Use of the Internet for health promotion

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Plenary presentation at the 2013 annual convention of the Philippine Society of Endocrinology & Metabolism

Plenary presentation at the 2013 annual convention of the Philippine Society of Endocrinology & Metabolism

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  • 1. Electronic Media Image credit “Deep Investigation" by Stefan, http://www.flickr.com/photos/st3f4n/4272645780/in/pool-862681@N20/Friday, March 22, 13
  • 2. Our children will never know the link between the two :) Image credit “Cassette tape" by eocs, http://www.sxc.hu/photo/965831 “pencil" by drniels, http://www.sxc.hu/photo/970177Friday, March 22, 13
  • 3. Use of Electronic Media the Internet for Health Promotion Iris Thiele Isip Tan MD, MSc Chief, Medical Informatics Unit Assoc. Professor, UP College of Medicine Image credit “The Death Star plans are not in the main computer" by JD Hancock, http://www.flickr.com/photos/jdhancock/5845280258/in/set-72157616246711843/Friday, March 22, 13
  • 4. Image credit “Super Troopers!” by JD Hancock, http://www.flickr.com/photos/jdhancock/3597447738/in/set-72157626809398652 Health Promotion: EmpowermentFriday, March 22, 13
  • 5. Image credits “#thewretched” by drothamel http://www.flickr.com/photos/realestatezebra/8505117857/ “Twitter Poster" by N Delaney, http://neildelaney.blogspot.com/2011/11/twitter-poster.htmlFriday, March 22, 13
  • 6. www.coursera.orgFriday, March 22, 13
  • 7. The Internet & Health Promotion Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Empowerment Disempowerment Image credit “Only what you take with you" by JD Hancock, http://www.flickr.com/photos/jdhancock/5223069188/in/set-72157626898819900Friday, March 22, 13
  • 8. www.facebook.com/EndocrineWitchFriday, March 22, 13
  • 9. Halikan mo na lang ako. I don’t need the extra calories :) Image credit “Untitled” by e.mcclay, http://www.flickr.com/photos/emcclay/4532232202/ http://endocrine-witch.netFriday, March 22, 13
  • 10. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239Friday, March 22, 13
  • 11. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239Friday, March 22, 13
  • 12. http://www.flickr.com/photos/ azrainman/1003163361/ “For the first time in history, we know now how to store virtually all humanity’s most important information and make it available, almost instantly, in almost any form, to almost anyone on earth. We also know how to do that in great ways so that people can interact with it, and learn from it.” Dryden, Gordon; Vos, Jeannette (2005). The New Learning Revolution: How Britain Can Lead the World in Learning, Education, and Schooling. UK: Network Educational Press Ltd. p. 127Friday, March 22, 13
  • 13. GMG ... Google Mo G*g*!Friday, March 22, 13
  • 14. Search the Internet for health information, I can. Yes, hmmm. ~80% find the health information they need Pew Internet & American Life Project Image credit “The true mystery of the world is the visible, not the invisible.” by JD Hancock, http://www.flickr.com/photos/jdhancock/5813423429/in/set-72157626898819900Friday, March 22, 13
  • 15. 8 out of 10 American internet users have searched online for at least 1 major health topic! from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare”Friday, March 22, 13
  • 16. Diet, nutrition, Exercise Specific vitamins, or fitness disease or supplements 42% medical problem 51% 66% Prescription or Medical treatment or OTC drugs procedure 40% 51% Health Topics Searched Online from Pew Internet & American Life Project Nov 2004 SurveyFriday, March 22, 13
  • 17. 3 Categories of e-Patients* from Cain, Sarasohn-Kahn & Wayne (2000) “Health e-People: The Online Consumer Experience” The Well Image by WebWizzard http://www.flickr.com/photos/webwizzard/3931165028/ The Acutes Facing a new medical challenge The Chronics Chronic but stable illnesses* Includes caregiversFriday, March 22, 13
  • 18. Image by iwdhttp://www.sxc.hu/photo/1129780 60- 5- 30- 65% 1 6% 35% The Well every few months Internet Access from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare”Friday, March 22, 13
  • 19. Image by iwdhttp://www.sxc.hu/photo/1129780 60- 5- 30- 65% 1 6% 2 35% The The Well Acutes every few everyday months Internet Access from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare”Friday, March 22, 13
  • 20. Image by iwdhttp://www.sxc.hu/photo/1129780 60- 5- 30- 65% 1 6% 2 35% 3 The The The Well Acutes Chronics every several few everyday times a months month Internet Access from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare”Friday, March 22, 13
  • 21. e-patient & Empowerment From Von Knoop at al of Boston Consulting Group (2003) “Vital Signs: e-Health in the United States Severity of Condition High In control Involved Moderate Informed Low Accepting Godlike Partner Supplier Attitude Toward PhysicianFriday, March 22, 13
  • 22. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 Accepting Informed In control Doctor- Junior dependent & medical uninformed partners Rarely go online for health informationFriday, March 22, 13
  • 23. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 2 Accepting Informed Involved In control Doctor- Doctor- dependent & dependent uninformed but informed Rarely go Go online online for before or health after MD visit informationFriday, March 22, 13
  • 24. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 2 3 Accepting Informed Involved In control Doctor- Doctor- Junior dependent Autonomous dependent & medical but informed patients uninformed partners Rarely go Go online Prefer to online for before or make joint health after MD visit decisions but information defer to MDFriday, March 22, 13
  • 25. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 2 3 4 Accepting Informed Involved In control Doctor- Doctor- Junior dependent Autonomous dependent & medical but informed patients uninformed partners Rarely go Go online Prefer to Make their online for before or make joint own decision health after MD visit decisions but even if MD information defer to MD disagreesFriday, March 22, 13
  • 26. Will the Internet strengthen the position of the patient and the public vs experts and institutions? Health Promotion: Empowerment Image credit “Storm Loss” by JD Hancock, http://www.flickr.com/photos/jdhancock/4407661873/in/set-72157626898819900Friday, March 22, 13
  • 27. “As opposed to the doctor-centric, curative model of the past, the future is going to be patient-centric and proactive.” Elias A. Zerhouni MD, NIH Director Dec 2007 Image by JD Hancock http://www.flickr.com/photos/jdhancock/4100030094/Friday, March 22, 13
  • 28. www.endocrine-witch.netFriday, March 22, 13
  • 29. Image credit“smiley egg 4” by bizior, http://www.sxc.hu/photo/939148 DIABETES? Ok lang yan! http://endocrine-witch.netFriday, March 22, 13
  • 30. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239Friday, March 22, 13
  • 31. Ask questions online without anyone ever getting to see you or know who you are. Image credit “Storm Trooper vs Storm Shadow” by JD Hancock, http://www.flickr.com/photos/jdhancock/4236177214/in/set-72157618524893239Friday, March 22, 13
  • 32. http://thesweetliferunner.blogspot.com/2012/06/ power-of-ampalaya-plus.htmlFriday, March 22, 13
  • 33. Friday, March 22, 13
  • 34. Friday, March 22, 13
  • 35. www.endocrine-witch.netFriday, March 22, 13
  • 36. Friday, March 22, 13
  • 37. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239Friday, March 22, 13
  • 38. Web 1.0 “the mostly read-only Web” Image from liquene http://www.flickr.com/photos/liquene/3900145161/Friday, March 22, 13
  • 39. Image from adactiohttp://www.flickr.com/photos/adactio/78600196/ Web 2.0 “the wildly read-write Web”Friday, March 22, 13
  • 40. Crowd-sourcing Harnessing collective intelligence Image from antigone78 http://www.flickr.com/photos/antigone/457089364/Friday, March 22, 13
  • 41. Friday, March 22, 13
  • 42. Friday, March 22, 13
  • 43. “Movement in which networked patients shift from being mere passengers to responsible drivers of their health ... providers encourage and value them as full partners” Society for Participatory MedicineImage by Liz Gracehttp://www.flickr.com/photos/liz-grace/5078868809/ Participatory MedicineFriday, March 22, 13
  • 44. Patients as members of collaborative treatment teams Community health decision-making Image fro m http://ww network w.sxc.hu/ photo/98 5516 “Mindfully” involved in treatment Online community/ “Participatory Medicine” support group from WikipediaFriday, March 22, 13
  • 45. Ten Reasons Why You Should Join a Diabetes Social Network by Manny Hernandez on www.dlife.comFriday, March 22, 13
  • 46. Social but safe? Quality and safety of diabetes-related online social networks Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 Image credit “Storm crowd" by JD Hancock, http://www.flickr.com/photos/jdhancock/3574716051/in/set-72157616246711843/Friday, March 22, 13
  • 47. Quality and safety of diabetes- related online social networks Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 Alignment of content with diabetes science and clinical practice recommendations Safety practices for auditing content, supporting transparency and moderation Accessibility of privacy policies and the communication and control of privacy risks Centralized sharing of member data and member control over sharing Image credit “Heart of the Storm" by JD Hancock, http://www.flickr.com/photos/jdhancock/4354438814/in/set-72157616246711843/Friday, March 22, 13
  • 48. Quality and safety of diabetes- related online social networks Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 50% aligned with science 70% use moderation (internal safety review) Poor readability impedes risk communication Only 3 sites support member controls over personal informationFriday, March 22, 13
  • 49. Do we have an obligation for protective action to improve quality and support safety of social networks? Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 Image credit “Career-limiting move” by JD Hancock, http://www.flickr.com/photos/jdhancock/3591682866/in/set-72157626809398652Friday, March 22, 13
  • 50. “... interpersonal interactions are essential for persuading individuals to adopt health-promoting behaviors.” Cassell et al. Health Communication on the Internet: An Effective Channel for Health Behavior Change. Journal of Health Communication 1998, 3:71-79Image credit“Day 359” Pasukaru76,http://www.flickr.com/photos/pasukaru76/4857051395/Friday, March 22, 13
  • 51. To persuade ... Motivate receiver to attend to messages Include solicitation of feedback Elaboration of arguments and counter-arguments Image credit “Maybe it’s another drill” by JD Hancock, http://www.flickr.com/photos/jdhancock/3454700220/in/set-72157618524893239Friday, March 22, 13
  • 52. Limit salt intake. 1 tbsp soy sauce Image credit = ~900 mg sodium “soy sauce” by yuichirock, http://www.flickr.com/photos/yuichirock/5092927242/ http://endocrine-witch.netFriday, March 22, 13
  • 53. Friday, March 22, 13
  • 54. “We do not persuade others at all; we only provide the stimuli with which they can persuade themselves.” Simons HW (1971). Persuasion & Attitude Change Image credit “Not too bright” by JD Hancock, http://www.flickr.com/photos/jdhancock/3579878853/in/set-72157626809398652Friday, March 22, 13
  • 55. Is it really worth it? 45 min = recreational swimming* * This is just an approximation. Will vary depending on calories per Image credit pizza slice and person’s weight. “slice of pizza” by nruboc, http://www.sxc.hu/photo/1067182 http://endocrine-witch.netFriday, March 22, 13
  • 56. Friday, March 22, 13
  • 57. Is it really worth it? 85 min walking (5 kph)* = * This is just an approximation. Will vary depending on calories per Image credit “doughnut” by pzado, doughnut and person’s weight. http://www.sxc.hu/photo/880587 http://endocrine-witch.netFriday, March 22, 13
  • 58. Friday, March 22, 13
  • 59. Make the right choice. ` OR Banana banana split? Image credit “Bananas” by harper07, Image credit http://www.sxc.hu/photo/985337 “Banana split” by gabriel183,http://endocrine-witch.net http://www.sxc.hu/photo/592509Friday, March 22, 13
  • 60. Friday, March 22, 13
  • 61. Make the right choice. OR Apple apple pie? Image credit “An apple” by magurka, Image credit http://www.sxc.hu/photo/1187239 “Dutch apple pie 3” by mikehome,http://endocrine-witch.net http://www.sxc.hu/photo/918696Friday, March 22, 13
  • 62. Friday, March 22, 13
  • 63. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239Friday, March 22, 13
  • 64. “Paradoxically, a patient’s interest in knowledge may not always accompany an interest in the medical decision making process.” Gerber & Eiser, Journal of Medical Internet Research 2001 Image by nightRPstar http://www.flickr.com/photos/ninjanoodles/1586212326/Friday, March 22, 13
  • 65. Image by Kurhanhttp://www.sxc.hu/photo/1314902 Informed decision-maker Knowledge-acquirer Physician-Patient Encounters Gerber & Eiser, Journal of Medical Internet Research 2001Friday, March 22, 13
  • 66. Image from carbonNYChttp://www.flickr.com/photos/carbonnyc/3440688097/ Interested in learning more about the treatment decided on by MD The Knowledge-Acquirer Provides some personal values to the physician Gerber & Eiser, Journal of Medical Internet Research 2001Friday, March 22, 13
  • 67. http://www.flickr.com/photos/72341818@N00/4555752947/ Extra time to discuss what patient knows Avoid frustration of not being the sole source of information The Informed Decision-Maker Possesses both preference and knowledge Gerber & Eiser, Journal of Medical Internet Research 2001Friday, March 22, 13
  • 68. Image by Niklas Hellerstedt http://www.flickr.com/photos/niklashellerstedt/2414448568/ Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Internet-hostile Clearly uncomfortable with, and sometimes seem to feel offended by patient’s attempts to learn more onlineFriday, March 22, 13
  • 69. “[Most doctors] really do like to think they have ALL the answers. This will never change, I am afraid.” Pew Internet Project e-Patient Survey Image by caricaturas http://www.flickr.com/photos/caricaturesbynelson/2031107541/Friday, March 22, 13
  • 70. Image by southerntabithahttp://www.flickr.com/photos/tabithahawk/567135091/ Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Internet-friendly Encourages patient’s online effortsFriday, March 22, 13
  • 71. Image by Charles Williams http://www.flickr.com/photos/charlesonflickr/3926259585/ Patients will likely seek a “second opinion” on the internet Gerber & Eiser, Journal of Medical Internet Research 2001 The Internet Prescription Recommend websites to the patientFriday, March 22, 13
  • 72. Medline Plus http://www.nlm.nih.gov/medlineplusFriday, March 22, 13
  • 73. Mayo Clinic http://www.mayoclinic.comFriday, March 22, 13
  • 74. Look for the HON Code seal Health on the Net Foundation Medical information you can trust! http://www.hon.ch also provides HONtools, HONsearch, HONtopicsFriday, March 22, 13
  • 75. Image by Yogendra174http://www.flickr.com/photos/yogendra174/4437447471/ Do not underestimate patients’ ability to provide useful online resources Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare”Friday, March 22, 13
  • 76. Image by steved_np3 http://www.sxc.hu/photo/1339516 Do not overestimate the hazards of imperfect online information Database of Adverse Events Related to Internet Use (DAERI) reported only a single case of possible fatality from 2000-2004 Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare”Friday, March 22, 13
  • 77. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900Friday, March 22, 13
  • 78. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900Friday, March 22, 13
  • 79. Is the power of judgment solely in the hands of the expert? Image credit “See no Vader, Hear no Vader, Speak no Vader” by JD Hancock, http://www.flickr.com/photos/jdhancock/3618602355/in/set-72157626809398652Friday, March 22, 13
  • 80. 87% of HON-accredited sites too difficult to read Kusec et al. Stud Health Technol Inform 2003;95:655-60. Only 28% of diabetes patient education sites are HONcode-accredited Thakurdesai et al. Patient Educ Couns 2004;53:309-13. Health on the Net Foundation Medical information you can trust! http://www.hon.chFriday, March 22, 13
  • 81. Existing content in the WWW does not meet the content needs of underserved communities. Lazaras & Mora (2000). Online content for low income and underserved Americans: the digital divide’s new frontier. Image credit “I fought the lawn ... and the lawn won.” by JD Hancock, http://www.flickr.com/photos/jdhancock/3521006248/in/set-72157618524893239/Friday, March 22, 13
  • 82. More ... Local-oriented content Accessible to those with low literacy Information in multiple languages Information created by the underserved communities Lazaras & Mora (2000). Online content for low income and underserved Americans: the digital divide’s new frontier. Image credit “I fought the lawn ... and the lawn won.” by JD Hancock, http://www.flickr.com/photos/jdhancock/3521006248/in/set-72157618524893239/Friday, March 22, 13
  • 83. Laging nauuhaw? Baka diabetes na yan! Magpatingin sa doktor. Image credit: “Drinking” by nkzs, http://www.sxc.hu/photo/966608 http://endocrine-witch.netFriday, March 22, 13
  • 84. May diabetes ba si Itay o Inay? Magpa-check up ka na! Namamana ang diabetes.Image credit:“paper chain in the dark” by hoefi,http://www.sxc.hu/photo/1215912 http://endocrine-witch.netFriday, March 22, 13
  • 85. Alam mo ba kung ano ang blood pressure mo? Isa sa bawat apat na Pilipino ang may alta presyon. 2008 National Nutrition & Health Survey Image credit “sphygmomanometer 1” by sundesigns, http://www.sxc.hu/photo/600972 http://endocrine-witch.netFriday, March 22, 13
  • 86. Limit salt intake http://endocrine-witch.net Image credit: 1 tbsp bagoong “Kare-kare @ Golden Cowrie” by dbgg1979, http://www.flickr.com/photos/dbgg1979/3494113750/ = ~400 mg sodiumFriday, March 22, 13
  • 87. Friday, March 22, 13
  • 88. Diet ka ba kaya coffee na lang? Skim milk, no whip cream and half the syrup :) Image credit: “coffee bean cup” by angood, http://www.sxc.hu/photo/1005115 http://endocrine-witch.netFriday, March 22, 13
  • 89. Are you a Downton Abbey fan? Try the TV exercise game! http://www.wikihow.com/Sample/ Downton-Abbey-Exercise-Game Run in place for 30 seconds every time O’Brien glares at someone across the servant’s tableImage credit“Highclere Castle (aka Downton Abbey Do 15 jumping jacksin the TV series)” by garybembridge,http://www.flickr.com/photos/sis/156108576/ every time Mary’s hat/dress/gloves etc. are fabuloushttp://endocrine-witch.net (add a set if Edith is less than fabulous in the same scene)Friday, March 22, 13
  • 90. http://endocrine-witch.net Awat na sa bacon! Study* finds that high intake of processed meat increases risk of premature death by 44%. *Meat consumption & mortality - results from the European Prospective Investigation into Cancer & Nutrition BMC Medicine 2013, 11:63 doi:10.1186/1741-7015-11-63Friday, March 22, 13
  • 91. “The quality of Internet health information is ... closely linked to the trust that people place in it. However, quality (according to scientific standards) and trust are by no means identical issues.” Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Image credit “Trash talk" by JD Hancock, http://www.flickr.com/photos/jdhancock/4335744343/in/set-72157626898819900Friday, March 22, 13
  • 92. Information Quality Criteria Stvilia B et al. A model for online consumer health information quality. JASIST 2009;60(9):1781-91Friday, March 22, 13
  • 93. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900Friday, March 22, 13
  • 94. Gallup Poll (2011): Home internet access still out of reach for many worldwide Lymari Morales http://www.gallup.com/poll/159815/home-internet-access- remains-reach-worldwide.aspx#1 Global median: 32% Sweden & Singapore: 93% US: 80% China: 34% Philippines: 21% Image credit “The Death Star plans are not in the main computer" by JD Hancock, http://www.flickr.com/photos/jdhancock/5845280258/in/set-72157616246711843/Friday, March 22, 13
  • 95. Friday, March 22, 13
  • 96. Friday, March 22, 13
  • 97. Friday, March 22, 13
  • 98. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900Friday, March 22, 13
  • 99. Healthism Excessive, usually anxious preoccupation with health Image credit “(Maybe he won’t notice" by JD Hancock, http://www.flickr.com/photos/jdhancock/3594736770/in/set-72157630447715866/Friday, March 22, 13
  • 100. Medicalization When a normal bodily process/characteristic or a previously normal behavior is considered worthy of medical diagnosis or treatment Image credit “(Maybe he won’t notice" by JD Hancock, http://www.flickr.com/photos/jdhancock/3594736770/in/set-72157630447715866/Friday, March 22, 13
  • 101. Kuya, are you chubby but cute? Filipino male 112 lbs for 5 ft Add or subtract 4 lbs for every inch above or below 5 ft Know your ideal weight Image credit for height. “The scale” by crossfire, http://www.sxc.hu/photo/311966 http://endocrine-witch.netFriday, March 22, 13
  • 102. Ate, are you Filipino female 106 lbs for 5 ft pleasantly Add or subtract 4 lbs for every inch plump? above or below 5 ft Know your idealImage credit weight for“Weighing” by nubuck,http://www.sxc.hu/photo/788291http://endocrine-witch.net height.Friday, March 22, 13
  • 103. Friday, March 22, 13
  • 104. The Internet & Health Promotion Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Empowerment Disempowerment Image credit “Only what you take with you" by JD Hancock, http://www.flickr.com/photos/jdhancock/5223069188/in/set-72157626898819900Friday, March 22, 13
  • 105. “We can’t value what we don’t understand. And we’ll only understand what something can offer by poking at it and trying it in different ways. The world is increasingly networked. And when you find the right place to connect, share and create, you’re likely to find value.”Friday, March 22, 13
  • 106. Thank You http://www.endocrine-witch.net @endocrine_witch http://www.slideshare.net/isiptan Image from http://wthr.frumph.net/Friday, March 22, 13