Table 1 Tick-Related User Review Themes (N = 147)

Tick presence

User explicitly indicates presence of tick(s) in review

124 (84.4%)

Tick absence

User explicitly indicates absence of tick(s) in review

20 (13.6%)

Tick general

User makes a general comment about tick(s), but does not clearly indicate tick encounter in review

3 (2.04%)

Repellent application

Reference to having applied insect repellent prior to tick encounter

14 (9.52%)

Protective clothing

Reference to having made intentional clothing choices (e.g. long clothes, light-colored clothes, or treated clothes) prior to tick encounter

5 (3.40%)

Shower post-recreation

Reference to having taken a shower post recreational activity

2 (1.36%)

Recommendation

Review makes explicit recommendation to other users, which includes one or more suggestions for how to prevent tick bites

37 (25.17%)

Recreational deterrence

Review suggests that the user disengaged from use of that trail in the moment or plans to avoid the trail in the future due to the tick encounter

11 (7.48%)