Adaptation and Dissemination of a National Cancer Institute HPV Vaccine Evidence-Based Cancer Control Program to the Social Media Messaging Environment.

Social media offers a unique opportunity to widely disseminate HPV vaccine messaging to reach youth and parents, given the information channel has become mainstream with 330 million monthly users in the United States and 4.2 billion users worldwide. Yet, a gap remains on how to adapt evidence-based vaccine interventions for the in vivo competitive social media messaging environment and what strategies to employ to make vaccine messages go viral. Push-pull and RE-AIM dissemination frameworks guided our adaptation of a National Cancer Institute video-based HPV vaccine cancer control program, the HPV Vaccine Decision Narratives, for the social media environment. We also aimed to understand how dissemination might differ across three platforms, namely Instagram, TikTok, and Twitter, to increase reach and engagement. Centering theory and a question-answer framework guided the adaptation process of segmenting vaccine decision story videos into shorter coherent segments for social media. Twelve strategies were implemented over 4 months to build a following and disseminate the intervention. The evaluation showed that all platforms increased following, but Instagram and TikTok outperformed Twitter on impressions, followers, engagement, and reach metrics. Although TikTok increased reach the most (unique accounts that viewed content), Instagram increased followers, engagement, and impressions the most. For Instagram, the top performer, six of 12 strategies contributed to increasing reach, including the use of videos, more than 11 hashtags, COVID-19 hashtags, mentions, and follow-for-follow strategies. This observational social media study identified dissemination strategies that significantly increased the reach of vaccine messages in a real-world competitive social media messaging environment. Engagement presented greater challenges. Results inform the planning and adaptation considerations necessary for transforming public health HPV vaccine interventions for social media environments, with unique considerations depending on the platform.

Scaling up the discovery of hesitancy profiles by identifying the framing of beliefs towards vaccine confidence in Twitter discourse.

Our study focused on the discovery of how vaccine hesitancy is framed in Twitter discourse, allowing us to recognize at-scale all tweets that evoke any of the hesitancy framings as well as the stance of the tweet authors towards the frame. By categorizing the hesitancy framings that propagate misinformation, address issues of trust in vaccines, or highlight moral issues or civil rights, we were able to empirically recognize their ontological commitments. Ontological commitments of vaccine hesitancy framings couples with the stance of tweet authors allowed us to identify hesitancy profiles for two most controversial yet effective and underutilized vaccines for which there remains substantial reluctance among the public: the Human Papillomavirus and the COVID-19 vaccines. The discovered hesitancy profiles inform public health messaging approaches to effectively reach Twitter users with promise to shift or bolster vaccine attitudes.

Epidemic Question Answering: question generation and entailment for Answer Nugget discovery.

OBJECTIVE: The rapidly growing body of communications during the COVID-19 pandemic posed a challenge to information seekers, who struggled to find answers to their specific and changing information needs. We designed a Question Answering (QA) system capable of answering ad-hoc questions about the COVID-19 disease, its causal virus SARS-CoV-2, and the recommended response to the pandemic. MATERIALS AND METHODS: The QA system incorporates, in addition to relevance models, automatic generation of questions from relevant sentences. We relied on entailment between questions for (1) pinpointing answers and (2) selecting novel answers early in the list of its results. RESULTS: The QA system produced state-of-the-art results when processing questions asked by experts (eg, researchers, scientists, or clinicians) and competitive results when processing questions asked by consumers of health information. Although state-of-the-art models for question generation and question entailment were used, more than half of the answers were missed, due to the limitations of the relevance models employed. DISCUSSION: Although question entailment enabled by automatic question generation is the cornerstone of our QA system's architecture, question entailment did not prove to always be reliable or sufficient in ranking the answers. Question entailment should be enhanced with additional inferential capabilities. CONCLUSION: The QA system presented in this article produced state-of-the-art results processing expert questions and competitive results processing consumer questions. Improvements should be considered by using better relevance models and enhanced inference methods. Moreover, experts and consumers have different answer expectations, which should be accounted for in future QA development.

Adaptation and Dissemination of a National Cancer Institute HPV Vaccine Evidence-Based Cancer Control Program to the Social Media Messaging Environment

Social media offers a unique opportunity to widely disseminate HPV vaccine messaging to reach youth and parents, given the information channel has become mainstream with 330 million monthly users in the United States and 4.2 billion users worldwide. Yet, a gap remains on how to adapt evidence-based vaccine interventions for the in vivo competitive social media messaging environment and what strategies to employ to make vaccine messages go viral. Push-pull and RE-AIM dissemination frameworks guided our adaptation of a National Cancer Institute video-based HPV vaccine cancer control program, the HPV Vaccine Decision Narratives, for the social media environment. We also aimed to understand how dissemination might differ across three platforms, namely Instagram, TikTok, and Twitter, to increase reach and engagement. Centering theory and a question-answer framework guided the adaptation process of segmenting vaccine decision story videos into shorter coherent segments for social media. Twelve strategies were implemented over 4 months to build a following and disseminate the intervention. The evaluation showed that all platforms increased following, but Instagram and TikTok outperformed Twitter on impressions, followers, engagement, and reach metrics. Although TikTok increased reach the most (unique accounts that viewed content), Instagram increased followers, engagement, and impressions the most. For Instagram, the top performer, six of 12 strategies contributed to increasing reach, including the use of videos, more than 11 hashtags, COVID-19 hashtags, mentions, and follow-for-follow strategies. This observational social media study identified dissemination strategies that significantly increased the reach of vaccine messages in a real-world competitive social media messaging environment. Engagement presented greater challenges. Results inform the planning and adaptation considerations necessary for transforming public health HPV vaccine interventions for social media environments, with unique considerations depending on the platform.

Automatic detection of COVID-19 vaccine misinformation with graph link prediction.

Enormous hope in the efficacy of vaccines became recently a successful reality in the fight against the COVID-19 pandemic. However, vaccine hesitancy, fueled by exposure to social media misinformation about COVID-19 vaccines became a major hurdle. Therefore, it is essential to automatically detect where misinformation about COVID-19 vaccines on social media is spread and what kind of misinformation is discussed, such that inoculation interventions can be delivered at the right time and in the right place, in addition to interventions designed to address vaccine hesitancy. This paper is addressing the first step in tackling hesitancy against COVID-19 vaccines, namely the automatic detection of known misinformation about the vaccines on Twitter, the social media platform that has the highest volume of conversations about COVID-19 and its vaccines. We present CoVaxLies, a new dataset of tweets judged relevant to several misinformation targets about COVID-19 vaccines on which a novel method of detecting misinformation was developed. Our method organizes CoVaxLies in a Misinformation Knowledge Graph as it casts misinformation detection as a graph link prediction problem. The misinformation detection method detailed in this paper takes advantage of the link scoring functions provided by several knowledge embedding methods. The experimental results demonstrate the superiority of this method when compared with classification-based methods, widely used currently.