HINTS 2.0: Partnering to Move
Knowledge into Action

Bradford W. Hesse, PhD
Chief, Health Communication and Informatics Re...
Act 1:
The Years Preceding
HINTS

Thursday, January 9, 2014
Public Health Victories Highlight Role
of Communication
Controls on Cigarette
Advertising
Public Health Campaigns
Smoking ...
Biobehavioral Models Gain
Credibility

Biobehavioral model of nicotine
addiction and tobacco-related cancers.
Source: Hiat...
Changes in the Communication
Environment

Thursday, January 9, 2014
IBM’s Flying Car Ad:
Avery Brooks, 2000

Source: Youtube. IBM’s Flying Cars. (http://www.youtube.com/watch?v=vzm6pvHPSGo) ...
Role of “New Media” in Health
Communication

Thursday, January 9, 2014
Healthy People 2010 Includes Health
Communication as Objective

Thursday, January 9, 2014
Framework for Cancer Control

Source: Hiatt, R. A., & Rimer, B. K. (1999). A new strategy for cancer control research. Can...
Experts Recommend a Surveillance
System for Communication

• To monitor changes in

communication environment
• To monitor...
Act 1I:
A Decade of HINTS

Thursday, January 9, 2014
Information Utilization Framework
Underlying HINTS

Source: Nelson, D. E., Kreps, G. L., Hesse, B. W., Croyle, R. T., Will...
Health Situation Awareness
July 27, 2012

See also: Hesse BW, Nelson DE, Rutten LF, Moser RP, Beckjord EB, Chou W-YS. Nati...
Health Situation Awareness
Data Briefs

Statistical
Guides

Peer Reviewed
Publications

Web Platform for Participation*
*N...
Part of Health Data Ecosystem

Thursday, January 9, 2014
Contributing Common Measures to
Surveys Outside of Original Frame

Guam
Appalachia

Puerto Rico
Thursday, January 9, 2014
...
Vehicle for Collaboration across
Organizations

Thursday, January 9, 2014
Open Science: Increased Productivity
Papers Published on HINTS Data
'!"
&#"
&!"
%#"
%!"
$#"
$!"
#"
!"
%!!'"

%!!#"

%!!("
...
Calibrating Trends Over Time
HINTS Estimate Cycle 2,
2012: 80.2%
HINTS Estimate Cycle 1,
2011: 78.1%
HINTS Estimate,
2003:...
Evaluating National Goals Over Time

Adjusted Target
Adjusted Target

Thursday, January 9, 2014
Exploring Population Issues
Research Question: Will there be gender differences over time?

Model adjusted by race, occupa...
Exploring Population Issues
Research Question: Will there be age differences over time?

Model adjusted by gender, race, o...
Exploring Population Issues
Research Question: Will there be education differences over time?

Model adjusted by gender, r...
Exploring Population Issues
Research Question: Will there be income differences over time?

Model adjusted by gender, race...
Exploring Population Issues
Research Question: Will there be racial ethnic differences over time?

Model adjusted by gende...
Mapping Knowledge / Belief Gaps

Thursday, January 9, 2014
Coming Together to Move Data into
Knowledge, Knowledge into Action

Thursday, January 9, 2014
End of Act II?

CA

Thursday, January 9, 2014

NC

EL
LE
D

Guam Delegation
Act III:
The Legend Continues

Thursday, January 9, 2014
Picking Up the Pace: HINTS 4
HINTS 4
Management
Team
Lila Rutten
Mayo Clinic

Thursday, January 9, 2014

Rick Moser
NCI

E...
Monitoring Change in the Health
Communication Landscape

• Diffusion of mobile and

smartphone tech
• Rise in Participativ...
Monitoring Implications of Policy for
the Health Communication Landscape
• FDA authority expands to

tobacco products, mob...
Example: Situational Awareness for ONC
Supply	
  Side:

National Ambulatory Medical Care Survey

Source: Jamoom E, Beatty ...
Example: Situational Awareness for ONC
Demand	
  Side

Thursday, January 9, 2014

Health Information National Trends Surve...
Example: Monitoring HP 2020 Goals

• Supporting shared decision-making
• Providing personalized self-management tools
• Bu...
Informing New Research
NCI / HCIRB
Funding Trends

Original
Research

Reviews,
Blueprints

Thursday, January 9, 2014
Informing Application

Thursday, January 9, 2014
Meeting Objectives
Learn
Share
Collaborate
Make a difference

Thursday, January 9, 2014
On	
  behalf	
  of	
  all	
  
Americans	
  who	
  have	
  
participated	
  in	
  
HINTS	
  ...

Thank You!

Thursday, Janu...
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HINTS keynote 2014

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Keynote address delivered to the Health Information National Trends Survey (HINTS) conference on January 9, 2014.

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HINTS keynote 2014

  1. 1. HINTS 2.0: Partnering to Move Knowledge into Action Bradford W. Hesse, PhD Chief, Health Communication and Informatics Research Thursday, January 9, 2014
  2. 2. Act 1: The Years Preceding HINTS Thursday, January 9, 2014
  3. 3. Public Health Victories Highlight Role of Communication Controls on Cigarette Advertising Public Health Campaigns Smoking Cessation Programs Adherence to screening recommendations “Katie Couric” Effect Doctor communication important Thursday, January 9, 2014
  4. 4. Biobehavioral Models Gain Credibility Biobehavioral model of nicotine addiction and tobacco-related cancers. Source: Hiatt, R. A., & Rimer, B. K. (1999). A new strategy for cancer control research. Cancer Epidemiol Biomarkers Prev, 8(11), 957-964. Thursday, January 9, 2014
  5. 5. Changes in the Communication Environment Thursday, January 9, 2014
  6. 6. IBM’s Flying Car Ad: Avery Brooks, 2000 Source: Youtube. IBM’s Flying Cars. (http://www.youtube.com/watch?v=vzm6pvHPSGo) Accessed January 7, 2014. Thursday, January 9, 2014
  7. 7. Role of “New Media” in Health Communication Thursday, January 9, 2014
  8. 8. Healthy People 2010 Includes Health Communication as Objective Thursday, January 9, 2014
  9. 9. Framework for Cancer Control Source: Hiatt, R. A., & Rimer, B. K. (1999). A new strategy for cancer control research. Cancer Epidemiol Biomarkers Prev, 8(11), 957-964. Thursday, January 9, 2014
  10. 10. Experts Recommend a Surveillance System for Communication • To monitor changes in communication environment • To monitor channel usage and sources preferred • To explore knowledge, attitudes, and behaviors • To complement fundamental & intervention research; and to be a resource in program delivery Source: Hiatt, R. A., & Rimer, B. K. (1999). A new strategy for cancer control research. Cancer Epidemiol Biomarkers Prev, 8(11), 957-964. Thursday, January 9, 2014
  11. 11. Act 1I: A Decade of HINTS Thursday, January 9, 2014
  12. 12. Information Utilization Framework Underlying HINTS Source: Nelson, D. E., Kreps, G. L., Hesse, B. W., Croyle, R. T., Willis, G., Arora, N. K., . . . Alden, S. (2004). The Health Information National Trends Survey (HINTS): development, design, and dissemination. J Health Commun, 9(5), 443-460; discussion 481-444. Thursday, January 9, 2014
  13. 13. Health Situation Awareness July 27, 2012 See also: Hesse BW, Nelson DE, Rutten LF, Moser RP, Beckjord EB, Chou W-YS. National Health Communication Surveillance Systems. In: D. K. Kim ASGLK, ed. Global Health Communication Strategies in the 21st Century: Design, Implementation, and Evaluation. New York, NY: Peter Lang; In Press. . Thursday, January 9, 2014
  14. 14. Health Situation Awareness Data Briefs Statistical Guides Peer Reviewed Publications Web Platform for Participation* *NIH Nominee to White House for “Open Science Champion,” May 14 2013. Thursday, January 9, 2014
  15. 15. Part of Health Data Ecosystem Thursday, January 9, 2014
  16. 16. Contributing Common Measures to Surveys Outside of Original Frame Guam Appalachia Puerto Rico Thursday, January 9, 2014 Peoples’ Republic of China
  17. 17. Vehicle for Collaboration across Organizations Thursday, January 9, 2014
  18. 18. Open Science: Increased Productivity Papers Published on HINTS Data '!" &#" &!" %#" %!" $#" $!" #" !" %!!'" %!!#" %!!(" %!!)" %!!*" %!!+" %!$!" %!$$" Crowds Contribute to Content & Analyses Thursday, January 9, 2014 %!$%"
  19. 19. Calibrating Trends Over Time HINTS Estimate Cycle 2, 2012: 80.2% HINTS Estimate Cycle 1, 2011: 78.1% HINTS Estimate, 2003: 63% 4/ 1/ 20 12 HINTS Estimate, 2005: 61% HINTS Estimate, 2008: 68% Source: http://www.pewinternet.org/Trend-Data-(Adults)/Internet-Adoption.aspx Thursday, January 9, 2014
  20. 20. Evaluating National Goals Over Time Adjusted Target Adjusted Target Thursday, January 9, 2014
  21. 21. Exploring Population Issues Research Question: Will there be gender differences over time? Model adjusted by race, occupation, income, population density, education, and age Thursday, January 9, 2014
  22. 22. Exploring Population Issues Research Question: Will there be age differences over time? Model adjusted by gender, race, occupation, income, population density, and education Thursday, January 9, 2014
  23. 23. Exploring Population Issues Research Question: Will there be education differences over time? Model adjusted by gender, race, occupation, income, population density, and age Thursday, January 9, 2014
  24. 24. Exploring Population Issues Research Question: Will there be income differences over time? Model adjusted by gender, race, occupation, education, population density, and age Thursday, January 9, 2014
  25. 25. Exploring Population Issues Research Question: Will there be racial ethnic differences over time? Model adjusted by gender, income, occupation, education, population density, and age Thursday, January 9, 2014
  26. 26. Mapping Knowledge / Belief Gaps Thursday, January 9, 2014
  27. 27. Coming Together to Move Data into Knowledge, Knowledge into Action Thursday, January 9, 2014
  28. 28. End of Act II? CA Thursday, January 9, 2014 NC EL LE D Guam Delegation
  29. 29. Act III: The Legend Continues Thursday, January 9, 2014
  30. 30. Picking Up the Pace: HINTS 4 HINTS 4 Management Team Lila Rutten Mayo Clinic Thursday, January 9, 2014 Rick Moser NCI Ellen Beckjord Kelly Blake UPMC NCI Brad Hesse NCI
  31. 31. Monitoring Change in the Health Communication Landscape • Diffusion of mobile and smartphone tech • Rise in Participative Media • Innovation in consumer health applications • Proliferation of Sensor technologies • Solutions needed within the interoperability space • “Big Data,” new data visualizations, “data smog” Thursday, January 9, 2014
  32. 32. Monitoring Implications of Policy for the Health Communication Landscape • FDA authority expands to tobacco products, mobile devices, DTC advertising • NSF & NIH collaborate on “Smart & Connected Health” • ONC emphasizes patient engagement, continuity of care • PCORI funds network for patient research • Affordable Care Act adds new provisions for prevention and care Thursday, January 9, 2014
  33. 33. Example: Situational Awareness for ONC Supply  Side: National Ambulatory Medical Care Survey Source: Jamoom E, Beatty P, Bercovitz A, Woodwell D, Palso K, Rechtsteiner E. Physician adoption of electronic health record systems: United States, 2011. NCHS data brief. Jul 2012(98):1-8. Thursday, January 9, 2014
  34. 34. Example: Situational Awareness for ONC Demand  Side Thursday, January 9, 2014 Health Information National Trends Survey
  35. 35. Example: Monitoring HP 2020 Goals • Supporting shared decision-making • Providing personalized self-management tools • Building social support networks. • Facilitating the meaningful use of health IT • Enabling quick and informed action to health risks • Increasing health literacy skills. • Provide new connections to hard-to-reach populations • Provide sound principles for design of interventions • Increasing Internet and mobile access. • Delivering accurate, accessible, and actionable health information Thursday, January 9, 2014
  36. 36. Informing New Research NCI / HCIRB Funding Trends Original Research Reviews, Blueprints Thursday, January 9, 2014
  37. 37. Informing Application Thursday, January 9, 2014
  38. 38. Meeting Objectives Learn Share Collaborate Make a difference Thursday, January 9, 2014
  39. 39. On  behalf  of  all   Americans  who  have   participated  in   HINTS  ... Thank You! Thursday, January 9, 2014

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