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Journal of Health Communication · December 2025

Influencing the Influencers: Effects of an In-Person Summit on Tiktok Creators’ Mental Health Communication Habits and Beliefs

Meng Meng Xu, Elissa Scherer, Rebecca Robbins, Yuning Liu, Matt Motta, AMANDA YARNELL

Harvard University

Thematic analysisGrounded theory Communication & media

How they used Delve

Health communication researchers at Harvard uploaded Otter.ai transcripts of six-month follow-up interviews with TikTok mental health creators into Delve, where two coders independently assigned constant-comparative codes, met with a senior researcher to settle discrepancies, and re-coded as the code set was consolidated.

“the interviews were audio-recorded, transcribed verbatim using a transcription program (Otter.ai, 2024) and uploaded to Delve qualitative data analysis software (Delve, 2024). Names and any potentially identifiable information were removed from the transcripts to protect participant confidentiality.”

Field
Health communication / social media creators
Data
Open-ended post-summit survey responses from 14 TikTok mental health creators and in-depth interviews with the creators six months later, recorded and transcribed with Otter.ai
Approach
Constant comparative coding of open-ended post-summit survey responses and six-month follow-up interviews; two coders trained by an experienced qualitative researcher coded independently, met to resolve discrepancies, and re-coded after team discussion, with each round reducing the code set
Data types
Open-ended survey responses, Interviews

Abstract

Social media platforms such as TikTok hold tremendous promise for reaching large proportions of the general population with health messaging. However, the proliferation of health misinformation on these platforms poses a significant public health risk. Partnerships between public health experts and social media content creators are a novel intervention, which may overcome concerns about misinformation, and catalyze the proliferation of evidence-based health messages on social media. To build such partnerships between creators and mental health and health communication experts, the Center for Health Communication at the Harvard T.H. Chan School of Public Health held an in-person Summit that attracted mental health creators working on TikTok and other social media platforms. Over the course of two days, creators were exposed to techniques for communicating evidence-based information and discussions on how to promote mental health online. Following the Summit, creators (n = 14) provided immediate open-ended qualitative feedback about the Summit. Then, 6-months later, creators were re-contacted for in-depth interviews to explore the impact of the summit on their beliefs and behaviors. In both the immediate post-Summit feedback and 6-month post-Summit interviews, creators reported that attending the Summit impacted their content-making behaviors, increased their sense of responsibility and awareness of their power to impact mental health outcomes among social media users, validated their role as health communicators, and created a much-needed community of support among peers. Given that social media is a primary source of health information for many people, our findings provide a blueprint for public health communicators hoping to build lasting strategic relationships with today’s most influential media gatekeepers.

Citation

Meng Meng Xu, Elissa Scherer, Rebecca Robbins, Yuning Liu, Matt Motta, AMANDA YARNELL (2025). Influencing the Influencers: Effects of an In-Person Summit on Tiktok Creators’ Mental Health Communication Habits and Beliefs. Journal of Health Communication. https://doi.org/10.1080/10810730.2025.2601656

Resources

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