What Are Health-Related Users Tweeting? A Qualitative Content Analysis of Health-Related Users and Their Messages on Twitter
What Are Health-Related Users Tweeting? A Qualitative Content Analysis of Health-Related Users and Their Messages on Twitter
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DOI：
10.2196/jmir.3765
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发表时间：
2014-01-01
影响因子：
7.4
通讯作者：
Berger, Zackary D.
中科院分区：
文献类型：
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作者：
Lee, Joy L.;DeCamp, Matthew;Berger, Zackary D.
背景：Twitter 是许多健康专业人士的家园，他们发送有关各种健康相关主题的信息。由于担心医生在网上发布不当内容，需要更深入地了解这些消息，以了解卫生专业人员在 Twitter 上的行为。目标：我们的目标是描述 Twitter 消息的内容，特别关注卫生专业人员及其与健康相关的推文。方法：我们对 700 条推文进行了深入的内容分析。对 Twitter 上健康用户的推文进行了定性内容分析。主要目标是描述 Twitter 上由卫生专业人员撰写的内容的一般类型（即与健康相关的内容与与非健康相关的内容），并根据所发表的声明类型进一步描述与健康相关的推文。特别关注推文是否是个人的（而不是专业的）或是否声称用户希望得到某种程度的医学证据的支持（即“可测试”的声明）。第二个目标是比较不同用户（包括患者、医生、护士、医疗保健组织等）的内容类型。结果：与健康相关的用户在 Twitter 上发布了广泛的内容。在与健康相关的推文中，53.2% (184/346) 包含可测试的声明。在提供商发布的健康相关推文中，17.6% (61/346) 属于个人性质； 61% (59/96) 做出了可测试的陈述。虽然组织和企业使用 Twitter 来宣传他们的服务和产品，但患者权益倡导者正在使用此工具来分享他们的个人健康经历。 结论：健康相关领域的 Twitter 用户会发布有关可测试声明和个人经历的推文。未来的工作应该评估可测试的推文与支持它们的实际证据水平之间的关系，包括推特用户（尤其是患者）如何解释医疗服务提供者发布的推文内容。
Background: Twitter is home to many health professionals who send messages about a variety of health-related topics. Amid concerns about physicians posting inappropriate content online, more in-depth knowledge about these messages is needed to understand health professionals' behavior on Twitter.Objective: Our goal was to characterize the content of Twitter messages, specifically focusing on health professionals and their tweets relating to health.Methods: We performed an in-depth content analysis of 700 tweets. Qualitative content analysis was conducted on tweets by health users on Twitter. The primary objective was to describe the general type of content (ie, health-related versus non-health related) on Twitter authored by health professionals and further to describe health-related tweets on the basis of the type of statement made. Specific attention was given to whether a tweet was personal (as opposed to professional) or made a claim that users would expect to be supported by some level of medical evidence (ie, a "testable" claim). A secondary objective was to compare content types among different users, including patients, physicians, nurses, health care organizations, and others.Results: Health-related users are posting a wide range of content on Twitter. Among health-related tweets, 53.2% (184/346) contained a testable claim. Of health-related tweets by providers, 17.6% (61/346) were personal in nature; 61% (59/96) made testable statements. While organizations and businesses use Twitter to promote their services and products, patient advocates are using this tool to share their personal experiences with health.Conclusions: Twitter users in health-related fields tweet about both testable claims and personal experiences. Future work should assess the relationship between testable tweets and the actual level of evidence supporting them, including how Twitter users-especially patients-interpret the content of tweets posted by health providers.