Characterizing Responses to COVID-19 Vaccine Promotion on TikTok.

PURPOSE: The Alabama Department of Public Health (ADPH) sponsored a TikTok contest to improve vaccination rates among young people. This analysis sought to advance understanding of COVID-19 vaccine perceptions among ADPH contestants and TikTok commenters. APPROACH: This exploratory content analysis characterized sentiment and imagery in the TikTok videos and comments. Videos were coded by two reviewers and engagement metrics were collected for each video. SETTING: Publicly available TikTok videos entered into ADPH's contest with the hashtags #getvaccinatedAL and #ADPH between July 16 - August 6, 2021. PARTICIPANTS: ADPH contestants (n = 44) and TikTok comments (n = 502). METHOD: A content analysis was conducted; videos were coded by two reviewers and engagement metrics was collected for each video (e.g., reason for vaccination, content, type of vaccination received). Video comments were analyzed using VADER, a lexicon and rule-based sentiment analysis tool). RESULTS: Of 44 videos tagged with #getvaccinatedAL and #ADPH, 37 were related to the contest. Of the 37 videos, most cited family/friends and civic duty as their reason to get the COVID-19 vaccine. Videos were shared an average of 9 times and viewed 977 times. 70% of videos had comments, ranging from 0-61 (mean 44). Words used most in positively coded comments included, "beautiful," "smiling face emoji with 3 hearts," "masks," and "good.;" whereas words used most in negatively coded comments included "baby," "me," "chips," and "cold." CONCLUSION: Understanding COVID-19 vaccine sentiment expressed on social media platforms like TikTok can be a powerful tool and resource for public health messaging.

TikTok: An Opportunity for Antibiotic Education?

Health information and misinformation on social media have become a growing concern for the medical community. Antimicrobial resistance continues to advance, threatening public health and safety. TikTok, a popular social media platform, provides an avenue for providers to educate patients on clinical topics and medication use. As leaders in patient education and counseling, pharmacists are equipped to provide trustworthy information on TikTok and other platforms. Pharmacists can thus advance the practice of pharmacy and build rapport with patients through a new medium. Current health-related videos on TikTok have not been robustly evaluated for quality and reliability. This study evaluates antibiotic-related content from healthcare providers and non-healthcare providers on TikTok for balance, reliability, and quality using the DISCERN score. Introduction: Antimicrobial resistance is increasing at an alarming rate. Patient education is a critical component of both stewardship and combating health misinformation. TikTok is a video-sharing social media platform with 1 billion monthly users and contains videos that discuss health information. The objective of this study was to evaluate antibiotic-themed TikTok videos for their validity and reliability. Methods: In March 2021, a search on TikTok using the term "antibiotics" was performed and the top 300 consecutive videos were identified. The following data was collected for each video: number of likes, associated disease state, medications, educational aim, mention of COVID-19, and if performed by a healthcare professional (HCP). Non-English language videos were excluded. The DISCERN score was used to evaluate all videos for reliability. Chi-square and Mann-Whitney U were used for statistical analysis. A p-value less than .05 was considered statistically significant. Results: The first 300 consecutive videos were assessed using the DISCERN score for validity. Of the 300 videos, the majority (n=224) were created by non-health care professionals (non-HCPs). The number of "likes" per video ranged from 1 like to 2 million likes with a mean of 34,949 ± 143,482. Videos produced by HCPs were significantly more valid and reliable (mean DISCERN score of 1.65 vs 1.17, p <0.00001) than non-HCPs. They were found to be more relevant (p<0.00001), have clearer aims (p<0.00001), and were more balanced/unbiased (p=0.00188). Videos created by HCPs were more likely to have an educational focus (p<0.0001). There was no difference between groups in clarity of sources utilized or risk/benefits discussed of each treatment. Across all videos, the most common disease states mentioned were urinary tract infection, skin and soft tissue infection, upper respiratory tract infection, and dental infection. Herbal or supplement products, penicillins, and sulfa antibiotics were the most commonly discussed medications. Conclusions: Videos created by HCPs were significantly more valid and reliable than those created by non-HCPs. The videos created by HCPs were also more likely to have clear aims and be more relevant. However, the majority of the videos evaluated were created by non-HCPs. It may be beneficial for HCPs to provide informative TikTok videos that are valid and reliable for patient education.

TikTok Influence on Rates of Tonsillectomies for Tonsil Stones.

INTRODUCTION: Tonsillectomy is one of the most common otolaryngologic surgeries and is increasingly being performed for the management of tonsil stones or tonsilloliths. Incidentally, over the years, tonsilloliths have become a popular topic on the social media platform TikTok (ByteDance, Beijing, China) and we propose that this may be influencing the trends of tonsillectomies for tonsil stones.  Objectives: We aim to assess rates of outpatient visits and tonsillectomies for tonsil stones at our institution as well as analyze videos on TikTok regarding tonsil stones. METHODS: A retrospective chart query was performed. Data including the number of patient encounters per month with a diagnosis code of tonsilloliths were collected from July 2016 to December 2021. The number of TikTok videos under the search result "tonsil stones" and the content of these videos were reviewed. RESULTS: There were 126 patients seeking evaluation for tonsil stones with an average age of 33.4 years, and 76% were females. The number of patients who underwent a tonsillectomy for tonsil stones increased from two in the first full year of collection in 2017 to 13 in 2021. Similarly, the average number of patients presenting for tonsil stone evaluation per month increased steadily from 1.0 in 2017 to 3.3 in 2021. TikTok video content under the search result "tonsil stones" varied and the number of videos on this topic has increased in recent years. CONCLUSION: Rates of patients seeking tonsillectomy for tonsil stones increased from 2016 to 2021 in conjunction with the rising popularity of TikTok. Given the numerous TikTok videos featuring tonsil stones, we believe that this social media platform may be influencing the number of patients seeking evaluation for tonsil stones. This data may be used to understand future influence patterns of social media posts on healthcare consumer behavior and patient care practices.

Systems and selves: An exploratory examination of dissociative identity disorder on TikTok

In 2020, in the midst of COVID-19 related social distancing, the relatively new social media platform, TikTok, burgeoned in popularity. One somewhat surprising topic area that rose to prominence on the platform during this time was dissociative identity disorder (DID). Some researchers and clinicians expressed concern that the proliferation of DID content on the platform may have contributed to a marked increase in individuals presenting with DID and related symptoms. However, given that the relationship between DID and the media has historically been fraught with skepticism, as well as recent work by Christensen (2022) highlighting the development of Plural cultures online, it is critical to better understand DID on TikTok before passing such judgements. This study presents the first examination of the DID TikTok community through a descriptive analysis of 325 user signatures. Using a combination of qualitative codebook thematic analysis and quantitative content analysis, this project maps the contours of the community and centers the creative identity work that individuals within this community appear to undertake. We identified the following three themes within this sample of signatures: (a) Describing DID (with System Architectures, Diagnostic Authenticity, and Being Plural as subthemes), (b) Establishing Boundaries, and (c) Labeling Intersecting Identities. In addition to providing insights into DID TikTok, this study offers a methodological contribution by modeling one way of scaling rigorous qualitative analysis for social media platforms by using quantitative content analysis to complement qualitative methods. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Marketing communication education in developing countries: Post-pandemic insights from India and South Africa

In two developing nations, technology enhanced marketing communication education in the classroom, both during and after the COVID-19 pandemic. However, in what ways did enhancement occur, and to what ends? This research examines the reasons for and impacts of digitalisation on academic delivery of marketing communication education across two BRICS nations: South Africa and India. We use a comparative, narrative-based approach that challenges the ways that marketing communication educators often describe the significant teaching and learning agencies and incidents involving the place of technology in classroom learning. We show how the concepts of technological augmentation and paradox, the `TikTok effect´, and symbiotic pedagogies explain and help present a post-pandemic theory of marketing communication education in developing nations. We highlight the active learning and student-centred learning styles as symbiotic pedagogies that were regarded as best practice. Our findings show that educators were able to skilfully move across both styles depending on student need and skills required. We discuss how educators' flexibility across contexts allowed them to maintain best practice technology-mediated teaching and learning strategies during the pandemic. © 2023 Informa UK Limited, trading as Taylor & Francis Group.

Displaying intergenerational solidarity on TikTok during the COVID-19 pandemic: understanding the implications in the grandparent-grandchild relationship

The habits of families are affected during the COVID-19 pandemic, with limitations to socialization or visits. Grandparents and grandchildren use social media to sustain interpersonal relationships, as well as display intergenerational solidarity to others. This paper presents a qualitative content analysis of the display of different dimensions of intergenerational solidarity between grandparents and grandchildren during the COVID-19 pandemic in 2020, on TikTok. The analysis extends the understanding of intergenerational solidarity between grandparents and grandchildren on TikTok, by highlighting which characteristics or activities they find important to display to other users of the platform. The results suggest that grandparents and grandchildren value qualities of physical touch and family celebrations (i.e. affectual solidarity), and big life events (i.e. normative solidarity). Moreover, grandparents and grandchildren refrain from consensual solidarity on TikTok, but other categories of intergenerational solidarity provide clues to differences in the public display of their respective roles. [ FROM AUTHOR] Copyright of Journal of Family Studies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

How TikTok served as a platform for young people to share and cope with lived COVID-19 experiences

The short-video app TikTok saw a large increase in usage during the COVID-19 lockdown because it provided entertainment, distraction, and social interaction based on video content engagement. We present results from an interview study with 28 U.S. TikTok users on how they shared and engaged with lived pandemic experiences on TikTok to cope with and socialize after the U.S. imposed its first lockdown. Participants had already established TikTok as a peer community platform on which sharing lived experiences felt appropriate. Due to COVID-19 restrictions, participants started to look for TikTok videos of shared lived pandemic experiences to interact with others when physical interaction was made impossible. We find that TikTok videos facilitated communication and parasocial interaction based on known audiovisual styles. Participants were able to communicate through video creation based on shared ways of presenting short-video content during COVID-19 physical distancing. © 2023 The authors.

Sentiment Impact of Public Health Agency communication Strategies on TikTok under COVID-19 Normalization: Deep Learning Exploration.

Aim: The accessibility of social media data has allowed researchers to measure official-public interactions during COVID-19. However, previous work analyzing official posts or public comments has failed to explore the link between the two. Therefore, this study investigates the relationship between the communication strategies of public health agencies (PHAs) on TikTok and public emotional/sentiment tendencies in COVID-19 normalization. Subject and methods: This study uses the 2022 Shanghai city closure event as a public health communication case study in the context of COVID-19 normalization, using TikTok as a data source. We first analyze the communication strategies adopted by the PHA based on the Crisis and Emergency Risk Communication (CERC) model. Then, we classify the sentiment of public comments using the Large-Scale Knowledge Enhanced Pre-Training for Language Understanding and Generation (ERNIE) pre-training model. Finally, we explore the connection between PHA communication strategies and public sentiment tendencies. Results: First, the public's sentiment tendencies differ at different stages. Therefore, appropriate communication strategies should be developed stage-by-stage. Second, the public's emotional disposition to different communication strategies varies: government statements, vaccines, and prevention and control programs are more likely to produce a friendly comment environment, while policy and new cases per day are more likely to produce unfavorable comment content. However, this does not mean that policy and new cases per day should be avoided; the judicious use of these two strategies can help PHAs understand the current issues causing public dissatisfaction. Third, videos with celebrity appearances can significantly increase positive public sentiment and, thereby, public participation. Conclusion: We propose an improved CERC guideline for China based on the Shanghai lockdown case.

Exploring the vaccine conversation on TikTok in Italy: beyond classic vaccine stances.

TikTok, a social media platform for creating and sharing short videos, has seen a surge in popularity during the COVID-19 pandemic. To analyse the Italian vaccine conversation on TikTok, we downloaded a sample of videos with a high play count (Top Videos), identified through an unofficial Application Programming Interface (consistent with TikTok's Terms of Service), and collected public videos from vaccine sceptic users through snowball sampling (Vaccine Sceptics' videos). The videos were analysed using qualitative and quantitative methods, in terms of vaccine stance, tone of voice, topic, conformity with TikTok style, and other characteristics. The final datasets consisted of 754 Top Videos (by 510 single users) plus 180 Vaccine Sceptics' videos (by 29 single users), posted between January 2020 and March 2021. In 40.5% of the Top Videos the stance was promotional, 33.9% were indefinite-ironic, 11.3% were neutral, 9.7% were discouraging, and 3.1% were ambiguous (i.e. expressing an ambivalent stance towards vaccines); 43% of promotional videos were from healthcare professionals. More than 95% of the Vaccine Sceptic videos were discouraging. Multiple correspondence analysis showed that, compared to other stances, promotional videos were more frequently created by healthcare professionals and by females, and their most frequent topic was herd immunity. Discouraging videos were associated with a polemical tone of voice and their topics were conspiracy and freedom of choice. Our analysis shows that Italian vaccine-sceptic users on TikTok are limited in number and vocality, and the large proportion of videos with an indefinite-ironic stance might imply that the incidence of affective polarisation could be lower on TikTok, compared to other social media, in the Italian context. Safety is the most frequent concern of users, and we recorded an interesting presence of healthcare professionals among the creators. TikTok should be considered as a medium for vaccine communication and for vaccine promotion campaigns.

Editorial: Science Communication in the Digital Age—New Actors, Environments, and Practices

Digitalization challenges science communication in theoretical as well as methodological ways. It raises questions on how scientists, organizations, and institutions, as well as citizens and actors from other fields communicate about science and how science communication affects politics and the public. This thematic issue presents a collection of articles attempt-ing to tackle digitalization's challenge for science communication research. In this editorial, we provide a short overview of the included articles. Additionally, we outline some future avenues that research could follow to examine further the implications that digital channels could have for science communication. © 2023 by the author(s);licensee Cogitatio Press (Lisbon, Portugal).

Innovation in information services in libraries: Tik-Tok as a digital positioning proposal

The objective of this study is to propose usage strategies to effect a greater engagement of libraries in the social network TikTok, observing this platform as a potentially innovative tool. This is a study based on a descriptive and exploratory research with a qualitative approach, with a survey of research and experience reports in scientific databases about the use of TikTok in libraries, as well as the collection of profiles in the social network itself. The results observed identified a still expanding scenario of libraries in the strategic use of TikTok specifically directed to marketing and digital positioning. That said, a proposal for planning the strategic use of TikTok focused on improving the digital positioning of libraries on the social network was developed, based on three aspects: good practices of use, tactics for influencer marketing, and support-ing digital tools. It was concluded that TikTok offers a range of possibilities for innovation in social media, being necessary that libraries start to use this platform as a resource for the optimization of their digital positioning in relation to the user, having in mind, mainly, the social and technological changes that are being re-modeled from the Covid-19 pandemic. © 2023, Universidad Nacional Autonoma de Mexico. All rights reserved.

A case study exploring how K-12 students learn to use social media for civic good

This case study explores what K-12 students learn from a 13-week class activity about attracting attention to civic issues on social media. This research responds to calls by scholars of civic education to expand notions of civic engagement and digital citizenship, which often have focused on urging students to protect their reputations in digital spaces. In contrast, the learning activity examined here encourages community-oriented digital citizenship, preparing students to inform and possibly empower social change. This study is grounded in Cognitive Flexibility Theory, which focuses on learning in ill-structured domains such as public social media. Further, the study builds on the increasingly popular idea of the Fifth Estate, which posits that people acting in civic ways in public spaces can be a powerful check on government, playing a role similar to that of journalism institutions, sometimes referred to as the Fourth Estate. Data collected in this study included a pre-survey, a written reflection and post interviews with 4 students as well as artifacts such as social media posts. Students employed two main strategies to draw attention to civic issues on social media: audience-signaling and networking. Further, students learned to seek credible and diverse information using class accounts on TikTok, Instagram, and Twitter. Finally, students offered definitions of digital citizenship and shared thoughts about how schools should teach it via social media. This study fills a gap in the research literature about K-12 teaching with social media;few prior studies take advantage of social media's affordance as a bridge between the classroom and communities outside the school. This study also illuminates learning as schools globally moved online in response to the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Utilizing the tool of tiktok in medicine, public health, and medical education

The branch of medicine continues to expand with each day and it becomes a major challenge for the physicians to stay abreast with the developments. The purpose of the current review is to explore the role of the TikTok application in improving medical education and healthcare delivery services. An extensive search of all materials related to the topic was carried out on the PubMed search engine between April 20, 2022 and May 24, 2022, and a total of 49 articles were selected based upon their suitability with the current review objectives. As single search engine was used, there were no duplication and search was performed by a single investigator. The inclusion criteria included availability of complete version of the articles and those articles published in only English language. Keywords used in the search include TikTok and medicine in the title alone only (viz. TikTok [ti] AND medical education [ti];TikTok [ti] AND content [ti];TikTok [ti] AND COVID-19 [ti];TikTok [ti] AND misinformation [ti];TikTok [ti] AND video [ti];TikTok [ti]). It was a non-funded study and the review was not registered. TikTok has emerged as one of the very popular video sharing applications, and has been extensively used to share videos pertaining to medicine, and public health-related topics. The application has been used in different parts of the world to post content pertaining to coronavirus disease 2019 (COVID-19), handwashing, promotion of community engagement, nutrition, vaccine, autism, climate health, eating disorders, stress & anxiety, etc. Like any other social media application, even TikTok has its share of constraints, and these need to be carefully dealt with to enhance the overall effectiveness of the app. To conclude, the TikTok application has brought about significant reforms in social media networking. However, considering the fact that the application appeals to users from all streams, it is the need of the hour to explore and use the app for augmenting the healthcare delivery, improve management of public health problems, and facilitate better delivery of medical education. © 2022 Heart and Mind ;Published by Wolters Kluwer - Medknow.

Assessing the quality of COVID-19 vaccine videos on video-sharing platforms.

BACKGROUND: Video-sharing platforms are a common source for health information such as Coronavirus Disease 2019 (COVID-19) vaccines. It is important that they provide good quality, evidence-based information. However, to date, the quality of information surrounding COVID-19 vaccines on video-sharing platforms has not been established. OBJECTIVE: This study developed an assessment tool to evaluate the quality of Coronavirus Disease 2019 (COVID-19) vaccine videos on YouTube, Facebook Watch and TikTok. METHODS: Assessment of quality was based on understandability, actionability, accuracy, comprehensiveness and reliability. Videos were searched using the keywords "COVID-19 vaccine", "Coronavirus vaccine" and "SARS-CoV-2 vaccine". Seventy-two videos were evaluated. Descriptive statistics, Kruskal-Wallis and Wilcoxon-rank sum tests were used for analysis. RESULTS: YouTube had the highest median composite score compared to TikTok (36.8% versus 27.5%, p = 0.001). YouTube also had the highest median reliability score (37.5%), but those of Facebook Watch (35.0%) and TikTok (35.0%) were only marginally lower. Median accuracy scores of all platforms were 100%, but their median comprehensiveness scores were low (YouTube 12.5%; Facebook Watch 6.3%; TikTok 6.3%, p = 0.004). Median actionability scores (0%) were the lowest for all platforms. TikTok had the highest median understandability score compared to YouTube and Facebook Watch (96.9% versus 80.0 each, p < 0.001). CONCLUSION: The overall quality of videos on all video-sharing platforms were low. All platforms provided accurate COVID-19 vaccine information, but TikTok videos were the most understandable. Most videos did not provide full details about COVID-19 vaccines, thus viewers would need to watch several videos before making a better-informed decision.

#Coronavirus on TikTok: user engagement with misinformation as a potential threat to public health behavior.

Coronavirus disease (COVID)-related misinformation is prevalent online, including on social media. The purpose of this study was to explore factors associated with user engagement with COVID-related misinformation on the social media platform, TikTok. A sample of TikTok videos associated with the hashtag #coronavirus was downloaded on September 20, 2020. Misinformation was evaluated on a scale (low, medium, and high) using a codebook developed by experts in infectious diseases. Multivariable modeling was used to evaluate factors associated with number of views and presence of user comments indicating intention to change behavior. One hundred and sixty-six TikTok videos were identified and reviewed. Moderate misinformation was present in 36 (22%) videos viewed a median of 6.8 million times (interquartile range [IQR] 3.6-16 million), and high-level misinformation was present in 11 (7%) videos viewed a median of 9.4 million times (IQR 5.1-18 million). After controlling for characteristics and content, videos containing moderate misinformation were less likely to generate a user response indicating intended behavior change. By contrast, videos containing high-level misinformation were less likely to be viewed but demonstrated a nonsignificant trend towards higher engagement among viewers. COVID-related misinformation is less frequently viewed on TikTok but more likely to engage viewers. Public health authorities can combat misinformation on social media by posting informative content of their own.

#Climate Change on TikTok: A Content Analysis of Videos.

Current day youth have an important role in climate activism, as the decisions and policies made now will have long lasting impacts on the climate and sustainability. Climate change is becoming an increasing concern for younger generations. As such, the purpose of this study was to describe content related to climate change on TikTok. This study included 100 English-language videos related to climate change featured on TikTok. The hashtag #climatechange was chosen because it had the most views of any related hashtag at the time of the study. The number of views, comments, and likes were recorded for each video. Each video was also observed for the presence of predetermined content characteristics. The 100 videos sampled collectively received 205,551,200 views, 40, 203,400 likes, and 666,089 comments. Only eight of the 100 videos included information from a reputable source. Only three of the characteristics were featured in a majority (> 50) of the videos. These were, presents climate change as real (93), affected populations (76), and climate anxiety/frustration (57). Videos mentioning natural disasters garnered 63,453,100 (30.87%) views, 14,245,200 (35.43%) likes, and 236,493 (35.50%) comments. In all, 73 of the 100 videos mentioned at least one environmental impact. Videos including this theme earned 156,677,200 (76.22%) views, 32,000,700 (79.60%) likes, and 563,195 (84.55%) comments. Social media platforms such as TikTok are important tools for understanding popular opinion regarding public health issues such as global climate change. However, the presence of credible professionals is essential on platforms such as TikTok to increase the chances that messaging is as comprehensive as time allows, while also being scientifically sound.

From karaoke to lip-syncing: performance communities and TikTok use in Japan

This paper discusses the versatile use of TikTok among Japanese media users in the context of the platform's increased appeal during the COVID-19 pandemic. Japanese users have adopted global trends of sharing creative content under prominent hashtags to spread a sense of togetherness in a time of social isolation. As social forms of entertainment are disrupted and paused, the practice of singing and dancing on TikTok is substituted for the joy of singing in a karaoke bar. This study adopts a walkthrough method to provide an analysis of TikTok's sociotechnical affordances and employs a content analysis for close reading of users' videos and their accompanying captions and hashtags. The study reveals that the socialities previously afforded by karaoke cultures linger in TikTok song and idol dance challenges and duets, hashtag initiatives mimicking karaoke practices, and users' endeavours to become ‘TikTok famous'. © The Author(s) 2022.

Introduction to the Media International Australia special issue on "TikTok cultures in the Asia Pacific”

The editors of this Feature Topic are founding members of the TikTok Cultures Research Network that focuses on culturally-situated and qualitatively-grounded scholarship on TikTok in the Asia Pacific region. This Feature Topic collection for Media International Australia is our second in a string of Special Issues on TikTok, each primed to interrogate the platform from different scholarly vantage points while remaining committed to surfacing, highlighting, and strengthening research from, by, and about contexts in the margins. In this Feature Topic issue, we focus on the Asia Pacific region to understand the socio-cultural impacts, creative circumventions, and agentic employments of TikTok since its installation. Given the timing of symposium and intellectual inquiries, these studies have also naturally considered the cascading impacts and consequences of the COVID-19 pandemic on platform use, meaning making, and the habitable spaces we make for ourselves and for each other in times of crisis. © The Author(s) 2022.

Tiktoking COVID-19 with frontline workers.

Introduction/Objective: During the COVID-19 pandemic, frontline workers have taken to social media platforms to discuss a variety of issues that concern their personal and professional lives. In particular, TikTok's increased prominence as a social media channel has proved significant for enhancing the public presence of healthcare workers and their ability to disseminate content to a wider audience. The ways that healthcare workers use TikTok draws attention to the type of health information disseminated to the public through social media platforms. This provides the public with succinct and often visually entertaining information that may not be otherwise distributed to them directly from elsewhere. This study also provides relevant insights into how social media-TikTok in particular-can be used as a tool for disseminating knowledge about COVID-19 related topics and combatting misinformation by using the credibility of frontline workers. Methods: This study collected a sample of over 2100 TikTok videos posted by healthcare workers that were coded according to the dominant overarching themes. Results: The themes that arose from this sample were: (1) healthcare workers' mental health and working conditions, (2) healthcare heroes/appreciation, (3) criticism against official authorities, (4) countering misinformation, (5) humor/satire, and (6) educational content. Conclusion: Due to the rise in public appreciation for frontline workers, examining the effects of the pandemic through the eyes of frontline workers has drawn attention to their lived realities in various forms. This study provided some insight into how frontline workers use TikTok to disseminate information and education to the public, often relying on their perceived credibility.

Filipinos' COVID-19 vaccine hesitancy comments in TikTok videos: A manifest content analysis.

OBJECTIVES: Vaccine hesitancy is one of the top 10 threats to world health. The ongoing pandemic highlighted this health threat. The COVID-19 vaccine hesitancy remains underreported in the Philippines. Thus, this study aimed to describe and analyze the comments of Filipinos in TikTok videos about COVID-19 vaccine hesitancy. DESIGN: Manifest content analysis. SAMPLE: A total of 25 TikTok videos and their comments (n = 4564) were analyzed. METHODS: We collected data between July 2021 and October 2021. Bengtsson's approach to content analysis was utilized to analyze the data. Data were validated using member-checking and intercoder reliability. RESULTS: This study afforded three themes of COVID-19 vaccine hesitancy: (a) fear and mistrust (subthemes: influence of Dengvaxia vaccine, the influence of people who refuse to be vaccinated, lack of trust in the government, lack of trust in healthcare workers, doubts on vaccines' effectiveness), (b) misinformation and disinformation (subthemes: misbeliefs, insufficient knowledge), and (c) adamant attitudes (subthemes: unwillingness to be vaccinated, picky on vaccine brand). CONCLUSION: Our study established Filipinos' diverse reasons for COVID-19 vaccine hesitancy. TikTok, as a social media platform, is used for COVID-19 vaccine discussions and the dissemination of misinformation. To prepare for the next pandemic or public health disaster, the government, HCWs, and the public must efficiently convey timely, accurate health information and dispel misinformation on social media platforms.