 t$0 r$0 t$0 r$1 t$1 r$1 l$1 t$1 r$1 t$1 l$0 l$0 l$0 l$1 l$1 n$ n$ n$ n$ n$ n Ju Ju Ju Ju Ju Ju Ja @brianloew / brian@inspire.com HxD 2013 15
  • 16. A researcher heeds the call @brianloew / brian@inspire.com HxD 2013 16
  • 17. Growth of SCAD members 250" Dr. Sharonne Hayes launches pilot research 200" Laura Haywood-Cory posts “All the SCAD Ladies” 150" Katherine Leon makes concrete connections with others with SCAD 100" 50" 0" Ap ' 7' Ja ' Ap ' 8' Ja ' Ap ' 9' Ja ' Ap ' 0' Ja ' Ap ' 1' Oc ' Ja ' Ap ' 2' 2' Oc ' Oc ' Oc ' Oc ' Oc ' 7 7 08 8 09 9 10 0 11 1 1 12 7 8 9 0 2 $0 r$0 t$0 r$0 t$0 r$0 t$0 r$1 t$1 r$1 l$1 t$1 r$1 t$1 l$0 l$0 l$0 l$1 l$1 n$ n$ n$ n$ n$ n Ju Ju Ju Ju Ju Ju Ja @brianloew / brian@inspire.com HxD 2013 17
  • 19. Initial findings From Mayo Clinic Proceedings Sep, 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. @brianloew / brian@inspire.com HxD 2013 19
  • 20. Growth of SCAD members 250" Initial Mayo findings published Dr. Sharonne Hayes launches pilot research 200" Laura Haywood-Cory posts “All the SCAD Ladies” 150" Katherine Leon makes concrete connections with others with SCAD 100" 50" 0" Ap ' 7' Ja ' Ap ' 8' Ja ' Ap ' 9' Ja ' Ap ' 0' Ja ' Ap ' 1' Oc ' Ja ' Ap ' 2' 2' Oc ' Oc ' Oc ' Oc ' Oc ' 7 7 08 8 09 9 10 0 11 1 1 12 7 8 9 0 2 $0 r$0 t$0 r$0 t$0 r$0 t$0 r$1 t$1 r$1 l$1 t$1 r$1 t$1 l$0 l$0 l$0 l$1 l$1 n$ n$ n$ n$ n$ n Ju Ju Ju Ju Ju Ju Ja @brianloew / brian@inspire.com HxD 2013 20
  • 22. The future @brianloew / brian@inspire.com HxD 2013 22