The Volume and Tone of Twitter Posts About Cannabis Use During Pregnancy: A Scoping Review Protocol
Introduction: Cannabis use has increased in Canada since its legalization in 2018, including among pregnant women who may be motivated to use cannabis to reduce symptoms of nausea and vomiting. However, a growing body of research suggests that cannabis use during pregnancy may harm the developing fetus. Patients increasingly seek medical advice from online sources, but these platforms are often used to spread anecdotal descriptions or misinformation. Given the possible disconnect between online messaging and evidence-based research about the effects of cannabis use during pregnancy, there is a potential for advice taken from social media to cause harm. We propose a scoping review of Twitter to quantify the volume and tone of English-language posts related to cannabis use in pregnancy from January 2012 to July 2021.Methods and Analysis: Using Arksey and O’Malley’s framework for scoping reviews, we will collect publicly available posts from Twitter that mention cannabis use during pregnancy and employ the Twitter Application Programming Interface (API) for Academic Research to extract data from tweets, including public metrics such as the number of likes, retweets and quotes, as well as health effect mentions, sentiment, location and users interests. These data will be used to quantify how cannabis use during pregnancy is discussed on Twitter and to build a qualitative profile of supportive and opposing posters.Ethics and Dissemination: Research ethics approval is not required for publicly accessible Twitter data. We will disseminate this review’s findings through traditional channels, including preprint and peer-reviewed publications and presentations at academic conferences. In addition, we will share our findings through professional and institutional social media accounts and web pages associated with the research team.