Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study

BackgroundHealth misinformation and myths about treatment for opioid use disorder (OUD) are present on social media and contribute to challenges in preventing drug overdose deaths. However, no systematic, quantitative methodology exists to identify what types of misinformatio...

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Main Authors: Mai ElSherief, Steven Sumner, Vikram Krishnasamy, Christopher Jones, Royal Law, Akadia Kacha-Ochana, Lyna Schieber, Munmun De Choudhury
Format: Article
Language:English
Published: JMIR Publications 2024-02-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2024/1/e44726
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author Mai ElSherief
Steven Sumner
Vikram Krishnasamy
Christopher Jones
Royal Law
Akadia Kacha-Ochana
Lyna Schieber
Munmun De Choudhury
author_facet Mai ElSherief
Steven Sumner
Vikram Krishnasamy
Christopher Jones
Royal Law
Akadia Kacha-Ochana
Lyna Schieber
Munmun De Choudhury
author_sort Mai ElSherief
collection DOAJ
description BackgroundHealth misinformation and myths about treatment for opioid use disorder (OUD) are present on social media and contribute to challenges in preventing drug overdose deaths. However, no systematic, quantitative methodology exists to identify what types of misinformation are being shared and discussed. ObjectiveWe developed a multistage analytic pipeline to assess social media posts from Twitter (subsequently rebranded as X), YouTube, Reddit, and Drugs-Forum for the presence of health misinformation about treatment for OUD. MethodsOur approach first used document embeddings to identify potential new statements of misinformation from known myths. These statements were grouped into themes using hierarchical agglomerative clustering, and public health experts then reviewed the results for misinformation. ResultsWe collected a total of 19,953,599 posts discussing opioid-related content across the aforementioned platforms. Our multistage analytic pipeline identified 7 main clusters or discussion themes. Among a high-yield data set of posts (n=303) for further public health expert review, these included discussion about potential treatments for OUD (90/303, 29.8%), the nature of addiction (68/303, 22.5%), pharmacologic properties of substances (52/303, 16.9%), injection drug use (36/303, 11.9%), pain and opioids (28/303, 9.3%), physical dependence of medications (22/303, 7.2%), and tramadol use (7/303, 2.3%). A public health expert review of the content within each cluster identified the presence of misinformation and myths beyond those used as seed myths to initialize the algorithm. ConclusionsIdentifying and addressing misinformation through appropriate communication strategies could be an increasingly important component of preventing overdose deaths. To further this goal, we developed and tested an approach to aid in the identification of myths and misinformation about OUD from large-scale social media content.
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spelling doaj.art-1ba57f6a9fe040a2892f13a09dbfe5402024-02-23T14:00:34ZengJMIR PublicationsJMIR Formative Research2561-326X2024-02-018e4472610.2196/44726Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology StudyMai ElSheriefhttps://orcid.org/0000-0003-4718-5201Steven Sumnerhttps://orcid.org/0000-0002-3805-7235Vikram Krishnasamyhttps://orcid.org/0000-0002-1203-3198Christopher Joneshttps://orcid.org/0000-0001-8598-2100Royal Lawhttps://orcid.org/0000-0002-5746-5373Akadia Kacha-Ochanahttps://orcid.org/0000-0003-1980-5098Lyna Schieberhttps://orcid.org/0000-0002-6774-5854Munmun De Choudhuryhttps://orcid.org/0000-0002-8939-264X BackgroundHealth misinformation and myths about treatment for opioid use disorder (OUD) are present on social media and contribute to challenges in preventing drug overdose deaths. However, no systematic, quantitative methodology exists to identify what types of misinformation are being shared and discussed. ObjectiveWe developed a multistage analytic pipeline to assess social media posts from Twitter (subsequently rebranded as X), YouTube, Reddit, and Drugs-Forum for the presence of health misinformation about treatment for OUD. MethodsOur approach first used document embeddings to identify potential new statements of misinformation from known myths. These statements were grouped into themes using hierarchical agglomerative clustering, and public health experts then reviewed the results for misinformation. ResultsWe collected a total of 19,953,599 posts discussing opioid-related content across the aforementioned platforms. Our multistage analytic pipeline identified 7 main clusters or discussion themes. Among a high-yield data set of posts (n=303) for further public health expert review, these included discussion about potential treatments for OUD (90/303, 29.8%), the nature of addiction (68/303, 22.5%), pharmacologic properties of substances (52/303, 16.9%), injection drug use (36/303, 11.9%), pain and opioids (28/303, 9.3%), physical dependence of medications (22/303, 7.2%), and tramadol use (7/303, 2.3%). A public health expert review of the content within each cluster identified the presence of misinformation and myths beyond those used as seed myths to initialize the algorithm. ConclusionsIdentifying and addressing misinformation through appropriate communication strategies could be an increasingly important component of preventing overdose deaths. To further this goal, we developed and tested an approach to aid in the identification of myths and misinformation about OUD from large-scale social media content.https://formative.jmir.org/2024/1/e44726
spellingShingle Mai ElSherief
Steven Sumner
Vikram Krishnasamy
Christopher Jones
Royal Law
Akadia Kacha-Ochana
Lyna Schieber
Munmun De Choudhury
Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study
JMIR Formative Research
title Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study
title_full Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study
title_fullStr Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study
title_full_unstemmed Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study
title_short Identification of Myths and Misinformation About Treatment for Opioid Use Disorder on Social Media: Infodemiology Study
title_sort identification of myths and misinformation about treatment for opioid use disorder on social media infodemiology study
url https://formative.jmir.org/2024/1/e44726
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