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

Abstract Background Social 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...

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Main Authors: Greg Kawchuk, Jan Hartvigsen, Steen Harsted, Casper Glissmann Nim, Luana Nyirö
Format: Article
Language:English
Published: BMC 2020-06-01
Series:Chiropractic & Manual Therapies
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12998-020-00319-4
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author Greg Kawchuk
Jan Hartvigsen
Steen Harsted
Casper Glissmann Nim
Luana Nyirö
author_facet Greg Kawchuk
Jan Hartvigsen
Steen Harsted
Casper Glissmann Nim
Luana Nyirö
author_sort Greg Kawchuk
collection DOAJ
description Abstract Background Social 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. Methods Social 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. Results Twitter 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. Conclusion Twitter 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.
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spelling doaj.art-3238c0600c9e46feb46a63bb98f3bc782022-12-22T00:30:00ZengBMCChiropractic & Manual Therapies2045-709X2020-06-0128111310.1186/s12998-020-00319-4Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisisGreg Kawchuk0Jan Hartvigsen1Steen Harsted2Casper Glissmann Nim3Luana Nyirö4Department of Physical Therapy, University of AlbertaDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern DenmarkMedical Research Unit, Spinecentre of Southern Denmark, University Hospital of Southern DenmarkDepartment of Chiropractic Medicine, Balgrist University Hospital, University of ZurichAbstract Background Social 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. Methods Social 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. Results Twitter 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. Conclusion Twitter 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.http://link.springer.com/article/10.1186/s12998-020-00319-4Social mediaTwitterSpinal manipulationChiropracticMisinformationImmunity
spellingShingle Greg Kawchuk
Jan Hartvigsen
Steen Harsted
Casper Glissmann Nim
Luana Nyirö
Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
Chiropractic & Manual Therapies
Social media
Twitter
Spinal manipulation
Chiropractic
Misinformation
Immunity
title Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
title_full Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
title_fullStr Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
title_full_unstemmed Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
title_short Misinformation about spinal manipulation and boosting immunity: an analysis of Twitter activity during the COVID-19 crisis
title_sort misinformation about spinal manipulation and boosting immunity an analysis of twitter activity during the covid 19 crisis
topic Social media
Twitter
Spinal manipulation
Chiropractic
Misinformation
Immunity
url http://link.springer.com/article/10.1186/s12998-020-00319-4
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