Twitter Chat Research Articles

Abstract A061: Screen to save: Educating Utahns about colorectal cancer prevention and screening

Abstract In 2016, the National Cancer Institute (NCI)'s Center to Reduce Cancer Health Disparities (CRCHD) launched Screen to Save: Colorectal Cancer Outreach and Screening Initiative (S2S). The initiative's primary goal aligned with Blue Ribbon Panel Cancer Moonshot recommendations to increase colorectal cancer (CRC) screening rates by 80% by 2018. Nationally, S2S was implemented by Community Health Educators (CHEs) from NCI-Designated Cancer Centers. S2S implementation Phase 1 included education and awareness, and phase 2, connection to at-home screening and a 3-month follow-up survey. Huntsman Cancer Institute (HCI) at the University of Utah participated in phase 1 and a modified follow-up survey. In 2016, Utah's Public Health Indicator Based Information System reported that 72.7% of Utah adults aged 50-75 received CRC screening. In addition, an HCI community health needs assessment identified CRC screening rates as a health disparity in four rural/frontier Utah health districts. HCI's existing collaborations and partnerships helped facilitate S2S activities in summer and fall of 2017. HCI's outreach team, which included trained graduate-level interns and Community Health Workers (CHWs), implemented S2S presentations and health events with local and rural populations, including Pacific Islander, American Indian, and African-American groups. Educational materials were provided by CRCHD and culturally tailored by HCI CHEs. CRC prevention and screening education was delivered in English and Spanish through one or more of the following methods: PowerPoint presentation, flipchart, and giant inflatable colorectal cancer education exhibit. Participants were given a pre-test before the intervention and a post-test following the educational component. De-identified survey data were sent to NCI and combined with data from other participating S2S sites. HCI's goal of 100 surveys was surpassed with 124 collected. Data analysis from Phase 1 of S2S showed an increase in knowledge and intention to screen as a result of HCI's educational intervention. More importantly, data highlighted the need for understanding connections between lifestyle, individual behaviors, and CRC risk—specifically, risks due to poor nutrition and obesity. In addition, data showed the need for awareness of CRC screening options such as the fecal occult blood test (FOBT) or the fecal immunochemical test (FIT). Knowledge of the FOBT/FIT increased from 48.75% (pre-intervention) to 83.55% (post-intervention). In addition, the CHE collaborated internally with HCI Communications and Public Affairs to host a Twitter chat and Facebook Live event. This poster will elaborate on S2S survey findings, social media analytics, partnership building, and future steps for CRC education and health equity activities in Utah. Citation Format: Jennyffer Morales, Garrett Harding, Jane Ostler, Susana Alba, Janae Decker, Allison Whitworth, Victoria Meade, Hannah Holm, Lisa Anderson, Alyssa Geisler, Allison Elmer, Nathan Begaye, Jeff Yancey, Donna Branson, John Sweetenham, Ana Maria Lopez. Screen to save: Educating Utahns about colorectal cancer prevention and screening [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr A061.

Feasibility of developing a Twitter journal club for hematology/oncology education.

11004 Background: Medical trainees are increasingly utilizing social media platforms for professional development, networking and education. Twitter chats (TC) are a growing tool to engage health professionals in virtual multi-institutional, cross-discipline discussions. A meta-analysis of Twitter as a tool in residency education demonstrated high rates of satisfaction and concept retention. Despite rapid uptake, few studies address needs for social media use and implementation in graduate medical education. Methods: We created a Twitter account (@HOjournalclub) and registered a certified hashtag (#HOJournalClub) with healthcare symplur. For each monthly TC, a specific tumor type and relevant publication was selected. This information was disseminated and amplified to reach trainees on Twitter. A content expert was invited to each TC to provide additional commentary. During TCs, participants answer questions based on domains of critical journal appraisal. Qualitative and quantitative analysis was performed. Basic demographics and tracked hashtag use to measure impressions, participants, and tweets per TC were gathered. Responses were collated and general themes were assessed. Participants were surveyed on ease of participation, article accessibility, and prior use of social media for education. Results: Since inception, @HOJournalClub has grown to >650 followers. Most are US-based (83%) medical trainees or healthcare professionals. Additional followers are in South America, Africa, UK, Europe, Middle East, India, East Asia and Australia. Gender is evenly distributed (51% male, 49% female.) Five #HOJournalClub chats have been held to date. Each attracted a mean of 30 participants, generating a mean of 217 tweets. Chats garnered a mean of 270,000 impressions (221,000-319,000) in the 48h after TC. Most participants accessed the chat in real time, with a small subset responding at alternate times. This asynchronous use has enhanced international participation. In post-TC surveys, majority of respondents report being new (48%) or sporadic (48%) users of TCs. Survey participants reported TC participation increased interaction with others in the field, improved literature appraisal skills and led to changes in clinical practice. Conclusions: Implementation of a Twitter-based journal club is feasible and attracts participation from trainees, promoting engagement and networking. It represents a novel educational tool for engagement in multi-institutional, multi-national and cross-discipline discussion of relevant hematology/oncology literature.

Social media and gynecologic cancers: The impact of Twitter #GYNCSM.

e14113 Background: Patients (pts) with gynecologic malignancies look for support and information outside traditional clinical settings. We report the results of a needs assessment of the GYN Cancer Social Media (#gyncsm) Twitter community. Methods: An online needs assessment was publicized on Twitter using the #gyncsm hashtag in 2019 for 23 days. Percentages were calculated to provide observational data. Results: Of 33 respondents, 26 (79%) were pts, 7 (21%) healthcare providers, 2 (6%) cancer researchers, and 1 (3%) caregiver. 15 (60%) pts reported having ovarian cancer; 6 (24%) endometrial/uterine cancer; 2 (8%) sarcoma; 2 (8%) breast cancer; and 1 (4%) vulvar cancer. Participating providers were gynecologic oncologists 3 (21%); pharmacists 2 (14%); medical and radiation oncologist, researcher, social worker therapist and genetic counselor 1 (7%) each. 41% (13) reported tweeting and retweeting #gyncsm tweets; 22% (11) read the blog posts or transcripts of a twitter chat; 28% (9) followed or participated in a twitter chat. Chat topics with importance are shown in the Table. Pts reported that #gyncsm twitter chat helped them advocate for themselves (9, 60%); learn about genetic testing (7, 46%); and investigate clinical trials (4, 26%). Conclusions: Social media has a role in healthcare, especially in pt education and empowerment. Side effects, toxicity, and communication were topics of interest. Inclusion of cervical cancer pts and rare malignancies should be a priority. [Table: see text]

To Tweet or Not to Tweet-a Review of the Viral Power of Twitter for Infectious Diseases.

Purpose of ReviewWith real-time communication crucial to both healthcare professionals (HCPs) and the public in infectious diseases (ID), social media networking sites has become even more important. Twitter is the most popular form of social media used for ID communication. We will review the power of Twitter in ID.Recent FindingsTwitter allows for real-time sharing of educational resources at ID scientific conferences, enabling individuals that are not able to attend conferences to follow conferences anytime anywhere and stimulate discussion around topics of interest with experts from across the globe. Further, Twitter chats are a valuable tool for stewardship, with different accounts periodically hosting chats on various stewardship topics. Several studies have also demonstrated the strong relationship between dissemination and citation impact of publications with the help of Twitter. There is great value in engaging with non-ID people on Twitter via dissemination of ID knowledge to other disciplines. Lastly, when used appropriately, Twitter is a useful site for distributing vaccine information, whether informally (by advocates and physicians) or formally (by government entities) and allows one to keep up with ongoing ID outbreaks in real time.SummaryTwitter has transformed how we communicate in healthcare. Particularly in ID, where bacteria and viruses can enter/exit borders anytime anywhere, global real-time information about outbreaks and antimicrobial resistance for clinicians and the public is critical. Twitter has no hierarchy or barriers, is a conduit for global collaboration, and is a way for HCPs and the public to “social”ize on healthcare topics, if used appropriately.

Stakeholder Perceptions of Dignity Therapy for Children and Young People with Life-Limiting and Life-Threatening Conditions in the UK

In palliative and end of life care settings supporting people to make sense of their lives is as important as managing disease symptoms. Dignity Therapy is a validated psychotherapeutic intervention designed to bring about a sense of meaning and purpose for individuals at the end of life. Dignity Therapy has primarily been implemented and evaluated in adult palliative care settings. Prior to designing studies that evaluate Dignity Therapy for children and young people with life-limiting and life-threatening conditions, it is essential to establish stakeholders’ perceptions of Dignity Therapy, and whether adaptations would be required for this client group. We aimed to explore the acceptability of Dignity Therapy for children and young people with life-limiting and life-threatening conditions and health professionals, and report findings from our stakeholder activities. Stakeholder consultation activities involved one Death Cafe and two workshops, with over 80 health professionals, hosted at two hospice settings, and a range of social media activities including feedback from five young people with life-limiting and life-threatening conditions via a closed Facebook group and a twitter chat with 22 contributors. Data included field notes, workshop outputs (‘post-it ideas storm’ and ‘diamond ranking’) and social media postings that were analysed using thematic analysis. Across stakeholders, there was overwhelming support for explicit interventions that support the psychosocial and spiritual needs of children and young people with life-limiting conditions. Dignity Therapy could be a supportive intervention to promote open conversations about life, meaning and purpose and dying, between the child or young person, family members and health professionals, but needs adapting to meet their needs. A tool kit of interventions, appropriate to a range of ages and cognitive abilities was suggested, for example a storybook for young children and a digitalised version of dignity therapy for older children/young people. Collaboration with stakeholders is the first stage in developing, or adapting an existing intervention in a different context, a complex intervention. Our stakeholder consultation highlighted that Dignity Therapy has potential to improve the psychosocial and spiritual wellbeing of children and young people with life-limiting and life-threatening conditions, through recalling memories and thinking about the things that are important to them and what they want to be remember for. Research is now needed to develop and test a Dignity Therapy intervention for children and young people with life-liming and life-threatening conditions in the UK.

A Window, Mirror, and Wall: How Educators Use Twitter for Professional Learning

Teachers and other professionals increasingly utilize Twitter as a medium for professional expression and professional learning. These types of Twitter exchanges often take place in formal chats which are moderated by professional organizations or other knowledge brokers in the field. As moderated public online forums become more common, educators may wish to understand the benefits and limitations of this type of professional learning. This paper reports on a study of educators’ discourse in two hosted Twitter chats focused on global education and analyzes the ways in which these types of chats align with research on high-quality professional learning. Results indicate that Twitter chats provide multiple components of high-quality professional learning, namely a focus on content, collaboration, and teacher agency; to a lesser extent, they may provide peer coaching and allow for conversations across a sustained duration. However, other components of meaningful professional learning are not possible in this context, as it is not job-embedded and does not provide active learning or supported opportunities to practice.

Networked practices in higher education: A netnography of the #AcAdv chat community

This study of the #acadv chat community details a longitudinal study about a digital learning network comprised of academic advising professionals who work in higher education. We discuss how networked communities of practice (CoP) scaffold professional learning and development of post-secondary educators, while also contributing to their daily practice. Utilizing Twitter chat transcripts, digital documents, social media platforms, and interviews with 17 participants of this community, we report 22 topics discussed with the top five themes focused on student needs, orientation support, advising approaches and structures, workload, and individual career development. Using a netnographic approach, we explore and offer insights about the origins, management, and sustainability of this networked practice over a seven-year period. Important findings center the organic, participatory nature of the community, the shared leadership structure, and the bidirectional nature of online and offline relationships as impacted in an online, occupational CoP. We suggest further research into networked practice to understand more about self-directed learning, participant motivation, digital archiving, and digital knowledge sharing in these types of networked occupational CoPs.

Smart Devices, Smart Decisions? Implications of Parents’ Sharenting for Children’s Online Privacy: An Investigation of Mothers

Parenthood ushers in many situations with which individuals have little experience. Given today’s technology-integrated environment, parents can instantly gain support from a large audience using social media. This support often includes “sharenting,” or regularly using social media to share information about one’s child. Using consumer vulnerability and communications privacy management theory as theoretical foundations, the authors focus on mothers’ vulnerability and how it may translate into increased children’s consumer vulnerability. The in-depth interviews in Study 1 offer insights into mothers’ expressions of vulnerability and how these expressions can be linked to their motivations for sharing children’s personally identifiable information (PII) on social media. In Study 2, the authors observed mothers of young children participating in a Twitter chat hosted by a major children’s brand, examining expressions of mothers’ vulnerability, the extent to which they posted child PII, and the extent to which mothers both expressed vulnerability and posted child PII. The authors discuss public policy and managerial implications for this understudied dimension of children’s online privacy and our increasingly technology-integrated society.

The #acadv Community: Networked Practices, Professional Development, and Ongoing Knowledge Sharing in Advising

The #acadv Twitter chat is an organic, online community of higher education academic advising professionals. Using a longitudinal study, we explored the way a self-directed learning network sustains ongoing professional development and knowledge sharing by examining the archives of 203 structured online discussions. In mapping the chat topics to published core competencies, we discovered that this advising community scaffolds on-demand learning for discussion of advising approaches and strategies, distribution of resources for supporting student success, collective sharing of personal advising philosophies, and encouragement to engage in reflective assessment about advising practice. Community members are motivated to contribute to networked practice to enhance professional development activities, share open educational practices, and support advising competency development in an occupational community of practice.

"Keeping Control": A user-led exploratory study of mental health service user experiences of targeted violence and abuse in the context of adult safeguarding in England.

The situation for people with mental health problems as a group of disabled people who experience targeted violence and abuse is a complex one. Disabled people, particularly those with mental health problems, are at higher risk of targeted violence and hostility with few effective evidence‐based prevention and protection strategies. Achieving effective safeguarding for adults with mental health problems is characterised by differential attitudes to and understandings of abuse by safeguarding practitioners, as well as systemic issues arising from multi‐agency working. “Keeping Control” was a 16‐month user‐led, co‐produced exploratory qualitative study into service user experiences of targeted violence and abuse that was examined in the context of Care Act 2014 adult safeguarding reforms in England. User‐controlled interviews of mental health service users (N = 23) explored their experiences and concepts of targeted violence and abuse, prevention and protection. Preliminary findings from these interviews were discussed in adult safeguarding and mental health stakeholder and practitioner focus groups (N = 46). The data were also discussed via two facilitated Twitter chats (responses N = 585 and N = 139). Mental health service users’ experiences and concepts of risk from others, vulnerability and neglect can be different to those of practitioners but should be central to adult safeguarding. Histories of trauma, multi‐factorial abuse; living with fear and stigma as well as mental distress; the effects of “psychiatric disqualification” and individual blaming should be addressed in adult safeguarding in mental health. Fragmented responses from services can mean a person becomes “lost in the process”. Staff can feel disempowered, afraid or lacking in confidence to “speak up” for individuals in complex service systems with poor communication and lines of accountability. Adult safeguarding practitioners and stakeholders need to be confident, accessible and respond quickly to service users reporting incidents of targeted violence and abuse particularly in closed environments such as wards or supported housing.

Innovations: Brave new worlds.

The field of cytopathology, from fine-needle aspiration to computer-assisted screening, has always attracted innovators and creative thinkers. Technology touches every aspect of our world and our cytopathology practice. Opportunities and challenges both are in abundant supply. In this new “Innovations” section, we will highlight the latest developments in technology, social media, and informatics to keep readers up to date. Social media has added new layers of interaction and networking capabilities to our field. The pathology and cytopathology communities have harnessed the power of these technologies to build stronger professional networks, share and discuss the latest research findings, and even conduct multi-institutional research studies. Social media platforms make the world smaller, enabling education and collaborations across continents. Journal clubs now can involve participants from across the country. Twitter chats regarding topics such as the Milan System, ancillary testing in cytology, and noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) flatten hierarchies and allow unprecedented real-time access to experts in the field (Fig. 1). Our recent #CytoChat on the topic of NIFTP featured a real-time discussion of practice patterns, the sharing of useful articles, and expert input from Drs. Faquin and Rossi. This chat drew greater than 60 participants from around the world, garnering greater than 1 million potential impressions. Not sure how to get started with social media? A previously published article provides an overview of what social media can do for you, and how to get started.1 To make sure you do not miss out, follow Cancer Cytopathology on Facebook (https://www.facebook.com/CancerCytopath) and Twitter (https://twitter.com/CancerCytopath). The complexity of workflows and the need to meet quality assurance mandates have precipitated the computerization of the cytology laboratory to improve effectiveness and efficiency. As an early adopter of pathology informatics and its data management principle, the cytology laboratory has in some ways defined how data are collected, accessed, and analyzed. Another area of informatics to which cytology has made early contributions is digital pathology. Ironically, although one of the first successful implementations of digital pathology was the automation of the Papanicolaou test, progress in this realm of informatics has been delayed due to the unique challenges present in cytologic specimens and the use of whole-slide imaging (WSI). Nevertheless, computational progress and improved imaging technology have allowed pathology informatics to enter a period of rapid growth and innovation. Using improved WSI technology and z-stacking modalities to overcome the challenges of digitizing 3-dimensional cytologic material, leading investigators in the field of cytopathology have begun to exploit the advantages offered by digital pathology over traditional microscopy. To that end, this new and exciting section of Cancer Cytopathology will focus on highlighting innovative applications of pathology informatics in the cytology laboratory, including the use of traditional statistical tools and advanced deep-learning approaches for data mining and visualization. In an effort to increase visibility, we also will showcase how digital pathology continues to revolutionize the clinical practice of cytology through the application of WSI in telecytology for rapid on-site evaluation, remote consultation, and digital image analysis for diagnostic testing. To kick off this issue of Cancer Cytopathology, we would like to congratulate Dr. Louis J. Vaickus from Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, for winning this year's Young Investigator Challenge (Fig. 2). His work explored the development of a hybrid deep-learning and morphometric algorithm for the analysis of urine cytology specimens.2 This breakthrough article presents the framework for a system that can automate the Paris System for Urine Cytopathology reliably, with the potential to increase the efficiency of digital screening for urine WSI. Xiaoyin “Sara” Jiang, MD, is an associate professor of pathology at Duke University in Durham, North Carolina, and the associate director of the Duke BioRepository and Precision Pathology Center. Her areas of research and expertise are cytopathology and surgical pathology of the head and neck and endocrine systems, with particular interest in thyroid nodules, ultrasound-guided fine-needle aspiration, and novel applications of social media for medical professionals. Emilio Madrigal, DO, is a Cuban-born anatomic and clinical pathologist specializing in cytopathology and clinical informatics at the Massachusetts General Hospital in Boston, Massachusetts. He has special interests in salivary gland cytology and machine intelligence–powered digital image analysis. Dr. Madrigal received his Doctor of Osteopathic Medicine from Rowan University in Glassboro, New Jersey and has been certified by the American Board of Pathology in anatomic and clinical pathology and cytopathology.

Globally Connected

Rural teachers face unique challenges, including limited resources, professional development, and support, leading many to quit the profession, especially new teachers. As the problem of rural teacher retention swells, teacher educators may find the social media tool Twitter useful in preparing novice teachers for teaching in rural communities. This article examines current practices in preparing rural preservice teachers, as well as strengths and challenges of rural schools. Previous research into using Twitter to support preservice teachers’ access to resources, professional development opportunities, and emotional needs in the teacher education program and beyond are highlighted. Guidelines for using Twitter with rural preservice teachers are also provided, including rural education hashtags, professional Twitter users, and the only known Twitter chat for rural education supporters.

Utilizing social media for cancer prevention.

e13076 Background: Cancer prevention and cancer screening behaviors are challenging to support. A myriad of variables including improved knowledge, language access, and health care access serve as facilitators for cancer screening behaviors. Utah is a vast state that is remarkably sparsely populated with more than 96% of the state defined as either rural (< 100 persons per square mile) or frontier (< 7 persons per square mile). Huntsman Cancer Institute is the only academic health center in the Mountain West and serves as the only NCI Comprehensive Cancer Center in the region. Methods: Access to the internet and to social media helps to bridge geography and support engagement. Facebook Live and Twitter Chats were used to deliver content. Language, Spanish, access was considered. Social media was also utilized to connect interested populations with in-person cancer prevention education events. Results: We will present our outreach results by intervention. Conclusions: Our work has successfully engaged rural and Latino populations in cancer prevention activities through social media.

Twitter Chat Dates time – Tuesdays 7–8 pm (see dates below)

Nursing in Critical CareVolume 24, Issue 3 p. 177-177 News Twitter Chat Dates time – Tuesdays 7–8 pm (see dates below) First published: 10 May 2019 https://doi.org/10.1111/nicc.4_12432Citations: 1Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article.Citing Literature Volume24, Issue3May 2019Pages 177-177 RelatedInformation

Twelve tips for developing and implementing a medical education Twitter chat

Live discussions on the social media site Twitter or Twitter chats are gaining popularity as powerful tools for engaging a broad audience in an interactive discussion. Medical education, in particular, is experiencing an increase in the use of this modality to support informal learning, as a means to encourage collaboration and share best practices, and as a platform for large-scale mentorship. Despite this growth in popularity, there are limited data to guide medical educators on the fundamentals of organizing a Twitter chat. In this Twelve Tips article, we discuss strategies relevant to potential Twitter chat organizers. We have arranged the tips chronologically, beginning with a discussion of initial considerations when planning and formulating a chat topic and publicizing the chat to potentially interested people and groups, followed by practical considerations while hosting the chat, and finally strategies for evaluating and extending a Twitter chat’s impact.

Use of a Coordinated Social Media Strategy to Improve Dissemination of Research and Collect Solutions Related to Workforce Gender Equity.

Background: To increase awareness, search for solutions, and drive change, disparity-related research needs to be strategically disseminated. This study aimed to quantify whether a social media strategy could: (1) amplify dissemination of gender equity-related articles and (2) collect proposed solutions to gender equity issues. Methods: In April 2018, eight published journal articles covering separate gender equity issues were presented in a 1-hour Twitter chat hosted by Physician's Weekly. Metrics data were collected before, during, and after the chat. During the chat, one question related to each article was tweeted at a time. Qualitative data were extracted from responses and evaluated for thematic content. Results: In the 16-hour period during and following the chat, we tallied 1500 tweets from 294 participants and 8.6 million impressions (potential views). The Altmetric Attention Score of each article increased (average, 126.5 points; range, 91-208 points). Within the respective journal, the Altmetric Rank of seven articles improved (range, 3 to ≥19), while the eighth maintained its #1 rank. The one article for which share and download data were available experienced a 729% increase in shares following prechat posts and another 113% bump after the chat, a 1667% increase overall (n = 45-795). Similarly, downloads, and presumably reads, increased 712% following prechat posts and another 47% bump after the chat, a 1093% increase overall (n = 394-4700). We tallied 181 potential solutions to the eight gender equity-related questions. Conclusion: Our results demonstrate that social media can be used strategically to increase the dissemination of research articles and collect solution-focused feedback.

Inaugural Twitter chat @aaociation

Eleri Wood describes the importance of using Twitter to communicate with the renal community, Association of Nephrology Nurses' bimonthly Twitter chats and how you can get involved

Twitter chat dates time 7–8 p.m.

Twitter chat dates time 7–8 p.m.

Abstract P6-16-06: Twitter chats: Utilizing an innovative technology platform to offer education and tools to people with breast cancer

Abstract Background. The use of social media for health information and peer support has grown significantly over time. According a 2015 study from the Pew Research Center, 65 percent of U.S. adults utilize social media, up from 7 percent a decade earlier. A 2014 study reported 72 percent of adult internet users search online for health information, often focused on specific diseases or treatments, with 16 percent seeking others with similar health concerns. Twitter, a popular social media platform for information- and support-seekers, grew from 54 million monthly active users in 2010 to approximately 241 million in 2013. To address the growing use of Twitter as an information and support portal, Living Beyond Breast Cancer (LBBC) decided to pilot a Twitter chat in 2014. The goals for the chat were to: (1) increase understanding of a breast cancer concern; (2) connect impacted individuals to one another in a supportive and safe online space; (3) offer practical resources for further exploration; and (4) increase LBBC's reach online among users interested in breast cancer. Methods. LBBC staff researched best practices for Twitter chats. The topic of triple-negative breast cancer (TNBC) was chosen for LBBC's pilot program to coincide with Triple Negative Breast Cancer Awareness Day. The staff developed 7 questions and 10 alternates to deliver over 60 minutes. Using publicly available data from Symplur, hashtags were considered and developed. A panel was recruited of one medical oncologist, two advocates, and two women with TNBC. Panelists were encouraged to prepare Tweets in advance and, during the chat, to use assigned hashtags, correct medical inaccuracies, and attend to emotional concerns among chat participants. LBBC staff developed resource-rich tweets. The program was promoted over social media channels. At the end of the chat, participants were offered an incentivized opportunity to evaluate the program via a URL link to LBBC's existing survey instrument. Results. Using the #TNBCchat hashtag, the March 3, 2014, program and activity the next week produced 234 tweets from 127 contributors, reaching 198,985 accounts. Participants wrote 118 tweet replies and retweeted 291 comments. Questions covered the definition of and treatments for TNBC, differences between metastatic and early-stage disease, unique emotional concerns, and methods to reduce recurrence risk. The three most popular tweets promoted the program, introduced panelists, and shared resources about PARP inhibitors. Encouraged by the pilot program's reach and results, LBBC has delivered 20 Twitter chats as of June 2018. Topics have included nutrition, parenting, caregiving, and breast reconstruction. Over time, LBBC staff has refined the program model with the goals of increasing engagement, delivering more useful content, and driving users toward the evaluation. Conclusions. Twitter chats allow nonprofit organizations to inexpensively utilize innovative technology to provide educational information to and foster a community of support among people impacted by breast cancer. By utilizing core organizational principles of appropriate program delivery, LBBC delivers practical content that may improve the quality of life of users in distant locations. Citation Format: Guglielmino JE, Ormerod CL, Grillo AB, Sood SA. Twitter chats: Utilizing an innovative technology platform to offer education and tools to people with breast cancer [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P6-16-06.

Making an HRD domain: identity work in an online professional community

ABSTRACTDefining Human Resource Development (HRD) as either a scholarly domain or field of practice is widely recognised as problematic. This article investigates how practitioners engage in processes of identity work to collectively construct definitions of the domain of HRD in two Twitter chat events. HRD is presented in these events as a highly individualised practice taking place within professional networks and is characterized as an ‘enterprising self-hood’. The enterprising-self strives to demonstrate professional competence within networks that provide affiliation and relational support in the experiences of becoming and being a professional. HRD is seen to be shaped by the demands of the knowledge economy and by emerging digital technologies. This determinist stance positions technology as a challenge for the practices of HRD and as a means for HRD to develop better, more effective practices. The participants in the chat events position themselves in contrast to an ‘other’ HRD that is slow, old fashioned and failing to effectively engage with new technologies. These Twitter chat events are presented as enactments of the future practices of HRD demonstrating ‘how a professional can practise’ against descriptions of how HRD professionals currently do practice.