Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Otolaryngol Head Neck Surg. 2023 Sep;169(3):642-650. doi: 10.1002/ohn.292. Epub 2023 Feb 5.
To identify themes that contribute to the most positive and negative perspectives of cochlear implants (CIs) on Twitter.
A cross-sectional qualitative study.
Social media (Twitter).
In this study, all English-language original tweets mentioning "cochlear implant" from 2019 to 2021 were collected from Twitter's Academic Research Database using a custom Python script. Sentiment analysis was performed using VADER, a sentiment analysis tool built to analyze the inherent positivity or negativity of social media posts. Tweets were quantitatively sorted by compound sentiment score (range -1 [most negative] to 1 [most positive]). Thematic analysis based on grounded theory was performed on the most positive, negative, and "liked" tweets.
Of the 19,376 tweets included, the average (standard deviation) compound sentiment score was 0.21 (0.46). A total of 10,375 (53.5%) tweets had a positive tone, 4965 (25.6%) were neutral and 4036 (20.8%) were negative. Of the 100 most negative tweets, the most prominent themes were media representation (21.9%), the controversy of CI within the Deaf community (19.8%), and unrelated to direct patient experience (16.7%). Of the 100 most positive tweets, the most prominent themes were tweets of happiness and support (25.0%), tweets unrelated to direct patient experience (18.0%), and tweets about hearing new sounds (10.0%).
While the majority of tweets on CI carried a positive tone, there are ongoing challenges with the stigma surrounding CI. Public perspectives of CI on social media may help clinicians counsel CI patients and elucidate issues that lead to newfound acceptance or ongoing stigma of CI in the general population.
确定在 Twitter 上对人工耳蜗（CI）最积极和最消极的观点所涉及的主题。
一项横断面定性研究。
社交媒体（Twitter）。
在这项研究中，使用自定义 Python 脚本从 Twitter 的学术研究数据库中收集了 2019 年至 2021 年所有提到“人工耳蜗”的英语原始推文。使用 VADER（一种专门用于分析社交媒体帖子内在积极性或消极性的情感分析工具）进行情感分析。根据基岩理论对最积极、最消极和“点赞”的推文进行主题分析。
在纳入的 19376 条推文中，平均（标准差）复合情感得分 0.21（0.46）。共有 10375 条（53.5%）推文语气积极，4965 条（25.6%）推文语气中立，4036 条（20.8%）推文语气消极。在 100 条最消极的推文中，最突出的主题是媒体报道（21.9%）、聋人群体中 CI 的争议（19.8%）和与直接患者体验无关（16.7%）。在 100 条最积极的推文中，最突出的主题是表达幸福和支持的推文（25.0%）、与直接患者体验无关的推文（18.0%）和关于听到新声音的推文（10.0%）。
虽然关于 CI 的大多数推文语气积极，但围绕 CI 的耻辱感仍然存在挑战。社交媒体上公众对 CI 的看法可能有助于临床医生为 CI 患者提供咨询，并阐明导致一般人群中新发现的 CI 接受或持续耻辱感的问题。
