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Finding the familiar in Rare Disease
Inspired by World Rare Disease Day, WE Communication's Hugh Adams covers some of the challenges faced when considering Rare Disease communications.
Estimates suggest that
a so-called rare disease affects one in ten people, and so everyone who reads
this is likely to know someone living with a little-known condition. I am in
that category. A rare blood clotting disorder, thankfully mild, runs in my
family. However, even as someone working in health communications, until now I have
never thought of myself as someone with a rare disease. I am lucky the
condition does not affect my life, but if it did, would I like that to be the
defining feature in the eyes of my friends, family and HCPs? The answer, in
common with most people I am sure, is no.
This leads me to one
of the conundrums of good health communications: how to build awareness and nurture
confidence to manage a condition without creating an environment in which
health dominates and comes to define a person’s identity? There is a continuing
struggle for people affected by rare diseases to build a confident platform, to
manage their condition and not to be defined by it.
In addressing that
challenge, a first question is whether the term rare disease is too broad. With
over 7,000 diseases classified as ‘rare’, there is huge variability of disease
symptoms and severity, even between people living with the same condition. The
term rare is ironically ‘catch-all’ in this instance, brandishing a very broad
brushstroke, which isn’t always helpful.
On the other hand,
with small individual populations of people, there is an absolute need to
combine forces in order to create a large enough group of people to advocate. Individually
giving each stakeholder (or group), a voice to articulate their own challenges
and specific needs is problematic, requiring real insight and planning to make
sure that each action will have the necessary impact.
Collaborative groups
such as the Genetic Alliance in the UK, NORD in the US and EURODIS (an EU-level
organisation) have worked
towards these ends for a couple of decades now and have successfully helped hundreds
of small populations across the whole spectrum of rare disease, to advocate for
better care, further research and greater understanding.
The solution, it seems,
is to create a clearer distinction between advocating broadly for rare diseases
at a policy level (to ensure people affected by rare diseases receive their
fair share of the health system’s funding) and communication around specific
conditions. The latter would focus more clearly on the experience of people
affected and answer their day-to-day needs.
If we are clear in
delineating between rare disease policy and specific disease information, we
can start to consider how we can begin building awareness and confidence to
manage a condition without creating those perceptions of
expectation/burden/fear/anxiety.
While trying to think
broadly, but also recognise the variability and personal journeys people have with
their condition, there are a few insights we can add to the process:
1.
Understand the moment of greatest impact
The importance of the diagnosis
delivery is not a new subject. Nonetheless, it marks a significant moment in an
individual’s experience with their condition. Where rare diseases seem to differ
is how diagnoses are communicated, conveyed in broad terms and lacking reassurance.
When looking at patient adherence, this point of communication is shown to have an impact on how an
individual will manage their condition going forward.
To a certain extent
this can be achieved by ensuring HCPs have access to current, validated
information, curated in a way that helps them to easily retrieve the
information they need. Supporting medical professionals will have a positive
impact on the patient experience as in return, an individual who is well
informed about their condition, is motivated, and has the requisite skills is
more likely to maintain better health management.
Nevertheless, the
greatest moment of impact might not come at the point of diagnosis. When
considering rare disease in particular diagnosis is frequently a long drawn-out
process. Each person’s journey is personal and when thinking about driving
advocacy in rare disease, as well as other conditions, it is important to
consider where the person is along their own journey.
2.
Informative and personal: a platform and a
voice
To these ends, the
final piece in this puzzle is to ensure people can access this information when
they want and need it, and not be inundated. We have the digital capability to
deliver the right information to
people at a time when they want to
engage with it, whether that is HCP, a person living with a condition or those
around them. For example, parents of children with a rare disease may only want
information that pertains to the immediate life stage. Others, on the other
hand, may want to know long-term prognoses and predictions. By making use of
this technology, we can help people draw out the information they need, as and
when they most want it.
Fundamentally,
technology can be hugely empowering, if designed in a way that suits the person
affected. It gives them access to the information they need at the press of a
few buttons, allowing people to remain anonymous if they wish, or engage in a
wider community of people living with similar challenges. Digital media allow
information to be communicated in a variety of ways, which can encompass varying
levels of literacy, allow for the user to determine their level of engagement
and provides the confidence to know robust information is there if they want
it.

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It is a great
challenge to consider 7,000 diseases in one blog and in equal measure foolish
to assume a one-size measure be applied to “rare disease”. As communications
consultants it is vital that we use insight and our ability to foster
relationships with a broad range of stakeholders to clearly communicate the
right message, implement technology effectively and fundamentally answer the
needs of those who on their journey, wherever they may be.