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Use of new media  technologies toimprove adolescent      health  Julia Joseph-Di Caprio, M.D., M.P.H. Chief, HCMC Departme...
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Objectives1. Define new media technologies and their use by   adolescents2. Describe how healthcare organizations are usin...
Objectives1. Define new media technologies and their use by   adolescents2. Describe how healthcare organizations are usin...
New media technologies1.   On-demand2.   Digital3.   Interactive, participatory4.   Democratic5.   Unregulated content6.  ...
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New media technologies1.   Internet2.   Websites3.   Computer multimedia4.   Video games5.   Apps6.   CD-ROMS, DVDs       ...
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New media use1. Media use by adolescents continues to increase2. Even “old” media use is via new media3. Teens multitask4....
Tablets are also taking hold, as close to one in four teens say they have one of these devices. Taken together,teens have ...
Teen Computer and Tablet Ownership Demographics % of teens in each demographic group                                      ...
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For instance, teens living in the lowest-earning households (under $30,000 per year) are just as likely as thoseliving in ...
Teen Cell Phone and Smartphone Ownership Demographics % of teens in each demographic group                                ...
Social media1. Digital technology that allows interaction2. Adolescents use cell phones for texting more than   talking3. ...
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d!similar!variations!"!older!teens,!particularly!older!teen!girls!were!more!ation!online.! ook!for!information! o!talk!abo...
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Objectives1. Define new media technologies and their use by   adolescents2. Describe how healthcare organizations are usin...
New media and health1. Can deliver health interventions to large   communities of adolescents2. Web sites3. Social network...
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YDS focus groups•   6 males, 8 females•   13-18 years•   Grades: 8th to college•   Social media they use: Instagram, Twitt...
Website• http://www.sexetc.org/• http://bedsider.org/methods                                31
Social networking site• https://www.facebook.com/everyoneisgaydotcom  ?fref=ts                                            ...
Video sharing• http://drj4teenhealth.com/2012/03/11/go-to-bed/                                                    33
Apps       34
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Text messaging• HPV vaccine completion rates are poor• There are ethnic and SES disparities• Text message reminder program...
Text message reminders to promote human papillomavirus vaccinationElyse Olshen Kharbanda, Melissa S. Stockwell, Harrison W...
Text messaginghttp://www.teensource.org/ts/                                39
hookup evaluation                      Awareness/Knowledge Change                                   Change                ...
hookup evaluation• i have thought more carefully and decided to use a  condom on my first time having sex rather than  ris...
Successful new media           strategies1.   Targeted2.   Encourages connection3.   Interactive/participatory4.   Combine...
Successful new media         strategieshttp://www.itsyoursexlife.com/gyt/talk/party/                                      ...
Objectives1. Define new media technologies and their use by   adolescents2. Describe how healthcare organizations are usin...
drj4teenhealth.com        @DrJ4TeenHealth• Started January 2012• 433 posts• 5,709 views• Nutrition and sexual health topic...
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Summary1. New media use is ubiquitous2. Adolescents use new media to access health   information3. Youth-serving organizat...
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Use of new media technologies to improve adolescent health

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HCMC Department of Pediatrics Grand Rounds, April 18, 2013

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Use of new media technologies to improve adolescent health

  1. 1. 1
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  3. 3. Use of new media technologies toimprove adolescent health Julia Joseph-Di Caprio, M.D., M.P.H. Chief, HCMC Department of Pediatrics 3
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  7. 7. Objectives1. Define new media technologies and their use by adolescents2. Describe how healthcare organizations are using new media technologies to better serve adolescents3. Consider incorporating new media technologies into your work with youth 7
  8. 8. Objectives1. Define new media technologies and their use by adolescents2. Describe how healthcare organizations are using new media technologies to better serve adolescents3. Consider incorporating new media technologies into your work with youth 8
  9. 9. New media technologies1. On-demand2. Digital3. Interactive, participatory4. Democratic5. Unregulated content6. Mobile 9
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  11. 11. New media technologies1. Internet2. Websites3. Computer multimedia4. Video games5. Apps6. CD-ROMS, DVDs 11
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  14. 14. New media use1. Media use by adolescents continues to increase2. Even “old” media use is via new media3. Teens multitask4. Much of adolescent media use is mobile5. More than ¾’s of teens have cell phones6. Minority youth have high rates of cell phone ownership7. Over one third of black teens use their phones to go online 14
  15. 15. Tablets are also taking hold, as close to one in four teens say they have one of these devices. Taken together,teens have more ways than ever to stay connected throughout the day — and night.Internet use over time by teens and adults% within each age group who go onlineSource: The Pew Research Center’s Internet & American Life Project surveys. All teen data comes from separate surveysof teens and their parents. Methodological info for each survey is available at: http://pewinternet.org/Data-Tools/Download-Data pewinternet.org 3 15
  16. 16. Teen Computer and Tablet Ownership Demographics % of teens in each demographic group Own a Computer Own a Tablet All teens, ages 12-17 (n=802) 80% 23% Teen Gender a Boys(n=405) 77 20 a b Girls (n=397) 82 27 Age of Teen a 12-13 (n=246) 72 26 a b 14-17 (n=556) 83 22 Teen Gender and Age a Boys, 12-13 (n=122) 66 23 a b Boys, 14-17 (n=283) 82 18 c Girls, 12-13 (n=124) 79 28 a d Girls, 14-17 (n=273) 84 27 Parent Race/ethnicity b a White, Non-Hispanic (n=542) 81 25 b Black, Non-Hispanic (n=122) 64 19 c Hispanic (n=92) 79 21 Parent Education a Less than High School/High school grad (n=244) 77 16 a b Some College (n=192) 78 30 a c College + (n=363) 85 29 Parent Household Income a Less than $30,000/yr (n=154) 73 15 b $30,000-$49,999 (n=155) 82 19 c $50,000-$74,999 (n=110) 84 27 ab d $75,000+ (n=335) 81 31 Urbanity a Urban (n=278) 75 25 a b Suburban (n=410) 84 23 c Rural (n=101) 72 23Source: Pew Internet Teens and Privacy Management Survey, July 26-September 30, 2012. N=802 parents of teensages 12-17 and 802 teens ages 12-17. Margin of error is +/- 4.5 percentage points. aNote: Columns marked with a superscript letter ( ) or another letter indicate a statistically significant differencebetween that row and the row designated by that superscript letter. Statistical significance is determined inside the 16specific section covering each demographic trait.
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  18. 18. For instance, teens living in the lowest-earning households (under $30,000 per year) are just as likely as thoseliving in the highest-earning households ($75,000 or more) to own smartphones (39% vs. 43%). Older teens aremore likely than younger teens to have cell phones and those phones are more likely to be smartphones. Ruralteens are significantly less likely to have a smartphone than urban or suburban teens. Source: Pew Internet Teens and Privacy Management Survey, July 26-September 30, 2012. N=802 parents of teens ages 12-17 and 802 teens ages 12-17. Margin of error is +/- 4.5 percentage points.One in four teens are “cell-mostly” internet users — far more than the 15% ofadults who are cell-mostly. Among teen smartphone owners, half are cell-mostly. 18
  19. 19. Teen Cell Phone and Smartphone Ownership Demographics % of teens in each demographic group Own a Cell Phone (any kind) Own a Smartphone All teens, ages 12-17 (n=802) 78% 37% Teen Gender a Boys(n=405) 77 36 b Girls (n=397) 78 38 Age of Teen a 12-13 (n=246) 68 23 a a b 14-17 (n=556) 83 44 Teen Gender and Age a Boys, 12-13 (n=122) 65 20 ac ac b Boys, 14-17 (n=283) 83 43 c Girls, 12-13 (n=124) 71 26 a ac d Girls, 14-17 (n=273) 82 44 Parent Race/ethnicity c a White, Non-Hispanic (n=542) 81 35 b Black, Non-Hispanic (n=122) 72 40 c Hispanic (n=92) 64 43 Parent Education a Less Than High School/High school grad (n=244) 71 35 b Some College (n=192) 79 35 ab c College + (n=363) 87 41 Parent Household Income b a Less than $30,000/yr (n=154) 69 39 b $30,000-$49,999 (n=155) 74 24 c $50,000-$74,999 (n=110) 81 38 ab b d $75,000+ (n=335) 86 43 Urbanity c a Urban (n=278) 76 42 c b Suburban (n=410) 81 39 c Rural (n=101) 73 19Source: Pew Internet Teens and Privacy Management Survey, July 26-September 30, 2012. N=802 parents of teensages 12-17 and 802 teens ages 12-17. Margin of error is +/- 4.5 percentage points. aNote: Columns marked with a superscript letter ( ) or another letter indicate a statistically significant differencebetween that row and the row designated by that superscript letter. Statistical significance is determined inside the 19specific section covering each demographic trait.
  20. 20. Social media1. Digital technology that allows interaction2. Adolescents use cell phones for texting more than talking3. Minority teens more likely to text4. Two-thirds of youth use social networks5. Lower income youth most likely to use online social networks6. Facebook is the preferred social network 20
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  25. 25. d!similar!variations!"!older!teens,!particularly!older!teen!girls!were!more!ation!online.! ook!for!information! o!talk!about,!like! ession.!A!bit!more!using!teens!look!ensitive!health! o!the!22%!who!4.!! to!look!online!for! 3%!vs.!11%).!! y!group!to!look!for! hat!is!hard!to!talk!ages!12"13!have! f!older!boys!ages!14"ome!families!–!those!ually!–!are!the!most! n!online.!Just!about!a!quarter!(23%)!of!online!low"income!teens!look!for!with!11%!of!teens!from!households!earning!more!than!$75,000!a!year.!!! 25he!differences!visible!between!groups!when!we!first!asked!about!looking!
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  27. 27. Objectives1. Define new media technologies and their use by adolescents2. Describe how healthcare organizations are using new media technologies to better serve adolescents3. Consider incorporating new media technologies into your work with youth 27
  28. 28. New media and health1. Can deliver health interventions to large communities of adolescents2. Web sites3. Social networking sites4. Text messaging5. Video sharing6. Apps7. Combined strategies8. Need to ensure mobile access 28
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  30. 30. YDS focus groups• 6 males, 8 females• 13-18 years• Grades: 8th to college• Social media they use: Instagram, Twitter, Snap Chat, Tumblr, Facebook, You Tube, Pinterest, Gmail, Facetime, Skype, text messages• To get YDS message out: Facebook and Twitter• Twitter: must be inspiring tweets, don’t retweet, don’t recycle tweets, no more then 3-12 tweets per day• Use Instagram for before and after pictures• Use You Tube for training videos, PSAs 30
  31. 31. Website• http://www.sexetc.org/• http://bedsider.org/methods 31
  32. 32. Social networking site• https://www.facebook.com/everyoneisgaydotcom ?fref=ts 32
  33. 33. Video sharing• http://drj4teenhealth.com/2012/03/11/go-to-bed/ 33
  34. 34. Apps 34
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  37. 37. Text messaging• HPV vaccine completion rates are poor• There are ethnic and SES disparities• Text message reminder program in a variety of 9 clinical sites in NYC for females 9-20 years old 37
  38. 38. Text message reminders to promote human papillomavirus vaccinationElyse Olshen Kharbanda, Melissa S. Stockwell, Harrison W. Fox, Raquel Andres, Marcos Lara, and Vaughn I. RickertVaccine, 2011-03-21, Volume 29, Issue 14, Pages 2537-2541 38
  39. 39. Text messaginghttp://www.teensource.org/ts/ 39
  40. 40. hookup evaluation Awareness/Knowledge Change Change 17% 38% 17% Safe Sex Knowledge & Awareness Birth Control HIV/STD testing 28%(c) ISIS, Inc. 2012
  41. 41. hookup evaluation• i have thought more carefully and decided to use a condom on my first time having sex rather than risking pregnancy• stopped having multiple partners. More aware of the truth on how stds are actually easily attained.• i got addresses to clinics near me where i was able to pick up Plan B emergency contraceptive yesterday• std test appointment next week. (c) ISIS, Inc. 2012
  42. 42. Successful new media strategies1. Targeted2. Encourages connection3. Interactive/participatory4. Combines a variety of media strategies5. Optimized for mobile use 42
  43. 43. Successful new media strategieshttp://www.itsyoursexlife.com/gyt/talk/party/ 43
  44. 44. Objectives1. Define new media technologies and their use by adolescents2. Describe how healthcare organizations are using new media technologies to better serve adolescents3. Consider incorporating new media technologies into your work with youth 44
  45. 45. drj4teenhealth.com @DrJ4TeenHealth• Started January 2012• 433 posts• 5,709 views• Nutrition and sexual health topics are the most popular• Comments are scary, not many followers, it takes time! 45
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  47. 47. Summary1. New media use is ubiquitous2. Adolescents use new media to access health information3. Youth-serving organizations are successfully using new media strategies4. www.drj4teenhealth.com 47

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