Evidence-Based Activism and Knowledge Co-production: A Case Study of Online Communities on Therapeutic Cannabis

Abstract

This study examines the role of online health communities in Brazil dedicated to cannabis treatments for chronic diseases as platforms for evidence-based activism. Using a mixed-methods approach, the research combines qualitative analysis with computational techniques, including Latent Dirichlet Allocation (LDA) topic modeling, to analyze six online groups from WhatsApp and Facebook. Key themes emerging from the analysis include treatment per pathology, treatment effects, access barriers, peer support, and advocacy efforts. The findings reveal how these communities act as epistemic networks, where patients and caregivers co-produce knowledge by sharing personal experiences and engaging in dialogue with healthcare professionals. This study highlights how online health communities transform experience sharing into structured evidence, enabling collective action to address barriers such as limited access to cannabis-based treatments. It underscores the potential of digital platforms to empower patients, foster collaboration with healthcare professionals, and influence health governance.