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Twi%erisasocialnetworkingandmicrobloggingserviceandhasbecomeanincreasinglypopular pla9orm for discussion and engagement amongst healthcare professionals1,2.#RheumJC is a Twi%er-based internaDonal rheumatology journal club which occursapproximately once a month3. One novel aspect of #RheumJC has been to includeprincipalauthorsofthediscussedmanuscripts.HerewedescribeparDcipantanalysisandsurveyresultsfromthepast18monthsofthisiniDaDvewithafocusonhowthepresenceofauthorshasimpactedthejournalclubandparDcipants.
Background/Purpose
#RheumJC:ImpactofInvitedAuthorsonaTwi;erBasedRheumatologyJournalClub
IsabelleAmigues1,PaulSuOa2,SulemanBhana3,JoseCampos4andChristopherCollins5
1ColumbiaUniversity,CollegeofPhysicians&Surgeons,NewYork,NY,2HealthPartners,SaintPaul,MN,3CrystalRunHealthcare,Middletown,NY,4HospitalUniversitarioPuertadeHierroMajadahonda,Madrid,Spain,5MedStarWashingtonHospitalCenter/GeorgetownUniversityMedicalCenter,Washington,DC
• A #RheumJC development team was created to help define the structure andmoderatetheonlinediscussions.
• A twi%er account (@RheumJC), a companion website (h%p://rheumjc.com) and a#RheumJCmailinglistwerecreated.
• Allmanuscriptsdiscussedweremadeavailableonline for freeby respecDve journalsforanywherefrom48hourstooneweekpriortoeachsession.
• Priortoeachjournalclub,principalauthorsoftheselectedmanuscriptswere invitedtoparDcipate.
• Atotalof13differentonlinejournalclubswereconductedbetweenJanuary29th,2015andOctober27th,2016,eachconsisDngoftwo“live”onehourchats,aswellasafull24hrstoallowforasynchronousparDcipaDon.
• In6ofthe13journalclubs,principalauthorsofthechosenmanuscriptsparDcipatedinatleastoneofthetwolivesessionswhichwereheldforeachjournalclub.
• AnanalysisofallthesessionswasperformedtoassessparDcipantdemographicsandparDcipaDonrates(individuallivesessionsaswellastheenDre20monthobservaDonperiod).
• Numbers of parDcipants and tweet volume were analyzed between those sessionswithandwithoutanauthorpresent:differenceswerecalculatedusingunpairedt-test.
• A follow up survey was conducted aier the 10th journal club to both #RheumJCparDcipantsaswellastheinvitedauthorstoassessmetricsofsaDsfacDonandidenDfyaddiDonalstrengthsorbarriers.
Methods
Results
EffectofAuthorPar:cipa:onMean#ofTweetsperJournalClubParDcipantsperonehour
liveJournalClubsessionMean#ofParDcipantsperonehourliveJournalClubsession
• 37individualsfrom12differentcountriesrespondedtoafollowupsurveyandindicatedtheyhadparDcipatedorfollowedalonginatleastonejournalclubsession.
• 53%ofrespondentshadparDcipatedinatleast3ormoresessions(Figure3).
• 35%ofparDcipantsstatedthattheyhadincorporatedknowledgefromoneofthesessionsintotheirclinicalpracDce(Figure4).Examplesweregiven.
• WhenaskedwhichsessionsresultedinpracDcechanges,71%oftheresponseshighlightedsessionswhereauthorswereavailableasdiscussants.
SurveyResults
p=0.007 p=0.001
#RheumJC isanovelandpopularapproach to the tradiDonalmedical journal club.TheinvolvementofmanuscriptauthorshasproventobeaparDcularlywellreceivedaspectofthis iniDaDve.Theinclusionofauthors inthediscussionincreasesuserengagementandpossibly can influence pracDce decision making by journal club parDcipants. WeencourageauthorstoparDcipateinthisnoveleducaDonalacDvitytopotenDallybroadentheimpactoftheirresearch.
Conclusions
SampleComments• “IhaveconsideredusingvaricellatestsinsomeofmyGCApaDents.Also,morewillingtouseCellceptforsclerodermalung.”• “AierthepaperonVaricellaZostervirus(VZV)&GCAIhavechangedmyviewoncorDcoids+anDviraltherapy”• “CitedanarDclecoveredwhendiscussingbenlystatreatwithapt.”• “IhaveconsideredusinganDviralagainstVZVforGCAaieradiscussionwiththefirstauthorofapaperdiscussedon#RheumJC.Ididn'thavetoasmypaDentgotbe%er.ButIamkeepingitasapotenDaltoolinthenearfuture.”
• AsurveyoftheinvitedauthorsrevealedthattheyfoundtheirexperienceveryrewardingandallofthemindicatedthattheywouldbehighlylikelytoparDcipateagain.
References
1. JalaliA,SherbinoJ,FrankJ,SutherlandS.SocialmediaandmedicaleducaDon:ExploringthepotenDalofTwi%erasalearningtool.IntRevPsychiatry.2015Apr;27(2):140-6.
2. ReamesBN,SheetzKH,EnglesbeMJ,WaitsSA.EvaluaDngtheUseofTwi%ertoEnhancetheEducaDonalExperienceofaMedicalSchoolSurgeryClerkship.JSurgEduc.2015Sep20.pii:S1931-7204(15)00214-7
3. CollinsCE,SuOaP,HausmannJS,JayaDllekeA,CamposJ,BhanaS.#RheumJC:Development,ImplementaDonandAnalysisofanInternaDonalTwi%er-BasedRheumatologyJournalClub.ArthriDsandRheum.2015;67(suppl10)
Acknowledgements
WewouldliketothankBMJ,Wiley,FronDers,Lippinco%Williams&Wilkins,andNEJMpublishinggroupsforallowingtemporaryopenaccesstochosenjournalarDcles.Also,thankstoalltheparDcipantsin#RheumJC
Figure1:ExpansionofRheumJCmailinglistfollowers
• Sincetheinauguralsessionof#RheumJCinJanuary,2015:• 440uniqueindividuals/accountshavetweetedwiththehashtag
#RhemJC(ameasureofindividualparDcipaDon).• ParDcipantaccountsidenDfiedto36differentcountries(Figure2).• 5,365tweetswiththehashtag#RheumJC• 6,675,915impressions(ameasureofexposure-thetotalnumber
ofDmestweetsabout#RheumJCweredeliveredtoTwi%erstreams)
• @RheumJCtwi%eraccountfollowedby1627individuals/accounts• RheumJCmailinglistfollowedby195accountswithconsistent
growthsinceitsincepDon(Figure1).
Background/Purpose: Twi%er is an increasingly popular pla9orm for discussion and engagement amonghealthcare professionals. #RheumJC is a Twi%er-based internaDonal rheumatology journal clubwhich occursapproximately once a month. One novel aspect of #RheumJC has been to include principal authors of thediscussedmanuscripts,wheneverpossible.HerewedescribeparDcipantanalysisand survey results fromthepast18monthsofthisiniDaDvewithafocusonhowthepresenceofauthorshasimpactedthejournalclubandparDcipants.
Methods: A#RheumJCdevelopmentteamwascreatedtohelpdefinethestructureandmoderatetheonlinediscussions.Priortoeachjournalclub,principalauthorsoftheselectedmanuscriptswereinvitedtoparDcipate.Atotalof10differentonlinejournalclubswereconductedbetweenJanuary29th,2015andJune2nd,2016,eachconsisDngoftwo“live”onehourchats,aswellasafull24hrstoallowforasynchronousparDcipaDon.In4ofthe 10 journal clubs, principal authors of the chosen manuscripts parDcipated in the online discussion. AnanalysisofallthesessionswasperformedtoassessparDcipantdemographicsandparDcipaDonrates.Afollowupsurveywasconductedaierthe10thjournalclubtoboth#RheumJCparDcipantsaswellastheinvitedauthorstoassessmetricsofsaDsfacDonandidenDfyaddiDonalstrengthsorbarriers.
Results: Intotal,433individualsfrom36differentcountriesparDcipatedinatleastone#RheumJCsession.Forthe 4 journal clubs during which principal authors were present, compared to sessions without an authorpresent,therewereasignificantlygreaternumberofparDcipants(46±11.5vs26±13.3respecDvely,p=0.039)andtweets(462±103.5vs306±111.0,p=0.048)suggesDngthepresenceofprincipalauthorswasapopularfeature.35individualsfrom11differentcountriesrespondedtoasurveyandindicatedtheyhadparDcipatedorfollowedalong inat leastone journalclubsession.Themajority (88%) indicatedtheywereeithersaDsfiedorverysaDsfiedwiththe#RheumJCiniDaDve.AddiDonally,37.5%ofrespondentsindicatedthattheirparDcipaDonin#RheumJChadinfluencedpracDcedecisionmaking.WhenaskedwhichsessionsresultedinpracDcechanges,71% of the responses highlighted sessions where authors were available as discussants. Of interest, 7% ofrespondents indicated they had joined Twi%er solely because of #RheumJC, and another 37% stated that#RheumJChad increasedtheiruseofTwi%erasa tool formedicaleducaDon.Asurveyof the invitedauthorsrevealedthattheyfoundtheirexperienceveryrewardingandallofthemindicatedthattheywouldbehighlylikelytoparDcipateagain.
Conclusion:#RheumJCisanovelandpopularapproachtothetradiDonalmedicaljournalclub.Theinvolvementofmanuscript authors has proven tobe a parDcularlywell received aspect of this iniDaDve. The inclusionofauthors in the discussion increases user engagement and possibly can influence pracDce decisionmaking byjournalclubparDcipants.WeencourageauthorstoparDcipate inthisnoveleducaDonalacDvitytopotenDallybroadentheimpactoftheirresearch.
Abstract#1145
• 26liveJournalClubssessions(13totaluniqueJournalClubs)• 10liveJournalClubsessionswithauthorparDcipaDon• IndividualmanuscriptsandparDcipaDonratesarelistedintable1
• MeannumberofparDcipantsinsessionswithanauthorpresentwas17(SD±3.6),andwithoutanauthorwas10.75(SD±6.1),p=0.007
• Meannumberoftweetsinsessionswithanauthorpresentwas184(SD±32.6),andwithoutanauthorwas122(SD±46.4),p=0.001
0
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10
15
20
25
AuthorPresent NoAuthor0
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100
150
200
250
AuthorPresent NoAuthor
Date ArGcle Session ParGcipants tweets
1/25/2015 TacrolimusversusmycophenolatemofeDlforinducDontherapyoflupusnephriDs:arandomisedcontrolledtrialandlong-termfollow-up–MokCC,etal.AnnRheumDis.2016Jan
JC1a 21 188JC1b 25 195
3/3/2015 RituximabforthetreatmentofrelapsesinanDneutrophilcytoplasmicanDbody-associatedvasculiDs–MiloslavskyEM,etal.ArthriDsRheumatol.2014Nov
JC2a 23 182JC2b 17 240
4/2/2015 ProceedingsfromtheAmericanCollegeofRheumatologyReproducDveHealthSummit:themanagementofferDlity,pregnancy,andlactaDoninwomenwithautoimmuneandsystemicinflammatorydiseases–KavanaughA,CushJJ,etal.ArthriDsCareRes(Hoboken).2015Mar
JC3a 22 208
JC3b 13 211
5/7/2015 DiseaseacDvityguideddosereducDonandwithdrawalofadalimumaboretanerceptcomparedwithusualcareinrheumatoidarthriDs–vanHerwaardenN,etal.BMJ.2015Apr9
JC4a 12 129JC4b 15 224
7/23/2015 AphaseIIIrandomised,double-blind,parallel-groupstudycomparingSB4withetanerceptreferenceproductinpaDentswithacDverheumatoidarthriDsdespitemethotrexatetherapy–EmeryP,etal.AnnRheumDis.2015Jul6
JC5a 17 165JC5b 13 158
1/28/2016 ResponsetobelimumabamongpaDentswithsystemiclupuserythematosusinclinicalpracDceseyngs:24-monthresultsfromtheOBSErvestudyintheUSA–CollinsCE,etal.LupusSciMed.2016Jan11
JC6a 18 135JC6b 14 139
2/25/2016 PrevalenceanddistribuDonofVZVintemporalarteriesofpaDentswithgiantcellarteriDs–LaviE,GildenD,NagelM,WhiteT,GroseC.Neurology.2015Nov24
JC7a 17 201JC7b 16 182
3/31/2016 HandtoMouth:ASystemaDcReviewandMeta-AnalysisoftheAssociaDonbetweenRheumatoidArthriDsandPeriodonDDs–Fuggle,NR,etal.FrontImmunol.2016Mar2
JC8a 7 72JC8b 8 118
5/5/2016 SecukinumabInhibiDonofInterleukin-17AinPaDentswithPsoriaDcArthriDs–MeasePJ,etal.NEnglJMed.2015Oct JC9a 10 97JC9b 6 97
6/2/2016 Safetyandefficacyofsubcutaneoustocilizumabinadultswithsystemicsclerosis(faSScinate):aphase2,randomised,controlledtrial–KhannaD,etal.Lancet.2016Jun25
JC10a 8 76JC10b 6 94
6/30/2016 RheumatoidarthriDs:MissedopportuniDesinthe2015ACRguidelineforRAtreatment-vanVollenhoven.NatRevRheum.2016Jan14 JC11a 8 106JC11b 7 134
9/29/2016 InflammatoryarthriDsandsiccasyndromeinducedbynivolumabandipilimumab-CappelliLC,etal.AnnRheumDis.2016,Jun15 JC12a 12 167JC12b 5 67
10/27/2016 Non–TNF-TargetedBiologicvsaSecondAnD-TNFDrugtoTreatRheumatoidArthriDsinPaDentsWithInsufficientResponsetoaFirstAnD-TNFDrug;ARandomizedClinicalTrial-Go%enbergJE,etal.JAMA,2016Sept20
JC13a 18 175JC13b 4 104
Figure2:MapoflocaDonof#RheumJCparDcipants
Table1:Listofmanuscripts.ShadedrowsindicateauthorparDcipatedinthelivediscussion
Figure3
Figure4
• Duringthelivesessions,41%ofthesurveyrespondentsindicatedthattheyhaveobservedonlyandnotparDcipatedintheconversaDon(Figure5),suggesDngthattherecordednumberof#RheumJCparDcipantsmaybeanunderesDmaDonoftheactualnumberofindividualsfollowingthechats.
Figure5