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Gordon D, Ford A, Triedman N, Hart K, Perlis R. Health Care Consumer Shopping Behaviors and Sentiment: Qualitative Study. J Particip Med 2020; 12:e13924. [PMID: 33064088 PMCID: PMC7434061 DOI: 10.2196/13924] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 12/06/2019] [Accepted: 12/09/2019] [Indexed: 11/17/2022] Open
Abstract
Background Although some health care market reforms seek to better engage consumers in purchasing health care services, health consumer behavior remains poorly understood. Objective This study aimed to characterize the behaviors and sentiment of consumers who attempt to shop for health care services. Methods We used a semistructured interview guide based on grounded theory and standard qualitative research methods to examine components of a typical shopping process in a sample size of 54 insured adults. All interviews were systematically coded to capture consumer behaviors, barriers to shopping behavior, and sentiments associated with these experiences. Results Participants most commonly described determining and evaluating options, seeking value, and assessing or evaluating value. In total, 83% (45/54) of participants described engaging in negotiations regarding health care purchasing. The degree of positive sentiment expressed in the interview was positively correlated with identifying and determining the health plan, provider, or treatment options; making the decision to purchase; and evaluating the decision to purchase. Conversely, negative sentiment was correlated with seeking value and making the decision to buy. Conclusions Consumer shopping behaviors are prevalent in health care purchasing and can be mapped to established consumer behavior models.
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Affiliation(s)
- Deborah Gordon
- Mossavar-Rahmani Center for Business and Government, Harvard Kennedy School, Cambridge, MA, United States
| | - Anna Ford
- Mossavar-Rahmani Center for Business and Government, Harvard Kennedy School, Cambridge, MA, United States
| | - Natalie Triedman
- Mossavar-Rahmani Center for Business and Government, Harvard Kennedy School, Cambridge, MA, United States
| | - Kamber Hart
- Center for Quantitative Health, Massachusetts General Hospital, Boston, MA, United States
| | - Roy Perlis
- Center for Quantitative Health, Massachusetts General Hospital, Boston, MA, United States
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Felmlee DH, Blanford JI, Matthews SA, MacEachren AM. The geography of sentiment towards the Women's March of 2017. PLoS One 2020; 15:e0233994. [PMID: 32497125 PMCID: PMC7272063 DOI: 10.1371/journal.pone.0233994] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Accepted: 05/15/2020] [Indexed: 11/18/2022] Open
Abstract
The Women's March of 2017 generated unprecedented levels of participation in the largest, single day, protest in history to date. The marchers protested the election of President Donald Trump and rallied in support of several civil issues such as women's rights. "Sister marches" evolved in at least 680 locations across the United States. Both positive and negative reactions to the March found their way into social media, with criticism stemming from certain, conservative, political sources and other groups. In this study, we investigate the extent to which this notable, historic event influenced sentiment on Twitter, and the degree to which responses differed by geographic area within the continental U.S. Tweets about the event rose to an impressive peak of over 12% of all geo-located tweets by mid-day of the March, Jan. 21. Messages included in tweets associated with the March tended to be positive in sentiment, on average, with a mean of 0.34 and a median of 0.07 on a scale of -4 to +4. In fact, tweets associated with the March were more positive than all other geo-located tweets during the day of the March. Exceptions to this pattern of positive sentiment occurred only in seven metropolitan areas, most of which involved very small numbers of tweets. Little evidence surfaced of extensive patterns of negative, aggressive messages towards the event in this set of tweets. Given the widespread nature of online harassment and sexist tweets, more generally, the results are notable. In sum, online reactions to the March on this social media platform suggest that this modern arm of the Women's Movement received considerable, virtual support across the country.
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Affiliation(s)
- Diane H. Felmlee
- Department of Sociology and Criminology, Pennsylvania State University, State College, Pennsylvania, United States of America
- Population Research Institute, Pennsylvania State University, State College, Pennsylvania, United States of America
| | - Justine I. Blanford
- Department of Geography, Pennsylvania State University, State College, Pennsylvania, United States of America
- Dutton e-Education Institution, Pennsylvania State University, State College, Pennsylvania, United States of America
| | - Stephen A. Matthews
- Department of Sociology and Criminology, Pennsylvania State University, State College, Pennsylvania, United States of America
- Population Research Institute, Pennsylvania State University, State College, Pennsylvania, United States of America
- Department of Anthropology, Pennsylvania State University, State College, Pennsylvania, United States of America
| | - Alan M. MacEachren
- Department of Geography, Pennsylvania State University, State College, Pennsylvania, United States of America
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Lynch CJ, Diallo SY, Kavak H, Padilla JJ. A content analysis-based approach to explore simulation verification and identify its current challenges. PLoS One 2020; 15:e0232929. [PMID: 32401795 PMCID: PMC7219780 DOI: 10.1371/journal.pone.0232929] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Accepted: 04/25/2020] [Indexed: 11/19/2022] Open
Abstract
Verification is a crucial process to facilitate the identification and removal of errors within simulations. This study explores semantic changes to the concept of simulation verification over the past six decades using a data-supported, automated content analysis approach. We collect and utilize a corpus of 4,047 peer-reviewed Modeling and Simulation (M&S) publications dealing with a wide range of studies of simulation verification from 1963 to 2015. We group the selected papers by decade of publication to provide insights and explore the corpus from four perspectives: (i) the positioning of prominent concepts across the corpus as a whole; (ii) a comparison of the prominence of verification, validation, and Verification and Validation (V&V) as separate concepts; (iii) the positioning of the concepts specifically associated with verification; and (iv) an evaluation of verification’s defining characteristics within each decade. Our analysis reveals unique characterizations of verification in each decade. The insights gathered helped to identify and discuss three categories of verification challenges as avenues of future research, awareness, and understanding for researchers, students, and practitioners. These categories include conveying confidence and maintaining ease of use; techniques’ coverage abilities for handling increasing simulation complexities; and new ways to provide error feedback to model users.
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Affiliation(s)
- Christopher J. Lynch
- Virginia Modeling, Analysis and Simulation Center, Old Dominion University, Suffolk, VA, United States of America
- * E-mail:
| | - Saikou Y. Diallo
- Virginia Modeling, Analysis and Simulation Center, Old Dominion University, Suffolk, VA, United States of America
| | - Hamdi Kavak
- Department of Computational and Data Sciences, George Mason University, Fairfax, VA, United States of America
| | - Jose J. Padilla
- Virginia Modeling, Analysis and Simulation Center, Old Dominion University, Suffolk, VA, United States of America
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54
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Park HW, Park S, Chong M. Conversations and Medical News Frames on Twitter: Infodemiological Study on COVID-19 in South Korea. J Med Internet Res 2020; 22:e18897. [PMID: 32325426 PMCID: PMC7202309 DOI: 10.2196/18897] [Citation(s) in RCA: 105] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 04/16/2020] [Accepted: 04/22/2020] [Indexed: 11/22/2022] Open
Abstract
Background SARS-CoV-2 (severe acute respiratory coronavirus 2) was spreading rapidly in South Korea at the end of February 2020 following its initial outbreak in China, making Korea the new center of global attention. The role of social media amid the current coronavirus disease (COVID-19) pandemic has often been criticized, but little systematic research has been conducted on this issue. Social media functions as a convenient source of information in pandemic situations. Objective Few infodemiology studies have applied network analysis in conjunction with content analysis. This study investigates information transmission networks and news-sharing behaviors regarding COVID-19 on Twitter in Korea. The real time aggregation of social media data can serve as a starting point for designing strategic messages for health campaigns and establishing an effective communication system during this outbreak. Methods Korean COVID-19-related Twitter data were collected on February 29, 2020. Our final sample comprised of 43,832 users and 78,233 relationships on Twitter. We generated four networks in terms of key issues regarding COVID-19 in Korea. This study comparatively investigates how COVID-19-related issues have circulated on Twitter through network analysis. Next, we classified top news channels shared via tweets. Lastly, we conducted a content analysis of news frames used in the top-shared sources. Results The network analysis suggests that the spread of information was faster in the Coronavirus network than in the other networks (Corona19, Shincheon, and Daegu). People who used the word “Coronavirus” communicated more frequently with each other. The spread of information was faster, and the diameter value was lower than for those who used other terms. Many of the news items highlighted the positive roles being played by individuals and groups, directing readers’ attention to the crisis. Ethical issues such as deviant behavior among the population and an entertainment frame highlighting celebrity donations also emerged often. There was a significant difference in the use of nonportal (n=14) and portal news (n=26) sites between the four network types. The news frames used in the top sources were similar across the networks (P=.89, 95% CI 0.004-0.006). Tweets containing medically framed news articles (mean 7.571, SD 1.988) were found to be more popular than tweets that included news articles adopting nonmedical frames (mean 5.060, SD 2.904; N=40, P=.03, 95% CI 0.169-4.852). Conclusions Most of the popular news on Twitter had nonmedical frames. Nevertheless, the spillover effect of the news articles that delivered medical information about COVID-19 was greater than that of news with nonmedical frames. Social media network analytics cannot replace the work of public health officials; however, monitoring public conversations and media news that propagates rapidly can assist public health professionals in their complex and fast-paced decision-making processes.
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Affiliation(s)
- Han Woo Park
- Department of Media & Communication, Interdisciplinary Graduate Programs of Digital Convergence Business and East Asian Cultural Studies, Yeungnam University, Gyeongsan-si, Republic of Korea.,Cyber Emotions Research Institute, Gyeongsan-si, Republic of Korea
| | - Sejung Park
- Tim Russert Department of Communication, John Carroll University, Cleveland Heights, OH, United States
| | - Miyoung Chong
- College of Information, University of North Texas, Denton, TX, United States
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55
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Garcia-Rudolph A, Laxe S, Saurí J, Bernabeu Guitart M. Stroke Survivors on Twitter: Sentiment and Topic Analysis From a Gender Perspective. J Med Internet Res 2019; 21:e14077. [PMID: 31452514 PMCID: PMC6732975 DOI: 10.2196/14077] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2019] [Revised: 06/11/2019] [Accepted: 06/16/2019] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Stroke is the worldwide leading cause of long-term disabilities. Women experience more activity limitations, worse health-related quality of life, and more poststroke depression than men. Twitter is increasingly used by individuals to broadcast their day-to-day happenings, providing unobtrusive access to samples of spontaneously expressed opinions on all types of topics and emotions. OBJECTIVE This study aimed to consider the raw frequencies of words in the collection of tweets posted by a sample of stroke survivors and to compare the posts by gender of the survivor for 8 basic emotions (anger, fear, anticipation, surprise, joy, sadness, trust and disgust); determine the proportion of each emotion in the collection of tweets and statistically compare each of them by gender of the survivor; extract the main topics (represented as sets of words) that occur in the collection of tweets, relative to each gender; and assign happiness scores to tweets and topics (using a well-established tool) and compare them by gender of the survivor. METHODS We performed sentiment analysis based on a state-of-the-art lexicon (National Research Council) with syuzhet R package. The emotion scores for men and women were first subjected to an F-test and then to a Wilcoxon rank sum test. We extended the emotional analysis, assigning happiness scores with the hedonometer (a tool specifically designed considering Twitter inputs). We calculated daily happiness average scores for all tweets. We created a term map for an exploratory clustering analysis using VosViewer software. We performed structural topic modelling with stm R package, allowing us to identify main topics by gender. We assigned happiness scores to all the words defining the main identified topics and compared them by gender. RESULTS We analyzed 800,424 tweets posted from August 1, 2007 to December 1, 2018, by 479 stroke survivors: Women (n=244) posted 396,898 tweets, and men (n=235) posted 403,526 tweets. The stroke survivor condition and gender as well as membership in at least 3 stroke-specific Twitter lists of active users were manually verified for all 479 participants. Their total number of tweets since 2007 was 5,257,433; therefore, we analyzed the most recent 15.2% of all their tweets. Positive emotions (anticipation, trust, and joy) were significantly higher (P<.001) in women, while negative emotions (disgust, fear, and sadness) were significantly higher (P<.001) in men in the analysis of raw frequencies and proportion of emotions. Happiness mean scores throughout the considered period show higher levels of happiness in women. We calculated the top 20 topics (with percentages and CIs) more likely addressed by gender and found that women's topics show higher levels of happiness scores. CONCLUSIONS We applied two different approaches-the Plutchik model and hedonometer tool-to a sample of stroke survivors' tweets. We conclude that women express positive emotions and happiness much more than men.
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Affiliation(s)
- Alejandro Garcia-Rudolph
- Institut Guttmann Hospital de Neurorehabilitacio, Badalona, Spain
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
- Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain
| | - Sara Laxe
- Institut Guttmann Hospital de Neurorehabilitacio, Badalona, Spain
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
- Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain
| | - Joan Saurí
- Institut Guttmann Hospital de Neurorehabilitacio, Badalona, Spain
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
- Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain
| | - Montserrat Bernabeu Guitart
- Institut Guttmann Hospital de Neurorehabilitacio, Badalona, Spain
- Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain
- Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain
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Abstract
With the massive growth of the Internet, text data has become one of the main formats of tourism big data. As an effective expression means of tourists’ opinions, text mining of such data has big potential to inspire innovations for tourism practitioners. In the past decade, a variety of text mining techniques have been proposed and applied to tourism analysis to develop tourism value analysis models, build tourism recommendation systems, create tourist profiles, and make policies for supervising tourism markets. The successes of these techniques have been further boosted by the progress of natural language processing (NLP), machine learning, and deep learning. With the understanding of the complexity due to this diverse set of techniques and tourism text data sources, this work attempts to provide a detailed and up-to-date review of text mining techniques that have been, or have the potential to be, applied to modern tourism big data analysis. We summarize and discuss different text representation strategies, text-based NLP techniques for topic extraction, text classification, sentiment analysis, and text clustering in the context of tourism text mining, and their applications in tourist profiling, destination image analysis, market demand, etc. Our work also provides guidelines for constructing new tourism big data applications and outlines promising research areas in this field for incoming years.
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57
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Extracting Spatial Patterns of Intercity Tourist Movements from Online Travel Blogs. SUSTAINABILITY 2019. [DOI: 10.3390/su11133526] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Spatial patterns of tourist mobility are important for tourism management and planning. A large number of traveler-generated content accumulated on the internet provide a unique opportunity for revealing comprehensive spatial patterns of tourist movements. Instead of concentrating on a single city or attraction in previous research, this work investigates the intercity travel flows extracted from the online travel blogs in China from 2012 to 2016. The descriptive statistics of travel flows are first analyzed. The distribution of travel volume is found to satisfy the power-law distribution. Based on the intercity travel flows, a network structure is then constructed to investigate tourism interactions between cities. After four communities and 14 sub-communities being detected from the network, a tourism spatial layout with regional agglomeration effects are recognized. This research concludes that distance is essential in determining tourist movements based on a spatial interaction model. Intercity travel flows decline with distance under a power-law function. These results reveal the spatial patterns of tourist movements at an intercity scale. It will be helpful for arranging tourism resources, predicting tourist flows, and maintaining sustainable tourism.
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58
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Bustamante A, Sebastia L, Onaindia E. Can Tourist Attractions Boost Other Activities Around? A Data Analysis through Social Networks. SENSORS 2019; 19:s19112612. [PMID: 31181757 PMCID: PMC6603767 DOI: 10.3390/s19112612] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Revised: 06/03/2019] [Accepted: 06/06/2019] [Indexed: 11/25/2022]
Abstract
Promoting a tourist destination requires uncovering travel patterns and destination choices, identifying the profile of visitors and analyzing attitudes and preferences of visitors for the city. To this end, tourism-related data are an invaluable asset to understand tourism behaviour, obtain statistical records and support decision-making for business around tourism. In this work, we study the behaviour of tourists visiting top attractions of a city in relation to the tourist influx to restaurants around the attractions. We propose to undertake this analysis by retrieving information posted by visitors in a social network and using an open access map service to locate the tweets in a influence area of the city. Additionally, we present a pattern recognition based technique to differentiate visitors and locals from the collected data from the social network. We apply our study to the city of Valencia in Spain and Berlin in Germany. The results show that, while in Valencia the most frequented restaurants are located near top attractions of the city, in Berlin, it is usually the case that the most visited restaurants are far away from the relevant attractions of the city. The conclusions from this study can be very insightful for destination marketers.
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Affiliation(s)
- Alexander Bustamante
- Department Sistemas Informáticos y Computación, Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia, Spain.
| | - Laura Sebastia
- Department Sistemas Informáticos y Computación, Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia, Spain.
| | - Eva Onaindia
- Department Sistemas Informáticos y Computación, Universitat Politècnica de València, Camino de Vera s/n, 46022 Valencia, Spain.
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59
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Shah Z, Martin P, Coiera E, Mandl KD, Dunn AG. Modeling Spatiotemporal Factors Associated With Sentiment on Twitter: Synthesis and Suggestions for Improving the Identification of Localized Deviations. J Med Internet Res 2019; 21:e12881. [PMID: 31344669 PMCID: PMC6682275 DOI: 10.2196/12881] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Revised: 03/19/2019] [Accepted: 03/29/2019] [Indexed: 11/14/2022] Open
Abstract
Background Studies examining how sentiment on social media varies depending on timing and location appear to produce inconsistent results, making it hard to design systems that use sentiment to detect localized events for public health applications. Objective The aim of this study was to measure how common timing and location confounders explain variation in sentiment on Twitter. Methods Using a dataset of 16.54 million English-language tweets from 100 cities posted between July 13 and November 30, 2017, we estimated the positive and negative sentiment for each of the cities using a dictionary-based sentiment analysis and constructed models to explain the differences in sentiment using time of day, day of week, weather, city, and interaction type (conversations or broadcasting) as factors and found that all factors were independently associated with sentiment. Results In the full multivariable model of positive (Pearson r in test data 0.236; 95% CI 0.231-0.241) and negative (Pearson r in test data 0.306; 95% CI 0.301-0.310) sentiment, the city and time of day explained more of the variance than weather and day of week. Models that account for these confounders produce a different distribution and ranking of important events compared with models that do not account for these confounders. Conclusions In public health applications that aim to detect localized events by aggregating sentiment across populations of Twitter users, it is worthwhile accounting for baseline differences before looking for unexpected changes.
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Affiliation(s)
- Zubair Shah
- Centre for Health Informatics, Australian Institute for Health Innovation, Macquarie University, Sydney, Australia
| | - Paige Martin
- Centre for Health Informatics, Australian Institute for Health Innovation, Macquarie University, Sydney, Australia
| | - Enrico Coiera
- Centre for Health Informatics, Australian Institute for Health Innovation, Macquarie University, Sydney, Australia
| | - Kenneth D Mandl
- Computational Health Informatics Program, Boston Children's Hospital, Boston, MA, United States.,Department of Biomedical Informatics, Harvard Medical School, Boston, MA, United States
| | - Adam G Dunn
- Centre for Health Informatics, Australian Institute for Health Innovation, Macquarie University, Sydney, Australia
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