Combating Health Misinformation _ M Gisondi _ Community Memorial Health System _ 2 6 2024.pdf
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Dr. Michael Gisondi from Stanford University lectured on the topic "Combating Health Misinformation" at Community Memorial Health Care. He discussed the impact of health misinformation, provided scripted language to practice when discussed misinformation with patients, encouraged physicians to engage with patients using social media, and recommended several ways that residency training programs can combat health misinformation.
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Combating Health Misinformation _ M Gisondi _ Community Memorial Health System _ 2 6 2024.pdf
- 1. M I C H A E L A . G I S O N D I , M D P R O F E S S O R A N D V I C E C H A I R O F E D U C A T I O N D E P A R T M E N T O F E M E R G E N C Y M E D I C I N E A S S I S T A N T D E A N F O R A C A D E M I C A D V I S I N G S T A N F O R D S C H O O L O F M E D I C I N E COMBATING HEALTH MISINFORMATION
- 2. @MikeGisondi Presented to: Community Memorial Health Care, February 6, 2024. I have no pertinent disclosures to report, financial or otherwise. Views are my own and not endorsed by Stanford University. Learning Objectives: At the end of this presentation, engaged participants will be able to: 1. 1. Define the terms misinformation, disinformation, and infodemic. 2. 2. Explain how to use motivational interviewing to address misinformation. 3. 3. List the 5 steps to address health misinformation online. 4. 4. Identify opportunities for resident scholarship about health misinformation.
- 4. Four Questions to Answer Today: What is the impact of health misinformation? What are best practices for addressing misinformation with your patients? How can we leverage social media to combat health misinformation? What can your residency programs do to address misinformation?
- 5. What is the impact of health misinformation?
- 14. Prolonged Pandemic New Variants Vaccine Fatigue Mental Illness
- 16. Celebrities on Social Media 70% of Attention 20% of Misinformation
- 20. INFODEMIC: TOO MUCH INFORMATION… (1) confusion (2) mistrust (3) lengthens outbreaks WHO
- 28. What is the impact of health misinformation? Impact: Vaccine Hesitancy Deaths New Variants Infodemic
- 29. What are best practices for addressing misinformation with your patients?
- 30. 7 TIPS
- 31. Spend Time with Patients Deliberating Vaccines
- 33. Spend Time with Patients Deliberating Vaccines “Have you received other vaccines?” “May I ask why not the COVID vaccine?”
- 34. Engage Patients With Empathy “I understand why you’re concerned.” “May I share some information with you?” “Thank you for letting me share what I know.”
- 36. Personalize the Message “Let’s focus on how the vaccine can help you.” “You’re healthy, yet COVID can still make you sick.” “The vaccine can prevent you from getting seriously sick.” “You won’t need to worry as much.”
- 37. Describe How Misinformation Happens “I understand your worry about side effects.” “The vaccine has been safely administered to half of the world.” “Inevitably some people will get sick from another illness.” “It doesn’t mean the vaccine caused them to get sick.”
- 38. Learner-Centered Educational Frameworks ▪ Safe learning environments ▪ Internal Learner Motivation ▪ Scaffolding and Framing ▪ Social Acceptability Sheng et al. AEM ET. 2021
- 39. 6-Step Myth Debunking Strategy 1. State the misinformation once. 2. Immediately state a fact. 3. Explain why the fallacy was once considered true. 4. Explain why we know it to be false. 5. Explain why the alternative is correct. 6. Close by stating the fact again.
- 40. 6-Step Myth Debunking Strategy 1. The vaccine was made too quickly and its unsafe. 2. The vaccine is among the safest ever made. 3. Some worried that vaccine testing was rushed. 4. Vaccine was tested in an appropriately large population. 5. It has since been given safely to half the world. 6. The vaccine is among the safest ever made.
- 41. Make COVID-19 Vaccination Routine Health Care DO: “You are overdue for your COVID-19 booster.” “I order boosters for all my patients who are overdue.” DON’T: “Would you like to get a COVID-19 shot today?”
- 42. What are best practices for addressing misinformation with your patients? Motivational Interviewing: Respectful Dialogue Listen and Validate Provide Facts Patient Draws Conclusions
- 43. How can we leverage social media to combat health misinformation?
- 44. ENGAGING ONLINE
- 46. Healthcare Provider Social Media Hesitancy Physicians not using their platform = Public health threat
- 47. Common Barriers to Social Media Engagement ▪ Lack of measurable outcomes ▪ Harassment and bullying ▪ Lack of institutional support ▪ Lack of social media training
- 48. Facilitators of Social Media Engagement ▪ Misinformation training ▪ Social media training ▪ Building social media presence
- 50. 5-Step Method to Combat Misinformation Online 1. Identify and Label Misinformation 2. Provide Correct Information 3. Reference a Source 4. Repeat the Correct Information 5. Respond Immediately
- 51. Things that might happen after a COVID-19 vaccine
- 54. Prebunking
- 55. Prebunking Misinformation 1. Provide Correct Information 2. Identify and Label Misinformation 3. Explain the Fallacy 4. Repeat the Correct Information
- 57. Digital Brand Confession I Broke My Twitter Rules in 2020
- 58. A Stanford Conference on Social Media and COVID-19 Misinformation August 26, 2021
- 61. The COVID-19 INFODEMIC: COMPLEX and CONTRADICTORY INFORMATION… (1) origins of the virus (2) treatment options (3) lifesaving vaccines Gisondi et al. JMIR. 2022
- 63. Engage patients online Partner with: Online influencers Social media companies Mass media
- 66. Engage in public health education online Use social media to connect to new strategic partners
- 67. How can we leverage social media to combat health misinformation? Use Your Platform: Engage in Social Media Identify Misinformation Provide Facts Partner with Stakeholders
- 68. What can your residency program do to address misinformation?
- 70. ("social media" [tw] OR "social media" [mesh] OR twitter [ti] OR Instagram [ti] OR facebook [ti]) AND ("covid 19" [tw] OR covid [tw] OR covid19 [tw] OR "ncov 2019" [tw] OR "novel coronavirus" [tw] OR "sars cov 2" [tw] OR "sars cov-2" [tw] OR "ncov 2019" [tw] OR sarscov2 [tw] OR (wuhan [tw] AND coronavirus* [tw]) OR "corona virus*" [tw] OR "coronavirus disease 2019" [tw] OR "coronavirus disease 19" [tw] OR "2019 ncov" [tw] OR 2019nCoV [tw] OR "coronavirus 2" [tw] OR "Coronavirus"[Mesh:NoExp] OR "SARS-CoV-2"[Mesh] OR "COVID-19 Testing"[Mesh] OR "COVID-19" [mesh] OR "COVID-19 Vaccines"[Mesh] OR "Receptors, Coronavirus"[Mesh] OR "Spike Glycoprotein, Coronavirus"[Mesh] OR "SARS-CoV-2 variants" [Supplementary Concept]) AND ("Patient Education as Topic"[Mesh] OR "Patient Education Handout" [Publication Type] OR "health literacy" [tw] OR "patient education" [tw] OR "Health Literacy"[Mesh] OR "Health Promotion"[Mesh])
- 72. Residents launched an awareness campaign about health inequities on Twitter
- 74. Residents filmed 60 TikToks about COVID 600,000 views
- 75. Residents made health infographics, videos in Chinese WeChat group of 500 patients
- 77. JGME 2023, Sheng et al.
- 78. Provider-moderated Online Health Communities ▪ Disproportionately young people ▪ High demand for health-related content ▪ Susceptible to unreliable content
- 81. Educators and Educational Institutions ▪ Evidence-based Educational Programs ▪ Information Literacy Metrics
- 82. Health Professionals Healthcare Institutions ▪ Proactively Engage with the Public ▪ Use Technology to Share Information ▪ Partner with Community Groups
- 83. Researchers Research Institutions ▪ Assess the Impact of Misinformation ▪ Target Interventions to Communities ▪ Evaluate Interventions and Policies
- 84. What can your residency program do to address misinformation? Use Social Media in New Ways: Support social media use Develop new policies Teach best practices Find research opportunities
- 85. Surgeon General Murthy, 2021 “Limiting the spread of health misinformation is a moral and civic imperative that will require a whole-of-society effort.”