A Sentiment Analysis of Breast Cancer Treatment Experiences and Healthcare Perceptions Across Twitter

Background: Social media has the capacity to afford the healthcare industry with valuable feedback from patients who reveal and express their medical decision-making process, as well as self-reported quality of life indicators both during and post treatment. In prior work, [Crannell et. al.], we have studied an active cancer patient population on Twitter and compiled a set of tweets describing their experience with this disease. We refer to these online public testimonies as "Invisible Patient Reported Outcomes" (iPROs), because they carry relevant indicators, yet are difficult to capture by conventional means of self-report. Methods: Our present study aims to identify tweets related to the patient experience as an additional informative tool for monitoring public health. Using Twitter's public streaming API, we compiled over 5.3 million "breast cancer" related tweets spanning September 2016 until mid December 2017. We combined supervised machine learning methods with natural language processing to sift tweets relevant to breast cancer patient experiences. We analyzed a sample of 845 breast cancer patient and survivor accounts, responsible for over 48,000 posts. We investigated tweet content with a hedonometric sentiment analysis to quantitatively extract emotionally charged topics. Results: We found that positive experiences were shared regarding patient treatment, raising support, and spreading awareness. Further discussions related to healthcare were prevalent and largely negative focusing on fear of political legislation that could result in loss of coverage. Conclusions: Social media can provide a positive outlet for patients to discuss their needs and concerns regarding their healthcare coverage and treatment needs. Capturing iPROs from online communication can help inform healthcare professionals and lead to more connected and personalized treatment regimens.

Sifting Robotic from Organic Text: A Natural Language Approach for Detecting Automation on Twitter

Twitter, a popular social media outlet, has evolved into a vast source of linguistic data, rich with opinion, sentiment, and discussion. Due to the increasing popularity of Twitter, its perceived potential for exerting social influence has led to the rise of a diverse community of automatons, commonly referred to as bots. These inorganic and semi-organic Twitter entities can range from the benevolent (e.g., weather-update bots, help-wanted-alert bots) to the malevolent (e.g., spamming messages, advertisements, or radical opinions). Existing detection algorithms typically leverage meta-data (time between tweets, number of followers, etc.) to identify robotic accounts. Here, we present a powerful classification scheme that exclusively uses the natural language text from organic users to provide a criterion for identifying accounts posting automated messages. Since the classifier operates on text alone, it is flexible and may be applied to any textual data beyond the Twitter-sphere.