Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada.
Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada.
J ISAKOS. 2024 Oct;9(5):100306. doi: 10.1016/j.jisako.2024.100306. Epub 2024 Aug 10.
The aim of this study is to understand the current public discussion surrounding anterior cruciate ligament (ACL) injury prevention on social media and determine factors that influence levels of public engagement.
We performed a qualitative and quantitative cross-sectional analysis of ACL injury prevention techniques discussed on social media via the Twitter application programming interface (API). The Twitter API was queried from inception to May 2023 using keywords related to ACL injury and prevention. We conducted a thematic analysis of the posts and performed a sentiment analysis using natural language processing. A multivariable regression model was used to identify metadata that predicted higher engagement (media, links, tagging, hashtags).
A subset of 1823 unique posts was analyzed from 1701 unique accounts. Most posts were raising awareness about ACL injury prevention (n = 733, 40.2%), followed by opinions on the topic (n = 390, 21.4%), specific prevention techniques (n = 289, 15.9%), personal experiences (n = 272, 14.9%), and research (n = 139, 7.6%). The majority consisted of posts from patients or caregivers (n = 948, 55.7%), whereas healthcare providers accounted for 14.7% of posts. Posts containing media increased Tweet engagement count by an average of 6.1 (95% CI 2.8 to 9.4, p = 0.00033) and posts discussing personal opinions increased engagement by 6.7 (95% CI 3.5 to 9.8, p = 0.00004). On sentiment analysis of all included Tweets, 822 (45.1%) posts were positive, 309 (17.0%) were negative, and 692 (38.0%) were neutral. Sentiments expressed in posts related to ACL prevention were 2.8 times more negative compared to those discussing raising awareness.
There is active discussion about ACL injury prevention on Twitter. The use of visual media increased public engagement. We identified a potential knowledge gap between the available prevention techniques and the perspectives of athletes, highlighting the need for healthcare professionals to enhance their engagement with ACL injury prevention on social media.
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本研究旨在了解社交媒体上围绕前交叉韧带（ACL）损伤预防的当前公众讨论，并确定影响公众参与度的因素。
我们通过 Twitter 应用程序编程接口（API）对社交媒体上讨论的 ACL 损伤预防技术进行了定性和定量的横断面分析。从 Twitter API 成立到 2023 年 5 月，使用与 ACL 损伤和预防相关的关键字进行了查询。我们对帖子进行了主题分析，并使用自然语言处理进行了情感分析。使用多变量回归模型来识别预测更高参与度的元数据（媒体、链接、标记、标签）。
从 1701 个唯一账户中分析了 1823 个独特帖子的子集。大多数帖子是提高 ACL 损伤预防意识（n=733，40.2%），其次是关于该主题的观点（n=390，21.4%），具体预防技术（n=289，15.9%），个人经验（n=272，14.9%）和研究（n=139，7.6%）。大多数帖子来自患者或护理人员（n=948，55.7%），而医疗保健提供者仅占帖子的 14.7%。包含媒体的帖子平均增加了 6.1 的推文参与度计数（95%CI 2.8 至 9.4，p=0.00033），讨论个人意见的帖子增加了 6.7 的参与度（95%CI 3.5 至 9.8，p=0.00004）。对所有包含的推文进行情感分析后，822 条（45.1%）推文为正面，309 条（17.0%）为负面，692 条（38.0%）为中性。与讨论提高认识相关的 ACL 预防相关帖子中表达的情绪负面程度是前者的 2.8 倍。
Twitter 上有关于 ACL 损伤预防的活跃讨论。使用视觉媒体增加了公众参与度。我们发现，可用的预防技术与运动员的观点之间存在潜在的知识差距，这突显了医疗保健专业人员在社交媒体上加强 ACL 损伤预防工作的必要性。
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