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Online health communities offer the promise of support benefits to users, inparticular because these communities enable users to find peers with similarexperiences. Building mutually supportive connections between peers is a keymotivation for using online health communities. However, a user's role in acommunity may influence the formation of peer connections. In this work, westudy patterns of peer connections between two structural health roles: patientand non-professional caregiver. We examine user behavior in an online healthcommunity where finding peers is not explicitly supported. This context lets ususe social network analysis methods to explore the growth of such connectionsin the wild and identify users' peer communication preferences. We investigatedhow connections between peers were initiated, finding that initiations are morelikely between two authors who have the same role and who are close within thebroader communication network. Relationships are also more likely to form andbe more interactive when authors have the same role. Our results haveimplications for the design of systems supporting peer communication, e.g.peer-to-peer recommendation systems.

Patterns of Patient and Caregiver Mutual Support Connections in an Online Health Community