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Investigation of carers’ perspectives of Dementia misconceptions on Twitter : focus group study

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Hudson, Georgie, Jansli, Sonja M, Erturk, Sinan, Morris, Daniel, Odoi, Clarissa M, Clayton-Turner, Angela, Bray, Vanessa, Yourston, Gill, Clouden, Doreen, Proudfoot, David, Cornwall, Andrew, Waldron, Claire, Wykes, Til and Jilka, Sagar (2022) Investigation of carers’ perspectives of Dementia misconceptions on Twitter : focus group study. JMIR Aging, 5 (1). e30388. doi:10.2196/30388 ISSN 2561-7605.

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Official URL: https://doi.org/10.2196/30388

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Abstract

Background:
Dementia misconceptions on social media are common, with negative effects on people with the condition, their carers, and those who know them. This study codeveloped a thematic framework with carers to understand the forms these misconceptions take on Twitter.

Objective:
The aim of this study is to identify and analyze types of dementia conversations on Twitter using participatory methods.

Methods:
A total of 3 focus groups with dementia carers were held to develop a framework of dementia misconceptions based on their experiences. Dementia-related tweets were collected from Twitter’s official application programming interface using neutral and negative search terms defined by the literature and by carers (N=48,211). A sample of these tweets was selected with equal numbers of neutral and negative words (n=1497), which was validated in individual ratings by carers. We then used the framework to analyze, in detail, a sample of carer-rated negative tweets (n=863).

Results:
A total of 25.94% (12,507/48,211) of our tweet corpus contained negative search terms about dementia. The carers’ framework had 3 negative and 3 neutral categories. Our thematic analysis of carer-rated negative tweets found 9 themes, including the use of weaponizing language to insult politicians (469/863, 54.3%), using dehumanizing or outdated words or statements about members of the public (n=143, 16.6%), unfounded claims about the cures or causes of dementia (n=11, 1.3%), or providing armchair diagnoses of dementia (n=21, 2.4%).

Conclusions:
This is the first study to use participatory methods to develop a framework that identifies dementia misconceptions on Twitter. We show that misconceptions and stigmatizing language are not rare. They manifest through minimizing and underestimating language. Web-based campaigns aiming to reduce discrimination and stigma about dementia could target those who use negative vocabulary and reduce the misconceptions that are being propagated, thus improving general awareness.

Item Type: Journal Article
Subjects: H Social Sciences > HM Sociology
R Medicine > R Medicine (General)
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Medical personnel -- Attitudes, Social media, Disinformation, Alzheimer's disease -- Patients -- Public opinion
Journal or Publication Title: JMIR Aging
Publisher: JMIR Publications
ISSN: 2561-7605
Official Date: 24 January 2022
Dates:
DateEvent
24 January 2022Published
11 September 2021Accepted
Volume: 5
Number: 1
Article Number: e30388
DOI: 10.2196/30388
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 1 March 2022
Date of first compliant Open Access: 1 March 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDSouth London and Maudsley NHS Foundation Trusthttp://dx.doi.org/10.13039/100009362
IS-BRC-1215-20018King's College Londonhttps://www.kcl.ac.uk/
UNSPECIFIEDAlzheimer's Research UKhttps://www.alzheimersresearchuk.org/

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