Abstract

IntroductionThe objective of this study was to analyze the messages of influential emergency medicine (EM) Twitter users in the United States (US) during the early stages of the coronavirus disease 2019 (COVID-19) global pandemic by characterizing the themes, emotional tones, temporal viewpoints, and depth of engagement with the tweets.MethodsWe performed a retrospective mixed-methods analysis of publicly available Twitter data derived from the publicly available “Coronavirus Tweet IDs” dataset, March 3, 2020–May 1, 2020. Original tweets and modified retweets in the dataset by 50 influential EM Twitter users in the US were analyzed using linguistic software to report the emotional tone and temporal viewpoint. We qualitatively analyzed a 25% random subsample and report themes.ResultsThere were 1315 tweets available in the dataset from 36/50 influential EM Twitter users in the US. The majority of tweets were either positive (455/1315, 34.6%) or neutral (407/1315, 31%) in tone and focused on the present (1009/1315, 76.7%). Qualitative analysis identified six distinct themes, with users most often sharing news or clinical information.ConclusionsDuring the early weeks of the COVID-19 pandemic, influential EM Twitter users in the US delivered mainly positive or neutral messages, most often pertaining to news stories or information directly relating to patient care. The majority of these messages led to engagement by other users. This study underscores how EM influencers can leverage social media in public health outbreaks to bring attention to topics of importance.

Highlights

  • The objective of this study was to analyze the messages of influential emergency medicine (EM) Twitter users in the United States (US) during the early stages of the coronavirus disease 2019 (COVID-19) global pandemic by characterizing the themes, emotional tones, temporal viewpoints, and depth of engagement with the tweets

  • During the early weeks of the COVID-19 pandemic, influential EM Twitter users in the US delivered mainly positive or neutral messages, most often pertaining to news stories or information directly relating to patient care

  • While previous studies have addressed the use of Twitter by physicians during the COVID-19 pandemic,[32] this is the first study to evaluate the use of Twitter by emergency physician (EP)

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Summary

Introduction

The objective of this study was to analyze the messages of influential emergency medicine (EM) Twitter users in the United States (US) during the early stages of the coronavirus disease 2019 (COVID-19) global pandemic by characterizing the themes, emotional tones, temporal viewpoints, and depth of engagement with the tweets. (COVID-19) global pandemic has had an unprecedented impact on the healthcare community. As of this writing, there have been more than 73.7 million cases worldwide with the United States (US) accounting for approximately one quarter of all cases. 2019,2 clinical information, guidelines, and practices have rapidly evolved.[3,4,5] As cases emerged within the US, lack of a coordinated national response overwhelmed certain regions of the country and continue to threaten to overwhelm the country’s health system.[6,7] In this way, clinicians have faced unique challenges in discovering and implementing best clinical practices, confronting issues with personal well-being and engaging in the discourse surrounding the country’s response efforts

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