Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment

Background/Objectives: Narcolepsy is a chronic neurologic disorder associated with substantial challenges that affect the social, emotional, and financial quality-of-life domains. A social listening analysis and structured survey were conducted to better understand the candid perspective of people w...

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Main Authors: Maria Picone, Frederik Ascencion, Matthew Horsnell, Enming Zhang, Lauren Dougherty, Christopher DeFelice, Maurice Flurie, Rachelle Cook, Anne Marie Morse, Luis E. Ortiz, E. Robert Wassman, Jennifer Gudeman
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/14/12/1189
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author Maria Picone
Frederik Ascencion
Matthew Horsnell
Enming Zhang
Lauren Dougherty
Christopher DeFelice
Maurice Flurie
Rachelle Cook
Anne Marie Morse
Luis E. Ortiz
E. Robert Wassman
Jennifer Gudeman
author_facet Maria Picone
Frederik Ascencion
Matthew Horsnell
Enming Zhang
Lauren Dougherty
Christopher DeFelice
Maurice Flurie
Rachelle Cook
Anne Marie Morse
Luis E. Ortiz
E. Robert Wassman
Jennifer Gudeman
author_sort Maria Picone
collection DOAJ
description Background/Objectives: Narcolepsy is a chronic neurologic disorder associated with substantial challenges that affect the social, emotional, and financial quality-of-life domains. A social listening analysis and structured survey were conducted to better understand the candid perspective of people with narcolepsy (PWN) and their experience with twice-nightly sodium oxybate (SXB). Methods: To characterize conversations and experiences in narcolepsy communities where SXB was mentioned, a social media analysis was conducted from August 2011 to October 2022. A structured survey was administered to PWN taking oxybate therapy from October 2022 to November 2022. Results: From the social media analysis, the largest topic was related to “cataplexy”, with 537 posts/comments. The most frequent term was “xyrem”, with 22,200 mentions. Of the 87 survey respondents, 85 respondents had narcolepsy, 75.3% (64/85) reported missing their second dose of immediate-release SXB or mixed-salt oxybates, and 58.8% (50/85) of respondents reported that they took their second dose of oxybate > 4 h after the first dose. Respondents reported poor sleep quality as the greatest effect or issue experienced after missing their second oxybate dose. When respondents were asked whether they had ever been injured after waking to take their second oxybate dose, 31.8% (27/85) of respondents reported an injury. Conclusions: PWN taking twice-nightly oxybates often report inconsistent adherence to the prescribed dosing, which results in negative consequences in their lives. This research provided an anonymized forum for PWN to voice challenges with middle-of-the-night awakenings that they may be reluctant to explain to their clinician.
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spelling doaj-art-aba6c994dba64c4ab74d624a909be56b2024-12-27T14:14:43ZengMDPI AGBrain Sciences2076-34252024-11-011412118910.3390/brainsci14121189Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening ExperimentMaria Picone0Frederik Ascencion1Matthew Horsnell2Enming Zhang3Lauren Dougherty4Christopher DeFelice5Maurice Flurie6Rachelle Cook7Anne Marie Morse8Luis E. Ortiz9E. Robert Wassman10Jennifer Gudeman11TREND Community, Philadelphia, PA 19102, USAPWN4PWN, Tampa, FL 33602, USATREND Community, Philadelphia, PA 19102, USATREND Community, Philadelphia, PA 19102, USATREND Community, Philadelphia, PA 19102, USATREND Community, Philadelphia, PA 19102, USATREND Community, Philadelphia, PA 19102, USATREND Community, Philadelphia, PA 19102, USAGeisinger Commonwealth School of Medicine, Geisinger Medical Center, Janet Weis Children’s Hospital, Danville, PA 17822, USAJohns Hopkins Medical Institutions, Johns Hopkins All Children’s Hospital, St. Petersburg, FL 33701, USATREND Community, Philadelphia, PA 19102, USAAvadel Pharmaceuticals, Chesterfield, MO 63005, USABackground/Objectives: Narcolepsy is a chronic neurologic disorder associated with substantial challenges that affect the social, emotional, and financial quality-of-life domains. A social listening analysis and structured survey were conducted to better understand the candid perspective of people with narcolepsy (PWN) and their experience with twice-nightly sodium oxybate (SXB). Methods: To characterize conversations and experiences in narcolepsy communities where SXB was mentioned, a social media analysis was conducted from August 2011 to October 2022. A structured survey was administered to PWN taking oxybate therapy from October 2022 to November 2022. Results: From the social media analysis, the largest topic was related to “cataplexy”, with 537 posts/comments. The most frequent term was “xyrem”, with 22,200 mentions. Of the 87 survey respondents, 85 respondents had narcolepsy, 75.3% (64/85) reported missing their second dose of immediate-release SXB or mixed-salt oxybates, and 58.8% (50/85) of respondents reported that they took their second dose of oxybate > 4 h after the first dose. Respondents reported poor sleep quality as the greatest effect or issue experienced after missing their second oxybate dose. When respondents were asked whether they had ever been injured after waking to take their second oxybate dose, 31.8% (27/85) of respondents reported an injury. Conclusions: PWN taking twice-nightly oxybates often report inconsistent adherence to the prescribed dosing, which results in negative consequences in their lives. This research provided an anonymized forum for PWN to voice challenges with middle-of-the-night awakenings that they may be reluctant to explain to their clinician.https://www.mdpi.com/2076-3425/14/12/1189social listeningnarcolepsysodium oxybatepatient voicenatural language processing
spellingShingle Maria Picone
Frederik Ascencion
Matthew Horsnell
Enming Zhang
Lauren Dougherty
Christopher DeFelice
Maurice Flurie
Rachelle Cook
Anne Marie Morse
Luis E. Ortiz
E. Robert Wassman
Jennifer Gudeman
Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment
Brain Sciences
social listening
narcolepsy
sodium oxybate
patient voice
natural language processing
title Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment
title_full Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment
title_fullStr Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment
title_full_unstemmed Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment
title_short Understanding the Patient Experience with Twice-Nightly Sodium Oxybate Therapy for Narcolepsy: A Social Listening Experiment
title_sort understanding the patient experience with twice nightly sodium oxybate therapy for narcolepsy a social listening experiment
topic social listening
narcolepsy
sodium oxybate
patient voice
natural language processing
url https://www.mdpi.com/2076-3425/14/12/1189
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