{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T02:20:52Z","timestamp":1768011652096,"version":"3.49.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T00:00:00Z","timestamp":1616630400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T00:00:00Z","timestamp":1616630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["72695"],"award-info":[{"award-number":["72695"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["npj Digit. Med."],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>An understanding of healthcare super-utilizers\u2019 online behaviors could better identify experiences to inform interventions. In this retrospective case-control study, we analyzed patients\u2019 social media posts to better understand their day-to-day behaviors and emotions expressed online. Patients included those receiving care in an urban academic emergency department who consented to share access to their historical Facebook posts and electronic health records. Super-utilizers were defined as patients with more than six visits to the Emergency Department (ED) in a year. We compared posts by super-utilizers with a matched group using propensity scoring based on age, gender and Charlson comorbidity index. Super-utilizers were more likely to post about confusion and negativity (D\u2009=\u2009.65, 95% CI-[.38, .95]), self-reflection (D = .63 [.35, .91]), avoidance (D\u2009=\u2009.62 [.34, .90]), swearing (D\u2009=\u2009.52 [.24, .79]), sleep (D\u2009=\u2009.60 [.32, .88]), seeking help and attention (D\u2009=\u2009.61 [.33, .89]), psychosomatic symptoms, (D\u2009=\u2009.49 [.22, .77]), self-agency (D\u2009=\u2009.56 [.29, .85]), anger (D\u2009=\u2009.51, [.24, .79]), stress (D\u2009=\u2009.46, [.19, .73]), and lonely expressions (D\u2009=\u2009.44, [.17, .71]). Insights from this study can potentially supplement offline community care services with online social support interventions considering the high engagement of super-utilizers on social media.<\/jats:p>","DOI":"10.1038\/s41746-021-00419-2","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T11:06:58Z","timestamp":1616670418000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Social media language of healthcare super-utilizers"],"prefix":"10.1038","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2929-0035","authenticated-orcid":false,"given":"Sharath Chandra","family":"Guntuku","sequence":"first","affiliation":[]},{"given":"Elissa V.","family":"Klinger","sequence":"additional","affiliation":[]},{"given":"Haley J.","family":"McCalpin","sequence":"additional","affiliation":[]},{"given":"Lyle H.","family":"Ungar","sequence":"additional","affiliation":[]},{"given":"David A.","family":"Asch","sequence":"additional","affiliation":[]},{"given":"Raina M.","family":"Merchant","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"419_CR1","unstructured":"Mann, C. 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The other authors have no conflicts of interest to declare.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"55"}}