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“A hard-won capability”: the experiences of parents managing their babies' medicines after discharge from a neonatal unit “来之不易的能力”:父母从新生儿病房出院后管理婴儿药物的经验
Q2 COMMUNICATION Pub Date : 2023-10-27 DOI: 10.3389/fcomm.2023.1204599
Louise Bracken, Janet Clark, Andrea Gill, Fiona O'Brien, Rachael Dewey, Catrin Barker, Bernie Carter
Introduction Parents of babies who required neonatal care are responsible for managing their medicines after they are discharged home. There is wide variation in the information and amount of preparation given to parents prior to assuming this challenging task. The aim of the Parent co-Designed Drug Information for parents and Guardians Taking Neonates home (PADDINGToN) study was to explore parents' experiences of managing their babies' medicines post discharge from a neonatal unit and to use this information to develop suitable resources for future families. Methods A qualitative participatory interpretative approach using a mixture of remote and face-to-face small group interviews or one-to-one interviews was used. Parents were recruited using social media advertisements and convenience sampling from five study sites (four neonatal units in England and one in Ireland). Parents from other neonatal units were invited to take part through social media advertisement. The interviews were audio-recorded and inductive reflexive thematic analysis was used to analyze the data. Results 17 parents (14 mothers, 3 fathers) participated. One over-arching theme, 'A hard won capability', and four major interpretive themes were generated from the analysis of the data: Being in NICU and the prospect of going home: emotional and practical challenges; Living the reality of being at home: the uncertainty associated with giving medicines; Being at home: battling the system and a lack of support/knowledge; and Suggesting ways forward: parents' lived insights into improving information and resources. Conclusion Despite the challenges they faced, parents developed strategies for safely and reliably managing medicines administration and they assimilated knowledge, built their confidence and achieved a capability in medicines administration. Their experiences have been used to build a suite of medicines administration resources to support future parents.
需要新生儿护理的婴儿的父母有责任在他们出院回家后管理他们的药物。在承担这一具有挑战性的任务之前,父母获得的信息和准备工作有很大的差异。父母共同设计的父母和监护人带新生儿回家的药物信息(PADDINGToN)研究的目的是探讨父母在新生儿出院后管理婴儿药物的经验,并利用这些信息为未来的家庭开发合适的资源。方法采用定性的参与式解释方法,采用远程和面对面小群体访谈或一对一访谈相结合的方法。父母通过社交媒体广告和方便的抽样从五个研究地点(英格兰的四个新生儿单位和爱尔兰的一个)招募。通过社交媒体广告邀请其他新生儿病房的家长参与。访谈录音,数据分析采用归纳反身专题分析。结果17名家长(母亲14名,父亲3名)参与调查。从数据分析中产生了一个总体主题“来之不易的能力”和四个主要的解释主题:在新生儿重症监护病房和回家的前景:情感和实际挑战;生活在家里的现实:与给药有关的不确定性;呆在家里:与体制作斗争,缺乏支持/知识;建议前进的道路:父母对改善信息和资源的生活见解。结论家长在面临挑战的情况下,制定了安全可靠的给药管理策略,吸收了知识,树立了信心,具备了给药能力。他们的经验已被用来建立一套药物管理资源,以支持未来的父母。
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引用次数: 0
“For the Record”: applying linguistics to improve evidential consistency in police investigative interview records “记录”:运用语言学提高警方调查采访记录证据的一致性
Q2 COMMUNICATION Pub Date : 2023-10-27 DOI: 10.3389/fcomm.2023.1178516
Kate Haworth, James Tompkinson, Emma Richardson, Felicity Deamer, Magnus Hamann
The “For the Record” project (FTR) is a collaboration between a team of linguistic researchers and police in the England & Wales jurisdiction (E&W). The aim of the project is to apply insights from linguistics to improve evidential consistency in police interview transcripts, which are routinely produced by transcribers employed by the police. The research described in this short report is intended as a pilot study, before extension nationally. For this part of the project, we analysed several types of data, including interview audio and transcripts provided by one force. This identified key areas where current transcription practise could be improved and enhanced, and a series of recommendations were made to that force. This pilot study indicates that there are three core components of quality transcription production in this context: Consistency, Accuracy, and Neutrality. We propose that the most effective way to address the issues identified is through developing new training and guidance for police interview transcribers.
“记录在案”项目(FTR)是一组语言学研究人员和英国警方之间的合作项目。威尔士辖区(E&W)。该项目的目的是应用语言学的见解来提高警察采访笔录的证据一致性,这些笔录通常由警察雇用的转录员制作。本简短报告中描述的研究旨在作为一项试点研究,然后在全国推广。在这一部分的项目中,我们分析了几种类型的数据,包括采访音频和一个部队提供的成绩单。这确定了当前转录实践可以改进和加强的关键领域,并向该部队提出了一系列建议。这项初步研究表明,在这种情况下,高质量转录产物有三个核心组成部分:一致性、准确性和中立性。我们建议,解决已确定问题的最有效方法是为警察采访笔录员制定新的培训和指导。
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引用次数: 0
“Swamped with information”: a qualitative study of family physicians' experiences of managing and applying pandemic-related information "信息泛滥":对家庭医生管理和应用流行病相关信息经验的定性研究
Q2 COMMUNICATION Pub Date : 2023-10-26 DOI: 10.3389/fcomm.2023.1186678
Gillian Young, Maria Mathews, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Paul Gill, Madeleine McKay, Dana Ryan, Sarah Spencer, Richard Buote, Leslie Meredith, Lauren Moritz, Judith B. Brown, Erin Christian, Eric Wong
Introduction Providing family physicians (FPs) with the information they need is crucial for their participation in a coordinated pandemic or health emergency response, and to allow them to effectively run their practices. Most pandemic planning documents do not address communication plans specific to FPs. This study describes FPs' experiences and challenges with information management during the COVID-19 pandemic in Canada. Methods We conducted semi-structured qualitative interviews with FPs across four Canadian regions and asked about their roles during different pandemic stages, as well as facilitators and barriers they experienced in performing these roles. We transcribed the interviews, used a thematic analysis approach to develop a unified coding template across the four regions, and identified recurring themes. Results We interviewed 68 FPs and identified two key themes specifically related to communication. The first is FPs' experiences obtaining and managing information during the COVID-19 pandemic. FPs were overwhelmed by the volume of information and had difficulty applying the information to their practices. The second is the specific attributes FPs need from the information sent to them. Participants wanted summarized and consistent information from credible sources that are relevant to primary care. Discussion Providing clear, collated, and relevant information to FPs is essential during pandemics and other health emergencies. Future pandemic plans should integrate strategies to deliver information to FPs that is tailored to primary care. Findings highlight the need for a coordinated communication strategy to effectively inform FPs in health emergencies.
向家庭医生提供他们所需的信息对于他们参与协调一致的大流行或突发卫生事件应对,并使他们能够有效地开展业务至关重要。大多数大流行规划文件不涉及针对FPs的传播计划。本研究描述了加拿大COVID-19大流行期间FPs在信息管理方面的经验和挑战。我们对加拿大四个地区的FPs进行了半结构化的定性访谈,并询问他们在不同的流行病阶段所扮演的角色,以及他们在扮演这些角色时遇到的促进因素和障碍。我们将访谈记录下来,使用主题分析方法在四个地区开发统一的编码模板,并确定重复出现的主题。我们采访了68名FPs,并确定了两个与沟通相关的关键主题。首先是新冠肺炎大流行期间FPs获取和管理信息的经验。FPs被大量的信息所淹没,很难将这些信息应用到他们的实践中。第二是FPs需要从发送给他们的信息中获得的特定属性。参与者希望从可靠来源获得与初级保健相关的总结和一致的信息。在大流行和其他突发卫生事件期间,向FPs提供明确、整理和相关的信息至关重要。未来的大流行计划应纳入向FPs提供适合初级保健的信息的战略。调查结果强调需要制定协调一致的沟通战略,以便在突发卫生事件中有效地向FPs提供信息。
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引用次数: 2
How technology shapes advice: professional–parent interaction in a digital pediatric treatment 科技如何塑造建议:数字化儿科治疗中的专业与家长互动
Q2 COMMUNICATION Pub Date : 2023-10-26 DOI: 10.3389/fcomm.2023.1205883
Evi Dalmaijer, Berber Pas, Wilbert Spooren, Wyke Stommel
Introduction Technology-enabled treatments (TET) have emerged in pediatric care as an effective solution for early and intensive intervention. There is a lack of research in the field of digitalized health care on the interaction between professionals and parents on which these treatments are based, and at the same time too little is known about the impact of remoteness and technology on interaction in the field of health communication. Method We use a conversation analytical approach to examine the interaction between occupational therapists and parents in one such treatment on a micro level, with a focus on advice-giving and the role of professional and parental authorities in this. Results Our analyses show that professionals in TET work together with the parents of children in treatment to achieve children's rehabilitation goals. In advice-giving in TET, the professionals interactionally downgrade their epistemic and deontic authority, orienting toward the imposition on parents inherent to advice and orienting toward parental authority. Discussion By describing three different patterns of the interactional unfolding of advice-giving, we provide insights into how professionals carefully initiate and return to advice and show how this activity is shaped by the technology used for the interaction. Our study offers a better understanding of how paramedical professionals practice their profession given remoteness and technology and what TET entails interactionally in terms of advice-giving.
技术支持治疗(TET)已经出现在儿科护理作为早期和强化干预的有效解决方案。在数字化卫生保健领域,缺乏对专业人员和家长之间互动的研究,而这些互动是这些治疗的基础,同时,对远程和技术对健康交流领域互动的影响知之甚少。方法:我们采用对话分析的方法,在微观层面上考察职业治疗师和家长在一个这样的治疗中的互动,重点关注建议的提供以及专业人士和家长在其中的作用。结果我们的分析表明,TET的专业人员与儿童的父母一起在治疗中实现儿童的康复目标。在TET的建议中,专业人员相互降低了他们的认知和道义权威,倾向于对父母固有的建议和父母权威的强加。通过描述提供建议的三种不同的互动展开模式,我们提供了专业人士如何谨慎地发起和返回建议的见解,并展示了用于互动的技术如何塑造了这种活动。我们的研究提供了更好的理解护理专业人员如何在偏远和技术条件下实践他们的职业,以及TET在提供建议方面需要哪些互动。
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引用次数: 0
Conceptual similarity and visual metaphor: effects on viewing times, appreciation, and recall 概念相似性和视觉隐喻:对观看时间、欣赏和回忆的影响
Q2 COMMUNICATION Pub Date : 2023-10-26 DOI: 10.3389/fcomm.2023.1266813
Luuk Lagerwerf, Margot Van Mulken, Jefta B. Lagerwerf
Different levels of conceptual similarity in equivalent visual structures may determine the way meaning is attributed to images. The degree to which two depicted objects are of the same kind limits interpretive possibilities. In the current research, visual hyponyms (objects of the same kind) were contrasted with visual metaphors and unrelated object pairs. Hyponyms are conceptually more similar than metaphor's source and target, or two unrelated objects. Metaphorically related objects share a ground for comparison that lacks between unrelated objects. We expected viewers to interpret hyponyms more quickly than metaphors or unrelated objects. For liking, there were competing predictions: hyponyms are appreciated more because they are easier, or metaphors are liked more because successful cognitive effort is rewarded. In the first experiment viewers were asked to identify relationships in 27 object pairs. Hyponyms were identified faster than metaphors and metaphors faster than unrelated objects. In the second experiment, with the same materials, viewers were asked to rate appreciation for each object pair. This reduced viewing times substantially. Appreciation was higher for hyponyms than for visual metaphors. In a third experiment with the same materials, exposure duration was varied. Hyponyms were preferred to metaphors and unrelated objects irrespective of exposure duration.
等效视觉结构中不同程度的概念相似性可能决定了图像的意义归属方式。两个被描绘的物体相同的程度限制了解释的可能性。在目前的研究中,将视觉下义词(同类对象)与视觉隐喻和不相关的对象对进行了对比。下义词在概念上比隐喻的源和目的,或两个不相关的对象更相似。具有隐喻性的相关对象具有不相关对象之间缺乏的比较基础。我们期望观众能比隐喻或不相关的物体更快地理解下义词。关于喜欢程度,有两种相互矛盾的预测:下义词更受欢迎是因为它们更容易,或者隐喻更受欢迎是因为成功的认知努力得到了奖励。在第一个实验中,观众被要求识别27对物体之间的关系。下义词的识别速度快于隐喻,而隐喻的识别速度快于不相关的物体。在第二个实验中,使用同样的材料,观众被要求对每一对物品的欣赏程度进行评分。这大大减少了观看时间。对下位词的欣赏程度高于视觉隐喻。在使用相同材料的第三个实验中,暴露时间有所不同。无论暴露时间长短,下位词比隐喻和不相关的物体更受欢迎。
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引用次数: 0
Technology use in speech and language therapy: digital participation succeeds through acceptance and use of technology 言语和语言治疗中的技术应用:通过接受和使用技术,数字参与取得成功
Q2 COMMUNICATION Pub Date : 2023-10-24 DOI: 10.3389/fcomm.2023.1176827
Juliane Leinweber, Birte Alber, Maria Barthel, Alexander Sean Whillier, Silke Wittmar, Bernhard Borgetto, Anja Starke
Introduction In Germany, as around the world, the use of digital media in speech and language therapy became part of the service during the COVID-19 pandemic. This resulted in a need for empirical studies on the use and acceptance of digital media technologies, to determine users' requirements and concerns regarding the newly mandated technologies, in order to support its expansion in education and training going forward. “Acceptance” has been previously identified as an important aspect behind successful technology adoption. Therefore, two online questionnaire studies were conducted to explore how technology use is accepted among speech and language therapists in Germany. Methods Study 1 involved a questionnaire about video therapy with 15 question groupings, examining technology acceptance and competence. From 841 initial respondents, 707 complete responses were included in the analysis. Study 2 involved a different questionnaire, examining technology acceptance and digital media in therapy. In total, 79 individuals participated in the second survey. Study 1 data were analyzed to identify unifying factors underlying respondent attitudes and was followed up with a logistical regression; Study 2 data were analyzed with multiple linear regression. Results In Study 1, external inhibiting and facilitating conditions were identified which had an impact on attitudes toward video therapy adoption and its intended future use. In Study 2, the modified model of the Unified Theory of Acceptance and Use of Technology (UTAUT) explained 58.8% of the variability in therapist's Behavioral Intention to Use digital media. Here, Performance Expectancy was a significant predictor. Conclusions Both studies investigated facilitating and inhibiting factors for the implementation of digital media including video therapy in future speech therapy services. Results demonstrated that the use is accepted in therapy. Therefore, optimal conditions—both institutional and individual—are needed to enable digital participation for therapists and patients. In future education and training, trainers should focus on the functional aspects of the technologies to be used, in order to positively influence Performance Expectancy in a targeted manner and thus increase the therapists' intention to use digital technology in therapy, which in turn promotes patients' digital participation.
在德国,与世界各地一样,在2019冠状病毒病大流行期间,在言语和语言治疗中使用数字媒体已成为服务的一部分。这导致需要对数字媒体技术的使用和接受情况进行实证研究,以确定用户对新规定的技术的要求和关切,以便支持今后扩大其在教育和培训方面的工作。“接受”以前被认为是成功采用技术的一个重要方面。因此,进行了两项在线问卷研究,以探索德国言语和语言治疗师如何接受技术使用。方法研究1采用视频治疗问卷,分为15个问题组,考察技术接受度和能力。从841个初始受访者中,有707个完整的回复被纳入分析。研究2采用了不同的问卷,考察了治疗中的技术接受度和数字媒体。总共有79人参加了第二次调查。研究1的数据进行了分析,以确定统一因素的受访者态度,并进行了逻辑回归跟踪;研究2资料采用多元线性回归分析。结果在研究1中,确定了外部抑制和促进条件,这些条件会影响对视频治疗采用的态度及其预期的未来使用。在研究2中,技术接受与使用统一理论(UTAUT)的修正模型解释了治疗师使用数字媒体行为意向的58.8%的变异性。在这里,表现预期是一个重要的预测因子。结论两项研究都探讨了数字媒体包括视频治疗在未来语言治疗服务中实施的促进和抑制因素。结果表明,在治疗中使用是可以接受的。因此,需要机构和个人的最佳条件来实现治疗师和患者的数字化参与。在未来的教育和培训中,培训师应关注所使用技术的功能方面,以便有针对性地对绩效预期产生积极影响,从而增加治疗师在治疗中使用数字技术的意愿,从而促进患者的数字参与。
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引用次数: 0
Mediated climate rift society: articulation and metabolic rift theories in analyzing climate change news in South Africa 介导的气候裂谷社会:在分析南非气候变化新闻中的衔接和代谢裂谷理论
Q2 COMMUNICATION Pub Date : 2023-10-20 DOI: 10.3389/fcomm.2023.1161103
Henri-Count Evans, Ruth Teer-Tomaselli
Introduction Journalism is essential in addressing climate change. Journalists' constructions of climate change issues, worldviews, and proposed solutions legitimise those aspects that are made commonsensical and are given discursive salience. The news media has often constructed climate change as a purely scientific issue whose solutions rely on technological interventions- thus neglecting climate change's cultural and political economics. This paper seeks to situate climate change journalism research within ecoCultural Studies and Environmental Sociology. Methods Through articulation and metabolic rift theories combined with discourse analysis techniques, this study examines how four weekly newspapers (the Sunday Times, the Mail & Guardian, the City Press, and the Sunday Independent) in South Africa reproduced and re/presented neoliberal climate change solutions anchored on “green” and “clean” transition discourses - from 2011 to 2018. Results The majority of discourse actors support the green economy initiative, with its normalisation facilitated by actors like scientists, media, and politicians. This discourse, prominent during both Zuma and Ramaphosa's administrations, has been integrated into South Africa's energy blueprints, emphasising job creation and cleaner air. While perpetuating capitalist inequalities, the green economy has been championed as a national project aligning with public aspirations. News media often portrays climate change solutions through a neoliberal, techno-optimistic lens, emphasising “green economy” and “sustainable development”. These solutions, paired with market principles, balance economic growth and environmental responsibility.
新闻在应对气候变化方面至关重要。记者对气候变化问题、世界观和提出的解决方案的建构使那些被认为是常识性的、被赋予话语显著性的方面合法化。新闻媒体经常将气候变化构建为一个纯粹的科学问题,其解决方案依赖于技术干预——从而忽视了气候变化的文化和政治经济学。本文试图将气候变化新闻研究置于生态文化研究和环境社会学之中。方法通过清晰度和新陈代谢断裂理论与语篇分析技术相结合,本研究调查了四个周报(《星期日泰晤士报》,邮件,amp;《卫报》(Guardian)、《城市出版社》(City Press)和《星期日独立报》(Sunday Independent)在2011年至2018年期间,复制并再现了以“绿色”和“清洁”过渡话语为基础的新自由主义气候变化解决方案。结果:大多数话语行为体支持绿色经济倡议,科学家、媒体和政治家等行为体促进了绿色经济倡议的正常化。这一话语在祖马和拉马福萨政府期间都很突出,已被纳入南非的能源蓝图,强调创造就业机会和清洁空气。尽管资本主义不平等现象持续存在,但绿色经济一直被视为一项符合公众愿望的国家项目。新闻媒体经常通过新自由主义、技术乐观主义的视角来描绘气候变化的解决方案,强调“绿色经济”和“可持续发展”。这些解决方案与市场原则相结合,平衡了经济增长和环境责任。
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引用次数: 0
Digital inclusion for social inclusion. Case study on digital literacy 数字包容促进社会包容。数字素养案例研究
Q2 COMMUNICATION Pub Date : 2023-10-19 DOI: 10.3389/fcomm.2023.1191995
Paula Méndez-Domínguez, Domingo Carbonero Muñoz, Esther Raya Díez, Joaquín Castillo De Mesa
The aim of this research is to identify the differences in access to technologies and digital skills of the population according to their socioeconomic characteristics and to analyse the opportunities offered by new emerging learning environments to promote the social inclusion of vulnerable groups. The digital divide is defined as inequality in the access, use, or impact of information and communication technologies (ICT), and, to address it, it is necessary to build on the conceptual frameworks developed in research to date. This study seeks to 1) identify the main difficulties in digital access and skills and 2) explore what the adoption, design, development, and adaptation of emerging learning technologies mean for the most disadvantaged groups. A quantitative, research design was used. The results obtained show that there are differences in digital skills and access according to education and income level. Different statistical analyses were used, such as non-parametric tests and tests of association between variables. The survey was carried out on a proportional sample of 400 people in La Rioja (Spain). Data was collected through online and face-to-face surveys. A quantitative approach was implemented in the first phase. In the second phase, students of the Social Work degree programme, social work professionals, and users of the Senior Citizens' Center (older adults) were included. The qualitative research is based on the development of digital literacy, which seeks to test and provide new insights into the use of innovative learning-teaching methodologies, with digital materials (micro videos), to promote the use and knowledge of ICT as a means of bridging social (as well as digital) divides.
本研究的目的是根据人口的社会经济特征确定其在获取技术和数字技能方面的差异,并分析新兴学习环境提供的机会,以促进弱势群体的社会包容。数字鸿沟被定义为信息和通信技术(ICT)的获取、使用或影响方面的不平等,为了解决这一问题,有必要以迄今为止研究中形成的概念框架为基础。本研究旨在1)确定数字获取和技能方面的主要困难,2)探索新兴学习技术的采用、设计、开发和适应对最弱势群体意味着什么。采用定量研究设计。结果表明,不同的教育程度和收入水平在数字技能和获取方面存在差异。使用了不同的统计分析,如非参数检验和变量间关联检验。这项调查是在拉里奥哈(西班牙)按比例抽样的400人中进行的。数据是通过在线和面对面调查收集的。第一阶段采用了定量方法。第二阶段的研究对象包括社工学位课程的学生、社工专业人士和长者中心的使用者(长者)。定性研究以数字素养的发展为基础,旨在通过数字材料(微视频)测试并提供关于使用创新学习-教学方法的新见解,以促进信息通信技术的使用和知识,作为弥合社会(以及数字)鸿沟的手段。
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引用次数: 0
Social media attacks against female Canadian journalists 社交媒体对加拿大女记者的攻击
Q2 COMMUNICATION Pub Date : 2023-10-17 DOI: 10.3389/fcomm.2023.1260540
Ahmed Al-Rawi
I investigate in this brief empirical study the social media attacks against female Canadian journalists who have frequently been targeted with online abuse. I used purposive sampling to focus on three journalists: Rachel Gilmore (formerly with Global News), Erica Iffil (freelance with The Hill Times), and Saba Eitizaz (Toronto Star). I employed a mixed method approach to conduct this study by collecting all the available Twitter replies to these three journalists ( n = 402,821) posted by 84,962 unique users. The digital analysis results show that there are slight differences in the quantity of attacks on these journalists, but the qualitative assessment of images associated with tweets indicate the need to use manual approaches to better understand the nuances and quality of these disinformation and often racist attacks.
在这个简短的实证研究中,我调查了社交媒体对加拿大女记者的攻击,她们经常成为网络虐待的目标。我对三位记者进行了有目的的抽样调查:雷切尔·吉尔摩(前《环球新闻》记者)、艾丽卡·伊菲尔(《希尔时报》自由撰稿人)和萨巴·艾蒂扎兹(《多伦多星报》记者)。我采用混合方法来进行这项研究,收集了84,962个独立用户对这三位记者(n = 402,821)发布的所有可用Twitter回复。数字分析结果显示,针对这些记者的攻击数量略有不同,但对推文相关图像的定性评估表明,需要使用人工方法来更好地理解这些虚假信息和种族主义攻击的细微差别和质量。
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引用次数: 0
Health stigma on Twitter: investigating the prevalence and type of stigma communication in tweets about different conditions and disorders 推特上的健康污名:调查关于不同情况和疾病的推特上的污名传播的流行程度和类型
Q2 COMMUNICATION Pub Date : 2023-10-13 DOI: 10.3389/fcomm.2023.1264373
Richard Brown, Elizabeth Sillence, Lynne Coventry, Dawn Branley-Bell, Claire Murphy-Morgan, Abigail C. Durrant
Background Health-related stigma can act as a barrier to seeking treatment and can negatively impact wellbeing. Comparing stigma communication across different conditions may generate insights previously lacking from condition-specific approaches and help to broaden our understanding of health stigma as a whole. Method A sequential explanatory mixed-methods approach was used to investigate the prevalence and type of health-related stigma on Twitter by extracting 1.8 million tweets referring to five potentially stigmatized health conditions and disorders (PSHCDs): Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS), Diabetes, Eating Disorders, Alcoholism, and Substance Use Disorders (SUD). Firstly, 1,500 tweets were manually coded by stigma communication type, followed by a larger sentiment analysis ( n = 250,000). Finally, the most prevalent category of tweets, “ Anti-Stigma and Advice ” ( n = 273), was thematically analyzed to contextualize and explain its prevalence. Results We found differences in stigma communication between PSHCDs. Tweets referring to substance use disorders were frequently accompanied by messages of societal peril. Whereas, HIV/AIDS related tweets were most associated with potential labels of stigma communication. We found consistencies between automatic tools for sentiment analysis and manual coding of stigma communication. Finally, the themes identified by our thematic analysis of anti-stigma and advice were Social Understanding, Need for Change, Encouragement and Support , and Information and Advice . Conclusions Despite one third of health-related tweets being manually coded as potentially stigmatizing, the notable presence of anti-stigma suggests that efforts are being made by users to counter online health stigma. The negative sentiment and societal peril associated with substance use disorders reflects recent suggestions that, though attitudes have improved toward physical diseases in recent years, stigma around addiction has seen little decline. Finally, consistencies between our manual coding and automatic tools for identifying language features of harmful content, suggest that machine learning approaches may be a reasonable next step for identifying general health-related stigma online.
背景与健康相关的耻辱感可能成为寻求治疗的障碍,并可能对健康产生负面影响。比较不同条件下的病耻感传播可能会产生以前缺乏特定条件方法的见解,并有助于扩大我们对整体健康病耻感的理解。方法采用顺序解释混合方法,通过提取180万条涉及人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)、糖尿病、饮食失调、酒精中毒和物质使用障碍(SUD)五种可能被污名化的健康状况和疾病(pshcd)的推文,调查Twitter上与健康相关的污名化的流行程度和类型。首先,根据污名传播类型手动编码1500条推文,然后进行更大的情感分析(n = 25万)。最后,对最普遍的推文类别“反污名和建议”(n = 273)进行主题分析,以背景化和解释其流行程度。结果发现pshcd间的柱头交流存在差异。提到物质使用障碍的推文经常伴随着社会危险的信息。然而,与艾滋病毒/艾滋病相关的推文与潜在的污名传播标签最相关。我们发现情绪分析的自动工具与污名传播的手动编码之间存在一致性。最后,通过我们对反污名和建议的专题分析确定的主题是社会理解、变革需求、鼓励和支持以及信息和建议。尽管三分之一与健康相关的推文被人工编码为潜在的污名化,但反污名化的显著存在表明,用户正在努力对抗在线健康污名化。与药物使用障碍相关的负面情绪和社会危险反映了最近的一些建议,即尽管近年来人们对身体疾病的态度有所改善,但围绕成瘾的耻辱感几乎没有下降。最后,我们在识别有害内容的语言特征方面的手动编码和自动工具之间的一致性表明,机器学习方法可能是在线识别一般与健康相关的污名的合理下一步。
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Frontiers in Communication
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