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Can social media change health behavior?

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Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & the Philippine Lipid & Atherosclerosis Society 23 Feb 2017 at Crowne Plaza Galleria Manila.
Also presented at the 2017 #HealthXPH Social Media & Healthcare summit 25 Apr 2017 at Marco Polo Hotel, Cebu City.

Published in: Healthcare
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Can social media change health behavior?

  1. 1. CAN SOCIAL MEDIA CHANGE HEALTH BEHAVIOR? IRIS THIELE ISIP TAN MD, MSC Professor, UP College of Medicine Chief, UP Medical Informatics Unit Director, UP Manila Interactive Learning Center @endocrine_witch
  2. 2. I have nothing to disclose
  3. 3. www.fb.com/endocrinewitch
  4. 4. www.dokbru.endocrine-witch.net
  5. 5. POTENTIAL EVIDENCE STRATEGY FUTURE
  6. 6. Patients are increasingly using online social networks to connect with other patients and healthcare professionals PEER-TO-PEER HEALTHCARE Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  7. 7. CAN SOCIAL MEDIA CHANGE HEALTH BEHAVIOR? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  8. 8. People can participate as part of their usual social media routine Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  9. 9. Social media facilitates self-help behavior Logan A. Community hypertension programs in the age of mobile technology & social media. Am J Hypertension 2014;27(8): 1033-1035
  10. 10. Berkman L, Glass T. (2000) Social integration, social networks, social support and health SOCIAL INFLUENCE How the presence, actions or expectations of others influence the way one behaves
  11. 11. SOCIAL ENGAGEMENT & ATTACHMENT Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  12. 12. How social network structure affects access to resources SOCIAL RECOMMENDATIONS Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  13. 13. SOCIAL CONTAGION How health behaviours may be ‘transmitted’ by ‘person-to-person spread’ across social networks Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  14. 14. SOCIAL SUPPORT Emotional, functional and informational assistance influences health Berkman L, Glass T. (2000) Social integration, social networks, social support and health
  15. 15. POTENTIAL EVIDENCE STRATEGY FUTURE
  16. 16. Social media in communicating health information: an analysis of Facebook groups related to hypertension Al Mamun M, Ibrahim HM, Turin TC. Prev Chronic Dis 2015;12:140265. DOI: http://dx.doi.org/10.5888/ pcd12.140265. 187 FB groups 8,966 Facebook users 1 to 2,161 individuals/group
  17. 17. Al Mamun M, Ibrahim HM, Turin TC. Prev Chronic Dis 2015;12:140265. FACEBOOK GROUPS ON HYPERTENSION Objective Main topic No. of members Geographic boundaries Level of activity Type of user-generated content on wall Likes & comments
  18. 18. Al Mamun M, Ibrahim HM, Turin TC. Prev Chronic Dis 2015;12:140265. PRIMARY OBJECTIVE Awareness creation 60% Providing support to patients and caregivers 11% Sharing disease experiences and life stories 11% Fund raising for relevant organisations 8% Product or service promotion 4%
  19. 19. THEME OF TOP-DISPLAYED RECENT WALL POST Al Mamun M, Ibrahim HM, Turin TC. Prev Chronic Dis 2015;12:140265. Product or service promotion 21% Sharing hypertension awareness-related information 20% Sharing external web address related to health 13% Query to members for particular information 10%
  20. 20. Despite their small number and low activity level, the hypertension-related Facebook groups provide a sounding board for those affected … Al Mamun M, Ibrahim HM, Turin TC. Prev Chronic Dis 2015;12:140265.
  21. 21. Any report of the status of a patient’s health condition that comes directly from the patient, without interpretation of the response by a clinician or anyone else PATIENT-REPORTED OUTCOME Kear et al. J Am Soc Hypertens 2015;9(9):725–734
  22. 22. https://www.patientslikeme.com/
  23. 23. https://www.openresearchexchange.com/
  24. 24. Kear et al. J Am Soc Hypertens 2015;9(9):725–734 Develop a patient-reported hypertension instrument using PRO data that incorporate patients’ experiences and feedback Measures attitudes, lifestyle behaviors, adherence, and barriers to hypertension management
  25. 25. SOCIAL MEDIA VS SOCIAL NETWORK Social media is much broader than the concept of social networking sites, and also includes blogs, discussion boards, and wikis, among others. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256. doi:10.1136/amiajnl-2014-002841
  26. 26. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926. RCTs of social media interventions promoting healthy diet and exercise behaviors Interventions using social media, alone or as part of a complex intervention
  27. 27. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926.
  28. 28. Williams G,Hamm MP, Shulhan J, et al. BMJ Open 2014;4:e003926.
  29. 29. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926. Dietary fat consumption decreased significantly among participants exposed to social media
  30. 30. Williams G,Hamm MP, Shulhan J, et al. BMJ Open 2014;4:e003926. Voluntary recruitment may have resulted in increased participant motivation and selection bias Losses to follow-up were very high [challenges of adherence and keeping participants engaged] LIMITATIONS Participants mostly female, Caucasian of higher socioeconomic status
  31. 31. Evaluate the use and effectiveness of interventions using social networking sites (SNSs) to change health behaviors Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256. doi:10.1136/amiajnl-2014-002841 Meta-analysis 8 RCTs
  32. 32. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256 FACEBOOK HEALTH-SPECIFIC TWITTER social network sites 12 studies (n=7411) 8 RCTs
  33. 33. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256 Slight positive effect of SNS interventions on health behavior-related outcomes Considerable heterogeneity
  34. 34. Low-cost opportunity to virally spread health information PUBLIC HEALTH IMPACT Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256 SNSs may be used in a synergistic way with personal health records and mobile devices
  35. 35. POTENTIAL EVIDENCE STRATEGY FUTURE
  36. 36. The new challenge for hypertension programs is maintaining community interest while reiterating the same health messages. “ Logan A. Community hypertension programs in the age of mobile technology & social media. Am J Hypertension 2014;27(8): 1033-1035
  37. 37. HOW TO PACKAGE MESSAGES ON SOCIAL MEDIA Logan A. Community hypertension programs in the age of mobile technology & social media. Am J Hypertension 2014;27(8): 1033-1035
  38. 38. DEFINE PARAMETERS Modality Purpose Community type Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  39. 39. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 Behavior counseling Supplemental information Maximize attendance & retention Place to connect PURPOSE
  40. 40. PLATFORM SELECTION Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  41. 41. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 TARGET POPULATION Platform users Non-users User of any platform
  42. 42. RECRUITMENT Social media Local Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  43. 43. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 CONTENT CONVERSION/DEVELOPMENT
  44. 44. CONTENT LIBRARY Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 Web page conversion Posts Curated online content
  45. 45. ENGAGEMENT PLAN Group chats Micro- counseling Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  46. 46. TRAINING Interventionist Participant Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 How to maximize experience
  47. 47. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 REPORTING How many likes? How many replies? How many posts did participants make?
  48. 48. POTENTIAL EVIDENCE STRATEGY FUTURE
  49. 49. What is the optimal size for an online network for a behavioral intervention? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  50. 50. What is the ideal structure of a group intervention? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  51. 51. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24 WHAT IS MEANINGFUL ENGAGEMENT?
  52. 52. FOR WHOM? Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery J Med Internet Res 2016;18(1):e24
  53. 53. IRIS THIELE ISIP TAN MD, MSC Professor, UP College of Medicine Chief, UP Medical Informatics Unit Director, UP Manila Interactive Learning Center @endocrine_witch

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