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Neely S, Witkowski K. Social Media Authentication and Users' Assessments of Health Information: Random Assignment Survey Experiment. JMIR Form Res 2024; 8:e52503. [PMID: 38980714 PMCID: PMC11267113 DOI: 10.2196/52503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 04/29/2024] [Accepted: 05/16/2024] [Indexed: 07/10/2024] Open
Abstract
BACKGROUND In an effort to signal the authenticity of user accounts, social networking sites (SNSs) such as Facebook and X, formerly known as Twitter, use visual heuristics (blue checkmarks) to signify whether accounts are verified. While these verification badges are generally well recognized (and often coveted) by SNS users, relatively little is known about how they affect users' perceptions of accuracy or their likelihood of engaging with web-based information. This is particularly true in the case of information posted by medical experts and health care professionals. OBJECTIVE This study aims to use an experimental survey design to assess the effect of these verification badges on SNS users' assessments of information accuracy as well as their proclivity to recirculate health information or follow verified medical experts in their social network. METHODS A survey experiment using random assignment was conducted on a representative sample of 534 adult SNS users in Florida, United States. A total of 2 separate experimental scenarios exposed users to vaccine-related posts from verified medical experts on X. In each case, the original post contained a platform-issued verification badge (treatment group), which was subsequently edited out of the image as an experimental control. For each scenario, respondents were randomly assigned to either the treatment or control group, and responses to 3 follow-up questions were assessed through a series of chi-square analyses and 2 logit regression models. Responses were fielded using a stratified quota sampling approach to ensure representativeness of the state's population based on age, sex, race, ethnicity, and political affiliation. RESULTS Users' assessments of information accuracy were not significantly impacted by the presence or absence of verification badges, and users exposed to the experimental treatment (verification badge) were not any more likely to repost the message or follow the author. While verification badges did not influence users' assessments or subsequent behaviors, reliance on social media for health-related information and political affiliation were substantial predictors of accuracy assessments in both experimental scenarios. In scenario 1, which included a post addressing COVID-19 vaccine efficacy, users who relied on social media "a great deal" for health information were 2 times more likely to assess the post as accurate (odds ratio 2.033, 95% CI 1.129-3.661; P=.01). In scenario 2, which included a post about measles vaccines, registered Republicans were nearly 6 times less likely to assess the post as accurate (odds ratio 0.171, 95% CI 0.097-0.299; P<.001). CONCLUSIONS For health professionals and medical experts wishing to leverage social networks to combat misinformation and spread reliable health-related content, account verification appears to offer little by way of added value. On the basis of prior research, other heuristics and communication strategies are likely to yield better results.
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Affiliation(s)
- Stephen Neely
- School of Public Affairs, University of South Florida, Tampa, FL, United States
| | - Kaila Witkowski
- Department of Public Administration, Florida Atlantic University, Boca Raton, FL, United States
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Canatan AN. Assessing the Quality and Reliability of Videos Related to Fibromyalgia on TikTok: A Comprehensive Analysis. Cureus 2024; 16:e64704. [PMID: 39156279 PMCID: PMC11327841 DOI: 10.7759/cureus.64704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2024] [Indexed: 08/20/2024] Open
Abstract
Introduction Fibromyalgia, characterized by chronic musculoskeletal pain and associated symptoms, poses significant challenges in diagnosis and management. While social media platforms like TikTok have emerged as popular sources of health information, their variable content quality necessitates critical evaluation. This study aimed to assess the quality and reliability of TikTok videos related to fibromyalgia, thereby enhancing the understanding of their impact on patient education and self-management. Methods A cross-sectional observational study was conducted in June 2024, which analyzed 150 TikTok videos using search terms like "Fibromyalgia", "Fibromyalgia Symptoms", and "Fibromyalgia Treatment". Videos were evaluated for inclusion based on relevance and language (English), by employing the Global Quality Scale (GQS) and Quality Criteria for Consumer Health Information (DISCERN) score for assessment. Statistical analysis was performed by using IBM SPSS Statistics v21.0 (IBM Corp., Armonk, NY). The Kruskall-Wallis test was employed, and a p-value less than 0.05 was deemed statistically significant. Results Of the 150 videos initially reviewed, 96 (64%) met the inclusion criteria. Content categories included disease description (34, 35.42%), symptoms (81, 84.38%), management (64, 66.67%), and personal experiences (63, 65.63%). The videos were uploaded by doctors (8, 8.33%), patients (63, 65.63%), healthcare workers ( 7, 7.29%), and others (18, 18.75%). Mean GQS scores varied significantly by uploader type: doctors (4.63 ± 0.52), healthcare workers (3.43 ± 0.79), patients (2.37 ± 0.81), and others (2.11 ± 0.47) (p<0.001). DISCERN scores followed a similar trend: doctors (3.88 ± 0.64), healthcare workers (2.14 ± 1.46), patients (1.08 ± 0.27), and others (1.61 ± 0.50) (p<0.001). Conclusions TikTok serves as a pivotal platform for fibromyalgia-related discourse, predominantly shaped by patient-generated content. However, even though it provides insights into symptoms and management strategies, gaps exist in comprehensive medical guidance and preventive measures. The study underscores the critical role of healthcare professionals in enhancing content reliability and educational value on social media. Future research should explore cultural and linguistic diversity to broaden the accessibility and relevance of health information on platforms like TikTok.
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Maher S, McHugh J, Crotty M, Birney S, O'Connell J, Finucane F, Spooner M. How do people living with obesity who use obesity services perceive healthcare professionals' representation of the disease on social media? An interpretative phenomenological analysis. BMJ Open 2024; 14:e081066. [PMID: 38626981 PMCID: PMC11029444 DOI: 10.1136/bmjopen-2023-081066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 02/28/2024] [Indexed: 04/19/2024] Open
Abstract
OBJECTIVES The objective of this study was to explore how people living with obesity who use obesity services perceive healthcare professionals' (HCPs) online representation of the disease on social media. By exploring their perspective, we aimed to develop a framework to inform good practice around social media use for HCPs. DESIGN This was a qualitative study using a phenomenological framework. Following in-depth semi-structured interviews, analysis was undertaken to identify superordinate themes relating to how HCPs portray living with obesity online. SETTING Patient advocacy organisation (The Irish Coalition for People Living with Obesity) and three clinical sites offering obesity treatment in Ireland. PARTICIPANTS 15 adult participants comprising of 12 women and 3 men who use social media and are living with obesity and who use obesity services. RESULTS Three key themes of how people living with obesity who use obesity services perceive HCP's online representation of the disease. (1) Negative experiences of HCPs-participants describe encountering weight stigma and bias on social media from HCPs that they characterised as simplistic and outdated conceptualisations. These engender shame, fear and anger. (2) Positive experience of HCPs-participants report social media allows HCPs to educate and inform public perception of obesity. Positive online experiences lead to feelings of inclusion, understanding and encouragement. (3) Expectations of HCPs-qualifications, professional titles and academic association affected the perceived trustworthiness of information and its impact on readers. Participants feel there is a duty of care for HCPs in obesity medicine to advocate and be active online to provide accurate medical information. CONCLUSION HCP's use of social media has a powerful impact on people with obesity who use healthcare and obesity services. Social media is a key tool in obesity awareness and education. We propose the '3E' framework-Empower, Evidence-Based and Educate and be educated to guide HCPs' social media use.
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Affiliation(s)
- Sean Maher
- Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Joseph McHugh
- Royal College of Surgeons in Ireland, Dublin, Ireland
| | | | - Susie Birney
- Irish Coalition for People Living with Obesity, Dublin, Ireland
| | - Jean O'Connell
- St Columcille's Hospital, Loughlinstown, Dublin, Ireland
| | - Francis Finucane
- HRB Clinical Research Facility, Galway University Hospitals, Galway, Ireland
- CURAM, Galway, Ireland
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Abou-Ghannam G, Abi-Habib R, Yaktine N. Teleconsultation Platforms Versus WhatsApp Consultations: Evaluating Patients and Physicians' Attitudes. Telemed J E Health 2024; 30:e1101-e1109. [PMID: 37883642 DOI: 10.1089/tmj.2023.0385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2023] Open
Abstract
Background: Since the 1990s, society has witnessed a surge in information and communication technologies that extended to the health care system. Teleconsultation platforms have become widely established tools that provide an opportunity for emerging countries such as Lebanon to expand and advance health care services. However, their use in Lebanon remains limited considering many people's preference to resort to nonmedical platforms such as WhatsApp for consultations. Methods: The purpose of this mixed-method study is to evaluate patients' and physicians' attitudes toward teleconsultation platforms versus WhatsApp consultations in Lebanon. In the quantitative component, 1,467 patients were administered a self-developed questionnaire, while in the qualitative component, a semistructured interview was conducted with 14 physicians practicing in Lebanon. Results: Results revealed that teleconsultation platforms and WhatsApp are not interchangeable. Patients' and physicians' experiences, perceptions, and satisfaction with teleconsultation platforms and WhatsApp are discussed. Conclusions: Individual and governmental recommendations for safer, more controlled, and more ethical online consultation practices are provided for both physicians and patients, through both modalities.
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Affiliation(s)
- Gaël Abou-Ghannam
- Department of Obstetrics and Gynecology, Bellevue Medical Center, Mansourieh, Mount Lebanon, Lebanon
- Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon
| | - Rudy Abi-Habib
- Department of Social and Education Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
| | - Nour Yaktine
- Department of Psychology, Faculty of Letters and Human Sciences, Université Saint-Joseph de Beyrouth, Beirut, Lebanon
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Tan JM, Simpao AF, Gálvez Delgado JA. The Future of Social Media, Anesthesiology, and the Perioperative Physician. Anesth Analg 2024; 138:358-368. [PMID: 38215714 DOI: 10.1213/ane.0000000000006711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2024]
Abstract
Social media has rapidly developed in the past decade to become a powerful and influential force for patients, physicians, health systems, and the academic community. While the use of social media in health care has produced many positive changes, such as rapid dissemination of information, crowd-sourced sharing of knowledge, learning, and social interaction, social media in health care has also negative effects. Recent examples of negative impacts of social media include rapid and unchecked information dissemination leading to patient misinformation and inadvertent reputational harm for health care professionals due to engaging in controversial topics on public platforms. Members of the anesthesiology community, like other medical specialties, have rapidly adopted social media at many different levels. However, most anesthesiologists, health systems, and academic communities have little education, preparation, and guidelines on optimizing the use of social media technology while minimizing the risks of social media. Anesthesiology has been and will continue to be impacted by the forces of technology and the cultural influences of social media for the foreseeable future. The purpose of this article was to examine the recent history of social media adoption in anesthesiology and perioperative medicine, understand the current impact of social media across our specialty, and consider how the future development of technology and evolving social and cultural dynamic influences of social media will have on anesthesiology over the next quarter century.
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Affiliation(s)
- Jonathan M Tan
- From the Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine at the University of Southern California, Los Angeles, California
- Spatial Sciences Institute at the University of Southern California, Los Angeles, California
| | - Allan F Simpao
- Department of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
- Department of Anesthesiology & Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
| | - Julia Alejandra Gálvez Delgado
- Division of Pediatric Anesthesiology, Children's Hospital & Medical Center, Omaha, Nebraska
- Department of Anesthesiology, College of Medicine, University of Nebraska, Omaha, Nebraska
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Elkefi S. Exploring Predictors of Social Media Use for Health and Wellness during COVID-19 among Adults in the US: A Social Cognitive Theory Application. Healthcare (Basel) 2023; 12:39. [PMID: 38200945 PMCID: PMC10779354 DOI: 10.3390/healthcare12010039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/08/2023] [Accepted: 12/18/2023] [Indexed: 01/12/2024] Open
Abstract
During COVID-19, SM media was relied upon for health-related information-seeking and activity support. This study uses the social cognitive theory (SCT) and a representative dataset of the population in the US to explore the factors influencing patients' perceptions of SM for health-related activities. As per SCT, consolidated factors comprised personal factors (sociodemographic, health perception, self-efficacy) and environmental factors (social isolation, purpose in life). Multivariate logistic regression analysis was conducted. Among the 6252 respondents, 95.15% rarely use SM to share personal health-related information, and 90.44% rarely use it to share general health-related information. Older individuals and Whites are less likely to consider SM for healthcare decisions. Education levels influence SM's perceived reliability. Those with positive health perceptions find SM more suitable for healthcare discussions. Socially-isolated individuals are less likely to use SM for healthcare. Those with a strong sense of purpose are less inclined to trust it for health decisions and may question its accuracy. SM-based interventions should address sociodemographic differences. Our findings contribute to the literature by SCT relevance validation in identifying the antecedents of SM use in healthcare. Our results also help to understand the challenges to its adoption. This can help enhance SM-based communication strategies and interventions.
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Affiliation(s)
- Safa Elkefi
- School of Nursing, Columbia University, New York, NY 10032, USA; ; Tel.: +1-(201)-744-1208
- Hphactors Lab, New York, NY 10022, USA
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Waterton KA, Lipner SR. Truth or Trend - Misinformation Spreading Fast on TikTok: A Cross-Sectional Analysis of Onychomycosis Content. Skin Appendage Disord 2023; 9:444-448. [PMID: 38058543 PMCID: PMC10697755 DOI: 10.1159/000533319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Accepted: 07/27/2023] [Indexed: 12/08/2023] Open
Abstract
Background Onychomycosis is the most frequently diagnosed nail condition in clinical practice. With the growing popularity of TikTok and online health information-seeking behavior, it is imperative to understand onychomycosis-related content on this platform. Objective Our objective was to assess content and quality of the most popular onychomycosis-related content on TikTok. Methods We queried TikTok for videos using the search terms "onychomycosis" and "nail fungus" for the top 100 videos by view count, with DISCERN scoring used to rate videos for quality. Results Average DISCERN score was 1.77 and dermatologists posted videos with the highest mean score (2.56). Most of the videos were educational (72%) and/or related to treatment (69%). Home remedies were recommended more often (58%) than FDA-approved therapies (7%). Physician versus nonphysician posted videos had higher mean DISCERN score (2.28 vs. 1.44) (p < 0.001), greater view number (1,209,953 vs. 343,993) (p < 0.05), and more often discussed medical therapy (p < 0.05). Conclusion While social media is a valuable resource for providing medical information to an interminable audience, there are significant shortcomings. Therefore, we recommend that dermatologists advise patients against relying on social media for medical information and consider using social media to provide accessible evidence-based health education on onychomycosis.
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Affiliation(s)
- Kelita A. Waterton
- SUNY Downstate Health Sciences University College of Medicine, Brooklyn, NY, USA
| | - Shari R. Lipner
- Department of Dermatology, Weill Cornell Medicine, New York, NY, USA
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Yazdani A, Shamloo M, Khaki M, Nahvijou A. Use of sentiment analysis for capturing hospitalized cancer patients' experience from free-text comments in the Persian language. BMC Med Inform Decis Mak 2023; 23:275. [PMID: 38031102 PMCID: PMC10685532 DOI: 10.1186/s12911-023-02358-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 10/30/2023] [Indexed: 12/01/2023] Open
Abstract
PURPOSE Today, the Internet provides access to many patients' experiences, which is crucial in assessing the quality of healthcare services. This paper introduces a model for detecting cancer patients' opinions about healthcare services in the Persian language, both positive and negative. METHOD To achieve the objectives of this study, a combination of sentiment analysis (SA) and topic modeling approaches was employed. All pertinent comments made by cancer patients were collected from the patient feedback form of the Tehran University of Medical Science (TUMS) Cancer Institute (CI) in Iran, from March to October 2021. Conventional evaluation metrics such as accuracy, precision, recall, and F-measure were utilized to assess the performance of the proposed model. RESULT The experimental findings revealed that the proposed SA model achieved accuracies of 89.3%, 92.6%, and 90.8% in detecting patients' sentiments towards general services, healthcare services, and life expectancy, respectively. Based on the topic modeling results, the topic "Metastasis" exhibited lower sentiment scores compared to other topics. Additionally, cancer patients expressed dissatisfaction with the current appointment booking service, while topics such as "Good experience," "Affable staff", and "Chemotherapy" garnered higher sentiment scores. CONCLUSION The combined use of SA and topic modeling offers valuable insights into healthcare services. Policymakers can utilize the knowledge obtained from these topics and associated sentiments to enhance patient satisfaction with cancer institution services.
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Affiliation(s)
- Azita Yazdani
- Health Information Management Department, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
- Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
- Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Shamloo
- Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran
| | - Mina Khaki
- Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran
| | - Azin Nahvijou
- Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.
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Khalifé M, Afifi M, Chatelain L, Finoco M, Guigui P, Ferrero E. Social media use among French spine surgeons: an underrated tool? Neurochirurgie 2023; 69:101499. [PMID: 37741363 DOI: 10.1016/j.neuchi.2023.101499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 09/06/2023] [Accepted: 09/12/2023] [Indexed: 09/25/2023]
Abstract
PURPOSE The goal of this study was to determine the use of social media (SM) among the French spine surgeons. METHODS In 2022, an online questionnaire has been sent to the community of French spine surgeons. All surgeons were asked to answer a 21-question survey about their use of SM in their daily practice. RESULTS Eighty-five surgeons were included, with 80% claiming to use SM. Mean age was 45 ± 10.7. Usage rate significantly differed among experience categories: 85% of younger surgeons and 69% after ten years of experience (p = 0.01). LinkedIn was the most commonly used (78% among SM users), then Facebook (46%). Instagram was less used by most experienced surgeons (p = 0.01). Time spent on SM was more important at home (p < 0.01). About 31% of participants' patients were able to contact their surgeon through SM, mainly through LinkedIn, professional websites and Facebook (respectively 15%, 13% and 12%). Pictural data were shared on SM by 29% of SM users, mainly on LinkedIn (19%), then professional websites (12%). Google reviews were significantly less valued by most experienced surgeons (p = 0.01) but more valued by private practice surgeons (p = 0.009). CONCLUSION 80% of French spine surgeons use social media for professional purposes. However, SM may not be used to its full potential as only 25% of SM-using broadcast pictures and contact their patients through SM. The most popular network is LinkedIn, followed by Facebook. Most experienced surgeons use less SM, particularly Instagram, and value less Google reviews.
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Affiliation(s)
- Marc Khalifé
- Orthopaedic Surgery Department, Spine Unit, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; Université Paris-Cité, Paris, France.
| | - Myriam Afifi
- Orthopaedic Surgery Department, Spine Unit, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; Université Paris-Cité, Paris, France
| | - Léonard Chatelain
- Orthopaedic Surgery Department, Spine Unit, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; Université Paris-Cité, Paris, France
| | - Mikael Finoco
- Orthopaedic Surgery Department, Spine Unit, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; Université Paris-Cité, Paris, France
| | - Pierre Guigui
- Orthopaedic Surgery Department, Spine Unit, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; Université Paris-Cité, Paris, France
| | - Emmanuelle Ferrero
- Orthopaedic Surgery Department, Spine Unit, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; Université Paris-Cité, Paris, France
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Gudapati JD, Franco AJ, Tamang S, Mikhael A, Hadi MA, Roy V, AlGhoul M. A Study of Global Quality Scale and Reliability Scores for Chest Pain: An Instagram-Post Analysis. Cureus 2023; 15:e45629. [PMID: 37868472 PMCID: PMC10588959 DOI: 10.7759/cureus.45629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2023] [Indexed: 10/24/2023] Open
Abstract
INTRODUCTION Utilized in the healthcare sector, social media offers numerous benefits. However, its drawbacks encompass the variable quality of unregulated and unsupervised content. Thus, we aimed to evaluate the information in content related to chest pain found across Instagram and analyze the quality and reliability of chest pain-related content via Instagram posts. METHODOLOGY Instagram posts with content related to chest pain were analyzed with the help of a structured questionnaire that included the Global Quality Scale (GQS) and DISCERN score (DS). To collect Instagram posts, several distinct hashtags were employed: #chestpain, #chestpains, #angina, #anginatreatment, #heartattack, #heartattacksurvivor, #heartattackprevention. RESULTS A total of 262 posts were included, of which 29.7% of the total posts (n=78) contained information that describes the etiology of the disease. 27.8% of the total posts (n = 73) enclosed promotional content. Posts were found to be uploaded by doctors (18.7%), hospitals (15.6%), patients (17.9%), dieticians (11.1%), healthcare organizations (9.2%), and others (27.5%). Both Global Quality and DISCERN scores were statistically significant with a p-value of 0.001. CONCLUSIONS The findings of this study revealed that most of the Instagram content on chest pain posted via physicians were highly reliable and had a better global quality score. Information regarding various causes, symptoms and preventive measures on Instagram can be considered as an acceptable source for patients to surf on. A major limitation is that only English content was analyzed. In the future, the use of higher quality posts produced by healthcare professionals could potentially contribute to enhancing patient education via Instagram.
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Affiliation(s)
| | - Ancy Jenil Franco
- Internal Medicine, Sri Muthukumaran Medical College, Chennai, Tamil Nadu, IND
| | - Sweta Tamang
- Internal Medicine, Stupa Community Hospital, Kathmandu, NPL
| | - Amir Mikhael
- Internal Medicine, College of Medicine, Zagazig University, Zagazig, EGY
| | - Mohammed Abdul Hadi
- Internal Medicine, St Martinus University Faculty of Medicine, Willemstad, CUW
| | - Vivek Roy
- Internal Medicine, St Martinus University Faculty of Medicine, Willemstad, CUW
| | - Majed AlGhoul
- Internal Medicine, Mediclinic Al Noor Hospital, Abu Dhabi, ARE
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Tornberg H, Moezinia C, Wei C, Bernstein SA, Wei C, Al-Beyati R, Quan T, Diemert DJ. Assessment of the dissemination of COVID-19 articles across social media: An Altmetrics Study. JMIR Form Res 2023. [PMID: 37343075 PMCID: PMC10365589 DOI: 10.2196/41388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/23/2023] Open
Abstract
BACKGROUND The use of social media assists in the distribution of information about COVID-19 to the general public and health professionals. Alternative-level metrics (Altmetrics) is an alternative method to traditional bibliometrics that assess the amount of sharing and spreading of a scientific article on social media platforms. OBJECTIVE Our objective was to characterize and compare traditional bibliometrics (citation-count) with newer metrics (Altmetric Attention Score) of the top 100 Altmetric scored COVID-19 articles. METHODS The 100 highest Altmetric Attention Score (AAS) articles were identified utilizing the Altmetric explorer in May 2020. AAS, journal name, and mentions from various social media databases (Twitter, Facebook, Wikipedia, Reddit, Mendeley, Dimension) of each article were collected. Citation-counts were collected from the Scopus database. RESULTS The median AAS and citation-count were 4922.50 and 24.00, respectively. Of 100 articles, The New England Journal of Medicine published the most articles at 18% (18/100). Twitter was the most frequently used social media platform with 96.3% of the mentions (985,429/1,022,975). Positive correlations were seen between AAS and citation-count (r2=.0973; P=.002). CONCLUSIONS Our research characterized the top 100 articles by AAS regarding COVID-19 in the Altmetric database. Altmetrics could complement with traditional citation-count when assessing the dissemination of an article regarding COVID-19. INTERNATIONAL REGISTERED REPORT RR2-10.2196/21408.
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Affiliation(s)
- Haley Tornberg
- Cooper Medical School of Rowan University, Camden, US
- Hospital for Special Surgery, Department of Medicine, 535 East 70th Street, New York, US
| | - Carine Moezinia
- Hospital for Special Surgery, Department of Medicine, 535 East 70th Street, New York, US
| | - Chapman Wei
- Staten Island University Hospital, Department of Medicine, Staten Island, US
| | - Simone A Bernstein
- Washington University School of Medicine and Barnes-Jewish Hospital, Department of Psychiatry, St. Lous, US
| | - Chaplin Wei
- American University of Antigua, Coolidge, AG
| | - Refka Al-Beyati
- David Geffen School of Medicine at University of California, Department of Medicine, 10833 Le Conte Ave, Los Angeles, US
| | - Theodore Quan
- The George Washington School of Medicine and Health Sciences, Washington, US
| | - David J Diemert
- The George Washington School of Medicine and Health Sciences, Washington, US
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The use of Instagram by gynecologic oncology providers as a patient education tool for patients at high-risk of gynecologic cancer. Gynecol Oncol Rep 2023; 46:101143. [PMID: 36845024 PMCID: PMC9945745 DOI: 10.1016/j.gore.2023.101143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/13/2023] [Accepted: 01/22/2023] [Indexed: 02/01/2023] Open
Abstract
Social media outlets have increased in popularity within the last decade and are influencing the ways in which patients interact with the healthcare system. The objective of this study is to examine the presence of gynecologic oncology divisions on Instagram and to analyze the content of their posts. Secondary objectives included examining and analyzing the use of Instagram as a tool for patient education among people at increased genetic risk of gynecologic cancers. Seventy-one NCI-Designated Cancer Centers, their gynecologic oncology divisions and hereditary gynecologic cancer related posts were searched on Instagram. Content was reviewed and authorship was analyzed. Of the 71 NCI-designated Cancer Centers, 29 (40.8 %) had Instagram accounts, whereas, four (6 %) gynecologic oncology divisions had Instagram accounts. The search of the seven most common gynecologic oncology genetic terms yielded 126,750 posts with the majority under BRCA1(n = 56,900) and BRCA2 (n = 45,000) followed by Lynch syndrome (n = 14,700) and hereditary breast and ovarian cancer (n = 8,900). In terms of authorship, 93 (66 %) of all top 140 posts were written by patients, 20 (14.2 %) were written by health care providers and 27 (19.3 %) were written by "other." This study highlights the lack of presence of divisions of gynecologic oncology at NCI-designated Cancer Centers on Instagram but does demonstrate the existence of active discussion on hereditary gynecologic cancers on Instagram by patients.
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Kukafka R, Phang JK, Woon TH, Liew JW, Dubreuil M, Proft F, Ramiro S, Molto A, Navarro-Compán V, de Hooge M, Meghnathi B, Ziade N, Zhao SS, Llop M, Baraliakos X, Fong W. Social Media Use Among Members of the Assessment of Spondyloarthritis International Society: Results of a Web-Based Survey. J Med Internet Res 2023; 25:e39155. [PMID: 36626201 PMCID: PMC9875001 DOI: 10.2196/39155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 07/15/2022] [Accepted: 07/25/2022] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND The use of social media in health care may serve as a beneficial tool for education, information dissemination, telemedicine, research, networking, and communications. To better leverage the benefits of social media, it is imperative to understand the patterns of its use and potential barriers to its implementation in health care. A previous study in 2016 that investigated social media use among young clinical rheumatologists (≤45 years) and basic scientists showed that there was substantial social media use among them for social and professional reasons. However, there is a limited inquiry into social media use in different areas of rheumatology, such as spondyloarthritis. OBJECTIVE We aimed to explore the motivations, barriers, and patterns of social media use among an international group of experts in spondyloarthritis. METHODS We distributed a web-based survey via email from March 2021 to June 2021 to 198 members of the Assessment of Spondyloarthritis International Society. It contained 24 questions about demographic characteristics, patterns of current social media use, and perceptions of utility. Univariable and multivariable logistic regression analyses were performed to identify the characteristics associated with use trends. RESULTS The response rate was 78.8% (156/198). Of these, 93.6% (146/156) of participants used at least one social media platform. Apart from internet-based shopping and entertainment, the use of social media for clinical updates (odds ratio [OR] 6.25, 95% CI 2.43-16.03) and research updates (OR 3.45, 95% CI 1.35-8.78) were associated with higher social media consumption. Among the respondents, 66% (103/156) used social media in a work-related manner. The use of social media for new web-based resources (OR 6.55, 95% CI 2.01-21.37), interaction with international colleagues (OR 4.66, 95% CI 1.21-17.90), and establishing a web-based presence (OR 4.05, 95% CI 1.25-13.13) were associated with higher levels of consumption for work-related purposes. Time investment, confidentiality concerns, and security concerns were the top 3 challenges to a wider adoption of social media. CONCLUSIONS Most respondents (103/156, 66%) use social media in a work-related manner. Professional development, establishing a web-based presence, and international collaboration were associated with higher use. Challenges to social media adoption should be addressed to maximize its benefits.
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Affiliation(s)
| | - Jie Kie Phang
- Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore
| | - Ting Hui Woon
- Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore
| | - Jean W Liew
- Section of Rheumatology, Boston University School of Medicine, Boston, MA, United States
| | - Maureen Dubreuil
- Section of Rheumatology, Boston University School of Medicine, Boston, MA, United States
| | - Fabian Proft
- Division of Gastroenterology, Infectious Diseases and Rheumatology, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Sofia Ramiro
- Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands
| | - Anna Molto
- Rheumatology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | | | | | - Bhowmik Meghnathi
- Department of Rheumatology & Clinical Immunology, Marengo Care Institute of Medical Sciences Hospital, Ahmedabad, India
| | - Nelly Ziade
- Department of Rheumatology, Saint-Joseph University, Hotel-Dieu de France Hospital, Beirut, Lebanon
| | - Sizheng Steven Zhao
- Centre for Epidemiology Versus Arthritis, Division of Musculoskeletal and Dermatological Sciences, School of Biological Sciences, Faculty of Biology Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom
| | - Maria Llop
- Rheumatology, Parc Taulí Hospital Universitari, Sabadell, Spain
| | | | - Warren Fong
- Department of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.,Duke-National University of Singapore Medical School, Singapore, Singapore.,National University of Singapore, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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14
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Rossi NA, Devarajan K, Chokshi SN, Ochoa VJ, Benavidez M, Malaya LT, Ohlstein JF, Young DL, McKinnon BJ. Social Media Depictions of Cochlear Implants: An Instagram and TikTok Analysis. Otol Neurotol 2023; 44:e13-e21. [PMID: 36509437 DOI: 10.1097/mao.0000000000003744] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To identify populations of authors who post about cochlear implants (CIs) on Instagram and TikTok, to illustrate the content of these posts, and to elucidate factors that might help surgeons better educate CI patients. STUDY DESIGN Qualitative study. SETTING Instagram and TikTok social media platforms. PATIENTS All public social media posts identified with the search terms below. Posts were excluded if unrelated to CIs or if written in a non-English language. INTERVENTION Instagram and TikTok were searched for posts from March 2021 through September 2021 with the search terms #cochlearimplant, #cochlearimplants, #cochlearimplantkids, #cochlearkids, and #cochlearfamily. MAIN OUTCOME MEASURES Posts were subclassified and analyzed for content including topics of posts, authorship, timeframe of posts, depiction of CIs, and popularity. RESULTS Of 1,942 posts included in the final analysis, 1,400 were found on Instagram and 542 on TikTok. Authors were mostly patients (n = 771, 39.7%), companies (n = 568, 29.2%), and patients' family members (n = 482, 24.8%). Only 21 posts were made by physicians (1.1%). Out of 379 total educational posts examined, patients themselves were the most common authors (n = 219, 57.8%) followed by patients' family members (n = 139, 36.7%). Physicians authored only a small fraction of all educational posts (n = 19, 5.0%). CONCLUSIONS This study showed minimal physician involvement in the CI social media spheres of Instagram and TikTok. In addition, there were few educational posts on either platform, revealing ample opportunity for physicians to become more involved with CI social media.
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Affiliation(s)
- Nicholas A Rossi
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch
| | - Karthik Devarajan
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch
| | - Shivan N Chokshi
- School of Medicine, University of Texas Medical Branch, Galveston, Texas
| | - Vanesa J Ochoa
- School of Medicine, University of Texas Medical Branch, Galveston, Texas
| | - Mia Benavidez
- School of Medicine, University of Texas Medical Branch, Galveston, Texas
| | - Lauren T Malaya
- School of Medicine, University of Texas Medical Branch, Galveston, Texas
| | - Jason F Ohlstein
- Department of Otolaryngology, St. Luke's University Hospital, Bethlehem, Pennsylvania
| | - Dayton L Young
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch
| | - Brian J McKinnon
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch
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15
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Jabbour D, Masri JE, Nawfal R, Malaeb D, Salameh P. Social media medical misinformation: impact on mental health and vaccination decision among university students. Ir J Med Sci 2023; 192:291-301. [PMID: 35119644 PMCID: PMC8814778 DOI: 10.1007/s11845-022-02936-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 01/24/2022] [Indexed: 02/04/2023]
Abstract
BACKGROUND The COVID-19 pandemic highlighted the need of social media as a medium for gathering health-related information. Simultaneously, a slew of false information, primarily about COVID-19's origin, dissemination, prevention, treatment, and fatality surfaced, making it difficult to distinguish fake from genuine material. However, the possible effects on mental health and the extent to which this influences our decisions, particularly regarding vaccination, are unknown. AIM The purpose of this questionnaire-based cross-sectional study was to examine Lebanese University students' perceptions of social media influence during the COVID-19 pandemic, as well as to measure the impact of misinformation on respondents' mental health and vaccination decisions. METHODS In total, 440 students took part and were asked to complete an online survey that included questions on social media trust, the "general health questionnaire index" (GHQ-12), and a scale measuring "attitude towards vaccination". RESULTS Our data demonstrated a low frequency of mental health disorders among Lebanese University students, which was correlated to frequent social media exposure during the COVID-19 pandemic. These findings suggested that students are more aware of misinformation and had lower rates of despair and anxiety than the general population. Furthermore, Facebook use was associated with worse attitude and behaviour towards vaccination (p = 0.001), but a better mental health. Twitter had the inverse effect (p = 0.002). CONCLUSION It is a necessity to use social media correctly in health-related topics, to push governments and platforms towards making decisions about false and invalidated posts.
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Affiliation(s)
- Diana Jabbour
- Faculty of Medical Sciences, Lebanese University, Hadath Campus, Beirut, Lebanon
| | - Jad El Masri
- Faculty of Medical Sciences, Lebanese University, Hadath Campus, Beirut, Lebanon
| | - Rashad Nawfal
- Faculty of Medical Sciences, Lebanese University, Hadath Campus, Beirut, Lebanon
| | - Diana Malaeb
- Faculty of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - Pascale Salameh
- Faculty of Pharmacy, Lebanese International University, Beirut, Lebanon ,INSPECT-LB, Institut National de Santé Publique, Épidémiologie Clinique Et Toxicologie-Liban, Beirut, Lebanon ,Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus
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16
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Yabumoto M, Miller E, Rao A, Tabor HK, Ormond KE, Halley MC. Perspectives of Rare Disease Social Media Group Participants on Engaging With Genetic Counselors: Mixed Methods Study. J Med Internet Res 2022; 24:e42084. [PMID: 36542454 DOI: 10.2196/42084] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 11/01/2022] [Accepted: 11/13/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Social media provides a potential avenue for genetic counselors to address gaps in access to reliable genetics information for rare disease communities. However, only limited research has examined patient and family attitudes toward engaging with genetic counselors through social media. OBJECTIVE Our study assessed the attitudes of members of rare disease social media groups toward engaging with genetic counselors through social media, characteristics associated with greater interest, and the benefits and potential pitfalls of various approaches to such engagement. METHODS We conducted a mixed methods survey of patients and family members recruited from a systematic sample of rare disease Facebook groups. Patient characteristics and their associations with interest in engagement with genetic counselors were evaluated using univariate and bivariate statistics. Responses to open-ended questions were analyzed using thematic content analysis. RESULTS In total, 1053 individuals from 103 rare disease groups participated. The median overall interest in engaging with genetic counselors on social media was moderately high at 7.0 (IQR 4.0-9.0, range 0-10). No past experience with a genetic counselor was associated with greater interest in engaging with one through social media (µ=6.5 vs 6.0, P=.04). Participants expressed greatest interest (median 9.0, IQR 5.0-10.0) in engagement models allowing direct communication with genetic counselors, which was corroborated by the majority (n=399, 61.3%) of individuals who responded to open-ended questions explicitly stating their interest in 1-on-1 interactions. When asked what forms of support they would request from genetic counselors through social media, participants desired individualized support and information about how to access services. However, participants also expressed concerns regarding privacy and confidentiality. CONCLUSIONS Patients and family members in rare disease social media groups appear interested in engaging with genetic counselors through social media, particularly for individualized support. This form of engagement on social media is not meant to replace the current structure and content of genetic counseling (GC) services, but genetic counselors could more actively use social media as a communication tool to address gaps in knowledge and awareness about genetics services and gaps in accessible patient information. Although encouraging, concerns regarding privacy and feasibility require further consideration, pointing to the need for professional guidelines in this area.
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Affiliation(s)
- Megan Yabumoto
- Department of Genetics, Stanford University School of Medicine, Stanford, CA, United States
| | - Emily Miller
- Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, CA, United States
| | - Anoushka Rao
- Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, CA, United States
| | - Holly K Tabor
- Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, CA, United States
- Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States
| | - Kelly E Ormond
- Department of Genetics, Stanford University School of Medicine, Stanford, CA, United States
- Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, CA, United States
- Health Ethics and Policy Lab, Department of Health Sciences and Technology, Swiss Federal Institute of Technology (Eidgenössische Technische Hochschule Zurich), Zurich, Switzerland
| | - Meghan C Halley
- Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, CA, United States
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17
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Wang X. Characteristics analysis and evaluation of discourse leading for academic journals: perspectives from multiple integration of altmetrics indicators and evaluation methods. LIBRARY HI TECH 2022. [DOI: 10.1108/lht-04-2022-0195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeUnder the background of open science, this paper integrates altmetrics data and combines multiple evaluation methods to analyze and evaluate the indicators' characteristics of discourse leading for academic journals, which is of great significance to enrich and improve the evaluation theory and indicator system of academic journals.Design/methodology/approachThis paper obtained 795,631 citations and 10.3 million altmetrics indicators data for 126,424 published papers from 151 medicine, general and internal academic journals. In this paper, descriptive statistical analysis and distribution rules of evaluation indicators are first carried out at the macro level. The distribution characteristics of evaluation indicators under different international collaboration conditions are analyzed at the micro level. Second, according to the characteristics and connotation of the evaluation indicators, the evaluation indicator system is constructed. Third, correlation analysis, factor analysis, entropy weight method and TOPSIS method are adopted to evaluate and analyze the discourse leading in medicine, general and internal academic journals by integrating altmetrics. At the same time, this paper verifies the reliability of the evaluation results.FindingsSix features of discourse leading integrated with altmetrics indicators are obtained. In the era of open science, online academic exchanges are becoming more and more popular. The evaluation activities based on altmetrics have fine-grained and procedural advantages. It is feasible and necessary to integrate altmetrics indicators and combine the advantages of multiple methods to evaluate the academic journals' discourse leading of which are in a diversified academic ecosystem.Originality/valueThis paper uses descriptive statistical analysis to analyze the distribution characteristics and distribution rules of discourse leading indicators of academic journals and to explore the availability of altmetrics indicators and the effectiveness of constructing an evaluation system. Then, combining the advantages of multiple evaluation methods, The author integrates altmetrics indicators to comprehensively evaluate the discourse leading of academic journals and verify the reliability of the evaluation results. This paper aims to provide references for enriching and improving the evaluation theory and indicator system of academic journals.
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18
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Kheir DYME, Alshamsi RA, Alalwi ST, Alshammari RZ. "Webside" healthcare from medical interns' perspective: Telemedicine implementation and need for training. J Family Community Med 2022; 29:145-154. [PMID: 35754750 PMCID: PMC9221231 DOI: 10.4103/jfcm.jfcm_105_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/03/2022] [Accepted: 04/15/2022] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND: Telemedicine involves the use of electronic communication and technology to remotely deliver clinical services to patients. With the increase in the adoption of telemedicine in healthcare delivery, “webside healthcare” is becoming the virtual analog of bedside care. The Ministry of Health in Saudi Arabia has recently established the use of telemedicine, including social media (SM) and medical applications (Apps) to enhance the quality and accessibility of healthcare services to patients and healthcare providers. In the present study, we evaluated medical interns' perception of the use of telemedicine, SM, and medical Apps in patient care, their awareness of related guidelines to find out if targeted training is needed. MATERIALS AND METHODS: A qualitative study recruited and interviewed, through semi-structured key informant (KI) interviews and focus group discussions (FGD), a total of 24 male and female medical interns. The Interns were purposefully sampled from all Saudi Arabia's 5 main geographical regions until data saturation was observed. The transcripts of five KI interviews and 6 FGDs done were thematically analyzed and are presented as themes and subthemes. RESULTS: Medical interns discussed the advantages and disadvantages related to telemedicine, SM, and medical Apps in healthcare services. Overall, interviewees appreciated the role telemedicine, SM, and medical Apps play in the healthcare and for such particular specialties as family medicine and (tele-) psychiatry. However, the interns believed that training on the technical operational aspects of different telemedicine modalities with an emphasis on targeted education for related ethical and legal regulating guidelines was vital. CONCLUSION: Most interviewed medical interns had a positive perception of telemedicine and were willing to use it in their daily clinical practice. However, there were some challenges to its successful implementation such as prompt training on its proper use and clear ethical and legal guidance.
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Affiliation(s)
- Dalia Y M El Kheir
- Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Razan A Alshamsi
- Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Sukainah T Alalwi
- Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
| | - Razan Z Alshammari
- Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia
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19
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Miller TT, Maurer SH, Felker JT. Searching for a cure on Facebook: Patterns of social media use amongst caregivers of children with brain tumors. Cancer Med 2022; 11:3323-3331. [PMID: 35343641 PMCID: PMC9468429 DOI: 10.1002/cam4.4693] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 02/28/2022] [Accepted: 03/09/2022] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE Social media (SM) is ubiquitous in modern society. How SM provides information, advice, and community to families coping with childhood brain tumors is poorly understood. We sought to understand how caregivers of children with brain tumors use and are affected by SM. METHODS A survey was administered to caregivers of children who were receiving or within the last 5 years received chemotherapy for pediatric brain tumors. Differences in variables across groups were evaluated using nonparametric tests and chi-square tests. RESULTS Thirty-five of 36 caregivers acknowledged use of SM. Facebook was the most used platform (86%). Fifty-eight percent and 47% used SM to read and share information about their child's cancer, respectively. Thirty-four percent were comforted while 40% were bothered by cancer-related information on SM. Eleven participants (31%) sought a second opinion based on information from SM. Caregivers of children with a poor prognosis were more likely to use a treatment from SM that was not initially recommended by their oncologist (p = 0.043). CONCLUSION SM is commonly used by caregivers to obtain and share care-related information. Many noted positive and negative effects of SM on emotional wellness. SM influenced treatment decisions, and this effect was stronger with poorer prognosis. Our results demonstrate the dichotomous impact of SM in medicine-it is a source of both solace and anxiety, a place to confirm treatment decisions and to create doubt in the treatment decisions of the oncologist. This illustrates the importance of discussing SM with caregivers of children with brain tumors.
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Affiliation(s)
- Tyler T Miller
- University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
| | - Scott H Maurer
- University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Department of Pediatrics, Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.,Division of Palliative Medicine and Supportive Care, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - James T Felker
- University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.,Department of Pediatrics, Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
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20
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Ponce SB, M Barry M, S Dizon D, S Katz M, Murphy M, Teplinsky E, Tinianov S, J Attai D, Markham MJ. Netiquette for social media engagement for oncology professionals. Future Oncol 2022; 18:1133-1141. [PMID: 35109663 PMCID: PMC9344460 DOI: 10.2217/fon-2021-1366] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 12/07/2021] [Indexed: 12/16/2022] Open
Abstract
Social media growth has revolutionized health care, facilitating user-friendly, rapid and global sharing of content. Within oncology, this allows for new frontiers in communication for cancer patients, caregivers and healthcare providers. As more physicians engage in online spaces, it is imperative that there are resources to assist in establishing a professional presence on social media. This article describes how to create a social media identity, best practices for engaging both in patient and caregiver spaces and professional communities, and how to address antagonistic and inappropriate behavior on social media with the goal of helping physicians develop an engaging, productive and enjoyable experience online.
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Affiliation(s)
- Sara Beltrán Ponce
- Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI 53226, USA
| | - Maura M Barry
- Division of Hematology & Oncology, The University of Vermont Larner College of Medicine, Burlington, VT 05405, USA
| | - Don S Dizon
- Brown University & Lifespan Cancer Institute, Providence, RI 02903, USA
| | - Matthew S Katz
- Radiation Oncology Associates, PA, Lowell, MA 01854, USA
| | - Martina Murphy
- Division of Hematology & Oncology, University of Florida, Gainesville, FL 32610, USA
| | | | - Stacey Tinianov
- Breast Science Advocacy Core UCSF, Advocates for Collaborative Education, San Francisco, CA 94143, USA
| | - Deanna J Attai
- Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA
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21
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Hassan MG, Kapila S. Using Twitter to promote #orthodontic research and clinical innovations: Practice and challenges. Am J Orthod Dentofacial Orthop 2022; 161:490-496. [PMID: 34996661 DOI: 10.1016/j.ajodo.2021.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 11/01/2021] [Accepted: 11/01/2021] [Indexed: 11/19/2022]
Abstract
While Twitter has substantial benefits in real-time sharing and dissemination of information and facilitating discussions, currently there is a noticeable absence of its use in the orthodontic profession and peer-reviewed journals. This review aims to introduce the basics of using social media; provide a perspective and prospective vision on effective practices on the use of Twitter in sharing orthodontic discoveries and clinical innovations; and discuss the limitations and caveats of using such approaches in sharing and assimilating information. There has been increasing debate on the potential role of social media, specifically Twitter, in shaping the way scholars and clinicians access, discuss, and disseminate research and clinical innovations. Despite various caveats, such as misinformation, privacy concerns, and unprofessionalism, Twitter can be used to efficiently share discoveries and innovations and facilitate networking. Thus, the use of Twitter during professional orthodontic meetings can enhance their impact by enabling nonattendees to participate in the meeting virtually and in real time. Moreover, utilization of Twitter by peer-reviewed journals can aid in enhancing the dissemination of information. That, with the optimization of algorithms and strategies, can also maximize reach and impact. Future efforts are essential to develop standardized guidelines for the use of Twitter among orthodontic healthcare professionals and scholars to better manage scientific integrity, privacy, and ethical concerns. Professional orthodontic organizations, journals, and researchers should be aware of the potential benefits of Twitter strategies that could be applied to maximize the impact and dissemination of orthodontic discoveries to reach the largest possible audience that will facilitate collaboration and discussion, and advance the delivery of cutting-edge treatments.
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Affiliation(s)
- Mohamed G Hassan
- Division of Bone and Mineral Diseases, Department of Internal Medicine, School of Medicine, Washington University in St Louis, St Louis, Mo; Department of Orthodontics, Faculty of Dentistry, Assiut University, Assiut, Egypt.
| | - Sunil Kapila
- Division of Orthodontics, School of Dentistry, University of California, San Francisco, USA
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22
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Chan TL, Choe A. Update on Social Media Use in Breast Radiology. Semin Roentgenol 2022; 57:168-171. [DOI: 10.1053/j.ro.2022.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 01/13/2022] [Accepted: 01/20/2022] [Indexed: 11/11/2022]
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23
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Vukušić Rukavina T, Viskić J, Machala Poplašen L, Relić D, Marelić M, Jokic D, Sedak K. Dangers and Benefits of Social Media on E-Professionalism of Health Care Professionals: Scoping Review. J Med Internet Res 2021; 23:e25770. [PMID: 34662284 PMCID: PMC8663533 DOI: 10.2196/25770] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 04/19/2021] [Accepted: 09/23/2021] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND As we are witnessing the evolution of social media (SM) use worldwide among the general population, the popularity of SM has also been embraced by health care professionals (HCPs). In the context of SM evolution and exponential growth of users, this scoping review summarizes recent findings of the e-professionalism of HCPs. OBJECTIVE The purpose of this scoping review is to characterize the recent original peer-reviewed research studies published between November 1, 2014, to December 31, 2020, on e-professionalism of HCPs; to assess the quality of the methodologies and approaches used; to explore the impact of SM on e-professionalism of HCPs; to recognize the benefits and dangers of SM; and to provide insights to guide future research in this area. METHODS A search of the literature published from November 1, 2014, to December 31, 2020, was performed in January 2021 using 3 databases (PubMed, CINAHL, and Scopus). The searches were conducted using the following defined search terms: "professionalism" AND "social media" OR "social networks" OR "Internet" OR "Facebook" OR "Twitter" OR "Instagram" OR "TikTok." The search strategy was limited to studies published in English. This scoping review follows the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. RESULTS Of the 1632 retrieved papers, a total of 88 studies were finally included in this review. Overall, the quality of the studies was satisfactory. Participants in the reviewed studies were from diverse health care professions. Medical health professionals were involved in about three-quarters of the studies. Three key benefits of SM on e-professionalism of HCPs were identified: (1) professional networking and collaboration, (2) professional education and training, and (3) patient education and health promotion. For the selected studies, there were five recognized dangers of SM on e-professionalism of HCPs: (1) loosening accountability, (2) compromising confidentiality, (3) blurred professional boundaries, (4) depiction of unprofessional behavior, and (5) legal issues and disciplinary consequences. This scoping review also recognizes recommendations for changes in educational curricula regarding e-professionalism as opportunities for improvement and barriers that influence HCPs use of SM in the context of e-professionalism. CONCLUSIONS Findings in the reviewed studies indicate the existence of both benefits and dangers of SM on e-professionalism of HCPs. Even though there are some barriers recognized, this review has highlighted existing recommendations for including e-professionalism in the educational curricula of HCPs. Based on all evidence provided, this review provided new insights and guides for future research on this area. There is a clear need for robust research to investigate new emerging SM platforms, the efficiency of guidelines and educational interventions, and the specifics of each profession regarding their SM potential and use.
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Affiliation(s)
- Tea Vukušić Rukavina
- Andrija Stampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Joško Viskić
- Department of Fixed Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Lovela Machala Poplašen
- Andrija Stampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Danko Relić
- Andrija Stampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Marko Marelić
- Andrija Stampar School of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Drazen Jokic
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Kristijan Sedak
- Department of Communication Sciences, Catholic University of Croatia, Zagreb, Croatia
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Alqarni AM, Almuraisel MA, Alsheikh RH, Almansour RS, Abdelwahab MM. Bridging the gap: Engagement of family and community physicians in digital networks for health issues. J Family Community Med 2021; 28:181-188. [PMID: 34703378 PMCID: PMC8496700 DOI: 10.4103/jfcm.jfcm_105_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 07/30/2021] [Accepted: 08/10/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND: The use of social media (SM) is unlocking infinite opportunities for healthcare disciplines and is fast becoming the preferred medium of communication. This underlines the importance of meeting the challenges of this new era. The aim of this study was to assess the readiness of Saudi family medicine physicians to the use of SM in health promotion and to explore their prospective attitudes toward its use professionally. MATERIALS AND METHODS: The two largest hospital-based primary care centers in the Eastern Province of Saudi Arabia were used for the quantitative analysis. All known physician bloggers in Saudi Arabia from seven different cities were invited to participate in the qualitative aspect of this study. The quantitative component of this study was conducted in the Eastern Province at two main hospitals. A 37-item questionnaire was distributed to all family physicians practising at these hospitals. The qualitative component of this study covered all of Saudi Arabia, and 11 in-depth interviews were held with family physician bloggers, followed by verbatim transcription, content analysis, and coding of the results. Chi-squared and independent t-tests were used. All physicians at the two largest hospitals in the Eastern Province were invited to participate in the quantitative aspect of the study. The response rate was 86.2% (n = 159). RESULTS: Study included 136 primary care physicians; majority were <50 years old (96.3%) with 58.8% females. About 60% were residents and 27.2 % consultants, and 76.5% were were family medicine physicians. Ninety-six percent physicians had SM accounts, the mean use of 3 h per day, 46.3% of the family physicians had good knowledge of SM ethics, and 69.9% used SM professionally for medical issues. Most of the responses showed a strong positive attitude; more than 60% of the participants responded as “agree” or “strongly agree” to the positive statements. CONCLUSION: Organizations urgently need to design their own bioethical guidelines and rules on the safe use of SM by healthcare professionals.
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Affiliation(s)
- Amani M Alqarni
- Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Maha A Almuraisel
- Department of Family and Community Medicine, King Fahd Military Medical Complex, Dhahran, Saudi Arabia
| | - Rasha H Alsheikh
- Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Rana S Almansour
- Department of Family and Community Medicine, King Fahd Military Medical Complex, Dhahran, Saudi Arabia
| | - Moataza M Abdelwahab
- Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Okoro OE, Mbah IO. Use of Social Media in Doctor–Patient Relationship by Patients in Federal Medical Center, Keffi, North-Central Nigeria. JOURNAL OF CONSUMER HEALTH ON THE INTERNET 2021. [DOI: 10.1080/15398285.2021.1928859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Comber S, Wilson L, Kelly S, McCay-Peet L. Physician leaders' cross-boundary use of social media: what are the implications in the current COVID-19 environment? Leadersh Health Serv (Bradf Engl) 2021; ahead-of-print. [PMID: 34319016 DOI: 10.1108/lhs-06-2020-0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study is to better understand social media (SM) factors that physician leaders need to consider, as they adapt their cross-boundary practices to engage with colleagues and patients. Firstly, this study explores why SM is being used by physicians to cross horizontal (physician to physician) and stakeholder (physician to patient) boundaries prior to COVID-19. Secondly, based on the studies reviewed, this study provides insights on the practical SM implications for physician leaders working in the COVID-19 environment to actively enhance their practices, reduce public confusion and improve patient care, thus informing health-care practices. DESIGN/METHODOLOGY/APPROACH A systematic literature review was used to conduct a structured transparent overview of peer reviewed articles that describe physicians' use of cross-boundary SM across several disciplines (e.g. health, information science). As a baseline assessment prior to COVID-19, the review synthesized 47 articles, identified and selected from six databases and Novanet. This study used NVivo 12 to thematical code the articles, leading to the emergence of four broad factors that influence SM use. FINDINGS A key reason noted in the literature for physicians use of SM to cross horizontal boundaries is to share knowledge. Regarding stakeholder boundaries, the most cited reasons are to improve patient's health and encourage behavioural changes. Insights garnered on the practical SM implications include the need for physicians to be stronger leaders in presenting trustworthy and consistent facts about health information to the public and fellow peers. As role models for the effective use of SM tools, physician leaders can mentor and coach their colleagues and counterparts. RESEARCH LIMITATIONS/IMPLICATIONS As this was a literature review, the authors did not collect primary data to further explore this rapidly changing and dynamic SM world. Next steps could include a survey to determine firstly, how physicians currently use SM in this COVID-19 environment, and secondly, how they could leverage it for their work. Findings from this survey will help us better understand the role of physician leaders as health-care influencers and how they could better create trust and inform the Canadian public in the health information that is being conveyed. PRACTICAL IMPLICATIONS Physician leaders can play a key role in positively influencing institutional support for ethical and safe SM use and engagement practices. Physicians need to participate in developing regulations and guidelines that are fundamentally to physician leader's SM use. Central to this research would be the need to understand how physicians cross-boundary practices have changed during and potentially post COVID-19. Physician leaders also need to monitor information sources for credibility and ensure that these sources are protected. As role models for the effective use of SM tools, physician leaders can mentor and coach their colleagues and counterparts in this area. ORIGINALITY/VALUE Although there have been studies of how physicians use SM, fewer studies explore why physician leaders' cross boundaries (horizontal and stakeholder) using SM. Important insights are gained in physician leaders practical use of SM. Key themes that emerged included: organizational and individual, information, professional and regulations and guideline factors. These factors strengthen physician leaders understanding of areas of foci to enhance their cross-boundary interactions. There is an urgency to study the complexity of SM and the effectiveness of regulations and guidelines for physicians, who are being required, at an accelerated rate, to strengthen and increase their cross-boundary practices.
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Affiliation(s)
- Scott Comber
- Rowe School of Business, Dalhousie University, Halifax, Canada
| | - Lisette Wilson
- Marine Affairs Program, Dalhousie University, Halifax, Canada
| | | | - Lori McCay-Peet
- School of Information Management, Dalhousie University Faculty of Management, Halifax, Canada
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Marcelin JR, Cawcutt KA, Shapiro M, Varghese T, O'Glasser A. Moment vs Movement: Mission-Based Tweeting for Physician Advocacy. J Hosp Med 2021; 16:507-509. [PMID: 34328840 DOI: 10.12788/jhm.3636] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 04/12/2021] [Indexed: 11/20/2022]
Affiliation(s)
- Jasmine R Marcelin
- Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska
| | - Kelly A Cawcutt
- Divisions of Infectious Diseases and Critical Care, University of Nebraska Medical Center, Omaha, Nebraska
| | - Mark Shapiro
- Providence Medical Group-Sonoma County, Santa Rosa California
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Guraya SS, Guraya SY, Yusoff MSB. Preserving professional identities, behaviors, and values in digital professionalism using social networking sites; a systematic review. BMC MEDICAL EDUCATION 2021; 21:381. [PMID: 34247617 PMCID: PMC8273947 DOI: 10.1186/s12909-021-02802-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 06/24/2021] [Indexed: 05/08/2023]
Abstract
BACKGROUND Despite a rapid rise of use of social media in medical disciplines, uncertainty prevails among healthcare professionals for providing medical content on social media. There are also growing concerns about unprofessional behaviors and blurring of professional identities that are undermining digital professionalism. This review tapped the literature to determine the impact of social media on medical professionalism and how can professional identities and values be maintained in digital era. METHODS We searched the databases of PubMed, ProQuest, ScienceDirect, Web of Science, and EBSCO host using (professionalism AND (professionalism OR (professional identity) OR (professional behaviors) OR (professional values) OR (professional ethics))) AND ((social media) AND ((social media) OR (social networking sites) OR Twitter OR Facebook)) AND (health professionals). The research questions were based on sample (health professionals), phenomenon of interest (digital professionalism), design, evaluation and research type. We screened initial yield of titles using pre-determined inclusion and exclusion criteria and selected a group of articles for qualitative analysis. We used the Biblioshiny® software package for the generation of popular concepts as clustered keywords. RESULTS Our search yielded 44 articles with four leading themes; marked rise in the use of social media by healthcare professionals and students, negative impact of social media on digital professionalism, blurring of medical professional values, behaviors, and identity in the digital era, and limited evidence for teaching and assessing digital professionalism. A high occurrence of violation of patient privacy, professional integrity and cyberbullying were identified. Our search revealed a paucity of existing guidelines and policies for digital professionalism that can safeguard healthcare professionals, students and patients. CONCLUSIONS Our systematic review reports a significant rise of unprofessional behaviors in social media among healthcare professionals. We could not identify the desired professional behaviors and values essential for digital identity formation. The boundaries between personal and professional practices are mystified in digital professionalism. These findings call for potential educational ramifications to resurrect professional virtues, behaviors and identities of healthcare professionals and students.
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Affiliation(s)
- Shaista Salman Guraya
- Royal College of Surgeons Ireland, RCSI - MUB, Busaiteen, Bahrain
- Department of Medical Education, School of Medical Sciences, University Sains Malaysia, Health campus, Kelantan Kota Bahru, Malaysia
| | - Salman Yousuf Guraya
- Clinical Sciences Department, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
| | - Muhamad Saiful Bahri Yusoff
- Department of Medical Education, School of Medical Sciences, University Sains Malaysia, Health campus, Kelantan Kota Bahru, Malaysia
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Bernstein DN, Melone G, Jubril A, Zhang J, Mesfin A. Evaluating Social Media Use Among Active American Members of the Cervical Spine Research Society. Clin Spine Surg 2021; 34:E337-E341. [PMID: 33399390 DOI: 10.1097/bsd.0000000000001127] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Accepted: 11/07/2020] [Indexed: 11/26/2022]
Abstract
STUDY DESIGN Observational study. OBJECTIVES The objectives of this study are (1) to quantify social media use among active American Cervical Spine Research Society (CSRS) members; (2) to determine if there is an association between practice setting, region, or years of active membership and social media use. SUMMARY OF BACKGROUND DATA Many patients now seek health and physician information online, including on social media. Indeed, social media use by orthopedic surgeons has been shown to be associated with more and improved ratings on physician review websites. Further, social media can provide a means for improved doctor-patient relationships, educational endeavors, and professional networking. However, there is a paucity of literature examining social media use among spine surgeons. MATERIALS AND METHODS In January 2019, the CSRS membership directory was used to identify all active American spine surgeon members. Through a Google search, social media use of each spine surgeon on the following platforms was identified: provider page/official website; Facebook; Twitter; Instagram; LinkedIn; and YouTube. In addition, surgeon characteristics were recorded. The percentage of spine surgeons using each social media platform was reported. Bivariate analysis was used to compare social media use by practice setting, region, and years of active CSRS membership. RESULTS Nearly all spine surgeons have a provider page/official website (98%) and over half (56%) have a LinkedIn presence. Less than one third of spine surgeons are on any of the remaining social media platforms analyzed. The least frequently used social media platform was Instagram (3.2%). There was no difference in any social media platform use by practice setting, region, and years of active CSRS membership. CONCLUSIONS As social media becomes even more common place and the role of it in medical care continues to be better defined, there is notable room for increased social media use among active American members of the CSRS. LEVEL OF EVIDENCE Level IV-observational study.
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Affiliation(s)
- David N Bernstein
- Department of Orthopaedic Surgery and Physical Performance, University of Rochester, Rochester, NY
| | - Giresse Melone
- School of Medicine, University of Texas, Medical Branch at Galveston, Galveston, TX
| | - Ayodeji Jubril
- Department of Orthopaedic Surgery and Physical Performance, University of Rochester, Rochester, NY
| | - Jun Zhang
- Department of Orthopedics, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China
| | - Addisu Mesfin
- Department of Orthopaedic Surgery and Physical Performance, University of Rochester, Rochester, NY
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Grossman R, Sgarbura O, Hallet J, Søreide K. Social media in surgery: evolving role in research communication and beyond. Langenbecks Arch Surg 2021; 406:505-520. [PMID: 33640992 PMCID: PMC7914121 DOI: 10.1007/s00423-021-02135-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 02/11/2021] [Indexed: 12/16/2022]
Abstract
PURPOSE To present social media (SoMe) platforms for surgeons, how these are used, with what impact, and their roles for research communication. METHODS A narrative review based on a literature search regarding social media use, of studies and findings pertaining to surgical disciplines, and the authors' own experience. RESULTS Several social networking platforms for surgeons are presented to the reader. The more frequently used, i.e., Twitter, is presented with details of opportunities, specific fora for communication, presenting tips for effective use, and also some caveats to use. Details of how the surgical community evolved through the use of the hashtag #SoMe4Surgery are presented. The impact on gender diversity in surgery through important hashtags (from #ILookLikeASurgeon to #MedBikini) is discussed. Practical tips on generating tweets and use of visual abstracts are presented, with influence on post-production distribution of journal articles through "tweetorials" and "tweetchats." Findings from seminal studies on SoMe and the impact on traditional metrics (regular citations) and alternative metrics (Altmetrics, including tweets, retweets, news outlet mentions) are presented. Some concerns on misuse and SoMe caveats are discussed. CONCLUSION Over the last two decades, social media has had a huge impact on science dissemination, journal article discussions, and presentation of conference news. Immediate and real-time presentation of studies, articles, or presentations has flattened hierarchy for participation, debate, and engagement. Surgeons should learn how to use novel communication technology to advance the field and further professional and public interaction.
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Affiliation(s)
- Rebecca Grossman
- Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK
| | - Olivia Sgarbura
- Department of Surgical Oncology, Cancer Institute of Montpellier, University of Montpellier, Montpellier, France
- IRCM, Institut de Recherche en Cancérologie de Montpellier, INSERM U1194, Université de Montpellier, Institut régional du Cancer de Montpellier, F-34298, Montpellier, France
| | - Julie Hallet
- Department of Surgery, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- University of Toronto, Toronto, Ontario, Canada
| | - Kjetil Søreide
- Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.
- Department of Clinical Medicine, University of Bergen, Bergen, Norway.
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Back DA, Scherer J, Osterhoff G, Rigamonti L, Pförringer D. Digital implications for human resource management in surgical departments. Eur Surg 2021; 54:17-23. [PMID: 33936187 PMCID: PMC8075015 DOI: 10.1007/s10353-021-00709-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 03/27/2021] [Indexed: 11/30/2022]
Abstract
Background Changes in demographics and dynamics of our society are affecting the healthcare system, leading to an intensified “war for talents,” especially for surgical departments. Also with regard to the current COVID-19 pandemic, the present work analyzes the potential of digitalization for human resource management of surgical departments in hospitals. Methods PubMed and Google Scholar were searched to identify articles referring to the specific subject of human resource management and its digital support in hospitals and surgical departments in particular. Results The main topics include the digital affinity of young physicians and surgeons in terms of staff recruiting, digital support for everyday working life in surgical departments, and the potential of digital approaches for surgical training. These topics are put into the context of company strategies, and their future potential is identified accordingly. Conclusion Digital programs, digital structures, and digital tools can today be used by human resources departments to advertise the hospital and to make the recruitment of future candidates increasingly attractive. In addition, by making digital tools available, the employees’ satisfaction can be raised with the potential of a strong employer branding. In times of the COVID-19 pandemic, digital personnel strategies and training formats have to be regarded a contemporary offering.
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Affiliation(s)
- David Alexander Back
- Department of Traumatology and Orthopedics, Bundeswehr Hospital Berlin, Scharnhorststraße 13, 10115 Berlin, Germany
- Center for Musculoskeletal Surgery, Charité University Medicine Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Julian Scherer
- Department of Traumatology, University Hospital of Zurich, Raemistrasse 100, 8091 Zürich, Switzerland
| | - Georg Osterhoff
- Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103 Leipzig, Germany
| | - Lia Rigamonti
- Outpatient Clinic, Sports Medicine & Sports Orthopaedics, University of Potsdam, Am Neuen Palais 10, 14469 Potsdam, Germany
| | | | - Dominik Pförringer
- Clinic and Policlinic for Traumatology, Klinikum Rechts der Isar, Technical University Munich, Ismaninger Straße 22, 81675 Munich, Germany
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Bressler MY, Grudnikoff E, Bressler Y, Tamez R, Zampella JG. Risks and Benefits of Using Social Media in Dermatology: Cross-sectional Questionnaire Study. JMIR DERMATOLOGY 2021; 4:e24737. [PMID: 37632799 PMCID: PMC10334963 DOI: 10.2196/24737] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 01/27/2021] [Accepted: 01/31/2021] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Dermatological information on social media is often presented by nondermatologists. Increasing the online engagement of trained dermatologists may improve information quality, patient education, and care. OBJECTIVE Our study assesses dermatologists' perceptions of social media and patterns of use to identify barriers limiting engagement. METHODS In our cohort study, a 36-item online survey was distributed to dermatologists in the United States; responses were captured on a 1-100 sliding scale. RESULTS Of 166 initiated surveys, 128 valid responses were submitted. Dermatologists showed greater concern for social media risk-related issues (mean 77.9, SD 15.1) than potential benefits (mean 61.8, SD 16.4; P<.001). Leading concerns were poor patient care, nonevidence-based information, and breaching patient privacy. Benefits included interphysician collaboration, patient education, and public health awareness. The most avid and enthusiastic social media users were millennials (mean total optimism score 67.5, SD 14.9) and baby boomers (mean total optimism score 63.1, SD 11.2) compared with Generation X dermatologists (mean total optimism score 52.2, SD 16.3, P<.001). Of 128 dermatologists, 103 (82.4%) plan on increasing their social media use (P=.003). Predictors showing an intent to increase future social media use were younger age, integration into professional use, and an optimistic view (r2=.39; P<.001). CONCLUSIONS Dermatologists perceive the risk of social media to be considerable but still intend to increase its use, likely recognizing the value and importance of social media to the field.
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Affiliation(s)
- Moshe Y Bressler
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, United States
- Department of Dermatology, Jamaica Hospital Medical Center, Richmond Hill, NY, United States
| | - Eugene Grudnikoff
- Department of Psychiatry, South Oaks Hospital, Amityville, NY, United States
| | - Yaakov Bressler
- Department of Dermatology, Jamaica Hospital Medical Center, Richmond Hill, NY, United States
| | - Rebecca Tamez
- Department of Dermatology, Jamaica Hospital Medical Center, Richmond Hill, NY, United States
| | - John G Zampella
- Ronald O Perelman Department of Dermatology, New York University, New York, NY, United States
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Alhusseini N, Banta JE, Oh J, Montgomery SB. Social Media Use for Health Purposes by Chronic Disease Patients in the United States. SAUDI JOURNAL OF MEDICINE & MEDICAL SCIENCES 2021; 9:51-58. [PMID: 33519344 PMCID: PMC7839572 DOI: 10.4103/sjmms.sjmms_262_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Revised: 08/26/2020] [Accepted: 09/27/2020] [Indexed: 11/04/2022]
Abstract
Background Social media can be a cost-effective instant tool for exchanging health information among those with chronic diseases. However, few studies have analyzed the nexus between chronic disease and patients' use of the internet for health-related purposes. Objective The objective of this study is to determine if chronic disease patients in the United States use social media platforms to share health information and/or join groups of similar condition. Materials and Methods This cross-sectional study conducted a secondary analysis of the Health Information Trends Survey dataset 5 (cycle 1 of 2017 and cycle 2 of 2018) (N = 6650), which is nationally representative of American adults. A series of chi-square tests was carried to examine the association between using social media by chronic disease patients and (a) sharing health information and (b) participating in relevant health groups. Logistic regression analysis was used to determine significant findings. Results In terms of sharing health information on social media sites, those who were aged 18-49 years (P < 0.0001) and underweight (P = 0.04) were more likely to share health information on social media, while males were less likely to do so (P < 0.0001). In terms of joining relevant health groups on social media, predictors were being aged 35-49 years (P = 0.008), having a Bachelor's or postbaccalaureate degree (P < 0.02) and having depression or anxiety disorder (P = 0.004); males were less likely to join such groups (P = 0.0004). Conclusion Individuals with chronic conditions, except depression or anxiety disorder, were not likely to participate in social media support groups. Future studies should explore how social media can be used to effectively engage those with chronic diseases, which may assist in disease management.
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Affiliation(s)
- Noara Alhusseini
- School of Public Health, Loma Linda University, Loma Linda, California, United States
| | - Jim E Banta
- School of Public Health, Loma Linda University, Loma Linda, California, United States
| | - Jisoo Oh
- School of Public Health, Loma Linda University, Loma Linda, California, United States
| | - Susanne B Montgomery
- School of Behavioral Health, Loma Linda University, Loma Linda, California, United States
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Sultan M, Brown EM, Thomas RH. Clinicians embracing social media: Potential and pitfalls. Epilepsy Behav 2021; 115:106462. [PMID: 31732329 DOI: 10.1016/j.yebeh.2019.106462] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2019] [Accepted: 07/28/2019] [Indexed: 02/06/2023]
Abstract
The bedrock of clinical medicine is effective communication. A generation ago, this was primarily the clinical consultation, the letter to the general practitioner, and the occasional scientific paper. In 2019, the avenues and opportunities for communication have exploded and include a pantheon of new and social media. We review the current state of how doctors use social media, and what can be gained by doing so. We provide strategies about how best to utilize these tools, depending on what you wish to gain. We discuss why every clinician needs a 'social media strategy' even if this is one of increasing your privacy levels and removing incorrect information from the web. We discuss the risks and harms of these newer forms of communication and how best to avoid embarrassment or censure. Social media fills an information vacuum, and in many ways, patients have embraced the opportunities with greater enthusiasm than have clinicians. To 'speak their language', we need to know how best to engage in social media.
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Affiliation(s)
- Mustafa Sultan
- Newcastle University, United Kingdom of Great Britain and Northern Ireland.
| | - Elen M Brown
- Nestlé UK, United Kingdom of Great Britain and Northern Ireland.
| | - Rhys H Thomas
- Institute of Neuroscience, Newcastle University, United Kingdom of Great Britain and Northern Ireland; Royal Victoria Infirmary, Newcastle-upon-Tyne, United Kingdom of Great Britain and Northern Ireland.
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Shakir MA, Singh A, Levy P, Cohen DA, Moran S, Mikelson CH, Rodriguez R, Gray WA, Patel R. Social Media Use and Community-Based Cardiovascular Health-care Professionals: Perception versus Reality. Heart Views 2021; 21:276-280. [PMID: 33986927 PMCID: PMC8104311 DOI: 10.4103/heartviews.heartviews_60_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 11/18/2020] [Indexed: 11/04/2022] Open
Abstract
Social media use has dramatically increased in the past two decades. This growth has been seen in the health-care field as well. Social media is being used for a variety of activities including networking, education, public health, and marketing. Health-care professionals in cardiology participate in social media to varying degrees and in different ways. Current studies have focused primarily on physicians who have an established presence on social media. To learn more about the social media habits of community-based cardiology providers, we queried attendants at a cardiovascular conference held by our health-care system. The purpose of this article is to: Highlight the social media habits of a range of community-based cardiology providers and distinguish between producing and consuming social media. There is a predominance of social media content consumers compared to producersOutline important considerations when assessing the risks and benefits of social media use and the perceived concerns of cardiology health-care professionalsEmphasize the need to incorporate guidelines for social media use into institutional policies and provide training on social media use to the health-care community.
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Affiliation(s)
| | | | | | | | | | | | | | - William A Gray
- Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA
| | - Riti Patel
- Lankenau Heart Institute, Main Line Health, Wynnewood, PA, USA
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Tornberg HN, Moezinia C, Wei C, Bernstein SA, Wei C, Al-Beyati R, Quan T, Diemert DJ. Assessing the Dissemination of COVID-19 Articles Across Social Media With Altmetric and PlumX Metrics: Correlational Study. J Med Internet Res 2021; 23:e21408. [PMID: 33406049 PMCID: PMC7813558 DOI: 10.2196/21408] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 08/16/2020] [Accepted: 12/12/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The use of social media assists in the distribution of COVID-19 information to the general public and health professionals. Alternative-level metrics (ie, altmetrics) and PlumX metrics are new bibliometrics that can assess how many times a scientific article has been shared and how much a scientific article has spread within social media platforms. OBJECTIVE Our objective was to characterize and compare the traditional bibliometrics (ie, citation count and impact factors) and new bibliometrics (ie, Altmetric Attention Score [AAS] and PlumX score) of the top 100 COVID-19 articles with the highest AASs. METHODS The top 100 articles with highest AASs were identified with Altmetric Explorer in May 2020. The AASs, journal names, and the number of mentions in various social media databases of each article were collected. Citation counts and PlumX Field-Weighted Citation Impact scores were collected from the Scopus database. Additionally, AASs, PlumX scores, and citation counts were log-transformed and adjusted by +1 for linear regression, and Spearman correlation coefficients were used to determine correlations. RESULTS The median AAS, PlumX score, and citation count were 4922.50, 37.92, and 24.00, respectively. The New England Journal of Medicine published the most articles (18/100, 18%). The highest number of mentions (985,429/1,022,975, 96.3%) were found on Twitter, making it the most frequently used social media platform. A positive correlation was observed between AAS and citation count (r2=0.0973; P=.002), and between PlumX score and citation count (r2=0.8911; P<.001). CONCLUSIONS Our study demonstrated that citation count weakly correlated with AASs and strongly correlated with PlumX scores, with regard to COVID-19 articles at this point in time. Altmetric and PlumX metrics should be used to complement traditional citation counts when assessing the dissemination and impact of a COVID-19 article.
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Affiliation(s)
- Haley N Tornberg
- Department of Medicine, Hospital for Special Surgery, New York, NY, United States
| | - Carine Moezinia
- Department of Medicine, Hospital for Special Surgery, New York, NY, United States
| | - Chapman Wei
- Department of Medicine, The George Washington School of Medicine and Health Sciences, Washington, DC, United States
| | - Simone A Bernstein
- Department of Psychiatry, Washington University School of Medicine and Barnes-Jewish Hospital, St. Louis, MO, United States
| | - Chaplin Wei
- Department of Medicine, American University of Antigua, Coolidge, Antigua and Barbuda
| | - Refka Al-Beyati
- Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, CA, United States
| | - Theodore Quan
- Department of Medicine, The George Washington School of Medicine and Health Sciences, Washington, DC, United States
| | - David J Diemert
- Department of Medicine, The George Washington School of Medicine and Health Sciences, Washington, DC, United States
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Bryan MA, Evans Y, Morishita C, Midamba N, Moreno MA. Does the Narrative Voice Influence Parental Perceptions of Pediatrician Blogs? Acad Pediatr 2021; 21:139-148. [PMID: 32114088 DOI: 10.1016/j.acap.2020.02.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2019] [Revised: 02/15/2020] [Accepted: 02/21/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To determine parental perceptions of pediatrician blog posts by narrative voice. METHODS Three blog posts each on 2 topics (vaccines and sleep) were written by an established physician blogger and varied by narrative voice (personal, third person objective and mixed). Topics were chosen to be applicable to all parents. Blog posts were evaluated by a communications expert, 2 research investigators, and 3 parents to confirm differences in narrative voice. We sampled parents of children 0 to 18 years old in 4 primary and subspecialty care clinics, and 1 inpatient medical unit. Participants were randomized to read 2 blog posts (1 per topic) that varied by narrative voice. Participants rated their perceptions of the accuracy, reliability, and appeal for each blog posts on a 5-point Likert Scale. The Kruskal-Wallis test was used to compare the distribution of parental rankings for accuracy, reliability, and appeal. RESULTS The average participant age (n = 258) was 39.8 (SD 9.7), 83% were female. Blog posts written in the third person objective voice were rated as more accurate and reliable than those in the personal or mixed voice. There was effect modification by topic, with parents rating the sleep blog posts as more accurate than the vaccine blog posts. There was no difference in the appeal of information by narrative voice or topic of blog post. CONCLUSIONS The narrative voice used to convey information on pediatrician blog posts can influence reader perception of accuracy and reliability. Physician bloggers can enhance parental trust of their content using study findings.
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Affiliation(s)
- Mersine A Bryan
- Department of Pediatrics (MA Bryan), University of Washington School of Medicine, Seattle Children's Research Institute, Seattle, Wash.
| | - Yolanda Evans
- Department of Pediatrics (Y Evans), University of Washington School of Medicine, Seattle, Wash
| | | | - Nikita Midamba
- Seattle Children's Research Institute (N Midamba), Seattle, Wash
| | - Megan A Moreno
- Department of Pediatrics (MA Moreno), University of Wisconsin School of Medicine, Madison, Wis
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Lo C, Yu J, Görges M, Matava C. Anesthesia in the modern world of apps and technology: Implications and impact on wellness. Paediatr Anaesth 2021; 31:31-38. [PMID: 33119935 DOI: 10.1111/pan.14051] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 10/19/2020] [Accepted: 10/22/2020] [Indexed: 02/01/2023]
Abstract
Recent decades have seen an unprecedented leap in digital innovation, with far-reaching implications in healthcare. Anesthesiologists have historically championed the adoption of new technologies. However, the rapid evolution of these technologies has outpaced attempts at studying their potential impact on healthcare providers' well-being. This document introduces several categories of workplace technologies commonly encountered by the anesthesiologist. We examine examples of novel technology and the impact of these digital interventions on the anesthesiologist's well-being. We also review popular personalized technology aimed at improving wellness and the impact on well-being examined. Finally, technology acceptance models are introduced to improve technology adoption, which, when appropriately applied, may minimize the negative impacts of technology on anesthesiologists' well-being. Incorporating quantitative, serial assessments of well-being as part of technology implementation are proposed as a future direction for examining the wellness impact of technology on anesthesiologists.
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Affiliation(s)
- Calvin Lo
- Department of Anesthesiology and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.,Department of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Julie Yu
- Department of Anesthesiology and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.,Department of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Matthias Görges
- Research Institute, BC Children's Hospital, Vancouver, BC, Canada.,Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, Vancouver, BC, Canada
| | - Clyde Matava
- Department of Anesthesiology and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.,Department of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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Kwan JM, Henry ML, Christophers B, Tamirisa K, Thamman R, Sadler D, Aggarwal NR, Cheng R, Parwani P, Dent S, Ismail-Khan R, Fradley MG, Brown SA. The Role and Impact of Social Media in Cardio-oncology During the COVID-19 Pandemic. Curr Oncol Rep 2021; 23:99. [PMID: 34259950 PMCID: PMC8278372 DOI: 10.1007/s11912-021-01081-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2021] [Indexed: 02/06/2023]
Abstract
PURPOSE OF REVIEW To give an overview of the role of social media (SoMe) in cardio-oncology during the COVID-19 pandemic. RECENT FINDINGS SoMe has been critical in fostering education, outreach, awareness, collaboration, dissemination of information, and advocacy in cardio-oncology. This has become increasingly evident during the COVID-19 pandemic, during which SoMe has helped share best practices, community, and research focused on the impact of COVID-19 in cardiology and hematology/oncology, with cardio-oncology at the interface of these two subspecialty fields. A strength of SoMe is the ability to amplify a message in real-time, globally, with minimal investment of resources. This has been particularly beneficial for the emerging field of cardio-hematology/cardio-oncology, a field focused on the interplay of cancer and cardiovascular disease. SoMe field especially during the COVID-19 pandemic. We illustrate how social media has supported innovation (including telemedicine), amplification of healthcare workers' voice, and illumination of pre-existing and continued health disparities within the field of cardio-oncology during the pandemic.
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Affiliation(s)
- Jennifer M Kwan
- Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT, USA
| | | | - Briana Christophers
- Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD program, New York, NY, USA
| | | | | | | | - Niti R Aggarwal
- Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA
| | - Richard Cheng
- Division of Cardiology, University of Washington, Seattle, WA, USA
| | | | - Susan Dent
- Division of Medical Oncology, Duke Cancer Institute, Duke University, Durham, NC, USA
| | - Roohi Ismail-Khan
- Cardio-Oncology Program, H. Lee Moffitt Cancer Center, University of South Florida, Tampa, FL, USA
| | - Michael G Fradley
- Cardio-Oncology Center of Excellence, Division of Cardiology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
| | - Sherry-Ann Brown
- Cardio-Oncology Program, Division of Cardiovascular Medicine, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
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Albeshri M, Alharithy R, Altalhab S, Alluhayyan OB, Farhat AM. The Influence of Modern Social Media on Dermatologist Selection by Patients. Cureus 2020; 12:e11822. [PMID: 33409064 PMCID: PMC7781535 DOI: 10.7759/cureus.11822] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective Social media have become the platform of choice for people seeking immediate access to information. They have become so ubiquitous and pervasive that many people are using them to research health care providers and communicate with them about their issues. This study looks into this phenomenon, focusing on how it affects people’s thinking when deciding which doctor to see for skin-related concerns. Methodology A cross-sectional study was conducted among patients at Derma Clinic in Riyadh, Saudi Arabia. Data were collected using a validated self-administered questionnaire. A total of 365 patients were included in the analysis. Results Out of 365 participants, 44.9% visited the center for medical purposes, while 45.8% visited for cosmetic purposes. Sixty-six percent of the participants (n=241) went to a dermatologist they knew, and only 21% of those participants knew their dermatologist from social media (Twitter, Instagram, Snapchat, Facebook, and Telegram). About 44.54% preferred to know more about their dermatologists from Twitter, followed by Instagram 27.96%, Snapchat 24.64%, and Facebook 2.84%. A significant proportion of Instagram users came to the dermatology clinic for cosmetic purposes. Conclusion As per the findings of this study, we found the highest preferred way of knowing the doctor for medical or cosmetic purposes was through a friend, followed by a family member and social media. Although most of the participants still preferred to visit a dermatologist based on their friend’s recommendation, social media offer patients a platform upon which to launch their search for a dermatologist. Among social media users, patients who visit dermatology clinics for medical reasons preferred Twitter, while those who came for cosmetic reasons preferred Instagram to follow their doctors, underlining the importance of aesthetic dermatology as a visual field.
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Affiliation(s)
- Mohammed Albeshri
- Dermatology, Unaizah College of Medicine and Medical Sciences, Qassim University, Qassim, SAU
| | | | - Saad Altalhab
- Dermatology, Imam Mohammad Ibn Saud I University, Riyadh, SAU
| | - Omar B Alluhayyan
- Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Qassim, SAU
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Beroual S, Shah C, Knoll M, Bahig H, Lambert C, Taussky D. A Portrait of Current Radiation Oncology Twitter Influencers. Cureus 2020; 12:e10838. [PMID: 33173644 PMCID: PMC7647836 DOI: 10.7759/cureus.10838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 10/06/2020] [Indexed: 11/05/2022] Open
Abstract
Introduction We aimed to characterize the most influential radiation oncologists on Twitter, the correlation between their Twitter activity and their academic profiles as measured by the Scopus H-index as well as their activity around the American Society for Radiation Oncologists (ASTRO) 2018 meeting. Methods We defined radiation oncology influencers as any radiation oncologist with 500 or more followers on Twitter through the first two weeks of August 2019. We collected their available characteristics, their Scopus H-index, and Twitter metrics. We examined their general Twitter activity as well as their specific activity before, during, and after the 2018 ASTRO annual meeting. We identified the most frequent tweet content categories for each influencer. Results We identified 48 radiation oncologist influencers; 79% were male, 75% were based in the United States, and 94% were affiliated with an academic center. Among them, 44% had high H-indices of ≥21, an average value in academic faculty for full professors or department heads. There were no correlations between H-index and Twitter metrics such as the number of individuals the influencer was following (p = 0.58), the number of followers (p = 0.66), the number of tweets (p = 0.88), and the number of likes (p = 0.54). During the period around ASTRO 2018, the mean number of tweets per influencer was 4437 (range 87-93,000). Conclusion Current radiation oncology influencers are predominantly North American males from academic institutions. A correlation between academic productivity as measured by the H-index and Twitter metrics was not demonstrated. The fact that some influencers had a low H-index supports that a high academic profile as measured by traditional metrics is not necessary to have a voice in the Twitter radiation oncology community.
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Affiliation(s)
- Sharifa Beroual
- Radiation Oncology, Centre Hospitalier de l'Université de Montréal, Montreal, CAN
| | - Chirag Shah
- Radiation Oncology, Centre Hospitalier de l'Université de Montréal, Montreal, CAN
| | - Miriam Knoll
- Radiation Oncology, John Theurer Cancer Center at Hackensack University, Hackensack, USA
| | - Houda Bahig
- Radiation Oncology, Centre Hospitalier de l'Université de Montréal, Montreal, CAN
| | - Carole Lambert
- Radiation Oncology, Centre Hospitalier de l'Université de Montréal - Hôpital Notre-Dame, Montreal, CAN
| | - Daniel Taussky
- Radiation Oncology, Centre Hospitalier de l'Université de Montréal, Montreal, CAN
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Haas MRC, He S, Sternberg K, Jordan J, Deiorio NM, Chan TM, Yarris LM. Reimagining Residency Selection: Part 1-A Practical Guide to Recruitment in the Post-COVID-19 Era. J Grad Med Educ 2020; 12:539-544. [PMID: 33149819 PMCID: PMC7594771 DOI: 10.4300/jgme-d-20-00907.1] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Conley CC, Goyal NG, Brown SA. #CardioOncology: Twitter chat as a mechanism for increasing awareness of heart health for cancer patients. CARDIO-ONCOLOGY (LONDON, ENGLAND) 2020; 6:19. [PMID: 32922861 PMCID: PMC7480000 DOI: 10.1186/s40959-020-00072-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 08/26/2020] [Indexed: 11/15/2022]
Abstract
Consideration of heart health for cancer survivors is increasingly important, as improved cancer survivorship has resulted in a growing number of survivors affected by cardiovascular disease. However, there is limited knowledge of cardio-oncology among both patients and a variety of health professionals. Thus, efforts are needed to increase awareness about cardio-oncology. Social media represents one potential opportunity to disseminate information about cardio-oncology to a large audience. We highlight one example of a social media educational/advocacy campaign conducted on Twitter (a "Twitter Chat") that garnered nearly 1.2 million impressions (views by Twitter users) in just 24 h. We provide both quantitative and qualitative data to support the efficacy of using Twitter for such educational/advocacy campaigns, and describe key features that contributed to its success. Twitter Chats inexpensively utilize innovative technology to provide education and foster community. Long-term studies are needed to understand whether Twitter Chats can change knowledge and behavior related to cardio-oncology.
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Affiliation(s)
- Claire C. Conley
- Department of Oncology, Georgetown University, Washington, DC USA
| | - Neha G. Goyal
- Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA USA
| | - Sherry-Ann Brown
- Cardio-Oncology Program, Division of Cardiovascular Medicine, Medical College of Wisconsin, 8701 W Watertown Plank Road, Wauwatosa, WI 53226 USA
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Abstract
OPINION STATEMENT As the world becomes more connected through online and offline social networking, there has been much discussion of how the rapid rise of social media could be used in ways that can be productive and instructive in various healthcare specialties, such as Cardiology and its subspecialty areas. In this review, the role of social media in the field of Cardio-Oncology is discussed. With an estimated 17 million cancer survivors in the USA in 2019 and 22 million estimated by 2030, more education and awareness are needed. Networking and collaboration are also needed to meet the needs of our patients and healthcare professionals in this emerging field bridging two disciplines. Cardiovascular disease is second only to recurrence of the primary cancer or diagnosis with a secondary malignancy, as a leading cause of death in cancer survivors. A majority of these survivors are anticipated to be on social media seeking information, support, and ideas for optimizing health. Healthcare professionals in Cardio-Oncology are also online for networking, education, scholarship, career development, and advocacy in this field. Here, we describe the utilization and potential impact of social media in Cardio-Oncology, with inclusion of various hashtags frequently used in the Cardio-Oncology Twitter community.
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Eysenbach G, Ojo A, Beckman AL, Gondi S, Gondi S, Betz M, Faust JS, Choo E, Kass D, Raja AS. The Story of #GetMePPE and GetUsPPE.org to Mobilize Health Care Response to COVID-19 : Rapidly Deploying Digital Tools for Better Health Care. J Med Internet Res 2020; 22:e20469. [PMID: 32530813 PMCID: PMC7373376 DOI: 10.2196/20469] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 06/04/2020] [Accepted: 06/09/2020] [Indexed: 02/02/2023] Open
Abstract
Physicians, nurses, and other health care providers initiated the #GetMePPE movement on Twitter to spread awareness of the shortage of personal protective equipment (PPE) during the coronavirus disease (COVID-19) pandemic. Dwindling supplies, such as face masks, gowns and goggles, and inadequate production to meet increasing demand have placed health care workers and patients at risk. The momentum of the #GetMePPE Twitter hashtag resulted in the creation of a petition to urge public officials to address the PPE shortage through increased funding and production. Simultaneously, the GetUsPPE.org website was launched through the collaboration of physicians and software engineers to develop a digital platform for the donation, request, and distribution of multi-modal sources of PPE. GetUsPPE.org and #GetMePPE were merged in an attempt to combine public engagement and advocacy on social media with the coordination of PPE donation and distribution. Within 10 days, over 1800 hospitals and PPE suppliers were registered in a database that enabled the rapid coordination and distribution of scarce and in-demand materials. One month after its launch, the organization had distributed hundreds of thousands of PPE items and had built a database of over 6000 PPE requesters. The call for action on social media and the rapid development of this digital tool created a productive channel for the public to contribute to the health care response to COVID-19 in meaningful ways. #GetMePPE and GetUsPPE.org were able to mobilize individuals and organizations outside of the health care system to address the unmet needs of the medical community. The success of GetUsPPE.org demonstrates the potential of digital tools as a platform for larger health care institutions to rapidly address urgent issues in health care. In this paper, we outline this process and discuss key factors determining success.
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Affiliation(s)
| | | | | | - Suhas Gondi
- Harvard Medical School, Boston, MA, United States
| | - Suhas Gondi
- Harvard Medical School, Boston, MA, United States
| | - Marian Betz
- Department of Emergency Medicine, School of Medicine, University of Colorado, Denver, CO, United States
| | - Jeremy S Faust
- Department of Emergency Medicine, Brigham and Women's Hospital, Department of Emergency Medicine, Boston, MA, United States
| | - Esther Choo
- Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, United States
| | - Dara Kass
- Department of Emergency Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, United States
| | - Ali S Raja
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, United States
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Lavorgna L, Brigo F, Abbadessa G, Bucello S, Clerico M, Cocco E, Iodice R, Lanzillo R, Leocani L, Lerario A, Moccia M, Padovani A, Prosperini L, Repice A, Stromillo M, Trojsi F, Mancardi G, Tedeschi G, Bonavita S. The Use of Social Media and Digital Devices Among Italian Neurologists. Front Neurol 2020; 11:583. [PMID: 32612572 PMCID: PMC7308485 DOI: 10.3389/fneur.2020.00583] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Accepted: 05/20/2020] [Indexed: 11/13/2022] Open
Abstract
Background: Digital devices and online social networks are changing clinical practice. In this study, we explored attitudes, awareness, opinions, and experiences of neurologists toward social media and digital devices. Methods: Each member of the Italian Society of Neurology (SIN) participated in an online survey (January to May 2018) to collect information on their attitude toward digital health. Results: Four hundred and five neurologists participated in the study. At work, 95% of responders use the personal computer, 87% the smartphone, and 43.5% the tablet. These devices are used to obtain health information (91%), maintain contact with colleagues (71%), provide clinical information (59%), and receive updates (67%). Most participants (56%) use social media to communicate with patients, although 65% are against a friendship with them on social media. Most participants interact with patients on social media outside working hours (65.2%) and think that social media have improved (38.0%) or greatly improved (25.4%) the relationship with patients. Most responders (66.7%) have no wearable devices available in clinical practice. Conclusion: Italian neurologists have different practices and views regarding the doctor–patient relationship in social media. The availability of digital devices in daily practice is limited. The use of social networks and digital devices will increasingly permeate into everyday life, bringing a new dimension to health care. The danger is that advancement will not go hand in hand with a legal and cultural adaptation, thus creating ambiguity and risks for clinicians and patients. Neurologists will need to be able to face the opportunities and challenges of this new scenario.
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Affiliation(s)
- Luigi Lavorgna
- First Division of Neurology, Department of Advanced Medical and Surgical Sciences, AOU - University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Francesco Brigo
- Division of Neurology, Franz Tappeiner Hospital, Merano, Italy.,Department of Neuroscience, Biomedicine and Movement Science, University of Verona, Verona, Italy
| | - Gianmarco Abbadessa
- Second Division of Neurology, Department of Advanced Medical and Surgical Sciences, MRI Research Center SUN-FISM, AOU - University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Sebastiano Bucello
- UOSD Neurologia - PO Muscatello di Augusta, ASP Siracusa, Siracusa, Italy
| | - Marinella Clerico
- Clinical and Biological Sciences Department, University of Turin, Turin, Italy
| | - Eleonora Cocco
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - Rosa Iodice
- Department of Neuroscience, Reproductive Science and Odontostomatology, Multiple Sclerosis Clinical Care and Research Centre, Federico II University, Naples, Italy
| | - Roberta Lanzillo
- Department of Neuroscience, Reproductive Science and Odontostomatology, Multiple Sclerosis Clinical Care and Research Centre, Federico II University, Naples, Italy
| | - Letizia Leocani
- Neurorehabilitation Unit and INSPE-Institute of Experimental Neurology, Milan, Italy.,Experimental Neurophysiology Unit, Division of Neuroscience, Institute of Experimental Neurology (INSPE), University Vita-Salute San Raffaele, Milan, Italy
| | | | - Marcello Moccia
- Department of Neuroscience, Reproductive Science and Odontostomatology, Multiple Sclerosis Clinical Care and Research Centre, Federico II University, Naples, Italy.,Department of Neuroinflammation, Faculty of Brain Sciences, Queen Square MS Centre, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Alessandro Padovani
- Neurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
| | - Luca Prosperini
- Department of Neurosciences, S. Camillo-Forlanini Hospital, Circonvallazione Gianicolense, Rome, Italy
| | - Anna Repice
- MS Centre SOD Neurologia II. AOU Careggi Largo Brambilla 2, Florence, Italy
| | - Maria Stromillo
- Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy
| | - Francesca Trojsi
- First Division of Neurology, Department of Advanced Medical and Surgical Sciences, MRI Research Center SUN-FISM, AOU - University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Gianluigi Mancardi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health and CEBR, University of Genova, Genova, Italy
| | - Gioacchino Tedeschi
- First Division of Neurology, Department of Advanced Medical and Surgical Sciences, MRI Research Center SUN-FISM, AOU - University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Simona Bonavita
- Second Division of Neurology, Department of Advanced Medical and Surgical Sciences, MRI Research Center SUN-FISM, AOU - University of Campania "Luigi Vanvitelli", Naples, Italy
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Abstract
Free Open Access Medical education (FOAM) has taken the emergency medicine and critical care worlds by storm in the past decade. This article represents one perspective on the stages of transition for FOAM from its humble beginnings as a grassroots movement to the more recent multiauthor blogs that are described in the peer-reviewed literature. In this article, the authors describe the following four distinct waves of people within the movement, with each wave creating a new stage in the evolution of the FOAM community: Creation by the Founders, Adoption by the Enthusiasts, Structure and Formalization by the Structuralists, and Engagement and Activity by the End Users. The authors contextualize some of the phenomena that have been observed within this field and highlight challenges for the field moving forward.
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Sumayyia MD, Al-Madaney MM, Almousawi FH. Health information on social media. Perceptions, attitudes, and practices of patients and their companions. Saudi Med J 2020; 40:1294-1298. [PMID: 31828284 PMCID: PMC6969626 DOI: 10.15537/smj.2019.12.24682] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES To assess social media and search engines used to find health information in Saudi patients and their companions and to describe their perceptions, attitudes, and practices. Methods: A cross-sectional study was carried out on 374 patients and their companions at a tertiary care hospital in Riyadh, Saudi Arabia. The data were collected between January and March 2018 using a self-administrated questionnaire adopted from the literature and developed in Arabic. The questionnaire was validated and modified by the researchers to fulfill the purpose of this study. The questionnaire contains 4 sections (25 questions), divided into a demographic section and the 3 sections assessing perceptions, attitudes, and practices. Results: Eighty-five percent sought health information using social media; of whom 293 (78.3%) used WhatsApp, 237 (63.4%) used YouTube, and 46 (12.3%) used Facebook. Furthermore, 72% searched information for themselves and 52% for a family member. Approximately 28% of participants had used social media for medical consultations. The reliability of health information on social media was met for 51% of participants, and 81.4% claimed that the health information obtained was knowledgeable. However, only 29% share their personal health experience with the public on social media. Conclusion: Our findings suggest that the majority of the participants used social media platforms to find information related to their health conditions, while approximately one third received direct medical consultations online. Public awareness to use reputable sources for health information is needed.
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Affiliation(s)
- Marar D Sumayyia
- Research Center, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
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Rigamonti L, Albrecht UV, Lutter C, Tempel M, Wolfarth B, Back DA. Potentials of Digitalization in Sports Medicine: A Narrative Review. Curr Sports Med Rep 2020; 19:157-163. [PMID: 32282462 DOI: 10.1249/jsr.0000000000000704] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Digital transformation is becoming increasingly common in modern life and sports medicine, like many other medical disciplines, it is strongly influenced and impacted by this rapidly changing field. This review aims to give a brief overview of the potential that digital technologies can have for health care providers and patients in the clinical practice of sports medicine. We will focus on mobile applications, wearables, smart devices, intelligent machines, telemedicine, artificial intelligence, big data, system interoperability, virtual reality, augmented reality, exergaming, or social networks. While some technologies are already used in current medical practice, others still have undiscovered potential. Due to the diversity and ever changing nature of this field, we will briefly review multiple areas in an attempt to give readers some general exposure to the landscape instead of a thorough, deep review of one topic. Further research will be necessary to show how digitalization applications could best be used for patient treatments.
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Affiliation(s)
- Lia Rigamonti
- Center of Sport Medicine, Department of Sport and Health Science, University of Potsdam, University Outpatient Clinic, Potsdam, GERMANY
| | - Urs-Vito Albrecht
- Hannover Medical School, Peter L Reichertz Institute for Medical Informatics, Hannover, GERMANY
| | - Christoph Lutter
- Department of Orthopedic and Trauma Surgery, Sports Orthopedics and Sports Medicine, Klinikum Bamberg, Bamberg, GERMANY
| | - Mathias Tempel
- Department of Sports Medicine, Humboldt University, Charité University Medicine Berlin, Berlin, GERMANY
| | - Bernd Wolfarth
- Department of Sports Medicine, Humboldt University, Charité University Medicine Berlin, Berlin, GERMANY
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LeBeau K, Carr C, Hart M. Examination of Gender Stereotypes and Norms in Health-Related Content Posted to Snapchat Discover Channels: Qualitative Content Analysis. J Med Internet Res 2020; 22:e15330. [PMID: 32196461 PMCID: PMC7125437 DOI: 10.2196/15330] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Revised: 11/04/2019] [Accepted: 12/16/2019] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Snapchat has seen one of the most rapid, and unprecedented, growths in the history of social networking sites and social media with 3 billion Snapchats sent daily. In 2015, Snapchat introduced a new feature, Snapchat Discover, providing a unique way for publishers, such as magazines, to connect their content to Snapchat users. OBJECTIVE This study aimed to evaluate qualitatively the health-related content distributed among male-focused and female-focused Discover channels and to determine whether differences exist between the content posted to these channels. METHODS Magazine Discover channels with male and female target audiences were identified based on the magazine's claimed audience and a search of Snapchat Discover's magazine publishers, resulting in the selection of two male-focused and two female-focused channels. Stories were collected daily from each of the selected channels during a 4-week period. Using the constant comparative method, 406 Discover stories were collected and analyzed. RESULTS Differences in health content coverage existed between male- and female-focused channels. General health stories from male channels comprised 7.5% (10/134) of total stories compared with 22.8% (62/272) for female channels. Sexual health stories from male channels comprised 3.0% (4/134) of total stories compared with 18.8% (51/272) for female channels. Moreover, female-focused channels' content was more comprehensive. Female audiences were portrayed as being health information seekers, concerned with sexual health and male satisfaction, primarily responsible for contraception and pregnancy prevention, and less informed about sex. Male audiences were portrayed as being less likely to seek health information, obsessed with and driven by sex, and less concerned with sexual health. CONCLUSIONS Understanding the content shared to social media is important, especially when considering the implications content may have for behavior. In terms of content, these findings suggest Discover channels appear to promote gender stereotypes and norms for health and sexual health through the information posted.
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Affiliation(s)
- Kelsea LeBeau
- College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States
| | - Cary Carr
- College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States
| | - Mark Hart
- College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States
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