Public Opinions about Palliative and End-of-life Care during the COVID-19 Pandemic: A Twitter-based Study

BackgroundPalliative and end-of-life care (PEoLC) played a critical role in relieving distress and providing grief support in response to the heavy toll caused by the COVID-19 pandemic. However, little is known about public opinions concerning PEoLC during the pandemic. Given that social media have the potential to collect real-time public opinions, an analysis of this evidence is vital to guide future policy-making. ObjectiveThis study aimed to use social media data to investigate real-time public opinions regarding PEoLC during the COVID-19 crisis and explore the impact of vaccination programs on public opinions about PEoLC. MethodsThis Twitter-based study explored tweets across 3 English-speaking countries: the United States, the United Kingdom, and Canada. From October 2020 to March 2021, a total of 7951 PEoLC-related tweets with geographic tags were retrieved and identified from a large-scale COVID-19 Twitter data set through the Twitter application programming interface. Topic modeling realized through a pointwise mutual information–based co-occurrence network and Louvain modularity was used to examine latent topics across the 3 countries and across 2 time periods (pre- and postvaccination program periods). ResultsCommonalities and regional differences among PEoLC topics in the United States, the United Kingdom, and Canada were identified specifically: cancer care and care facilities were of common interest to the public across the 3 countries during the pandemic; the public expressed positive attitudes toward the COVID-19 vaccine and highlighted the protection it affords to PEoLC professionals; and although Twitter users shared their personal experiences about PEoLC in the web-based community during the pandemic, this was more prominent in the United States and Canada. The implementation of the vaccination programs raised the profile of the vaccine discussion; however, this did not influence public opinions about PEoLC. ConclusionsPublic opinions on Twitter reflected a need for enhanced PEoLC services during the COVID-19 pandemic. The insignificant impact of the vaccination program on public discussion on social media indicated that public concerns regarding PEoLC continued to persist even after the vaccination efforts. Insights gleaned from public opinions regarding PEoLC could provide some clues for policy makers on how to ensure high-quality PEoLC during public health emergencies. In this post–COVID-19 era, PEoLC professionals may wish to continue to examine social media and learn from web-based public discussion how to ease the long-lasting trauma caused by this crisis and prepare for public health emergencies in the future. Besides, our results showed social media’s potential in acting as an effective tool to reflect public opinions in the context of PEoLC

Implicit emotion detection in text

In text, emotion can be expressed explicitly, using emotion-bearing words (e.g. happy, guilty) or implicitly without emotion-bearing words. Existing approaches focus on the detection of explicitly expressed emotion in text. However, there are various ways to express and convey emotions without the use of these emotion-bearing words. For example, given two sentences: “The outcome of my exam makes me happy” and “I passed my exam”, both sentences express happiness, with the first expressing it explicitly and the other implying it. In this thesis, we investigate implicit emotion detection in text. We propose a rule-based approach for implicit emotion detection, which can be used without labeled corpora for training. Our results show that our approach outperforms the lexicon matching method consistently and gives competitive performance in comparison to supervised classifiers. Given that emotions such as guilt and admiration which often require the identification of blameworthiness and praiseworthiness, we also propose an approach for the detection of blame and praise in text, using an adapted psychology model, Path model to blame. Lack of benchmarking dataset led us to construct a corpus containing comments of individuals’ emotional experiences annotated as blame, praise or others. Since implicit emotion detection might be useful for conflict-of-interest (CoI) detection in Wikipedia articles, we built a CoI corpus and explored various features including linguistic and stylometric, presentation, bias and emotion features. Our results show that emotion features are important when using Nave Bayes, but the best performance is obtained with SVM on linguistic and stylometric features only. Overall, we show that a rule-based approach can be used to detect implicit emotion in the absence of labelled data; it is feasible to adopt the psychology path model to blame for blame/praise detection from text, and implicit emotion detection is beneficial for CoI detection in Wikipedia articles