College Health 2.0

College Health 2.0: Health and Wellness in the Digital Age
Jay M. Bernhardt, PhD, MPH
Director, Center for Digital Health and Wellness
Professor and Chair, Health Education and Behavior
Monica C. Webb, MPH, CHES
Doctoral Research Assistant
Southern College Health Association Conference 2011

Are you more 0.0, 1.0, or 2.0?

Are you 0.0 or 1.0 or 2.0?
Do you have a cellphone?
Do you text? How many times per day?
Have you browsed the mobile web?
Do you have a smartphone?
Have you downloaded apps? Paid for apps?
Do you use social networking sites?
Facebook? Twitter? Aggregators like Seesmic?
Do you have a landline telephone?
How Millennial Are You? http://pewresearch.org/millennials/

Internet Use by Age, 2000-2010
Millenials:

http://www.pewinternet.org/Infographics/Generational-differences-in-online-activities.aspx

Social Media Use by Age, 2005-2010

Millennial Generation
Also known as Generation Y
Born between 1977-1993
More likely to own a laptop than a desktop computer
Almost all use cellphones for more than just talking
Own more gadgets and use them frequently
http://www.flowtown.com
http://pewinternet.org/Reports/2011/Generations-and-gadgets.aspx

What is 2.0?

“Web 2.0”
Web applications that facilitate interactive information sharing, interoperability, user-centered design, and collaboration.
Users can interact or collaborate with each other in a social media dialogue as creators of user-generated content in a virtual community, in contrast to websites where users are limited to the passive viewing of content that was created for them.
Source: http://en.wikipedia.org/wiki/Web_2.0

“Health 2.0”
“The use of a specific set of (Web 2.0) tools by actors in health care including doctors, patients, and (healthcare professionals), using principles of open source and generation of content by users, and the power of networks in order to personalize health care, collaborate, and promote health education.”
Hughes B, Joshi I, Wareham J. Health 2.0 and Medicine 2.0: Tensions and Controversies in the Field, Journal of Medical Internet Research, 10(3): e23

Advantages of Health 2.0 Programs
Increased & Sustained Reach
Go to where your audiences already get/share information
Speak to your audiences in the language they understand
Audience led content creation and viral content sharing
http://letmeget.com/blog/texting-symbols-list-facebook
http://www.joydeepdeb.com/blog/social-media-share-buttons.html

Deeper Audience Relevance, Involvement, and Engagement
Match content to interests
Ability to target, tailor, personalize, participate
Leverage place and location
http://www.fastcompany.com/1603217/the-five-stages-of-foursquare-use

Scalable and Affordable Interventions
Relatively low costs to reach large numbers
Facilitates Measurement and Program Evaluation
Social media data mining
Automated monitoring

Promise of Health 2.0 Programs
Reach
Relevance Involvement
Engagement
Scalable
Affordable
Measurable
More Effective Programs!
Problem: Which ones work?

Applying College health 2.0

Applying College Health 2.0
Step One: What are the specific health issues you are addressing?
Infectious diseases
Injuries and violence
Mental health
Physical health
Sexual behaviors
Substance use
Weight and nutrition

Step Two: Who are the specific audiences you want to reach?
Undergrads vs. Grad Students
On campus vs. Off campus
Male vs. Female vs. Both
LGBT
Athletes
Greek organizations
Key is getting past demographics to more meaningful segments

Step Three: What specific outcomes do you want to accomplish?
Knowledge & awareness
Program participation
Self-help & adherence
Diagnosis & treatment
Behavior modification
Preventive behaviors
Policy modifications

Step Four: What already works that can be applied? Or piloted?
Reminder systems
Targeted messages
Tailored messages
Narrative messages
High (timely) repetition
Social network influence

http://www.letsgodigital.org/en/12870/cellphoneplan/
College health 2.0 examples

1.0: Scheduling & Prescription Refills
2.0: Integration into EMR & PHR; Renewal reminders; Adherence reminders; Multiplatform messaging

1.0 : College Health Blogs/Tweets
Ohio State:
Health services blog “BuckMD”
Q&A text-based format
RSS Feeds (blog, news, events)
Ability to “like” on FB (220)
Twitter-based “microblog” (138)
2.0: User-generated content; Inclusion of sharable audio and video; Leverage other more popular feeds.

1.0 & 2.0: Social Networking Sites
(165)
(14)
2.0: Multiplatform messaging; User generated content; Leverage more popular feeds; Data mining/analysis.

1.0: Podcasting & Videocasting
Multiple universities (USF, Harvard) use iTunes U to post podcasts related to health
2.0: Leverage more popular sites (e.g., YouTube);
Multiplatform messaging; User generated content.

1.0: Self-Assessments & Self-Help
E-Chug
interactive web survey
students enter drinking patterns
receive feedback
MyStudentBody
targeted online programs
interactive and research based
2.0: Integration into EMR & PHR; Multiplatform access;
Social network integration; Individual tailoring.

2.0: Online Interactive Triage
University of Central Florida
24/7 WebMed
6 urgency level pilot program
Marketing service is key
Replaced by FreeMD
http://www.freemd.com/
Sole, M.L, Stuart, P.L. & Deichen M. (2006) Web-based Triage in a College Health Setting. Journal of American College Health.

2.0: College Health Mobile Apps
101 Health Tips for College Students ($0.99)
Alculator ($0.99)

2.0: College Health Mobile Apps
myDateTrackerAlert
Dating safety app
($0.99)
Texts date details to emergency contacts if you don’t check in at a preset time
2.0+: Mobile website have greater reach/access than apps; Leverage location based services and social networks.

1.0 – 2.0: SMS and Texting

http://www.frontlinesms.com/
http://medic.frontlinesms.com/

Go Viral to Improve Health: IOM-NAE Health Data Collegiate Challenge
Using social networking, mobile apps, and other new technologies, how can the power of health data be unleashed to increase the awareness of health problems and inspire positive action at the community level?
http://health2challenge.org/blog/go-viral/

“College Health 2.0”
Based on definition by West Virginia Rural Healthy Aging Network

college health 2.0, 3.0, 4.0, …

Tech Trends & College Health Implications
EMRs & meaningful use
Social networking
Mobile connectivity
Location-based tools
Telehealth/monitoring
Ubiquitous computing
IVR, AI, HCI, and robotics

Thank you
University of Florida:
jaybernhardt@ufl.edu
jaybernhardt.com
@jaybernhardt

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College Health 2.0

by Jay Bernhardt

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