There is a close connection between health and the quality of one's social life. Strong social bonds are essential for health and wellbeing, but often health conditions can detrimentally affect a person's ability to interact with others. This can become a vicious cycle resulting in further decline in health. For this reason, the social management of health is an important aspect of healthcare. We propose that socially assistive robots (SARs) could help people with health conditions maintain positive social lives by supporting them in social interactions. This paper makes three contributions, as detailed below. We develop a framework of social mediation functions that robots could perform, motivated by the special social needs that people with health conditions have. In this framework we identify five types of functions that SARs could perform: a) changing how the person is perceived, b) enhancing the social behavior of the person, c) modifying the social behavior of others, d) providing structure for interactions, and e) changing how the person feels. We thematically organize and review the existing literature on robots supporting human-human interactions, in both clinical and non-
This study examines the social media uptake of scientific journals on two different platforms - X and WeChat - by comparing the adoption of X among journals indexed in the Science Citation Index-Expanded (SCIE) with the adoption of WeChat among journals indexed in the Chinese Science Citation Database (CSCD). The findings reveal substantial differences in platform adoption and user engagement, shaped by local contexts. While only 22.7% of SCIE journals maintain an X account, 84.4% of CSCD journals have a WeChat official account. Journals in Life Sciences & Biomedicine lead in uptake on both platforms, whereas those in Technology and Physical Sciences show high WeChat uptake but comparatively lower presence on X. User engagement on both platforms is dominated by low-effort interactions rather than more conversational behaviors. Correlation analyses indicate weak-to-moderate relationships between bibliometric indicators and social media metrics, confirming that online engagement reflects a distinct dimension of journal impact, whether on an international or a local platform. These findings underscore the need for broader social media metric frameworks that incorporate locally dom
Past research has shown the benefits of food journaling in promoting mindful eating and healthier food choices. However, the links between journaling and healthy eating have not been thoroughly examined. Beyond caloric restriction, do journalers consistently and sufficiently consume healthful diets? How different are their eating habits compared to those of average consumers who tend to be less conscious about health? In this study, we analyze the healthy eating behaviors of active food journalers using data from MyFitnessPal. Surprisingly, our findings show that food journalers do not eat as healthily as they should despite their proclivity to health eating and their food choices resemble those of the general populace. Furthermore, we find that the journaling duration is only a marginal determinant of healthy eating outcomes and sociodemographic factors, such as gender and regions of residence, are much more predictive of healthy food choices.
Social media data has been increasingly used to study biomedical and health-related phenomena. From cohort level discussions of a condition to planetary level analyses of sentiment, social media has provided scientists with unprecedented amounts of data to study human behavior and response associated with a variety of health conditions and medical treatments. Here we review recent work in mining social media for biomedical, epidemiological, and social phenomena information relevant to the multilevel complexity of human health. We pay particular attention to topics where social media data analysis has shown the most progress, including pharmacovigilance, sentiment analysis especially for mental health, and other areas. We also discuss a variety of innovative uses of social media data for health-related applications and important limitations in social media data access and use.
Existing communications and behavioral theories have been adopted to address health misinformation. Although various theories and models have been used to investigate the COVID-19 pandemic, there is no framework specially designed for social listening or misinformation studies using social media data and natural language processing techniques. This study aimed to propose a novel yet theory-based conceptual framework for misinformation research. We collected theories and models used in COVID-19 related studies published in peer-reviewed journals. The theories and models ranged from health behaviors, communications, to misinformation. They are analyzed and critiqued for their components, followed by proposing a conceptual framework with a demonstration. We reviewed Health Belief Model, Theory of Planned Behavior/Reasoned Action, Communication for Behavioral Impact, Transtheoretical Model, Uses and Gratifications Theory, Social Judgment Theory, Risk Information Seeking and Processing Model, Behavioral and Social Drivers, and Hype Loop. Accordingly, we proposed the Social Media Listening for Public Health Behavior Conceptual Framework by not only integrating important attributes of exi
Background: There is growing evidence that social and behavioral determinants of health (SBDH) play a substantial effect in a wide range of health outcomes. Electronic health records (EHRs) have been widely employed to conduct observational studies in the age of artificial intelligence (AI). However, there has been little research into how to make the most of SBDH information from EHRs. Methods: A systematic search was conducted in six databases to find relevant peer-reviewed publications that had recently been published. Relevance was determined by screening and evaluating the articles. Based on selected relevant studies, a methodological analysis of AI algorithms leveraging SBDH information in EHR data was provided. Results: Our synthesis was driven by an analysis of SBDH categories, the relationship between SBDH and healthcare-related statuses, and several NLP approaches for extracting SDOH from clinical literature. Discussion: The associations between SBDH and health outcomes are complicated and diverse; several pathways may be involved. Using Natural Language Processing (NLP) technology to support the extraction of SBDH and other clinical ideas simplifies the identification an
Background: Social media public health campaigns have the advantage of tailored messaging at low cost and large reach, but little is known about what would determine their feasibility as tools for inducing attitude and behavior change. Objective: The aim of this study was to test the feasibility of designing, implementing, and evaluating a social media-enabled intervention for skin cancer prevention. Conclusions: Social media-disseminated public health messages reached more than 23% of the Northern Ireland population. A Web-based survey suggested that the campaign might have contributed to improved knowledge and attitudes toward skin cancer among the target population. Findings suggested that shocking and humorous messages generated greatest impressions and engagement, but information-based messages were likely to be shared most. The extent of behavioral change as a result of the campaign remains to be explored, however, the change of attitudes and knowledge is promising. Social media is an inexpensive, effective method for delivering public health messages. However, existing and traditional process evaluation methods may not be suitable for social media.
There is an increasing number of virtual communities and forums available on the web. With social media, people can freely communicate and share their thoughts, ask personal questions, and seek peer-support, especially those with conditions that are highly stigmatized, without revealing personal identity. We study the state-of-the-art research methodologies and findings on mental health challenges like depression, anxiety, suicidal thoughts, from the pervasive use of social media data. We also discuss how these novel thinking and approaches can help to raise awareness of mental health issues in an unprecedented way. Specifically, this chapter describes linguistic, visual, and emotional indicators expressed in user disclosures. The main goal of this chapter is to show how this new source of data can be tapped to improve medical practice, provide timely support, and influence government or policymakers. In the context of social media for mental health issues, this chapter categorizes social media data used, introduces different deployed machine learning, feature engineering, natural language processing, and surveys methods and outlines directions for future research.
There is widespread emphasis on reform in the teaching of introductory statistics at the college level. Underpinning this reform is a consensus among educators and practitioners that traditional curricular materials and pedagogical strategies have not been effective in promoting statistical literacy, a competency that is becoming increasingly necessary for effective decision-making and evidence-based practice. This paper explains the historical context of, and rationale for reform-oriented teaching of introductory statistics (at the college level) in the health, social and behavioral sciences (evidence-based disciplines). A firm understanding and appreciation of the basis for change in pedagogical approach is important, in order to facilitate commitment to reform, consensus building on appropriate strategies, and adoption and maintenance of best practices. In essence, reform-oriented pedagogy, in this context, is a function of the interaction among content, pedagogy, technology, and assessment. The challenge is to create an appropriate balance among these domains.
Modifiable health behaviors, a leading cause of illness and death in many countries, are often driven by individual beliefs and sentiments about health and disease. Individual behaviors affecting health outcomes are increasingly modulated by social networks, for example through the associations of like-minded individuals - homophily - or through peer influence effects. Using a statistical approach to measure the individual temporal effects of a large number of variables pertaining to social network statistics, we investigate the spread of a health sentiment towards a new vaccine on Twitter, a large online social network. We find that the effects of neighborhood size and exposure intensity are qualitatively very different depending on the type of sentiment. Generally, we find that larger numbers of opinionated neighbors inhibit the expression of sentiments. We also find that exposure to negative sentiment is contagious - by which we merely mean predictive of future negative sentiment expression - while exposure to positive sentiments is generally not. In fact, exposure to positive sentiments can even predict increased negative sentiment expression. Our results suggest that the effec
Health messages on social media are typically constructed through combinations of source cues, appeals, frames, and evidence, which jointly shape communication and persuasive effects. However, prior research has largely focused on single elements or simple pairwise interactions, offering insufficient insight into how multiple elements operate together in real-world digital environments. To address this gap, this study adopts a systems perspective to examine multi-element message combinations. Using 1.8 million health-related Weibo posts, we apply clustering analysis to identify recurring combinations and assess their relationships with communication effects. First, four recurring element combinations are identified: Institutional Authority, Narrative, Assertive Appeal, and Contextual Expression. These combinations function as core structures organized around two key elements. Second, stronger communication effects depend not only on core structures but also on peripheral elements aligned with these structures, with combinations of two to four peripheral elements generally showing greater advantages. Third, the optimal level of peripheral complexity varies with source influence, ind
Citation network analysis has become one of methods to study how scientific knowledge flows from one domain to another. Health informatics is a multidisciplinary field that includes social science, software engineering, behavioral science, medical science and others. In this study, we perform an analysis of citation statistics from health informatics journals using data set extracted from CrossRef. For each health informatics journal, we extract the number of citations from/to studies related to computer science, medicine/clinical medicine and other fields, including the number of self-citations from the health informatics journal. With a similar number of articles used in our analysis, we show that the Journal of the American Medical Informatics Association (JAMIA) has more in-citations than the Journal of Medical Internet Research (JMIR); while JMIR has a higher number of out-citations and self-citations. We also show that JMIR cites more articles from health informatics journals and medicine related journals. In addition, the Journal of Medical Systems (JMS) cites more articles from computer science journals compared with other health informatics journals included in our analysi
Since the uptake of social media, researchers have mined online discussions to track the outbreak and evolution of specific diseases or chronic conditions such as influenza or depression. To broaden the set of diseases under study, we developed a Deep Learning tool for Natural Language Processing that extracts mentions of virtually any medical condition or disease from unstructured social media text. With that tool at hand, we processed Reddit and Twitter posts, analyzed the clusters of the two resulting co-occurrence networks of conditions, and discovered that they correspond to well-defined categories of medical conditions. This resulted in the creation of the first comprehensive taxonomy of medical conditions automatically derived from online discussions. We validated the structure of our taxonomy against the official International Statistical Classification of Diseases and Related Health Problems (ICD-11), finding matches of our clusters with 20 official categories, out of 22. Based on the mentions of our taxonomy's sub-categories on Reddit posts geo-referenced in the U.S., we were then able to compute disease-specific health scores. As opposed to counts of disease mentions or
We examine an unexpected but significant source of positive public health messaging during the COVID-19 pandemic -- K-pop fandoms. Leveraging more than 7 million tweets related to mask-wearing and K-pop between March 2020 and December 2021, we analyzed the online spread of the hashtag \#WearAMask and vaccine-related tweets amid anti-mask sentiments and public health misinformation. Analyses reveal the South Korean boyband BTS as one of the most significant driver of health discourse. Tweets from health agencies and prominent figures that mentioned K-pop generate 111 times more online responses compared to tweets that did not. These tweets also elicited strong responses from South America, Southeast Asia, and rural States -- areas often neglected in Twitter-based messaging by mainstream social media campaigns. Network and temporal analysis show increased use from right-leaning elites over time. Mechanistically, strong-levels of parasocial engagement and connectedness allow sustained activism in the community. Our results suggest that public health institutions may leverage pre-existing audience markets to synergistically diffuse and target under-served communities both domestically
The rapid spread of health misinformation on online social networks (OSNs) during global crises such as the COVID-19 pandemic poses challenges to public health, social stability, and institutional trust. Centrality metrics have long been pivotal in understanding the dynamics of information flow, particularly in the context of health misinformation. However, the increasing complexity and dynamism of online networks, especially during crises, highlight the limitations of these traditional approaches. This study introduces and compares three novel centrality metrics: dynamic influence centrality (DIC), health misinformation vulnerability centrality (MVC), and propagation centrality (PC). These metrics incorporate temporal dynamics, susceptibility, and multilayered network interactions. Using the FibVID dataset, we compared traditional and novel metrics to identify influential nodes, propagation pathways, and misinformation influencers. Traditional metrics identified 29 influential nodes, while the new metrics uncovered 24 unique nodes, resulting in 42 combined nodes, an increase of 44.83%. Baseline interventions reduced health misinformation by 50%, while incorporating the new metrics
Mobile health has the potential to revolutionize health care delivery and patient engagement. In this work, we discuss how integrating Artificial Intelligence into digital health applications-focused on supply chain, patient management, and capacity building, among other use cases-can improve the health system and public health performance. We present an Artificial Intelligence and Reinforcement Learning platform that allows the delivery of adaptive interventions whose impact can be optimized through experimentation and real-time monitoring. The system can integrate multiple data sources and digital health applications. The flexibility of this platform to connect to various mobile health applications and digital devices and send personalized recommendations based on past data and predictions can significantly improve the impact of digital tools on health system outcomes. The potential for resource-poor settings, where the impact of this approach on health outcomes could be more decisive, is discussed specifically. This framework is, however, similarly applicable to improving efficiency in health systems where scarcity is not an issue.
Social Determinants of Health correlate with patient outcomes but are rarely captured in structured data. Recent attention has been given to automatically extracting these markers from clinical text to supplement diagnostic systems with knowledge of patients' social circumstances. Large language models demonstrate strong performance in identifying Social Determinants of Health labels from sentences. However, prediction in large admissions or longitudinal notes is challenging given long distance dependencies. In this paper, we explore hospital admission multi-label Social Determinants of Health ICD-9 code classification on the MIMIC-III dataset using reasoning models and traditional large language models. We exploit existing ICD-9 codes for prediction on admissions, which achieved an 89% F1. Our contributions include our findings, missing SDoH codes in 139 admissions, and code to reproduce the results.
Decentralized Online Social Networks (DOSNs) represent a growing trend in the social media landscape, as opposed to the well-known centralized peers, which are often in the spotlight due to privacy concerns and a vision typically focused on monetization through user relationships. By exploiting open-source software, DOSNs allow users to create their own servers, or instances, thus favoring the proliferation of platforms that are independent yet interconnected with each other in a transparent way. Nonetheless, the resulting cooperation model, commonly known as the Fediverse, still represents a world to be fully discovered, since existing studies have mainly focused on a limited number of structural aspects of interest in DOSNs. In this work, we aim to fill a lack of study on user relations and roles in DOSNs, by taking two main actions: understanding the impact of decentralization on how users relate to each other within their membership instance and/or across different instances, and unveiling user roles that can explain two interrelated axes of social behavioral phenomena, namely information consumption and boundary spanning. To this purpose, we build our analysis on user networks
Drug use by people is on the rise and is of great interest to public health agencies and law enforcement agencies. As found by the National Survey on Drug Use and Health, 20 million Americans aged 12 years or older consumed illicit drugs in the past few 30 days. Given their ubiquity in everyday life, drug abuse related studies have received much and constant attention. However, most of the existing studies rely on surveys. Surveys present a fair number of problems because of their nature. Surveys on sensitive topics such as illicit drug use may not be answered truthfully by the people taking them. Selecting a representative sample to survey is another major challenge. In this paper, we explore the possibility of using big data from social media in order to understand illicit drug use behaviors. Instagram posts are collected using drug related terms by analyzing the hashtags supplied with each post. A large and dynamic dictionary of frequent illicit drug related slang is used to find these posts. These posts are studied to find common drug consumption behaviors with regard to time of day and week. Furthermore, by studying the accounts followed by the users of drug related posts, we
We study social learning dynamics motivated by reviews on online platforms. The agents collectively follow a simple multi-armed bandit protocol, but each agent acts myopically, without regards to exploration. We allow the greedy (exploitation-only) algorithm, as well as a wide range of behavioral biases. Specifically, we allow myopic behaviors that are consistent with (parameterized) confidence intervals for the arms' expected rewards. We derive stark learning failures for any such behavior, and provide matching positive results. The learning-failure results extend to Bayesian agents and Bayesian bandit environments. In particular, we obtain general, quantitatively strong results on failure of the greedy bandit algorithm, both for ``frequentist" and ``Bayesian" versions. Failure results known previously are quantitatively weak, and either trivial or very specialized. Thus, we provide a theoretical foundation for designing non-trivial bandit algorithms, \ie algorithms that intentionally explore, which has been missing from the literature. Our general behavioral model can be interpreted as agents' optimism or pessimism. The matching positive results entail a maximal allowed amount of