SlideShare a Scribd company logo
1 of 106
Electronic Media




                                                                                     Image credit
                                                                   “Deep Investigation" by Stefan,
                             http://www.flickr.com/photos/st3f4n/4272645780/in/pool-862681@N20/




Friday, March 22, 13
Our children will
                       never know the link
                        between the two :)




                                                          Image credit
                                              “Cassette tape" by eocs,
                                      http://www.sxc.hu/photo/965831
                                                   “pencil" by drniels,
                                      http://www.sxc.hu/photo/970177

Friday, March 22, 13
Use of
   Electronic Media
         the Internet
                       for Health
                       Promotion

       Iris Thiele Isip Tan MD, MSc
                Chief, Medical Informatics Unit
     Assoc. Professor, UP College of Medicine


                                                                                                                     Image credit
                                                              “The Death Star plans are not in the main computer" by JD Hancock,
                                                  http://www.flickr.com/photos/jdhancock/5845280258/in/set-72157616246711843/

Friday, March 22, 13
Image credit
                                                                   “Super Troopers!” by JD Hancock,
                        http://www.flickr.com/photos/jdhancock/3597447738/in/set-72157626809398652




                              Health Promotion:
                       Empowerment
Friday, March 22, 13
Image credits
 “#thewretched” by drothamel
 http://www.flickr.com/photos/realestatezebra/8505117857/
 “Twitter Poster" by N Delaney,
 http://neildelaney.blogspot.com/2011/11/twitter-poster.html

Friday, March 22, 13
www.coursera.org
Friday, March 22, 13
The Internet & Health Promotion
                       Korp P. Health on the Internet: Implications for Health Promotion
                                Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




     Empowerment




                                           Disempowerment
                                                                                                                        Image credit
                                                                                       “Only what you take with you" by JD Hancock,
                                                      http://www.flickr.com/photos/jdhancock/5223069188/in/set-72157626898819900

Friday, March 22, 13
www.facebook.com/EndocrineWitch
Friday, March 22, 13
Halikan mo
    na lang ako.
    I don’t need the
    extra calories :)




                                                               Image credit
                                                    “Untitled” by e.mcclay,
                        http://www.flickr.com/photos/emcclay/4532232202/

                                          http://endocrine-witch.net
Friday, March 22, 13
The Internet & Empowerment
           Korp P. Health on the Internet: Implications for Health Promotion
        Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




      Enabling of advanced information
      and knowledge retrieval
      Anonymity
      Creation of social contacts and
      support independent of time and
      space
      Challenging the expert-lay actor
      relationship

                                                                                          Image credit
                                                           “Taking the World by Storm” by JD Hancock,
                         http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239

Friday, March 22, 13
The Internet & Empowerment
           Korp P. Health on the Internet: Implications for Health Promotion
        Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




      Enabling of advanced information
      and knowledge retrieval
      Anonymity
      Creation of social contacts and
      support independent of time and
      space
      Challenging the expert-lay actor
      relationship

                                                                                          Image credit
                                                           “Taking the World by Storm” by JD Hancock,
                         http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239

Friday, March 22, 13
http://www.flickr.com/photos/
                                                                                                    azrainman/1003163361/




             “For the first time in history, we know now how to store
            virtually all humanity’s most important information and
           make it available, almost instantly, in almost any form, to
          almost anyone on earth. We also know how to do that in great
           ways so that people can interact with it, and learn from it.”
                                         Dryden, Gordon; Vos, Jeannette (2005). The New Learning Revolution: How Britain Can Lead
                                         the World in Learning, Education, and Schooling. UK: Network Educational Press Ltd. p. 127



Friday, March 22, 13
GMG ...
                       Google Mo G*g*!




Friday, March 22, 13
Search
       the Internet for
   health information,
   I can. Yes, hmmm.

            ~80% find the health
           information they need
             Pew Internet & American Life Project




                                                                                                                             Image credit
                                                       “The true mystery of the world is the visible, not the invisible.” by JD Hancock,
                                                    http://www.flickr.com/photos/jdhancock/5813423429/in/set-72157626898819900

Friday, March 22, 13
8             out of 10 American
                       internet users have
                       searched online for at
                       least 1 major health topic!
                                        from Tom Ferguson, MD
                           & the e-Patients Scholars Working Group (2007)
                          “e-patients: how they can help us heal healthcare”


Friday, March 22, 13
Diet, nutrition,    Exercise
          Specific                vitamins,         or fitness
         disease or            supplements           42%
       medical problem              51%
            66%                                   Prescription or
                          Medical
                       treatment or                OTC drugs
                        procedure                     40%
                           51%




       Health Topics Searched Online
          from Pew Internet & American Life Project Nov 2004 Survey


Friday, March 22, 13
3 Categories of e-Patients*
                                  from Cain, Sarasohn-Kahn & Wayne (2000)
                              “Health e-People: The Online Consumer Experience”



          The Well                                                                                  Image by WebWizzard
                                                                      http://www.flickr.com/photos/webwizzard/3931165028/



          The Acutes
                       Facing a new
                       medical challenge

          The Chronics
                       Chronic but
                       stable illnesses

* Includes caregivers
Friday, March 22, 13
Image by iwd
http://www.sxc.hu/photo/1129780




                        60-                          5-                        30-
                       65%        1                 6%                        35%

                           The
                           Well
                        every
                         few
                       months



                                      Internet Access
                       from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                                 “e-patients: how they can help us heal healthcare”

Friday, March 22, 13
Image by iwd
http://www.sxc.hu/photo/1129780




                        60-                          5-                        30-
                       65%        1                 6%         2              35%

                           The                      The
                           Well                    Acutes
                        every
                         few                      everyday
                       months



                                      Internet Access
                       from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                                 “e-patients: how they can help us heal healthcare”

Friday, March 22, 13
Image by iwd
http://www.sxc.hu/photo/1129780




                        60-                          5-                        30-
                       65%        1                 6%         2              35%        3

                           The                      The                        The
                           Well                    Acutes                    Chronics
                        every                                                 several
                         few                      everyday                    times a
                       months                                                  month


                                      Internet Access
                       from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                                 “e-patients: how they can help us heal healthcare”

Friday, March 22, 13
e-patient & Empowerment
                          From Von Knoop at al of Boston Consulting Group (2003)
                                 “Vital Signs: e-Health in the United States

     Severity of
      Condition
                       High                                    In control
                                                     Involved


              Moderate


                                                        Informed
                       Low        Accepting
                              Godlike                 Partner          Supplier
                                   Attitude Toward Physician
Friday, March 22, 13
From Von Knoop at al of Boston Consulting Group (2003)                                   Image by iwd
                                                                     http://www.sxc.hu/photo/1129780
       “Vital Signs: e-Health in the United States




               1

           Accepting                 Informed                       In control
          Doctor-                                         Junior
       dependent &                                       medical
        uninformed                                       partners


         Rarely go
         online for
           health
        information
Friday, March 22, 13
From Von Knoop at al of Boston Consulting Group (2003)                                   Image by iwd
                                                                     http://www.sxc.hu/photo/1129780
       “Vital Signs: e-Health in the United States




               1                      2

           Accepting                 Informed            Involved   In control
          Doctor-                 Doctor-
       dependent &               dependent
        uninformed              but informed



         Rarely go               Go online
         online for              before or
           health              after MD visit
        information
Friday, March 22, 13
From Von Knoop at al of Boston Consulting Group (2003)                                         Image by iwd
                                                                           http://www.sxc.hu/photo/1129780
       “Vital Signs: e-Health in the United States




               1                      2                     3

           Accepting                 Informed              Involved       In control
          Doctor-                 Doctor-                   Junior
                                 dependent                               Autonomous
       dependent &                                         medical
                                but informed                               patients
        uninformed                                         partners


         Rarely go               Go online                 Prefer to
         online for              before or                 make joint
           health              after MD visit            decisions but
        information                                       defer to MD
Friday, March 22, 13
From Von Knoop at al of Boston Consulting Group (2003)                                         Image by iwd
                                                                           http://www.sxc.hu/photo/1129780
       “Vital Signs: e-Health in the United States




               1                      2                     3              4

           Accepting                 Informed              Involved       In control
          Doctor-                 Doctor-                   Junior
                                 dependent                               Autonomous
       dependent &                                         medical
                                but informed                               patients
        uninformed                                         partners


         Rarely go               Go online                 Prefer to      Make their
         online for              before or                 make joint    own decision
           health              after MD visit            decisions but    even if MD
        information                                       defer to MD     disagrees
Friday, March 22, 13
Will the Internet
                          strengthen the position of
                       the patient and the public vs
                           experts and institutions?


                                      Health Promotion:
                                  Empowerment
                                                                                                      Image credit
                                                                                      “Storm Loss” by JD Hancock,
                                       http://www.flickr.com/photos/jdhancock/4407661873/in/set-72157626898819900

Friday, March 22, 13
“As opposed to the doctor-centric, curative
                       model of the past, the future is going to be
                                  patient-centric and proactive.”
                                              Elias A. Zerhouni MD, NIH Director
                                                                      Dec 2007




                                                                                     Image by JD Hancock
                                                       http://www.flickr.com/photos/jdhancock/4100030094/
Friday, March 22, 13
www.endocrine-witch.net




Friday, March 22, 13
Image credit
“smiley egg 4” by bizior, http://www.sxc.hu/photo/939148




                                                           DIABETES?
                                                           Ok lang yan!

                                                                http://endocrine-witch.net




Friday, March 22, 13
The Internet & Empowerment
           Korp P. Health on the Internet: Implications for Health Promotion
        Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




      Enabling of advanced information
      and knowledge retrieval
      Anonymity
      Creation of social contacts and
      support independent of time and
      space
      Challenging the expert-lay actor
      relationship

                                                                                          Image credit
                                                           “Taking the World by Storm” by JD Hancock,
                         http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239

Friday, March 22, 13
Ask questions online without anyone
                       ever getting to see you or know who you are.




                                                                                                            Image credit
                                                                         “Storm Trooper vs Storm Shadow” by JD Hancock,
                                            http://www.flickr.com/photos/jdhancock/4236177214/in/set-72157618524893239

Friday, March 22, 13
http://thesweetliferunner.blogspot.com/2012/06/
                                 power-of-ampalaya-plus.html
Friday, March 22, 13
Friday, March 22, 13
Friday, March 22, 13
www.endocrine-witch.net

Friday, March 22, 13
Friday, March 22, 13
The Internet & Empowerment
           Korp P. Health on the Internet: Implications for Health Promotion
        Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




      Enabling of advanced information
      and knowledge retrieval
      Anonymity
      Creation of social contacts and
      support independent of time and
      space
      Challenging the expert-lay actor
      relationship

                                                                                          Image credit
                                                           “Taking the World by Storm” by JD Hancock,
                         http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239

Friday, March 22, 13
Web 1.0
                       “the mostly read-only Web”




                                                                     Image from liquene
                                      http://www.flickr.com/photos/liquene/3900145161/
Friday, March 22, 13
Image from adactio
http://www.flickr.com/photos/adactio/78600196/




                                                Web 2.0
                            “the wildly read-write Web”
Friday, March 22, 13
Crowd-sourcing
                       Harnessing collective intelligence




                                                                           Image from antigone78
                                                 http://www.flickr.com/photos/antigone/457089364/
Friday, March 22, 13
Friday, March 22, 13
Friday, March 22, 13
“Movement in which networked patients
                                       shift from being mere passengers to
                                      responsible drivers of their health ...
                                                   providers encourage and
                                                 value them as full partners”
                                                         Society for Participatory Medicine




Image by Liz Grace
http://www.flickr.com/photos/liz-grace/5078868809/




                       Participatory Medicine
Friday, March 22, 13
Patients as members of
                                                        collaborative treatment teams
 Community health
 decision-making




                       Image fro
                                m
                       http://ww network
                                w.sxc.hu/
                                         photo/98
                                                 5516




                                                     “Mindfully”
                                                     involved in
                                                     treatment
  Online community/
                                                                         “Participatory Medicine”
  support group                                                                    from Wikipedia
Friday, March 22, 13
Ten Reasons Why You Should Join a Diabetes Social
            Network by Manny Hernandez on www.dlife.com
Friday, March 22, 13
Social but safe? Quality and safety
               of diabetes-related online social networks
                       Weitzman et al. J Am Med Inform Assoc 2011;18:292-297




                                                                                                                       Image credit
                                                                                                      “Storm crowd" by JD Hancock,
                                                        http://www.flickr.com/photos/jdhancock/3574716051/in/set-72157616246711843/

Friday, March 22, 13
Quality and safety of diabetes-
                        related online social networks
                                  Weitzman et al. J Am Med Inform Assoc 2011;18:292-297




                        Alignment of content with diabetes science
                             and clinical practice recommendations
                             Safety practices for auditing content,
                          supporting transparency and moderation
                           Accessibility of privacy policies and the
                        communication and control of privacy risks
                          Centralized sharing of member data and
                                     member control over sharing



                                                                                                             Image credit
                                                                                     “Heart of the Storm" by JD Hancock,
                                           http://www.flickr.com/photos/jdhancock/4354438814/in/set-72157616246711843/

Friday, March 22, 13
Quality and safety of diabetes-
                               related online social networks
                                       Weitzman et al. J Am Med Inform Assoc 2011;18:292-297




                       50% aligned
                       with science
              70% use moderation
            (internal safety review)
     Poor readability impedes
          risk communication
              Only 3 sites support
             member controls over
              personal information




Friday, March 22, 13
Do we have an obligation for protective
                        action to improve quality and
                      support safety of social networks?
                           Weitzman et al. J Am Med Inform Assoc 2011;18:292-297
                                                                                                                                 Image credit
                                                                                                       “Career-limiting move” by JD Hancock,
                                                               http://www.flickr.com/photos/jdhancock/3591682866/in/set-72157626809398652

Friday, March 22, 13
“... interpersonal interactions are essential for
                                      persuading individuals to adopt
                                        health-promoting behaviors.”




                                                     Cassell et al. Health Communication on the Internet: An Effective Channel for
                                                       Health Behavior Change. Journal of Health Communication 1998, 3:71-79




Image credit
“Day 359” Pasukaru76,
http://www.flickr.com/photos/pasukaru76/4857051395/

Friday, March 22, 13
To persuade ...



   Motivate receiver to attend to messages
   Include solicitation of feedback
   Elaboration of arguments and
   counter-arguments



                                                                                                          Image credit
                                                                            “Maybe it’s another drill” by JD Hancock,
                                      http://www.flickr.com/photos/jdhancock/3454700220/in/set-72157618524893239

Friday, March 22, 13
Limit
                                           salt intake.




                        1 tbsp soy sauce                                               Image credit


                       = ~900 mg sodium
                                                                         “soy sauce” by yuichirock,
                                               http://www.flickr.com/photos/yuichirock/5092927242/

                                                                  http://endocrine-witch.net
Friday, March 22, 13
Friday, March 22, 13
“We do not persuade
    others at all; we only
    provide the stimuli
    with which they can
    persuade
    themselves.”
                                 Simons HW (1971).
                       Persuasion & Attitude Change




                                                                                                                       Image credit
                                                                                                   “Not too bright” by JD Hancock,
                                                      http://www.flickr.com/photos/jdhancock/3579878853/in/set-72157626809398652

Friday, March 22, 13
Is it really worth it?
                                        45 min
                                    =   recreational
                                        swimming*

                                              * This is just an approximation.
                                         Will vary depending on calories per
  Image credit                               pizza slice and person’s weight.
  “slice of pizza” by nruboc,
  http://www.sxc.hu/photo/1067182

  http://endocrine-witch.net
Friday, March 22, 13
Friday, March 22, 13
Is it really worth it?

                85 min
                walking
                (5 kph)*
                                         =
                * This is just an approximation.
                Will vary depending on calories per                      Image credit
                                                                “doughnut” by pzado,
                doughnut and person’s weight.         http://www.sxc.hu/photo/880587

                                                      http://endocrine-witch.net
Friday, March 22, 13
Friday, March 22, 13
Make the right choice.




                  `               OR
                       Banana
                                       banana split?
 Image credit
 “Bananas” by harper07,                                           Image credit
 http://www.sxc.hu/photo/985337                   “Banana split” by gabriel183,
http://endocrine-witch.net                    http://www.sxc.hu/photo/592509
Friday, March 22, 13
Friday, March 22, 13
Make the right choice.




                                   OR
                Apple                   apple pie?
 Image credit
 “An apple” by magurka,                                             Image credit
 http://www.sxc.hu/photo/1187239               “Dutch apple pie 3” by mikehome,
http://endocrine-witch.net                       http://www.sxc.hu/photo/918696
Friday, March 22, 13
Friday, March 22, 13
The Internet & Empowerment
           Korp P. Health on the Internet: Implications for Health Promotion
        Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




      Enabling of advanced information
      and knowledge retrieval
      Anonymity
      Creation of social contacts and
      support independent of time and
      space
      Challenging the expert-lay actor
      relationship

                                                                                          Image credit
                                                           “Taking the World by Storm” by JD Hancock,
                         http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239

Friday, March 22, 13
“Paradoxically, a patient’s interest in knowledge
               may not always accompany an interest
              in the medical decision making process.”
                         Gerber & Eiser, Journal of Medical Internet Research 2001




                                                                                            Image by nightRPstar
                                                          http://www.flickr.com/photos/ninjanoodles/1586212326/
Friday, March 22, 13
Image by Kurhan
http://www.sxc.hu/photo/1314902




                                                                               Informed
                                                                         decision-maker


                                                                Knowledge-acquirer



          Physician-Patient Encounters
                                  Gerber & Eiser, Journal of Medical Internet Research 2001



Friday, March 22, 13
Image from carbonNYC
http://www.flickr.com/photos/carbonnyc/3440688097/




                                       Interested in learning
                                       more about the
                                       treatment decided
                                       on by MD



                       The Knowledge-Acquirer
     Provides some personal values to the physician
                                                    Gerber & Eiser, Journal of Medical Internet Research 2001
Friday, March 22, 13
http://www.flickr.com/photos/72341818@N00/4555752947/


   Extra time to discuss
   what patient knows
                                           Avoid frustration of not
                                            being the sole source
                                                    of information




          The Informed Decision-Maker
        Possesses both preference and knowledge
                       Gerber & Eiser, Journal of Medical Internet Research 2001

Friday, March 22, 13
Image by Niklas Hellerstedt
                                                          http://www.flickr.com/photos/niklashellerstedt/2414448568/




                       Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                                      “e-patients: how they can help us heal healthcare”


                       Internet-hostile
    Clearly uncomfortable with, and sometimes seem to feel
      offended by patient’s attempts to learn more online
Friday, March 22, 13
“[Most doctors] really
        do like to think they
      have ALL the answers.
          This will never
       change, I am afraid.”

                       Pew Internet Project e-Patient Survey




                                                                       Image by caricaturas
                              http://www.flickr.com/photos/caricaturesbynelson/2031107541/
Friday, March 22, 13
Image by southerntabitha
http://www.flickr.com/photos/tabithahawk/567135091/




                                             Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                                                            “e-patients: how they can help us heal healthcare”



                                           Internet-friendly
                                 Encourages patient’s online efforts

Friday, March 22, 13
Image by Charles Williams
                                                            http://www.flickr.com/photos/charlesonflickr/3926259585/




              Patients will likely seek
              a “second opinion”
              on the internet




                                  Gerber & Eiser, Journal of Medical Internet Research 2001


                       The Internet Prescription
                         Recommend websites to the patient
Friday, March 22, 13
Medline Plus
                http://www.nlm.nih.gov/medlineplus

Friday, March 22, 13
Mayo Clinic
                       http://www.mayoclinic.com

Friday, March 22, 13
Look for the
         HON Code seal


                           Health on the Net Foundation
                           Medical information you can trust!
                                  http://www.hon.ch
                       also provides HONtools, HONsearch, HONtopics

Friday, March 22, 13
Image by Yogendra174
http://www.flickr.com/photos/yogendra174/4437447471/




                                                                Do not underestimate
                                                                    patients’ ability to
                                                                       provide useful
                                                                     online resources




                                           Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                                                          “e-patients: how they can help us heal healthcare”
Friday, March 22, 13
Image by steved_np3
                                                                                  http://www.sxc.hu/photo/1339516




              Do not overestimate
              the hazards of
              imperfect online
              information
              Database of Adverse Events Related
              to Internet Use (DAERI) reported only
              a single case of possible fatality from
              2000-2004

              Tom Ferguson, MD & the e-Patients Scholars Working Group (2007)
                             “e-patients: how they can help us heal healthcare”
Friday, March 22, 13
The Internet & Disempowerment
                           Korp P. Health on the Internet: Implications for Health Promotion
                          Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




  Shift towards expert control
  Widens the gap between the
  “information-rich” and the
  “information-poor”
  Increase in medicalization and
  healthism
                                                                                                             Image credit
                                                                                                “Creamed” by JD Hancock,
                                              http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900

Friday, March 22, 13
The Internet & Disempowerment
                           Korp P. Health on the Internet: Implications for Health Promotion
                          Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




  Shift towards expert control
  Widens the gap between the
  “information-rich” and the
  “information-poor”
  Increase in medicalization and
  healthism
                                                                                                             Image credit
                                                                                                “Creamed” by JD Hancock,
                                              http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900

Friday, March 22, 13
Is the power of judgment solely
     in the hands of the expert?




                                                                                               Image credit
                                              “See no Vader, Hear no Vader, Speak no Vader” by JD Hancock,
                              http://www.flickr.com/photos/jdhancock/3618602355/in/set-72157626809398652

Friday, March 22, 13
87% of HON-accredited sites
                     too difficult to read
                  Kusec et al. Stud Health Technol Inform 2003;95:655-60.


                            Only 28% of diabetes
                       patient education sites are
                            HONcode-accredited
                   Thakurdesai et al. Patient Educ Couns 2004;53:309-13.




                          Health on the Net Foundation
                                  Medical information you can trust!
                                         http://www.hon.ch
Friday, March 22, 13
Existing content in the WWW does
    not meet the content needs of
    underserved communities.
                             Lazaras & Mora (2000). Online content for low income
                       and underserved Americans: the digital divide’s new frontier.




                                                                                                                                    Image credit
                                                                                       “I fought the lawn ... and the lawn won.” by JD Hancock,
                                                               http://www.flickr.com/photos/jdhancock/3521006248/in/set-72157618524893239/

Friday, March 22, 13
More ...
                       Local-oriented content
                       Accessible to those with low literacy
                       Information in multiple languages
                       Information created by the
                       underserved communities
                                    Lazaras & Mora (2000). Online content for low income
                              and underserved Americans: the digital divide’s new frontier.




                                                                                                                    Image credit
                                                                       “I fought the lawn ... and the lawn won.” by JD Hancock,
                                               http://www.flickr.com/photos/jdhancock/3521006248/in/set-72157618524893239/

Friday, March 22, 13
Laging nauuhaw?




                       Baka diabetes na yan!
                        Magpatingin sa doktor.


                                                         Image credit:
                                                   “Drinking” by nkzs,
                                      http://www.sxc.hu/photo/966608

                                     http://endocrine-witch.net
Friday, March 22, 13
May diabetes ba si Itay o Inay?
   Magpa-check up ka na! Namamana ang diabetes.




Image credit:
“paper chain in the dark” by hoefi,
http://www.sxc.hu/photo/1215912       http://endocrine-witch.net
Friday, March 22, 13
Alam mo ba kung ano
          ang blood pressure mo?
          Isa sa bawat apat na Pilipino
          ang may alta presyon.
          2008 National Nutrition & Health Survey




                                                                             Image credit
                                                    “sphygmomanometer 1” by sundesigns,
                                                          http://www.sxc.hu/photo/600972

                                                          http://endocrine-witch.net
Friday, March 22, 13
Limit salt
                                                     intake




 http://endocrine-witch.net
 Image credit:
                                                       1 tbsp bagoong
 “Kare-kare @ Golden Cowrie” by dbgg1979,
 http://www.flickr.com/photos/dbgg1979/3494113750/   = ~400 mg sodium
Friday, March 22, 13
Friday, March 22, 13
Diet ka ba kaya coffee na lang?
   Skim milk, no whip cream and half the syrup :)




 Image credit:
 “coffee bean cup” by angood,
 http://www.sxc.hu/photo/1005115           http://endocrine-witch.net
Friday, March 22, 13
Are you a Downton Abbey fan?
                                     Try the TV exercise game!
                                                                    http://www.wikihow.com/Sample/
                                                                     Downton-Abbey-Exercise-Game




                                                      Run in place for 30 seconds
                                                                          every time O’Brien glares at
                                                                    someone across the servant’s table

Image credit
“Highclere Castle (aka Downton Abbey                               Do 15 jumping jacks
in the TV series)” by garybembridge,
http://www.flickr.com/photos/sis/156108576/         every time Mary’s hat/dress/gloves etc. are fabulous
http://endocrine-witch.net                   (add a set if Edith is less than fabulous in the same scene)
Friday, March 22, 13
http://endocrine-witch.net




                            Awat na sa bacon!
  Study* finds that high intake
  of processed meat increases risk
  of premature death by 44%.




                       *Meat consumption & mortality - results from the European Prospective Investigation
                         into Cancer & Nutrition BMC Medicine 2013, 11:63 doi:10.1186/1741-7015-11-63
Friday, March 22, 13
“The quality of Internet health information is ... closely
   linked to the trust that people place in it. However,
   quality (according to scientific standards) and trust
   are by no means identical issues.”




  Korp P. Health on the Internet: Implications for Health Promotion
  Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




                                                                                                                                       Image credit
                                                                                                                       “Trash talk" by JD Hancock,
                                                                       http://www.flickr.com/photos/jdhancock/4335744343/in/set-72157626898819900

Friday, March 22, 13
Information Quality Criteria
                       Stvilia B et al. A model for online consumer health information quality. JASIST 2009;60(9):1781-91
Friday, March 22, 13
The Internet & Disempowerment
                           Korp P. Health on the Internet: Implications for Health Promotion
                          Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




  Shift towards expert control
  Widens the gap between the
  “information-rich” and the
  “information-poor”
  Increase in medicalization and
  healthism
                                                                                                             Image credit
                                                                                                “Creamed” by JD Hancock,
                                              http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900

Friday, March 22, 13
Gallup Poll (2011):
  Home internet access
  still out of reach
  for many worldwide
  Lymari Morales
  http://www.gallup.com/poll/159815/home-internet-access-
  remains-reach-worldwide.aspx#1



                 Global median: 32%
                            Sweden &
                       Singapore: 93%
                                 US: 80%
                            China: 34%
                       Philippines: 21%
                                                                                                                               Image credit
                                                                        “The Death Star plans are not in the main computer" by JD Hancock,
                                                            http://www.flickr.com/photos/jdhancock/5845280258/in/set-72157616246711843/

Friday, March 22, 13
Friday, March 22, 13
Friday, March 22, 13
Friday, March 22, 13
The Internet & Disempowerment
                           Korp P. Health on the Internet: Implications for Health Promotion
                          Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




  Shift towards expert control
  Widens the gap between the
  “information-rich” and the
  “information-poor”
  Increase in medicalization and
  healthism
                                                                                                             Image credit
                                                                                                “Creamed” by JD Hancock,
                                              http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900

Friday, March 22, 13
Healthism
              Excessive, usually anxious preoccupation with health
                                                                                                              Image credit
                                                                                  “(Maybe he won’t notice" by JD Hancock,
                                            http://www.flickr.com/photos/jdhancock/3594736770/in/set-72157630447715866/

Friday, March 22, 13
Medicalization
    When a normal bodily process/characteristic or a previously normal
     behavior is considered worthy of medical diagnosis or treatment
                                                                                                            Image credit
                                                                                “(Maybe he won’t notice" by JD Hancock,
                                          http://www.flickr.com/photos/jdhancock/3594736770/in/set-72157630447715866/

Friday, March 22, 13
Kuya, are you
                             chubby
                          but cute?
                                  Filipino male
                                112 lbs for 5 ft
                               Add or subtract
                           4 lbs for every inch
                           above or below 5 ft
 Know your
 ideal weight                                           Image credit



 for height.
                                            “The scale” by crossfire,
                                    http://www.sxc.hu/photo/311966

                                    http://endocrine-witch.net
Friday, March 22, 13
Ate, are you                        Filipino female
                                      106 lbs for 5 ft

 pleasantly                          Add or subtract
                                 4 lbs for every inch

 plump?                          above or below 5 ft




                                           Know
                                       your ideal
Image credit
                                       weight for
“Weighing” by nubuck,
http://www.sxc.hu/photo/788291
http://endocrine-witch.net
                                          height.
Friday, March 22, 13
Friday, March 22, 13
The Internet & Health Promotion
                       Korp P. Health on the Internet: Implications for Health Promotion
                                Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043




     Empowerment




                                           Disempowerment
                                                                                                                        Image credit
                                                                                       “Only what you take with you" by JD Hancock,
                                                      http://www.flickr.com/photos/jdhancock/5223069188/in/set-72157626898819900

Friday, March 22, 13
“We can’t value what we don’t understand.
   And we’ll only understand what something can
   offer by poking at it and trying it in different
   ways. The world is increasingly networked. And
   when you find the right place to connect, share
   and create, you’re likely to find value.”
Friday, March 22, 13
Thank You
                       http://www.endocrine-witch.net
                                   @endocrine_witch


                         http://www.slideshare.net/isiptan




                                                 Image from http://wthr.frumph.net/

Friday, March 22, 13

More Related Content

What's hot

What does “climate-resilient health systems” and “GREEN and SMART healthcare ...
What does “climate-resilient health systems” and “GREEN and SMART healthcare ...What does “climate-resilient health systems” and “GREEN and SMART healthcare ...
What does “climate-resilient health systems” and “GREEN and SMART healthcare ...Changgyo Yoon
 
Health management information system
Health management information systemHealth management information system
Health management information systemStephi Poulose
 
Universal health coverage final
Universal health coverage finalUniversal health coverage final
Universal health coverage finalSnehlata Parashar
 
Health systems strengthening
Health systems strengtheningHealth systems strengthening
Health systems strengtheningJuan Seclen
 
Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...
Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...
Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...JSI
 
Intorduction to Health information system presentation
 Intorduction to Health information system presentation Intorduction to Health information system presentation
Intorduction to Health information system presentationAkumengwa
 
Health management information system
Health management information systemHealth management information system
Health management information systemPrakash Ghimire
 
Health promotion and health education
Health promotion and health educationHealth promotion and health education
Health promotion and health educationBienElliNillos
 
Essential Package of Health Services Country Snapshot: Kenya
Essential Package of Health Services Country Snapshot: KenyaEssential Package of Health Services Country Snapshot: Kenya
Essential Package of Health Services Country Snapshot: KenyaHFG Project
 
Management information system in health care
Management information system in health careManagement information system in health care
Management information system in health careNewNurseMaria
 
Community diagnosis
Community diagnosisCommunity diagnosis
Community diagnosisNursing Path
 
History of public health
History of public healthHistory of public health
History of public healthSuman Saurabh
 
Globalization and public health
Globalization and public healthGlobalization and public health
Globalization and public healthImroseRashid
 

What's hot (20)

COMMUNITY HEALTH - MCQ IV
COMMUNITY HEALTH - MCQ IVCOMMUNITY HEALTH - MCQ IV
COMMUNITY HEALTH - MCQ IV
 
What does “climate-resilient health systems” and “GREEN and SMART healthcare ...
What does “climate-resilient health systems” and “GREEN and SMART healthcare ...What does “climate-resilient health systems” and “GREEN and SMART healthcare ...
What does “climate-resilient health systems” and “GREEN and SMART healthcare ...
 
Health information systems
Health information systemsHealth information systems
Health information systems
 
Health management information system
Health management information systemHealth management information system
Health management information system
 
Universal health coverage final
Universal health coverage finalUniversal health coverage final
Universal health coverage final
 
Health systems strengthening
Health systems strengtheningHealth systems strengthening
Health systems strengthening
 
The internet
The internetThe internet
The internet
 
Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...
Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...
Overview of the Integrated Community Case Management (iCCM) of Childhood Illn...
 
Global Burden of Disease - Pakistan Presentation
Global Burden of Disease - Pakistan PresentationGlobal Burden of Disease - Pakistan Presentation
Global Burden of Disease - Pakistan Presentation
 
Intorduction to Health information system presentation
 Intorduction to Health information system presentation Intorduction to Health information system presentation
Intorduction to Health information system presentation
 
Community diagnosis
Community diagnosisCommunity diagnosis
Community diagnosis
 
Health management information system
Health management information systemHealth management information system
Health management information system
 
Health promotion and health education
Health promotion and health educationHealth promotion and health education
Health promotion and health education
 
Essential Package of Health Services Country Snapshot: Kenya
Essential Package of Health Services Country Snapshot: KenyaEssential Package of Health Services Country Snapshot: Kenya
Essential Package of Health Services Country Snapshot: Kenya
 
Management information system in health care
Management information system in health careManagement information system in health care
Management information system in health care
 
Community diagnosis
Community diagnosisCommunity diagnosis
Community diagnosis
 
Universal health care
Universal health care Universal health care
Universal health care
 
History of public health
History of public healthHistory of public health
History of public health
 
Hmis
HmisHmis
Hmis
 
Globalization and public health
Globalization and public healthGlobalization and public health
Globalization and public health
 

Viewers also liked

Influence of Internet
Influence of InternetInfluence of Internet
Influence of InternetAhmed Faisal
 
Health and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer Offerings
Health and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer OfferingsHealth and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer Offerings
Health and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer OfferingsStuart Hemerling
 
effect of internet on today's generation
effect of internet on today's generationeffect of internet on today's generation
effect of internet on today's generationNupendra Verma
 
Internet and Society: Community 2009
Internet and Society: Community 2009Internet and Society: Community 2009
Internet and Society: Community 2009James Stewart
 
Communication Effects
Communication EffectsCommunication Effects
Communication EffectsSchay Enn
 
Internet and Society: Politics And Democracy 2009
Internet and Society: Politics And Democracy 2009Internet and Society: Politics And Democracy 2009
Internet and Society: Politics And Democracy 2009James Stewart
 
Effect of communication technology
Effect of communication technology  Effect of communication technology
Effect of communication technology Vaibhav Maurya
 
Impact of internet in day to day life
Impact of internet in day to day lifeImpact of internet in day to day life
Impact of internet in day to day lifeVidhyalakshmi K
 
Media Technology and Society - Cyber Society
Media Technology and Society - Cyber SocietyMedia Technology and Society - Cyber Society
Media Technology and Society - Cyber SocietyFaindra Jabbar
 
effect of internet on today's generation
effect of internet on today's generationeffect of internet on today's generation
effect of internet on today's generationNupendra Verma
 
Coalition politics is mother of all corruption.
Coalition politics is mother of all corruption.Coalition politics is mother of all corruption.
Coalition politics is mother of all corruption.DARSHAN SABALPARA
 
The social Media & its Impact on socity
The social Media & its Impact on socityThe social Media & its Impact on socity
The social Media & its Impact on socityHasnain Arif
 
Communication through internet.ppt
Communication through internet.pptCommunication through internet.ppt
Communication through internet.pptgasumova
 
IMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATION
IMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATIONIMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATION
IMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATIONArif, Mohammed Nazrul Islam
 
Tools, equipment and paraphernalia used in cleaning,washing
Tools, equipment and paraphernalia  used in cleaning,washingTools, equipment and paraphernalia  used in cleaning,washing
Tools, equipment and paraphernalia used in cleaning,washingAngie Filler
 
Oral Health Education and Health Promotion
Oral Health Education and Health PromotionOral Health Education and Health Promotion
Oral Health Education and Health PromotionAnkit Mishra
 
INTERNET AND ITS IMPACT ON STUDENT PERFORMANCE
INTERNET AND ITS IMPACT ON STUDENT PERFORMANCEINTERNET AND ITS IMPACT ON STUDENT PERFORMANCE
INTERNET AND ITS IMPACT ON STUDENT PERFORMANCEArshad Ahmed Saeed
 
K to 12 caregiving learning modules
K to 12 caregiving learning modulesK to 12 caregiving learning modules
K to 12 caregiving learning modulesNoel Tan
 

Viewers also liked (20)

Influence of Internet
Influence of InternetInfluence of Internet
Influence of Internet
 
Health and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer Offerings
Health and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer OfferingsHealth and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer Offerings
Health and Medicine on the Net: An Overview of 1.0 to 2.0 Consumer Offerings
 
effect of internet on today's generation
effect of internet on today's generationeffect of internet on today's generation
effect of internet on today's generation
 
Internet and Society: Community 2009
Internet and Society: Community 2009Internet and Society: Community 2009
Internet and Society: Community 2009
 
Communication Effects
Communication EffectsCommunication Effects
Communication Effects
 
Internet and Society: Politics And Democracy 2009
Internet and Society: Politics And Democracy 2009Internet and Society: Politics And Democracy 2009
Internet and Society: Politics And Democracy 2009
 
Effect of communication technology
Effect of communication technology  Effect of communication technology
Effect of communication technology
 
Impact of internet in day to day life
Impact of internet in day to day lifeImpact of internet in day to day life
Impact of internet in day to day life
 
Media Technology and Society - Cyber Society
Media Technology and Society - Cyber SocietyMedia Technology and Society - Cyber Society
Media Technology and Society - Cyber Society
 
effect of internet on today's generation
effect of internet on today's generationeffect of internet on today's generation
effect of internet on today's generation
 
Coalition politics is mother of all corruption.
Coalition politics is mother of all corruption.Coalition politics is mother of all corruption.
Coalition politics is mother of all corruption.
 
The social Media & its Impact on socity
The social Media & its Impact on socityThe social Media & its Impact on socity
The social Media & its Impact on socity
 
Communication through internet.ppt
Communication through internet.pptCommunication through internet.ppt
Communication through internet.ppt
 
IMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATION
IMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATIONIMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATION
IMPACT OF SOCIAL NETWORKING SITES ON YOUNG GENERATION
 
Tools, equipment and paraphernalia used in cleaning,washing
Tools, equipment and paraphernalia  used in cleaning,washingTools, equipment and paraphernalia  used in cleaning,washing
Tools, equipment and paraphernalia used in cleaning,washing
 
Oral Health Education and Health Promotion
Oral Health Education and Health PromotionOral Health Education and Health Promotion
Oral Health Education and Health Promotion
 
INTERNET AND ITS IMPACT ON STUDENT PERFORMANCE
INTERNET AND ITS IMPACT ON STUDENT PERFORMANCEINTERNET AND ITS IMPACT ON STUDENT PERFORMANCE
INTERNET AND ITS IMPACT ON STUDENT PERFORMANCE
 
World Tuberculosis Day 2017 - Tuberculosis situation in the EU/EEA, 2015
World Tuberculosis Day 2017 - Tuberculosis situation in the EU/EEA, 2015 World Tuberculosis Day 2017 - Tuberculosis situation in the EU/EEA, 2015
World Tuberculosis Day 2017 - Tuberculosis situation in the EU/EEA, 2015
 
Internet Effects
Internet EffectsInternet Effects
Internet Effects
 
K to 12 caregiving learning modules
K to 12 caregiving learning modulesK to 12 caregiving learning modules
K to 12 caregiving learning modules
 

More from Iris Thiele Isip-Tan

AI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of DataAI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of DataIris Thiele Isip-Tan
 
Artificial Intelligence in Health Professions Education
Artificial Intelligence in Health Professions EducationArtificial Intelligence in Health Professions Education
Artificial Intelligence in Health Professions EducationIris Thiele Isip-Tan
 
Artificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementArtificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementIris Thiele Isip-Tan
 
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsArtificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsIris Thiele Isip-Tan
 
Artificial Intelligence in Biology Research and Instruction
Artificial Intelligence in Biology Research and InstructionArtificial Intelligence in Biology Research and Instruction
Artificial Intelligence in Biology Research and InstructionIris Thiele Isip-Tan
 
Artificial Intelligence in Health and Research
Artificial Intelligence in Health and ResearchArtificial Intelligence in Health and Research
Artificial Intelligence in Health and ResearchIris Thiele Isip-Tan
 
Artificial Intelligence: Ethical Issues in Residency Training
Artificial Intelligence: Ethical Issues in Residency TrainingArtificial Intelligence: Ethical Issues in Residency Training
Artificial Intelligence: Ethical Issues in Residency TrainingIris Thiele Isip-Tan
 
Use of AI: Misinformation on Social Media
Use of AI: Misinformation on Social MediaUse of AI: Misinformation on Social Media
Use of AI: Misinformation on Social MediaIris Thiele Isip-Tan
 
Blended Learning: Strategies for Student Engagement
Blended Learning: Strategies for Student EngagementBlended Learning: Strategies for Student Engagement
Blended Learning: Strategies for Student EngagementIris Thiele Isip-Tan
 
EMR Documentation: Challenges and Opportunities
EMR Documentation: Challenges and Opportunities EMR Documentation: Challenges and Opportunities
EMR Documentation: Challenges and Opportunities Iris Thiele Isip-Tan
 
How EMRs Improve Patient Management
How EMRs Improve Patient Management How EMRs Improve Patient Management
How EMRs Improve Patient Management Iris Thiele Isip-Tan
 
AI in Healthcare: Risks, Challenges, Benefits
AI in Healthcare: Risks, Challenges, BenefitsAI in Healthcare: Risks, Challenges, Benefits
AI in Healthcare: Risks, Challenges, BenefitsIris Thiele Isip-Tan
 
Social Media: Navigating the Ethics of Influence on Public Trust
Social Media: Navigating the Ethics of Influence on Public Trust Social Media: Navigating the Ethics of Influence on Public Trust
Social Media: Navigating the Ethics of Influence on Public Trust Iris Thiele Isip-Tan
 
Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits
Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits
Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits Iris Thiele Isip-Tan
 
Gamification: Gen Z Teaching & Learning
Gamification: Gen Z Teaching & LearningGamification: Gen Z Teaching & Learning
Gamification: Gen Z Teaching & LearningIris Thiele Isip-Tan
 
Telepediatrics: Moving Toward Usual Care
Telepediatrics: Moving Toward Usual Care Telepediatrics: Moving Toward Usual Care
Telepediatrics: Moving Toward Usual Care Iris Thiele Isip-Tan
 
Role of Social Media in Healthcare: An Internist's Perspective
Role of Social Media in Healthcare: An Internist's PerspectiveRole of Social Media in Healthcare: An Internist's Perspective
Role of Social Media in Healthcare: An Internist's PerspectiveIris Thiele Isip-Tan
 
Digitalizing Education: Teaching for Transformation of Healthcare Professionals
Digitalizing Education: Teaching for Transformation of Healthcare ProfessionalsDigitalizing Education: Teaching for Transformation of Healthcare Professionals
Digitalizing Education: Teaching for Transformation of Healthcare ProfessionalsIris Thiele Isip-Tan
 
Jamboards, Digital Escape Rooms and ChatGPT
Jamboards, Digital Escape Rooms and ChatGPTJamboards, Digital Escape Rooms and ChatGPT
Jamboards, Digital Escape Rooms and ChatGPTIris Thiele Isip-Tan
 
Social Media Influence: Impact on Public Trust
Social Media Influence: Impact on Public TrustSocial Media Influence: Impact on Public Trust
Social Media Influence: Impact on Public TrustIris Thiele Isip-Tan
 

More from Iris Thiele Isip-Tan (20)

AI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of DataAI in Pediatrics: Taking Baby Steps in the Big World of Data
AI in Pediatrics: Taking Baby Steps in the Big World of Data
 
Artificial Intelligence in Health Professions Education
Artificial Intelligence in Health Professions EducationArtificial Intelligence in Health Professions Education
Artificial Intelligence in Health Professions Education
 
Artificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementArtificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes Management
 
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsArtificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
 
Artificial Intelligence in Biology Research and Instruction
Artificial Intelligence in Biology Research and InstructionArtificial Intelligence in Biology Research and Instruction
Artificial Intelligence in Biology Research and Instruction
 
Artificial Intelligence in Health and Research
Artificial Intelligence in Health and ResearchArtificial Intelligence in Health and Research
Artificial Intelligence in Health and Research
 
Artificial Intelligence: Ethical Issues in Residency Training
Artificial Intelligence: Ethical Issues in Residency TrainingArtificial Intelligence: Ethical Issues in Residency Training
Artificial Intelligence: Ethical Issues in Residency Training
 
Use of AI: Misinformation on Social Media
Use of AI: Misinformation on Social MediaUse of AI: Misinformation on Social Media
Use of AI: Misinformation on Social Media
 
Blended Learning: Strategies for Student Engagement
Blended Learning: Strategies for Student EngagementBlended Learning: Strategies for Student Engagement
Blended Learning: Strategies for Student Engagement
 
EMR Documentation: Challenges and Opportunities
EMR Documentation: Challenges and Opportunities EMR Documentation: Challenges and Opportunities
EMR Documentation: Challenges and Opportunities
 
How EMRs Improve Patient Management
How EMRs Improve Patient Management How EMRs Improve Patient Management
How EMRs Improve Patient Management
 
AI in Healthcare: Risks, Challenges, Benefits
AI in Healthcare: Risks, Challenges, BenefitsAI in Healthcare: Risks, Challenges, Benefits
AI in Healthcare: Risks, Challenges, Benefits
 
Social Media: Navigating the Ethics of Influence on Public Trust
Social Media: Navigating the Ethics of Influence on Public Trust Social Media: Navigating the Ethics of Influence on Public Trust
Social Media: Navigating the Ethics of Influence on Public Trust
 
Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits
Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits
Artificial Intelligence in Healthcare: Risks, Challenges, and Benefits
 
Gamification: Gen Z Teaching & Learning
Gamification: Gen Z Teaching & LearningGamification: Gen Z Teaching & Learning
Gamification: Gen Z Teaching & Learning
 
Telepediatrics: Moving Toward Usual Care
Telepediatrics: Moving Toward Usual Care Telepediatrics: Moving Toward Usual Care
Telepediatrics: Moving Toward Usual Care
 
Role of Social Media in Healthcare: An Internist's Perspective
Role of Social Media in Healthcare: An Internist's PerspectiveRole of Social Media in Healthcare: An Internist's Perspective
Role of Social Media in Healthcare: An Internist's Perspective
 
Digitalizing Education: Teaching for Transformation of Healthcare Professionals
Digitalizing Education: Teaching for Transformation of Healthcare ProfessionalsDigitalizing Education: Teaching for Transformation of Healthcare Professionals
Digitalizing Education: Teaching for Transformation of Healthcare Professionals
 
Jamboards, Digital Escape Rooms and ChatGPT
Jamboards, Digital Escape Rooms and ChatGPTJamboards, Digital Escape Rooms and ChatGPT
Jamboards, Digital Escape Rooms and ChatGPT
 
Social Media Influence: Impact on Public Trust
Social Media Influence: Impact on Public TrustSocial Media Influence: Impact on Public Trust
Social Media Influence: Impact on Public Trust
 

Recently uploaded

Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
Call Girl Surat Madhuri 7001305949 Independent Escort Service Surat
Call Girl Surat Madhuri 7001305949 Independent Escort Service SuratCall Girl Surat Madhuri 7001305949 Independent Escort Service Surat
Call Girl Surat Madhuri 7001305949 Independent Escort Service Suratnarwatsonia7
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...rajnisinghkjn
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 

Recently uploaded (20)

Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
Call Girl Surat Madhuri 7001305949 Independent Escort Service Surat
Call Girl Surat Madhuri 7001305949 Independent Escort Service SuratCall Girl Surat Madhuri 7001305949 Independent Escort Service Surat
Call Girl Surat Madhuri 7001305949 Independent Escort Service Surat
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 

Use of the Internet for health promotion

  • 1. Electronic Media Image credit “Deep Investigation" by Stefan, http://www.flickr.com/photos/st3f4n/4272645780/in/pool-862681@N20/ Friday, March 22, 13
  • 2. Our children will never know the link between the two :) Image credit “Cassette tape" by eocs, http://www.sxc.hu/photo/965831 “pencil" by drniels, http://www.sxc.hu/photo/970177 Friday, March 22, 13
  • 3. Use of Electronic Media the Internet for Health Promotion Iris Thiele Isip Tan MD, MSc Chief, Medical Informatics Unit Assoc. Professor, UP College of Medicine Image credit “The Death Star plans are not in the main computer" by JD Hancock, http://www.flickr.com/photos/jdhancock/5845280258/in/set-72157616246711843/ Friday, March 22, 13
  • 4. Image credit “Super Troopers!” by JD Hancock, http://www.flickr.com/photos/jdhancock/3597447738/in/set-72157626809398652 Health Promotion: Empowerment Friday, March 22, 13
  • 5. Image credits “#thewretched” by drothamel http://www.flickr.com/photos/realestatezebra/8505117857/ “Twitter Poster" by N Delaney, http://neildelaney.blogspot.com/2011/11/twitter-poster.html Friday, March 22, 13
  • 7. The Internet & Health Promotion Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Empowerment Disempowerment Image credit “Only what you take with you" by JD Hancock, http://www.flickr.com/photos/jdhancock/5223069188/in/set-72157626898819900 Friday, March 22, 13
  • 9. Halikan mo na lang ako. I don’t need the extra calories :) Image credit “Untitled” by e.mcclay, http://www.flickr.com/photos/emcclay/4532232202/ http://endocrine-witch.net Friday, March 22, 13
  • 10. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239 Friday, March 22, 13
  • 11. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239 Friday, March 22, 13
  • 12. http://www.flickr.com/photos/ azrainman/1003163361/ “For the first time in history, we know now how to store virtually all humanity’s most important information and make it available, almost instantly, in almost any form, to almost anyone on earth. We also know how to do that in great ways so that people can interact with it, and learn from it.” Dryden, Gordon; Vos, Jeannette (2005). The New Learning Revolution: How Britain Can Lead the World in Learning, Education, and Schooling. UK: Network Educational Press Ltd. p. 127 Friday, March 22, 13
  • 13. GMG ... Google Mo G*g*! Friday, March 22, 13
  • 14. Search the Internet for health information, I can. Yes, hmmm. ~80% find the health information they need Pew Internet & American Life Project Image credit “The true mystery of the world is the visible, not the invisible.” by JD Hancock, http://www.flickr.com/photos/jdhancock/5813423429/in/set-72157626898819900 Friday, March 22, 13
  • 15. 8 out of 10 American internet users have searched online for at least 1 major health topic! from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Friday, March 22, 13
  • 16. Diet, nutrition, Exercise Specific vitamins, or fitness disease or supplements 42% medical problem 51% 66% Prescription or Medical treatment or OTC drugs procedure 40% 51% Health Topics Searched Online from Pew Internet & American Life Project Nov 2004 Survey Friday, March 22, 13
  • 17. 3 Categories of e-Patients* from Cain, Sarasohn-Kahn & Wayne (2000) “Health e-People: The Online Consumer Experience” The Well Image by WebWizzard http://www.flickr.com/photos/webwizzard/3931165028/ The Acutes Facing a new medical challenge The Chronics Chronic but stable illnesses * Includes caregivers Friday, March 22, 13
  • 18. Image by iwd http://www.sxc.hu/photo/1129780 60- 5- 30- 65% 1 6% 35% The Well every few months Internet Access from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Friday, March 22, 13
  • 19. Image by iwd http://www.sxc.hu/photo/1129780 60- 5- 30- 65% 1 6% 2 35% The The Well Acutes every few everyday months Internet Access from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Friday, March 22, 13
  • 20. Image by iwd http://www.sxc.hu/photo/1129780 60- 5- 30- 65% 1 6% 2 35% 3 The The The Well Acutes Chronics every several few everyday times a months month Internet Access from Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Friday, March 22, 13
  • 21. e-patient & Empowerment From Von Knoop at al of Boston Consulting Group (2003) “Vital Signs: e-Health in the United States Severity of Condition High In control Involved Moderate Informed Low Accepting Godlike Partner Supplier Attitude Toward Physician Friday, March 22, 13
  • 22. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 Accepting Informed In control Doctor- Junior dependent & medical uninformed partners Rarely go online for health information Friday, March 22, 13
  • 23. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 2 Accepting Informed Involved In control Doctor- Doctor- dependent & dependent uninformed but informed Rarely go Go online online for before or health after MD visit information Friday, March 22, 13
  • 24. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 2 3 Accepting Informed Involved In control Doctor- Doctor- Junior dependent Autonomous dependent & medical but informed patients uninformed partners Rarely go Go online Prefer to online for before or make joint health after MD visit decisions but information defer to MD Friday, March 22, 13
  • 25. From Von Knoop at al of Boston Consulting Group (2003) Image by iwd http://www.sxc.hu/photo/1129780 “Vital Signs: e-Health in the United States 1 2 3 4 Accepting Informed Involved In control Doctor- Doctor- Junior dependent Autonomous dependent & medical but informed patients uninformed partners Rarely go Go online Prefer to Make their online for before or make joint own decision health after MD visit decisions but even if MD information defer to MD disagrees Friday, March 22, 13
  • 26. Will the Internet strengthen the position of the patient and the public vs experts and institutions? Health Promotion: Empowerment Image credit “Storm Loss” by JD Hancock, http://www.flickr.com/photos/jdhancock/4407661873/in/set-72157626898819900 Friday, March 22, 13
  • 27. “As opposed to the doctor-centric, curative model of the past, the future is going to be patient-centric and proactive.” Elias A. Zerhouni MD, NIH Director Dec 2007 Image by JD Hancock http://www.flickr.com/photos/jdhancock/4100030094/ Friday, March 22, 13
  • 29. Image credit “smiley egg 4” by bizior, http://www.sxc.hu/photo/939148 DIABETES? Ok lang yan! http://endocrine-witch.net Friday, March 22, 13
  • 30. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239 Friday, March 22, 13
  • 31. Ask questions online without anyone ever getting to see you or know who you are. Image credit “Storm Trooper vs Storm Shadow” by JD Hancock, http://www.flickr.com/photos/jdhancock/4236177214/in/set-72157618524893239 Friday, March 22, 13
  • 32. http://thesweetliferunner.blogspot.com/2012/06/ power-of-ampalaya-plus.html Friday, March 22, 13
  • 37. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239 Friday, March 22, 13
  • 38. Web 1.0 “the mostly read-only Web” Image from liquene http://www.flickr.com/photos/liquene/3900145161/ Friday, March 22, 13
  • 39. Image from adactio http://www.flickr.com/photos/adactio/78600196/ Web 2.0 “the wildly read-write Web” Friday, March 22, 13
  • 40. Crowd-sourcing Harnessing collective intelligence Image from antigone78 http://www.flickr.com/photos/antigone/457089364/ Friday, March 22, 13
  • 43. “Movement in which networked patients shift from being mere passengers to responsible drivers of their health ... providers encourage and value them as full partners” Society for Participatory Medicine Image by Liz Grace http://www.flickr.com/photos/liz-grace/5078868809/ Participatory Medicine Friday, March 22, 13
  • 44. Patients as members of collaborative treatment teams Community health decision-making Image fro m http://ww network w.sxc.hu/ photo/98 5516 “Mindfully” involved in treatment Online community/ “Participatory Medicine” support group from Wikipedia Friday, March 22, 13
  • 45. Ten Reasons Why You Should Join a Diabetes Social Network by Manny Hernandez on www.dlife.com Friday, March 22, 13
  • 46. Social but safe? Quality and safety of diabetes-related online social networks Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 Image credit “Storm crowd" by JD Hancock, http://www.flickr.com/photos/jdhancock/3574716051/in/set-72157616246711843/ Friday, March 22, 13
  • 47. Quality and safety of diabetes- related online social networks Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 Alignment of content with diabetes science and clinical practice recommendations Safety practices for auditing content, supporting transparency and moderation Accessibility of privacy policies and the communication and control of privacy risks Centralized sharing of member data and member control over sharing Image credit “Heart of the Storm" by JD Hancock, http://www.flickr.com/photos/jdhancock/4354438814/in/set-72157616246711843/ Friday, March 22, 13
  • 48. Quality and safety of diabetes- related online social networks Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 50% aligned with science 70% use moderation (internal safety review) Poor readability impedes risk communication Only 3 sites support member controls over personal information Friday, March 22, 13
  • 49. Do we have an obligation for protective action to improve quality and support safety of social networks? Weitzman et al. J Am Med Inform Assoc 2011;18:292-297 Image credit “Career-limiting move” by JD Hancock, http://www.flickr.com/photos/jdhancock/3591682866/in/set-72157626809398652 Friday, March 22, 13
  • 50. “... interpersonal interactions are essential for persuading individuals to adopt health-promoting behaviors.” Cassell et al. Health Communication on the Internet: An Effective Channel for Health Behavior Change. Journal of Health Communication 1998, 3:71-79 Image credit “Day 359” Pasukaru76, http://www.flickr.com/photos/pasukaru76/4857051395/ Friday, March 22, 13
  • 51. To persuade ... Motivate receiver to attend to messages Include solicitation of feedback Elaboration of arguments and counter-arguments Image credit “Maybe it’s another drill” by JD Hancock, http://www.flickr.com/photos/jdhancock/3454700220/in/set-72157618524893239 Friday, March 22, 13
  • 52. Limit salt intake. 1 tbsp soy sauce Image credit = ~900 mg sodium “soy sauce” by yuichirock, http://www.flickr.com/photos/yuichirock/5092927242/ http://endocrine-witch.net Friday, March 22, 13
  • 54. “We do not persuade others at all; we only provide the stimuli with which they can persuade themselves.” Simons HW (1971). Persuasion & Attitude Change Image credit “Not too bright” by JD Hancock, http://www.flickr.com/photos/jdhancock/3579878853/in/set-72157626809398652 Friday, March 22, 13
  • 55. Is it really worth it? 45 min = recreational swimming* * This is just an approximation. Will vary depending on calories per Image credit pizza slice and person’s weight. “slice of pizza” by nruboc, http://www.sxc.hu/photo/1067182 http://endocrine-witch.net Friday, March 22, 13
  • 57. Is it really worth it? 85 min walking (5 kph)* = * This is just an approximation. Will vary depending on calories per Image credit “doughnut” by pzado, doughnut and person’s weight. http://www.sxc.hu/photo/880587 http://endocrine-witch.net Friday, March 22, 13
  • 59. Make the right choice. ` OR Banana banana split? Image credit “Bananas” by harper07, Image credit http://www.sxc.hu/photo/985337 “Banana split” by gabriel183, http://endocrine-witch.net http://www.sxc.hu/photo/592509 Friday, March 22, 13
  • 61. Make the right choice. OR Apple apple pie? Image credit “An apple” by magurka, Image credit http://www.sxc.hu/photo/1187239 “Dutch apple pie 3” by mikehome, http://endocrine-witch.net http://www.sxc.hu/photo/918696 Friday, March 22, 13
  • 63. The Internet & Empowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Enabling of advanced information and knowledge retrieval Anonymity Creation of social contacts and support independent of time and space Challenging the expert-lay actor relationship Image credit “Taking the World by Storm” by JD Hancock, http://www.flickr.com/photos/jdhancock/3578558776/in/set-72157618524893239 Friday, March 22, 13
  • 64. “Paradoxically, a patient’s interest in knowledge may not always accompany an interest in the medical decision making process.” Gerber & Eiser, Journal of Medical Internet Research 2001 Image by nightRPstar http://www.flickr.com/photos/ninjanoodles/1586212326/ Friday, March 22, 13
  • 65. Image by Kurhan http://www.sxc.hu/photo/1314902 Informed decision-maker Knowledge-acquirer Physician-Patient Encounters Gerber & Eiser, Journal of Medical Internet Research 2001 Friday, March 22, 13
  • 66. Image from carbonNYC http://www.flickr.com/photos/carbonnyc/3440688097/ Interested in learning more about the treatment decided on by MD The Knowledge-Acquirer Provides some personal values to the physician Gerber & Eiser, Journal of Medical Internet Research 2001 Friday, March 22, 13
  • 67. http://www.flickr.com/photos/72341818@N00/4555752947/ Extra time to discuss what patient knows Avoid frustration of not being the sole source of information The Informed Decision-Maker Possesses both preference and knowledge Gerber & Eiser, Journal of Medical Internet Research 2001 Friday, March 22, 13
  • 68. Image by Niklas Hellerstedt http://www.flickr.com/photos/niklashellerstedt/2414448568/ Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Internet-hostile Clearly uncomfortable with, and sometimes seem to feel offended by patient’s attempts to learn more online Friday, March 22, 13
  • 69. “[Most doctors] really do like to think they have ALL the answers. This will never change, I am afraid.” Pew Internet Project e-Patient Survey Image by caricaturas http://www.flickr.com/photos/caricaturesbynelson/2031107541/ Friday, March 22, 13
  • 70. Image by southerntabitha http://www.flickr.com/photos/tabithahawk/567135091/ Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Internet-friendly Encourages patient’s online efforts Friday, March 22, 13
  • 71. Image by Charles Williams http://www.flickr.com/photos/charlesonflickr/3926259585/ Patients will likely seek a “second opinion” on the internet Gerber & Eiser, Journal of Medical Internet Research 2001 The Internet Prescription Recommend websites to the patient Friday, March 22, 13
  • 72. Medline Plus http://www.nlm.nih.gov/medlineplus Friday, March 22, 13
  • 73. Mayo Clinic http://www.mayoclinic.com Friday, March 22, 13
  • 74. Look for the HON Code seal Health on the Net Foundation Medical information you can trust! http://www.hon.ch also provides HONtools, HONsearch, HONtopics Friday, March 22, 13
  • 75. Image by Yogendra174 http://www.flickr.com/photos/yogendra174/4437447471/ Do not underestimate patients’ ability to provide useful online resources Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Friday, March 22, 13
  • 76. Image by steved_np3 http://www.sxc.hu/photo/1339516 Do not overestimate the hazards of imperfect online information Database of Adverse Events Related to Internet Use (DAERI) reported only a single case of possible fatality from 2000-2004 Tom Ferguson, MD & the e-Patients Scholars Working Group (2007) “e-patients: how they can help us heal healthcare” Friday, March 22, 13
  • 77. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900 Friday, March 22, 13
  • 78. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900 Friday, March 22, 13
  • 79. Is the power of judgment solely in the hands of the expert? Image credit “See no Vader, Hear no Vader, Speak no Vader” by JD Hancock, http://www.flickr.com/photos/jdhancock/3618602355/in/set-72157626809398652 Friday, March 22, 13
  • 80. 87% of HON-accredited sites too difficult to read Kusec et al. Stud Health Technol Inform 2003;95:655-60. Only 28% of diabetes patient education sites are HONcode-accredited Thakurdesai et al. Patient Educ Couns 2004;53:309-13. Health on the Net Foundation Medical information you can trust! http://www.hon.ch Friday, March 22, 13
  • 81. Existing content in the WWW does not meet the content needs of underserved communities. Lazaras & Mora (2000). Online content for low income and underserved Americans: the digital divide’s new frontier. Image credit “I fought the lawn ... and the lawn won.” by JD Hancock, http://www.flickr.com/photos/jdhancock/3521006248/in/set-72157618524893239/ Friday, March 22, 13
  • 82. More ... Local-oriented content Accessible to those with low literacy Information in multiple languages Information created by the underserved communities Lazaras & Mora (2000). Online content for low income and underserved Americans: the digital divide’s new frontier. Image credit “I fought the lawn ... and the lawn won.” by JD Hancock, http://www.flickr.com/photos/jdhancock/3521006248/in/set-72157618524893239/ Friday, March 22, 13
  • 83. Laging nauuhaw? Baka diabetes na yan! Magpatingin sa doktor. Image credit: “Drinking” by nkzs, http://www.sxc.hu/photo/966608 http://endocrine-witch.net Friday, March 22, 13
  • 84. May diabetes ba si Itay o Inay? Magpa-check up ka na! Namamana ang diabetes. Image credit: “paper chain in the dark” by hoefi, http://www.sxc.hu/photo/1215912 http://endocrine-witch.net Friday, March 22, 13
  • 85. Alam mo ba kung ano ang blood pressure mo? Isa sa bawat apat na Pilipino ang may alta presyon. 2008 National Nutrition & Health Survey Image credit “sphygmomanometer 1” by sundesigns, http://www.sxc.hu/photo/600972 http://endocrine-witch.net Friday, March 22, 13
  • 86. Limit salt intake http://endocrine-witch.net Image credit: 1 tbsp bagoong “Kare-kare @ Golden Cowrie” by dbgg1979, http://www.flickr.com/photos/dbgg1979/3494113750/ = ~400 mg sodium Friday, March 22, 13
  • 88. Diet ka ba kaya coffee na lang? Skim milk, no whip cream and half the syrup :) Image credit: “coffee bean cup” by angood, http://www.sxc.hu/photo/1005115 http://endocrine-witch.net Friday, March 22, 13
  • 89. Are you a Downton Abbey fan? Try the TV exercise game! http://www.wikihow.com/Sample/ Downton-Abbey-Exercise-Game Run in place for 30 seconds every time O’Brien glares at someone across the servant’s table Image credit “Highclere Castle (aka Downton Abbey Do 15 jumping jacks in the TV series)” by garybembridge, http://www.flickr.com/photos/sis/156108576/ every time Mary’s hat/dress/gloves etc. are fabulous http://endocrine-witch.net (add a set if Edith is less than fabulous in the same scene) Friday, March 22, 13
  • 90. http://endocrine-witch.net Awat na sa bacon! Study* finds that high intake of processed meat increases risk of premature death by 44%. *Meat consumption & mortality - results from the European Prospective Investigation into Cancer & Nutrition BMC Medicine 2013, 11:63 doi:10.1186/1741-7015-11-63 Friday, March 22, 13
  • 91. “The quality of Internet health information is ... closely linked to the trust that people place in it. However, quality (according to scientific standards) and trust are by no means identical issues.” Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Image credit “Trash talk" by JD Hancock, http://www.flickr.com/photos/jdhancock/4335744343/in/set-72157626898819900 Friday, March 22, 13
  • 92. Information Quality Criteria Stvilia B et al. A model for online consumer health information quality. JASIST 2009;60(9):1781-91 Friday, March 22, 13
  • 93. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900 Friday, March 22, 13
  • 94. Gallup Poll (2011): Home internet access still out of reach for many worldwide Lymari Morales http://www.gallup.com/poll/159815/home-internet-access- remains-reach-worldwide.aspx#1 Global median: 32% Sweden & Singapore: 93% US: 80% China: 34% Philippines: 21% Image credit “The Death Star plans are not in the main computer" by JD Hancock, http://www.flickr.com/photos/jdhancock/5845280258/in/set-72157616246711843/ Friday, March 22, 13
  • 98. The Internet & Disempowerment Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Shift towards expert control Widens the gap between the “information-rich” and the “information-poor” Increase in medicalization and healthism Image credit “Creamed” by JD Hancock, http://www.flickr.com/photos/jdhancock/5652675511/in/set-72157626898819900 Friday, March 22, 13
  • 99. Healthism Excessive, usually anxious preoccupation with health Image credit “(Maybe he won’t notice" by JD Hancock, http://www.flickr.com/photos/jdhancock/3594736770/in/set-72157630447715866/ Friday, March 22, 13
  • 100. Medicalization When a normal bodily process/characteristic or a previously normal behavior is considered worthy of medical diagnosis or treatment Image credit “(Maybe he won’t notice" by JD Hancock, http://www.flickr.com/photos/jdhancock/3594736770/in/set-72157630447715866/ Friday, March 22, 13
  • 101. Kuya, are you chubby but cute? Filipino male 112 lbs for 5 ft Add or subtract 4 lbs for every inch above or below 5 ft Know your ideal weight Image credit for height. “The scale” by crossfire, http://www.sxc.hu/photo/311966 http://endocrine-witch.net Friday, March 22, 13
  • 102. Ate, are you Filipino female 106 lbs for 5 ft pleasantly Add or subtract 4 lbs for every inch plump? above or below 5 ft Know your ideal Image credit weight for “Weighing” by nubuck, http://www.sxc.hu/photo/788291 http://endocrine-witch.net height. Friday, March 22, 13
  • 104. The Internet & Health Promotion Korp P. Health on the Internet: Implications for Health Promotion Health Educ. Res. (February 2006) 21 (1): 78-86. doi: 10.1093/her/cyh043 Empowerment Disempowerment Image credit “Only what you take with you" by JD Hancock, http://www.flickr.com/photos/jdhancock/5223069188/in/set-72157626898819900 Friday, March 22, 13
  • 105. “We can’t value what we don’t understand. And we’ll only understand what something can offer by poking at it and trying it in different ways. The world is increasingly networked. And when you find the right place to connect, share and create, you’re likely to find value.” Friday, March 22, 13
  • 106. Thank You http://www.endocrine-witch.net @endocrine_witch http://www.slideshare.net/isiptan Image from http://wthr.frumph.net/ Friday, March 22, 13