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Participants often directed their tweets to one or more specific group members using the @ sign, and over time numerous social dyads and triplets formed (CM Lakon et al, unpublished data, 2015), but Twitter automatically sent every tweet simultaneously to all group members ensuring their full access to all posts at all times.
A novel part of the intervention was the development of daily automessages suggesting discussion topics that were posed as questions to prompt tweeting.
J Med Internet Res 2015;17(2):e50
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