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Despite challenges, millions have resolved a prior significant alcohol or drug problem, increasingly using online supports as a part of their recovery efforts (e.g., virtual mutual\u2010help group meetings, traditional social networking sites [SNS]). However, the content surrounding SUD recovery\u2010related discussion on SNS such as Twitter remains largely unexamined. To fill this gap, we explored public tweets using SUD recovery\u2010related hashtags.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From January 1, 2022, to December 31, 2022, 455,968 public tweets were collected using SUD recovery\u2010related hashtags. Natural language processing was used to identify and remove irrelevant groupings of tweets from the dataset, resulting in a final corpus of 186,460 tweets. A random subsample of 1800 tweets was extracted for content analysis, involving codebook development, manual annotation by trained coders, and inter\u2010rater reliability assessment (average Cohen's\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u2009=\u20090.77).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nearly half (41.7%) of SUD recovery\u2010related posts were from individuals in or seeking recovery, while 21.3% originated from addiction treatment industry accounts. Common themes included addiction treatment marketing (27.4%; some of which promoted scientifically unsupported products or services), emotional support (15.6%), celebrating a recovery milestone (15.4%), alcohol\/drug\u2010related sociopolitical commentary (14.7%), expressions of gratitude (11.5%), and mutual\u2010help group participation (8.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SUD recovery\u2010related content on Twitter reflected individuals seeking social support during efforts to initiate or maintain recovery. However, these accounts may be met with marketing material from entities that misrepresent their services or promote products based on unsubstantiated claims. Stricter (or enforcement of existing) regulations may be warranted to protect vulnerable SNS platform users from entities seeking to exploit them for financial gain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.15531","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T10:01:16Z","timestamp":1740218476000},"page":"629-640","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Content analysis of substance use disorder recovery discourse on Twitter: From personal recovery narratives to marketing of addiction treatment"],"prefix":"10.1111","volume":"49","author":[{"given":"Alex M.","family":"Russell","sequence":"first","affiliation":[{"name":"Recovery Research Institute Massachusetts General Hospital and Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Valdez","sequence":"additional","affiliation":[{"name":"Department of Applied Health Science, School of Public Health Indiana University  Bloomington Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Recovery Research Institute Massachusetts General Hospital and Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon\u2010Patrick","family":"Allem","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, Society and Policy, Rutgers School of Public Health The State University of New Jersey  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2427-4738","authenticated-orcid":false,"given":"Brandon G.","family":"Bergman","sequence":"additional","affiliation":[{"name":"Recovery Research Institute Massachusetts General Hospital and Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6915-0750","authenticated-orcid":false,"given":"John F.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Recovery Research Institute Massachusetts General Hospital and Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana M.","family":"Litt","sequence":"additional","affiliation":[{"name":"School of Social Work University of Texas at Arlington  Arlington Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M.","family":"Massey","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2024.05.010"},{"key":"e_1_2_9_3_1","unstructured":"Allen E.&Armstrong D.(2017)Some seeking help for opioid abuse are lost in a circle of lies.The Boston Globe. 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