Publicaciones científicas

Eating Disorder Awareness Campaigns: Thematic and Quantitative Analysis Using Twitter

14-jul-2020 | Revista: Journal of Medical Internet Research

Iranzu Viguria # (1) , Miguel Angel Alvarez-Mon #  (1, 2, 3) , Maria Llavero-Valero  (4) , Angel Asunsolo Del Barco  (5) , Felipe Ortuño  (1) , Melchor Alvarez-Mon  (2, 6, 7)

(1) Department of Psychiatry and Medical Psychology, Clinica Universidad de Navarra, Pamplona, Spain.
(2) Department of Medicine and Medical Specialities, University of Alcala, Alcalá de Henares, Spain.
(3) Department of Psychiatry and Medical Psychology, Hospital Universitario Infanta Leonor, Madrid, Spain.
(4) Department of Endocrinology and Nutrition, Clinica Universidad de Navarra, Pamplona, Spain.
(5) Department of Surgery, Medical and Social Sciences, University of Alcala, Madrid, Spain.
(6) Internal Medicine and Immune System Diseases-Rheumatology Service, University Hospital Príncipe de Asturias, Alcala de Henares, Spain.
(7) Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Instituto Ramón y Cajal de Investigaciones Sanitarias, Madrid, Spain.
# Contributed equally.


Background: Health awareness initiatives are frequent but their efficacy is a matter of controversy. We have investigated the effect of the Eating Disorder Awareness Week and Wake Up Weight Watchers campaigns on Twitter.

Objective: We aimed to examine whether the Eating Disorder Awareness Week and Wake Up Weight Watchers initiatives increased the volume and dissemination of Twitter conversations related to eating disorders and investigate what content generates the most interest on Twitter.

Methods: Over a period of 12 consecutive days in 2018, we collected tweets containing the hashtag #wakeupweightwatchers and hashtags related to Eating Disorder Awareness Week (#eatingdisorderawarenessweek, #eatingdisorderawareness, or #EDAW), with the hashtag #eatingdisorder as a control. The content of each tweet was rated as medical, testimony, help offer, awareness, pro-ana, or anti-ana. We analyzed the number of retweets and favorites generated, as well as the potential reach and impact of the hashtags and the characteristics of contributors.

Results: The number of #wakeupweightwatchers tweets was higher than that of Eating Disorder Awareness Week and #eatingdisorder tweets (3900, 2056, and 1057, respectively).

The content of tweets was significantly different between the hashtags analyzed (P<.001). Medical content was lower in the awareness campaigns. Awareness and help offer content were lower in #wakeupweightwatchers tweets. Retweet and favorite ratios were highest in #wakeupweightwatchers tweets. Eating Disorder Awareness Week achieved the highest impact, and very influential contributors participated.

Conclusions: Both awareness campaigns effectively promoted tweeting about eating disorders. The majority of tweets did not promote any specific preventive or help-seeking behaviors.

CITA DEL ARTÍCULO  J Med Internet Res. 2020 Jul 14;22(7):e17626.  doi: 10.2196/17626

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