State and Federal Legislators' Responses on Social Media to the Mental Health and Burnout of Health Care Workers Throughout the COVID-19 Pandemic: Natural Language Processing and Sentiment Analysis.
COVID-19
Twitter
burnout
content analysis
health care workforce
healthcare worker
healthcare workforce
infodemiology
legislator
mental health
mental well-being
policy
policy maker
psychological distress
social media
thematic analysis
wellness
Journal
JMIR infodemiology
ISSN: 2564-1891
Titre abrégé: JMIR Infodemiology
Pays: Canada
ID NLM: 9918249014806676
Informations de publication
Date de publication:
2023
2023
Historique:
received:
12
04
2022
revised:
26
01
2023
accepted:
10
02
2023
medline:
5
4
2023
entrez:
4
4
2023
pubmed:
5
4
2023
Statut:
epublish
Résumé
Burnout and the mental health burden of the COVID-19 pandemic have disproportionately impacted health care workers. The links between state policies, federal regulations, COVID-19 case counts, strains on health care systems, and the mental health of health care workers continue to evolve. The language used by state and federal legislators in public-facing venues such as social media is important, as it impacts public opinion and behavior, and it also reflects current policy-leader opinions and planned legislation. The objective of this study was to examine legislators' social media content on Twitter and Facebook throughout the COVID-19 pandemic to thematically characterize policy makers' attitudes and perspectives related to mental health and burnout in the health care workforce. Legislators' social media posts about mental health and burnout in the health care workforce were collected from January 2020 to November 2021 using Quorum, a digital database of policy-related documents. The total number of relevant social media posts per state legislator per calendar month was calculated and compared with COVID-19 case volume. Differences between themes expressed in Democratic and Republican posts were estimated using the Pearson chi-square test. Words within social media posts most associated with each political party were determined. Machine-learning was used to evaluate naturally occurring themes in the burnout- and mental health-related social media posts. A total of 4165 social media posts (1400 tweets and 2765 Facebook posts) were generated by 2047 unique state and federal legislators and 38 government entities. The majority of posts (n=2319, 55.68%) were generated by Democrats, followed by Republicans (n=1600, 40.34%). Among both parties, the volume of burnout-related posts was greatest during the initial COVID-19 surge. However, there was significant variation in the themes expressed by the 2 major political parties. Themes most correlated with Democratic posts were (1) frontline care and burnout, (2) vaccines, (3) COVID-19 outbreaks, and (4) mental health services. Themes most correlated with Republican social media posts were (1) legislation, (2) call for local action, (3) government support, and (4) health care worker testing and mental health. State and federal legislators use social media to share opinions and thoughts on key topics, including burnout and mental health strain among health care workers. Variations in the volume of posts indicated that a focus on burnout and the mental health of the health care workforce existed early in the pandemic but has waned. Significant differences emerged in the content posted by the 2 major US political parties, underscoring how each prioritized different aspects of the crisis.
Sections du résumé
Background
UNASSIGNED
Burnout and the mental health burden of the COVID-19 pandemic have disproportionately impacted health care workers. The links between state policies, federal regulations, COVID-19 case counts, strains on health care systems, and the mental health of health care workers continue to evolve. The language used by state and federal legislators in public-facing venues such as social media is important, as it impacts public opinion and behavior, and it also reflects current policy-leader opinions and planned legislation.
Objective
UNASSIGNED
The objective of this study was to examine legislators' social media content on Twitter and Facebook throughout the COVID-19 pandemic to thematically characterize policy makers' attitudes and perspectives related to mental health and burnout in the health care workforce.
Methods
UNASSIGNED
Legislators' social media posts about mental health and burnout in the health care workforce were collected from January 2020 to November 2021 using Quorum, a digital database of policy-related documents. The total number of relevant social media posts per state legislator per calendar month was calculated and compared with COVID-19 case volume. Differences between themes expressed in Democratic and Republican posts were estimated using the Pearson chi-square test. Words within social media posts most associated with each political party were determined. Machine-learning was used to evaluate naturally occurring themes in the burnout- and mental health-related social media posts.
Results
UNASSIGNED
A total of 4165 social media posts (1400 tweets and 2765 Facebook posts) were generated by 2047 unique state and federal legislators and 38 government entities. The majority of posts (n=2319, 55.68%) were generated by Democrats, followed by Republicans (n=1600, 40.34%). Among both parties, the volume of burnout-related posts was greatest during the initial COVID-19 surge. However, there was significant variation in the themes expressed by the 2 major political parties. Themes most correlated with Democratic posts were (1) frontline care and burnout, (2) vaccines, (3) COVID-19 outbreaks, and (4) mental health services. Themes most correlated with Republican social media posts were (1) legislation, (2) call for local action, (3) government support, and (4) health care worker testing and mental health.
Conclusions
UNASSIGNED
State and federal legislators use social media to share opinions and thoughts on key topics, including burnout and mental health strain among health care workers. Variations in the volume of posts indicated that a focus on burnout and the mental health of the health care workforce existed early in the pandemic but has waned. Significant differences emerged in the content posted by the 2 major US political parties, underscoring how each prioritized different aspects of the crisis.
Identifiants
pubmed: 37013000
doi: 10.2196/38676
pii: v3i1e38676
pmc: PMC10007003
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e38676Subventions
Organisme : NHLBI NIH HHS
ID : K24 HL157621
Pays : United States
Informations de copyright
©Matthew P Abrams, Arthur P Pelullo, Zachary F Meisel, Raina M Merchant, Jonathan Purtle, Anish K Agarwal. Originally published in JMIR Infodemiology (https://infodemiology.jmir.org), 24.02.2023.
Déclaration de conflit d'intérêts
Conflicts of Interest: None declared.
Références
EClinicalMedicine. 2021 May 16;35:100879
pubmed: 34041456
Health Aff (Millwood). 2016 Apr;35(4):697-705
pubmed: 27044971
N Engl J Med. 2020 Apr 30;382(18):e41
pubmed: 32212516
Mo Med. 2019 May-Jun;116(3):211-216
pubmed: 31527944
Proc Natl Acad Sci U S A. 2020 Sep 29;117(39):24144-24153
pubmed: 32934147
Psychother Psychosom. 2020;89(4):252-254
pubmed: 32224612
Am Polit Sci Rev. 2019 Jul 12;113(4):883-901
pubmed: 33303996
J Med Internet Res. 2020 Dec 14;22(12):e21418
pubmed: 33284783
Arch Acad Emerg Med. 2020 Dec 10;9(1):e7
pubmed: 33490964
J Adv Nurs. 2021 Aug;77(8):3286-3302
pubmed: 33764561
Clin Soc Work J. 2021;49(4):495-504
pubmed: 33678920
Front Psychol. 2020 Aug 13;11:2065
pubmed: 32903586
J Gen Intern Med. 2021 May;36(5):1319-1326
pubmed: 33694071
J Psychiatr Res. 2021 Feb;134:158-165
pubmed: 33385634
Mo Med. 2021 Jan-Feb;118(1):7-12
pubmed: 33551470
Psychol Health Med. 2022 Oct;27(9):1907-1917
pubmed: 34407721
J Intern Med. 2018 Jun;283(6):516-529
pubmed: 29505159
J Public Health Policy. 2020 Dec;41(4):410-420
pubmed: 32826935
PLoS One. 2021 Apr 7;16(4):e0249596
pubmed: 33826646
Psychol Health Med. 2022 Aug;27(7):1563-1575
pubmed: 33861665
JAAPA. 2020 Jul;33(7):45-48
pubmed: 32590533
J Med Internet Res. 2021 Jun 3;23(6):e27300
pubmed: 33939620
Am J Nurs. 2021 Nov 1;121(11):24-36
pubmed: 34629376
J Med Internet Res. 2020 Oct 23;22(10):e22624
pubmed: 33006937
BMC Med. 2020 Jul 15;18(1):218
pubmed: 32664927
Int J Environ Res Public Health. 2021 Apr 20;18(8):
pubmed: 33924084
Am J Public Health. 2017 Jan;107(1):e1-e8
pubmed: 27854532
Am J Drug Alcohol Abuse. 2021 Jul 4;47(4):486-496
pubmed: 33909518
Front Psychol. 2021 May 25;12:645504
pubmed: 34113288
Am J Emerg Med. 2021 Aug;46:700-702
pubmed: 33129643
J Med Internet Res. 2020 Apr 21;22(4):e19016
pubmed: 32287039
J Gen Intern Med. 2021 Nov;36(11):3373-3382
pubmed: 33782896
Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):241-247
pubmed: 32342698
J Gen Intern Med. 2020 Jun;35(6):1647-1653
pubmed: 31755009
Patient Educ Couns. 2022 Feb;105(2):432-439
pubmed: 34127334
Hum Vaccin Immunother. 2021 Sep 2;17(9):2868-2872
pubmed: 33970786
Clin Soc Work J. 2021;49(4):445-455
pubmed: 33456094