S581 Social Media Engagement in Colonoscopy Experiences: Insights Into Patient Narratives and Perceptions

Introduction: Social media platforms have emerged as influential spaces for health communication, providing patients opportunities to share personal experiences and engage with others. This study analyzes colonoscopy-related discussions across Facebook, Instagram, TikTok, and X (formerly Twitter) from 2012 to 2022, focusing on patient narratives, emotional tones, and engagement dynamics. Methods: A cross-sectional analysis of 1,505 posts was conducted using thematic coding and qualitative content analysis. Posts were identified through targeted hashtags and keywords. Emotional, procedural, social, and educational themes were assessed alongside platform-specific engagement metrics. Statistical analysis of engagement levels, thematic proportions, and platform distribution was performed using Stata 18.0. Results: Most posts expressed a positive emotional tone (95.2%), with relief being the predominant sentiment (91.5%). Facebook accounted for 73% of posts, while TikTok demonstrated the highest engagement (average 361 likes per post). Procedural aspects and logistical challenges were rarely discussed (<1%). Emotional and supportive themes dominated, emphasizing the role of social media in fostering patient reassurance and community support. Posts on TikTok and Instagram often utilized humor and creativity to share experiences, while Facebook enabled detailed narratives. Conclusion: The findings highlight social media’s potential in promoting colorectal cancer awareness and alleviating patient concerns through shared experiences. However, the scarcity of posts addressing practical and educational aspects underscores the need for more healthcare professional involvement to disseminate accurate and actionable information. Platform-specific trends suggest tailored strategies are necessary to optimize outreach and engagement. Social media plays a critical role in shaping perceptions of colonoscopy, offering emotional support and increasing awareness. Enhancing the dissemination of evidence-based information through these platforms can further improve screening adherence and address disparities in colorectal cancer prevention.