P31 From fighting the scourge to everyday management of cancer risk: a foucauldian archaeological study

Background Studies of publicly available cancer information (CI) focus upon the provision of CI at specific times in history1-2 or more recently patient preferences and use of electronic resources.3 As such, there is little research exploring the changing representation of cancer through early to electronic forms of CI. Aims The aim of this paper is to present theoretical, methodological and epistemological insights from a qualitative study using Foucault’s archaeological approach4 combined with the theoretical lens of medicalization5 to investigate the changing representation of cancer through CI (1934–2010), and consider their implications to current understandings of CI. Methods Adopting a purposive sampling approach, archival and electronic CI were collected from a variety of sources, including the Wellcome Library, British Library, National Archives, GP surgeries and cancer charity websites. Results Analytical findings reveal five thematic shifts, showing how increasing responsibility for the management of cancer risk and promotion of health has been placed upon the ‘imagined reader’6 of CI: the emergence of cancer as a scourge involving the combined efforts of medical professionals and the public to ‘fight’ (1934–1947). the moral pursuit of life saving (1948–1959). smoking, lung cancer and engaging in risky behaviours (1960–1978). individualism and the emergence of a regulatory consumer (1979–1999). everyday management of cancer risk and promotion of health (2000–2010). Conclusions Through enabling examination of the changing relations between the representation of cancer and the social, economic and political contexts within which they are embedded, Foucault’s archaeological approach provides an innovative and valuable tool to understand contemporary conceptualisations of cancer, responsibility and risk as well as „different forms of CI. References Berridge V. Medicine, public health and the media in Britain from the nineteen‐fifties to the nineteen‐seventies. Historical research2009;82:360–373. Toon E. ‘Cancer as the General Population Knows It’:: Knowledge, Fear, and Lay Education in 1950s Britain. Bulletin of the History of Medicine 2007;81:116. Bluethmann SM, Coa KI, Alfano CM, et al. Electronic health information exchange opportunities for self-management of care: responses from older adults with and without cancer history in the United States. Current oncology reports 2018;20:30. Foucault M. The Archaeology of Knowledge 1997. London: Routledge. Conrad P. The medicalization of society: On the transformation of human „conditions into treatable disorders. JHU Press, 2007. Crawshaw P. Governing the healthy male citizen: Men, masculinity and popular health in Men's Health magazine. Social Science & Medicine 2007; 65: 1606–1618.

Background Analysis of Twitter data is a relatively new and developing form of qualitative health research. It allows access to how issues and experiences are socially shared and constructed amongst communities of health service users and providers, in ways that traditional or individual-based qualitative methods may not. In the UK, Crisis Resolution Teams aim to provide intensive home-based support to adults in mental health crisis. However, there are known problems with user satisfaction, and wide variations in implementation. Aim To explore how Crisis Resolution Teams were discussed on Twitter and compare this with data collected via interviews and focus groups in a related study. 1 Methods Twitter's advanced search function was used to retrieve relevant Tweets on Crisis Resolution Teams (2010-2018). A form of thematic analysis was conducted on 500 relevant randomly selected Twitter posts. Principles of refutational synthesis were applied to compare themes with those identified in interviews and focus groups.

Results
The most popular 'hashtag' search term was '#Crisis-TeamFail'. Negative comments about Crisis Resolution Teams were found in 40.8% of Tweets, principally relating to access and quality of care. There were some overlaps between themes identified in both datasets, including the importance of rapid access to care and planned discharges. However, views expressed on Twitter were generally more critical than those obtained via face-to-face methods. This may be because people post about experiences with mental health services as they happen, and because Twitter communities include individuals who are less engaged with services. Conclusion By looking at stakeholder views expressed on social media alongside traditional qualitative methods, researchers can capture a wider spectrum of opinions than with one method alone. Twitter can be a valuable resource for future health research which could feed into improving user engagement and collaboration in service design and improvement. Background Studies of publicly available cancer information (CI) focus upon the provision of CI at specific times in history 1-2 or more recently patient preferences and use of electronic resources. 3 As such, there is little research exploring the changing representation of cancer through early to electronic forms of CI.
Aims The aim of this paper is to present theoretical, methodological and epistemological insights from a qualitative study using Foucault's archaeological approach 4 combined with the theoretical lens of medicalization 5 to investigate the changing representation of cancer through CI , and consider their implications to current understandings of CI.
Methods Adopting a purposive sampling approach, archival and electronic CI were collected from a variety of sources, including the Wellcome Library, British Library, National Archives, GP surgeries and cancer charity websites.
Conclusions Through enabling examination of the changing relations between the representation of cancer and the social, economic and political contexts within which they are embedded, Foucault's archaeological approach provides an innovative and valuable tool to understand contemporary conceptualisations of cancer, responsibility and risk as well as different forms of CI. Background Social media platforms occupy an increasingly significant role in providing learning and support for people to share healthcare experiences, 1 yet little is known about their potential as participant recruitment avenues into health research. 2 Aim To develop understanding of the role of social media as a recruitment tool, this paper presents conceptual and methodological insights, as well as early findings from a study using social media alongside traditional recruitment pathways, 1 to explore patient, General Practitioner and Pharmacist experiences of the local implementation of a national led digital technology. Methods Using a combined recruitment strategy comprising of social media and traditional recruitment pathways, patients, General Practitioners and Pharmacists are being recruited into a mixed method study, involving online surveys and telephone interviews, to explore their experiences of the local implementation of a national led digital technology.

P32
Results Key insights include: . Methodological design, development and implementation of a social media recruitment tool . Barriers and enablers of using social media in comparison to traditional recruitment pathways . Complexities of context: using a recruitment tool with an international reach to recruit locally . Early exploratory findings and relationship to recruitment strategy . Engagement and participation of different social media users: patients, General Practitioners and Pharmacists . Implications for future research using social media as a recruitment tool.
Conclusions Key insights can contribute towards learning about the use of social media as a recruitment tool in health research involving digital technologies and consideration of complex interrelated methodological, contextual, relational, ethical and participation issues.  In Hungaryas in other European countries -Roma experience significantly worse health outcomes than the general population. Limited access to health care services does not fully explain this gap in the Roma health status. Social and environmental determinants such as bad housing condition, limited