College Health 2.0
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This document discusses how college health programs can utilize digital technologies and social media to engage with students. It defines "Health 2.0" as using Web 2.0 tools like social media to personalize healthcare and promote health education. College health programs can apply Health 2.0 approaches by identifying key health issues and audiences, desired outcomes, and effective strategies from other programs. Examples discussed include using mobile apps, social networks, texting, and interactive online tools to reach students and improve health behaviors and outcomes in a scalable way.
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College Health 2.0
- 1. College Health 2.0: Health and Wellness in the Digital Age Jay M. Bernhardt, PhD, MPH Director, Center for Digital Health and Wellness Professor and Chair, Health Education and Behavior Monica C. Webb, MPH, CHES Doctoral Research Assistant Southern College Health Association Conference 2011
- 2. Are you more 0.0, 1.0, or 2.0?
- 3. Are you 0.0 or 1.0 or 2.0? Do you have a cellphone? Do you text? How many times per day? Have you browsed the mobile web? Do you have a smartphone? Have you downloaded apps? Paid for apps? Do you use social networking sites? Facebook? Twitter? Aggregators like Seesmic? Do you have a landline telephone? How Millennial Are You? http://pewresearch.org/millennials/
- 4. Internet Use by Age, 2000-2010 Millenials:
- 6. Social Media Use by Age, 2005-2010
- 8. Millennial Generation Also known as Generation Y Born between 1977-1993 More likely to own a laptop than a desktop computer Almost all use cellphones for more than just talking Own more gadgets and use them frequently http://www.flowtown.com http://pewinternet.org/Reports/2011/Generations-and-gadgets.aspx
- 9. What is 2.0?
- 10. “Web 2.0” Web applications that facilitate interactive information sharing, interoperability, user-centered design, and collaboration. Users can interact or collaborate with each other in a social media dialogue as creators of user-generated content in a virtual community, in contrast to websites where users are limited to the passive viewing of content that was created for them. Source: http://en.wikipedia.org/wiki/Web_2.0
- 11. “Health 2.0” “The use of a specific set of (Web 2.0) tools by actors in health care including doctors, patients, and (healthcare professionals), using principles of open source and generation of content by users, and the power of networks in order to personalize health care, collaborate, and promote health education.” Hughes B, Joshi I, Wareham J. Health 2.0 and Medicine 2.0: Tensions and Controversies in the Field, Journal of Medical Internet Research, 10(3): e23
- 12. Advantages of Health 2.0 Programs Increased & Sustained Reach Go to where your audiences already get/share information Speak to your audiences in the language they understand Audience led content creation and viral content sharing http://letmeget.com/blog/texting-symbols-list-facebook http://www.joydeepdeb.com/blog/social-media-share-buttons.html
- 13. Advantages of Health 2.0 Programs Deeper Audience Relevance, Involvement, and Engagement Match content to interests Ability to target, tailor, personalize, participate Leverage place and location http://www.fastcompany.com/1603217/the-five-stages-of-foursquare-use
- 14. Advantages of Health 2.0 Programs Scalable and Affordable Interventions Relatively low costs to reach large numbers Facilitates Measurement and Program Evaluation Social media data mining Automated monitoring
- 15. Promise of Health 2.0 Programs Reach Relevance Involvement Engagement Scalable Affordable Measurable More Effective Programs! Problem: Which ones work?
- 16. Applying College health 2.0
- 17. Applying College Health 2.0 Step One: What are the specific health issues you are addressing? Infectious diseases Injuries and violence Mental health Physical health Sexual behaviors Substance use Weight and nutrition
- 18. Applying College Health 2.0 Step Two: Who are the specific audiences you want to reach? Undergrads vs. Grad Students On campus vs. Off campus Male vs. Female vs. Both LGBT Athletes Greek organizations Key is getting past demographics to more meaningful segments
- 19. Applying College Health 2.0 Step Three: What specific outcomes do you want to accomplish? Knowledge & awareness Program participation Self-help & adherence Diagnosis & treatment Behavior modification Preventive behaviors Policy modifications
- 20. Applying College Health 2.0 Step Four: What already works that can be applied? Or piloted? Reminder systems Targeted messages Tailored messages Narrative messages High (timely) repetition Social network influence
- 21. http://www.letsgodigital.org/en/12870/cellphoneplan/ College health 2.0 examples
- 22. 1.0: Scheduling & Prescription Refills 2.0: Integration into EMR & PHR; Renewal reminders; Adherence reminders; Multiplatform messaging
- 23. 1.0 : College Health Blogs/Tweets Ohio State: Health services blog “BuckMD” Q&A text-based format RSS Feeds (blog, news, events) Ability to “like” on FB (220) Twitter-based “microblog” (138) 2.0: User-generated content; Inclusion of sharable audio and video; Leverage other more popular feeds.
- 24. 1.0 & 2.0: Social Networking Sites (165) (14) 2.0: Multiplatform messaging; User generated content; Leverage more popular feeds; Data mining/analysis.
- 25. 1.0: Podcasting & Videocasting Multiple universities (USF, Harvard) use iTunes U to post podcasts related to health 2.0: Leverage more popular sites (e.g., YouTube); Multiplatform messaging; User generated content.
- 26. 1.0: Self-Assessments & Self-Help E-Chug interactive web survey students enter drinking patterns receive feedback MyStudentBody targeted online programs interactive and research based 2.0: Integration into EMR & PHR; Multiplatform access; Social network integration; Individual tailoring.
- 27. 2.0: Online Interactive Triage University of Central Florida 24/7 WebMed 6 urgency level pilot program Marketing service is key Replaced by FreeMD http://www.freemd.com/ Sole, M.L, Stuart, P.L. & Deichen M. (2006) Web-based Triage in a College Health Setting. Journal of American College Health.
- 28. 2.0: College Health Mobile Apps 101 Health Tips for College Students ($0.99) Alculator ($0.99)
- 29. 2.0: College Health Mobile Apps myDateTrackerAlert Dating safety app ($0.99) Texts date details to emergency contacts if you don’t check in at a preset time 2.0+: Mobile website have greater reach/access than apps; Leverage location based services and social networks.
- 30. 1.0 – 2.0: SMS and Texting
- 32. Go Viral to Improve Health: IOM-NAE Health Data Collegiate Challenge Using social networking, mobile apps, and other new technologies, how can the power of health data be unleashed to increase the awareness of health problems and inspire positive action at the community level? http://health2challenge.org/blog/go-viral/
- 33. “College Health 2.0” Based on definition by West Virginia Rural Healthy Aging Network
- 34. college health 2.0, 3.0, 4.0, …
- 35. Tech Trends & College Health Implications EMRs & meaningful use Social networking Mobile connectivity Location-based tools Telehealth/monitoring Ubiquitous computing IVR, AI, HCI, and robotics
- 36. Thank you University of Florida: jaybernhardt@ufl.edu jaybernhardt.com @jaybernhardt
Editor's Notes
- http://www.pewinternet.org/Infographics/2010/Internet-acess-by-age-group-over-time-Update.aspx
- http://www.pewinternet.org/Infographics/Generational-differences-in-online-activities.aspx
- http://www.achancha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2010.pdfSubstance use65% drank in the past 30 days35% consumed 5 or more drinks in a sitting within the last two weeks17% used marijuana in the past 30 daysSexual behaviorsOf the students who had vaginal intercourse within the past 30 days, 49% did not use a condom. When looking at oral sex, 95% did not use a protective barrier and 72% failed to use a barrier when participating in anal sex.Weight and nutrition64% of students do not eat the recommended servings of fruit and vegetables. 33.5% of college students are overweight or obeseViolence20.9% of students were verbally threatened within the past 12 months.7.7% were in a physical altercationPhysical healthOnly 19.2% of college students met the recommended weekly moderate-intensity exercise level (at least 30 min on 5 or more days per week).Mental health52.8% of college students have felt so depressed that it was difficult to function7.7% of college students have attempted suicide
- http://www.achancha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2010.pdfSubstance use65% drank in the past 30 days35% consumed 5 or more drinks in a sitting within the last two weeks17% used marijuana in the past 30 daysSexual behaviorsOf the students who had vaginal intercourse within the past 30 days, 49% did not use a condom. When looking at oral sex, 95% did not use a protective barrier and 72% failed to use a barrier when participating in anal sex.Weight and nutrition64% of students do not eat the recommended servings of fruit and vegetables. 33.5% of college students are overweight or obeseViolence20.9% of students were verbally threatened within the past 12 months.7.7% were in a physical altercationPhysical healthOnly 19.2% of college students met the recommended weekly moderate-intensity exercise level (at least 30 min on 5 or more days per week).Mental health52.8% of college students have felt so depressed that it was difficult to function7.7% of college students have attempted suicide
- http://www.achancha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2010.pdfSubstance use65% drank in the past 30 days35% consumed 5 or more drinks in a sitting within the last two weeks17% used marijuana in the past 30 daysSexual behaviorsOf the students who had vaginal intercourse within the past 30 days, 49% did not use a condom. When looking at oral sex, 95% did not use a protective barrier and 72% failed to use a barrier when participating in anal sex.Weight and nutrition64% of students do not eat the recommended servings of fruit and vegetables. 33.5% of college students are overweight or obeseViolence20.9% of students were verbally threatened within the past 12 months.7.7% were in a physical altercationPhysical healthOnly 19.2% of college students met the recommended weekly moderate-intensity exercise level (at least 30 min on 5 or more days per week).Mental health52.8% of college students have felt so depressed that it was difficult to function7.7% of college students have attempted suicide
- http://www.achancha.org/docs/ACHA-NCHA-II_ReferenceGroup_ExecutiveSummary_Spring2010.pdfSubstance use65% drank in the past 30 days35% consumed 5 or more drinks in a sitting within the last two weeks17% used marijuana in the past 30 daysSexual behaviorsOf the students who had vaginal intercourse within the past 30 days, 49% did not use a condom. When looking at oral sex, 95% did not use a protective barrier and 72% failed to use a barrier when participating in anal sex.Weight and nutrition64% of students do not eat the recommended servings of fruit and vegetables. 33.5% of college students are overweight or obeseViolence20.9% of students were verbally threatened within the past 12 months.7.7% were in a physical altercationPhysical healthOnly 19.2% of college students met the recommended weekly moderate-intensity exercise level (at least 30 min on 5 or more days per week).Mental health52.8% of college students have felt so depressed that it was difficult to function7.7% of college students have attempted suicide
- UF Student Health Care CenterFacebook and Twitter Pages
- Sole, M.L, Stuart, P.L. &Deichen M. (2006) Web-based Triage in a College Health Setting. Journal of American College Health.Urgency Levels:Emergent; call 911Seek care immediatelySeek care within 12-24 hoursSeek care within 2-3 daysSeek care within 1-2 weeksSelf-care recommended
- Located in the iTunes store101 Health Tips for College Students – Focuses on: diet, exercise, sleep, sexual health, illness, stress, mental health, study abroad, and “miscellaneous” ($0.99). Alculator – Taking BAC calculator ($0.99)
- iTunes weblink: http://itunes.apple.com/us/app/mydatetrackeralert/id413644361?mt=8#Reuters News Report on app: http://www.reuters.com/article/2011/02/14/us-technology-app-valentine-idUSTRE71D1QT20110214
- Identify a health problem (e.g., smoking, obesity, vaccination rates, health disparities, mental health, access to care, palliative care) in your college’s or university’s surrounding community.Assemble an interdisciplinary student team to create an app or other product using datafrom the HHS Health Indicators Warehouse and other sources (e.g., including crowd sourcing methods).Demonstrate how your solution could engage people in your community to promote action that will improve their health and healthcare.PrizeThree teams will be recognized at the next forum of the HDI on June 9, 2011, at the National Institutes of Health in Bethesda, MD. First place: $3,000 prize, an on-stage live demo of their app, and an exhibit at the June 9th forum expo.Second place: $2,000 prize, plus an exhibit at the forum expo.Third place: $1,000 prize, plus an exhibit at the forum expo.