Medical Misinformation Research Articles

Influence of Brexit on education towards Europeanism

The present research study explores the extent to which the withdrawal of the UK from the European Union may negatively affect the efforts to lead in particular young people to have a positive attitude towards this integration group, enhance a feeling of belonging to it or a certain sense of common European citizenship. The main aim of the paper was to identify those selected circumstances of Brexit and its campaigns that could evoke strong Eurosceptic sentiments and, on the contrary, look for ways to eliminate these negative tendencies. The authors discuss how a populist, emotionally focused and often misleading campaign has significantly contributed to the vote of Brexit in a referendum, which is a precedent that may under certain circumstances be repeated in other member countries. The paper also discusses the media dimension of the topic. Especially the question of spreading misinformation, hoaxes, conspiracy or propaganda in alternative media that can strengthen Euroscepticism in many EU countries, including the Slovak Republic.

Pediatric Infectious Disease Specialists: An Answer to Social Media Misinformation on Coronavirus Disease 2019.

Pediatric Infectious Disease Specialists: An Answer to Social Media Misinformation on Coronavirus Disease 2019.

Addressing Medical Misinformation in the Patient-Clinician Relationship

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Infodemia: Another Enemy for Romanian Frontline Healthcare Workers to Fight during the COVID-19 Outbreak.

Background and Objectives: The population has been overwhelmed with false information related to the Coronavirus disease (COVID-19) crisis, spreading rapidly through social media and other channels. We aimed to investigate if frontline healthcare workers affected by infodemia show different psychological consequences than frontline clinicians who do not declare to be affected by false news related to the COVID-19 pandemic. Materials and Methods: One hundred twenty-six frontline healthcare workers from the Intensive Care Unit (ICU) and Emergency Departments in Romania completed a survey to assess stress, depression, anxiety, and sleep disorders, between March and April 2020. We split the sample of frontline healthcare workers into two groups based on the self-evaluated criteria: if they were or were not affected by infodemia in their activity. Results: Considering limitations such as the cross-sectional design, the lack of causality relationship, and the sample size, the results show that, the frontline medical workers who declared to be affected by false news were significantly more stressed, felt more anxiety, and suffered more from insomnia than healthcare workers who are not affected by false information related to pandemic time. Conclusions: The infodemia has significant psychological consequences such as stress, anxiety, and insomnia on already overwhelmed doctors and nurses in the outbreak of the COVID-19 crisis. These findings suggest that medical misinformation’s psychological implications must be considered when different interventions regarding frontline healthcare workers during the COVID-19 pandemic are implemented.

Advances in the management of statin myopathy.

Statins are highly effective therapies for reducing low-density lipoprotein cholesterol and preventing cardiovascular events. However, many patients taking statins experience statin-associated muscle symptoms. In the current manuscript, we review algorithms to define statin intolerance and approaches to optimize cardiovascular risk reduction and reduce the nocebo effect among individuals reporting statin-associated muscle pain. Patients with statin intolerance have a higher cardiovascular event risk. These data underscore the need to apply clinical strategies that improve treatment utilization and adherence of patients experiencing statin-related side effects. Recent data have shown that the nocebo effect is frequent with statin therapy. This may be explained by the high frequency of muscle symptoms in the general population and media misinformation. When statins even at a low dosage are not tolerated other therapies can be used such as fibrate, ezetimibe nutraceuticals and antiPCSK9 antibodies. Recent data have identified other alternative therapeutic strategies such as bempedoic acid. There are multiple strategies for the management of statin-intolerance, both pharmacological and nonpharmacological. Patient involvement in the justification of statin treatment indication and therapeutic choice is the first step to overcome misbelief and reduce nocebo effect.

Reports of the Workshops Held at the 2020 International Association for the Advancement of Artificial Intelligence Conference on Web and Social Media

The workshop program of the Association for the Advancement of Artificial Intelligence's Fourteenth International Conference on Web and Social Media was held June 8 to 20, 2020. The conference venue, which had originally been Atlanta, Georgia, USA, had to be revamped into a virtual edition, due to the 2019 Corona Virus Disease pandemic. There were five full‐day workshops in the program. They included Emoji Understanding and Applications in Social Media (W1), Social Sensing: Narrative Analysis on Social Media (W2), News and Public Opinion (W3), Cyber Social Threats (W4), and Mediate: Social and News Media Misinformation (W5). This report contains summaries of all five workshops.

All the News That’s Fit to Fabricate: AI-Generated Text as a Tool of Media Misinformation

AbstractOnline misinformation has become a constant; only the way actors create and distribute that information is changing. Advances in artificial intelligence (AI) such as GPT-2 mean that actors can now synthetically generate text in ways that mimic the style and substance of human-created news stories. We carried out three original experiments to study whether these AI-generated texts are credible and can influence opinions on foreign policy. The first evaluated human perceptions of AI-generated text relative to an original story. The second investigated the interaction between partisanship and AI-generated news. The third examined the distributions of perceived credibility across different AI model sizes. We find that individuals are largely incapable of distinguishing between AI- and human-generated text; partisanship affects the perceived credibility of the story; and exposure to the text does little to change individuals’ policy views. The findings have important implications in understanding AI in online misinformation campaigns.

Detecting Medical Misinformation on Social Media Using Multimodal Deep Learning.

In 2019, outbreaks of vaccine-preventable diseases reached the highest number in the US since 1992. Medical misinformation, such as antivaccine content propagating through social media, is associated with increases in vaccine delay and refusal. Our overall goal is to develop an automatic detector for antivaccine messages to counteract the negative impact that antivaccine messages have on the public health. Very few extant detection systems have considered multimodality of social media posts (images, texts, and hashtags), and instead focus on textual components, despite the rapid growth of photo-sharing applications (e.g., Instagram). As a result, existing systems are not sufficient for detecting antivaccine messages with heavy visual components (e.g., images) posted on these newer platforms. To solve this problem, we propose a deep learning network that leverages both visual and textual information. A new semantic- and task-level attention mechanism was created to help our model to focus on the essential contents of a post that signal antivaccine messages. The proposed model, which consists of three branches, can generate comprehensive fused features for predictions. Moreover, an ensemble method is proposed to further improve the final prediction accuracy. To evaluate the proposed model's performance, a real-world social media dataset that consists of more than 30,000 samples was collected from Instagram between January 2016 and October 2019. Our 30 experiment results demonstrate that the final network achieves above 97% testing accuracy and outperforms other relevant models, demonstrating that it can detect a large amount of antivaccine messages posted daily. The implementation code is available at https://github.com/wzhings/antivaccine_detection.

COVID-19 and misinformation: Is censorship of social media a remedy to the spread of medical misinformation?

Social media companies have resorted to censorship to suppress misinformation about the COVID-19 pandemic. This is not the most prudent solution though given the uncertainties about the disease.

SOCIAL MEDIA AND FAKE NEWS ON CORONA VIRUS: A REVIEW OF LITERATURE

Social media is the 21st-century media that has given every user an equal opportunity to publish news without passing through any form of gatekeeping, editorial, or professional scrutiny. This means that it has become a natural home for the spread of fake news even on the recent coronavirus with its consequent health implications. The authors deployed available materials and literature to discuss the burning issues surrounding fake news as misleading information on social media, especially how social media has become a natural home for fake news on coronavirus. More so, this paper reviewed the literature on the effects of fake news on coronavirus and then motivations for sharing fake news online as a way to provide a start-off point for an understanding of why social media misinformation on Corona virus has spread. The authors concluded by presenting a gap in literature, in addition to a research agenda for studies on the spread of health-related disinformation in Nigeria.

Student Attitudes Towards Online Education during the COVID-19 Viral Outbreak of 2020: Distance Learning in a Time of Social Distance

In this paper, undergraduate student attitudes towards rapidly shifting to an entirely online learning environment were assessed due to COVID-19. In addition, surveys on perceptions about misinformation in media, overall anxiety towards distance learning, knowledge of disease outbreak, and level of preparedness during the onset of the Coronavirus (COVID-19) 2020 outbreak were analyzed. Students surveyed (N = 82) consisted of Wingate undergraduate students from across majors and academic years as part of an animal behavior course covering psychology and human behavior during the COVID-19 2020 crisis during the first two weeks when students returned to school entirely online from off-campus. The majority of students responded that online learning would not be the same as in-class learning (91.5%), indicating a significant difference in responses. Many students indicated they had witnessed some misinformation on COVID-19 in media (98.8%), and there was a significant difference for student perception on being well informed from standard news media (e.g., TV, newspapers) versus social media (t-test = 3.78, p <0.001). Many students (75.6%) responded they held some level of anxiety towards rapidly shifting to finishing a semester online, with 84.2% having discussed disease transmission actively and yet only 64.6% felt well prepared for emergency situations. The majority of students felt preventative measures (university requiring students to move off campus and remainder of semester moving to online distance learning) were based on good science and medical knowledge. Of the students that freely commented in the survey, overall students displayed a wide range of responses, with most expressing anxiety toward online learning, disappointment regarding graduation ceremony, and online learning being different than standard in-class learning. A follow up survey consisting of one question, revealed improvement in students that stated they felt less anxiety towards online learning after 3 weeks (51.4% Yes: 48.6% No), but still many students exhibiting anxiety towards distance education.

The costs outweigh the benefits: seeing side-effects online may decrease adherence to statins

BackgroundThe prevalence of medical misinformation on the Internet has received much attention among researchers concerned that exposure to such information may inhibit patient adherence to prescriptions. Yet, little is known about information people see when they search for medical information and the extent to which exposure is directly related to their decisions to follow physician recommendations. These issues were examined using statin prescriptions as a case study.MethodsWe developed and used a tool to rank the quality of statin-related web pages based on the presence of information about side effects, clinical benefits, management of side effects, and misinformation. We then conducted an experiment in which students were presented with a hypothetical scenario in which an older relative was prescribed a statin but was unsure whether to take the medication. Participants were asked to search the web for information about statins and make a recommendation to this relative. Their search activity was logged using a web-browser add-on. Websites each participant visited were scored for quality using our tool, quality scores were aggregated for each participant and were subsequently used to predict their recommendation.ResultsExposure to statin-related benefits and management of side effects during the search was significantly associated with a higher probability of recommending that an older relative adhere to their physician’s recommendation. Exposure to misinformation and side effects were not associated, nor were any other participant characteristics. Bigram analyses of the top reasons participants gave for their recommendation mirrored the statistical findings, except that among participants who did not recommend following the prescription order, myriad side effects were mentioned.ConclusionsOur findings suggest that units of information people see on health-related websites are not treated equally. Our methods offer new understanding at a granular level about the impact of Internet searches on health decisions regarding evidence-based recommended medications. Our findings may be useful to physicians considering ways to address non-adherence. Preventive care should include actively engaging patients in discussions about health information they may find on the web. The effectiveness of this strategy should be examined in future studies.

Marketing of Tenofovir Disoproxil Fumarate (TDF) Lawsuits and Social Media Misinformation Campaigns' Impact on PrEP Uptake Among Gender and Sexual Minority Individuals.

There has been an influx of ads on social media seeking plaintiffs in lawsuits for harms/side-effects caused by tenofovir disoproxil fumarate/Emtricitabine (TDF/FTC, Truvada) for PrEP. Community groups and researchers have suggested these ads may be undermining efforts to disseminate PrEP to key populations. In October 2019, we began assessing the impact of injury lawsuit ads on social media platforms in an ongoing U.S. national cohort study of HIV-negative cis men, trans men, and trans women who have sex with men. Although assessments are ongoing, given the alarming nature of our findings, we report data collected as of March 2020 (n = 2078). Most (59.9%) said they had seen ads for TDF-related lawsuits on social media. Twenty-eight percent said they would probably or definitely not start PrEP and 22.1% said they would not stay on PrEP (were they on it) as a result of seeing these ads. Next, 38.2% agreed or strongly agreed that seeing these ads made them think that TDF/FTC for PrEP was not safe. Black, Latinx, and/or multiracial individuals were most likely to be negatively impacted by the ads including perceptions that these ads made them think PrEP is not safe. In contrast, past year experience taking PrEP was positively associated with intentions to start and/or stay on PrEP despite seeing the ads. Due to forthcoming affordable/generic options, TDF/FTC is projected to become the most scalable option for disseminating PrEP to key populations. Results suggest that ads for TDF lawsuits on social media are having a negative impact on individual PrEP decision-making. Our findings highlight the urgency for accurate and balanced messaging on the benefits and risks of PrEP, so that individuals can make informed choices about whether PrEP is right for them.

Why Humans Are Vulnerable to Conspiracy Theories.

Humans seem drawn to dark conspiracy theories, often in favor of the simple truth In response to the COVID-19 pandemic, misinformation and conspiracy theorizing have surged President Trump, for example, praised the antimalarial drug hydroxychloroquine as a "game changer" despite scant empirical evidence of its efficacy and safety for the treatment of SARS-CoV-2 Others in the administration have promoted the unsubstantiated theory that SARS-CoV-2 originated in a Chinese lab, despite scientific consensus that the virus likely originated in an animal source before zoonotic transfer and that no evidence indicates that the virus emerged through deliberate lab manipulation of a related virus Here, Friedman discusses why humans are vulnerable to conspiracy theories

The methods of media misinformation among the hypocrites in light of Surat Al-Ahzab

This study examined what are the methods of media misinformation among the hypocrites through Surat Al-Ahzab, in order to know the reality of the role they played during the Battle of Al-Khandaq, and the extent of these methods in the modern era.
 Among the objectives of the study are the statement of the anecdotal media methods adopted by the hypocrites, clarification of the actual media methods issued by them, and an indication of the extension of these media methods to our present time all through Surat Al-Ahzab.
 The researcher followed the deductive approach and the inductive approach to follow these methods in the surah.
 The researcher discussed in the first topic the anecdotal media methods of the hypocrites, and in the second topic the actual media methods, and in the third topic the effects of these media methods and their impact on the modern era.
 The study concluded that the media hypocrisy in its two ways (both verbal and actual) are more deadly in society, and more influential in souls, and in political (war), social and economic struggles.

Facade of media and social media during COVID-19: A review

A novel coronavirus (COVID-19) arose in Wuhan, China, in December 2019. Soon it spread to other countries worldwide to become a pandemic. Globally, governments enforced quarantine and social distancing measures to prevent the spread of the infection. Mass media and social media platforms played a crucial role in providing information regarding the Coronavirus. Since little is known about COVID-19, various fake news, misinformation and rumours spread across the digital media that panicked people into making panic decisions. The rapid spread of misinformation and stories via social media platforms such as Twitter, Facebook and YouTube became a vital concern of the government and public health authorities. Medical misinformation and unverifiable content about the COVID-19 pandemic are spreading on social media at an unprecedented pace. Mitigating the advent of rumours and misinformation during the COVID-19 epidemic is crucial, since misinformation and fake news creates panic, fear and anxiety among people, predisposing them to various mental health conditions. Instead of considering social media as a secondary medium, it should be utilised to convey important information. Besides, it allows citizens to address their queries directly. Several governments across the world have taken actions to contain the pandemic of misinformation, yet measures are required to prevent such communication complications.

Adaptation to SARS-CoV-2 under stress: Role of distorted information.

BackgroundSince the time of global SARS‐CoV‐2 spread across the earth in February 2020, most of countries faced the problem of massive stress of their healthcare systems. In many cases, the structural stress was a result of incorrect allocation of medical care resources. In turn, this misallocation resulted from fear and apprehensions that superseded thorough calculations. A key role in exacerbating the healthcare sector overburdening was played by misleading information on the virus and disease caused by it. In the current paper, we study the situation in Russian healthcare system and advance recommendations how to avoid further crises.Materials and methods(a) Surveying the medical personnel (231 doctors, 317 nurses and 355 ambulance medical workers of lower levels) in five hospitals and six ambulance centres in Moscow. (b) Content analysis of 3164 accounts in Russian segment of social networks (VKontakte, Facebook, Instagram, Twitter, Odnoklassniki); official and unofficial media (TV, informational webpages).ResultsWe revealed positive‐feedback loop that threatened the sustainability of Russian care sector. The main knot was occupied by incorrect/exaggerated media coverage of COVID‐19. General public scared by misinformation in media and social networks, started to panic. This negative social background undermined the productivity of a significant part of medical workers who were afraid of COVID‐19 patients.ConclusionsThe most serious problems of Russian healthcare sector related to COVID‐19 pandemic, were informational problems. The exaggerated information on COVID‐19 had big negative influence upon Russian society and healthcare system, despite SARS‐CoV‐2 relatively low epidemiological hazard.

Medical Misinformation in the COVID-19 Pandemic

The World Health Organization has labeled the omnipresence of misinformation about COVID-19 an “infodemic” that threatens efforts to battle the public health emergency. However, we know surprisingly little about the level of public uptake of medical misinformation and whether and how it affects public preferences and assessments. We conduct a pair of studies that examine the pervasiveness and persuasiveness of misinformation about the novel coronavirus’ origins, effective treatments, and the efficacy of government response. Across categories, we find relatively low levels of true recall of even the prominent fake claims. However, many Americans struggle to distinguish fact from fiction, with many believing false claims and even more failing to believe factual information. An experiment offers some evidence that corrections may succeed in reducing misperceptions, at least in some contexts. Finally, we find little evidence that exposure to misinformation significantly affected a range of policy beliefs and political judgments.

Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis

BackgroundSocial media has become an increasingly important tool in monitoring the onset and spread of infectious diseases globally as well monitoring the spread of information about those diseases. This includes the spread of misinformation, which has been documented within the context of the emerging COVID-19 crisis. Understanding the creation, spread and uptake of social media misinformation is of critical importance to public safety. In this descriptive study, we detail Twitter activity regarding spinal manipulative therapy (SMT) and claims it increases, or “boosts”, immunity. Spinal manipulation is a common intervention used by many health professions, most commonly by chiropractors. There is no clinical evidence that SMT improves human immunity.MethodsSocial media searching software (Talkwalker Quick Search) was used to describe Twitter activity regarding SMT and improving or boosting immunity. Searches were performed for the 3 months and 12 months before March 31, 2020 using terms related to 1) SMT, 2) the professions that most often provide SMT and 3) immunity. From these searches, we determined the magnitude and time course of Twitter activity then coded this activity into content that promoted or refuted a SMT/immunity link. Content themes, high-influence users and user demographics were then stratified as either promoting or refuting this linkage.ResultsTwitter misinformation regarding a SMT/immunity link increased dramatically during the onset of the COVID crisis. Activity levels (number of tweets) and engagement scores (likes + retweets) were roughly equal between content promoting or refuting a SMT/immunity link, however, the potential reach (audience) of tweets refuting a SMT/immunity link was 3 times higher than those promoting a link. Users with the greatest influence on Twitter, as either promoters or refuters, were individuals, not institutions or organizations. The majority of tweets promoting a SMT/immunity link were generated in the USA while the majority of refuting tweets originated from Canada.ConclusionTwitter activity about SMT and immunity increased during the COVID-19 crisis. Results from this work have the potential to help policy makers and others understand the impact of SMT misinformation and devise strategies to mitigate its impact.

Content analysis of pancreatic cancer conversations on Twitter: What matters most to users?

11040 Background: Social media has an important role in addressing medical misinformation by connecting the global community of health care professional (HCP), cancer patients and advocates. We evaluated the content and dynamics of discussions around pancreatic cancer (PC) on Twitter to identify subtopics of greatest interest to these users. Methods: We used online analytical tool (CREATION Pinpoint) to quantify Twitter mentions (tweets and re-tweets) related to PC between 1/2018 to 12/2019. Keywords, hashtags, word combinations and phrases were used to query for PC mentions. HCP profiles were identified using machine learning and then human verified and remaining user profiles were classified as general public (GP). Data from conversations were analysed and stratified qualitatively (using e.g keywords/combinations/phrases) into 5 categories; 1) prevention (P), 2) survivorship (S), 3) treatment (T), 4) research (R), and 5) policy (Po). We analysed the impact of PC awareness month (PCAM) and celebrity PC diagnosis on the overall level of conversations. Results: Out of 1,258,028 mentions on PC, 313,668 unique mentions were classified into the 5 categories. We found that HCP discuss PC research more than the GP, while GP are more interested in treatment. PCAM did not increase mentions by HCP in any of 5 categories while GP mentions over 2 years, increased temporarily in all categories except prevention. HCP mentions did not increase with celebrity PC diagnosis. Alex Trebek’s diagnosis increased GP mentions on survivorship, while Ruth Ginsburg’s diagnosis increased conversations on treatment (Table). Conclusions: Twitter mentions between HCP and GP around PC are not aligned. The HCP conversation was mainly limited to research while GP were more interested in treatment. PCAM temporarily increased GP conversations around treatment, research, survivorship and policy but not prevention. Future studies should address which factors determine how celebrity diagnoses drive conversations. [Table: see text]