This document discusses using social media for health communication. It begins by outlining Iris Thiele Isip Tan's background and experience with the Facebook page "Endocrine Witch". Some key points made in the document include:
- Social media can increase interaction and accessibility of health information but may also spread unreliable information.
- Studies show people frequently use online sources for health information and social media for this, though reliability and privacy are concerns.
- Effective health messaging on social media requires considering factors like audience, platform, content and engagement strategies.
- Cultural differences exist in preferences for expert versus experiential health information online.
As an introduction, I gave a series of short lectures on the Use of Social Media on Healthcare among medical students of Cebu Doctors University College of Medicine. Most of the slides were borrowed with permission from Dr. Iris Thiele Isip-Tan's slideshare deck.
6th Association of Philippine Medical Colleges – Student Network Luzon Regional Convention
Healthcare Social Media Summit
Virgen Milagrosa University Foundation, San Carlos City, Pangasinan
12 November 2016
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
The science and art of preventing disease, prolonging life, and promoting physical and mental health and efficiency through organized community efforts for the sanitation of the environment, the control of community infections, the education of the individual in principles of personal hygiene, the organization of medical and nursing service for the early diagnosis and preventive treatment of disease, and the development of the social machinery, which will ensure to every individual in the community a standard of living adequate for the maintenance of health.
As an introduction, I gave a series of short lectures on the Use of Social Media on Healthcare among medical students of Cebu Doctors University College of Medicine. Most of the slides were borrowed with permission from Dr. Iris Thiele Isip-Tan's slideshare deck.
6th Association of Philippine Medical Colleges – Student Network Luzon Regional Convention
Healthcare Social Media Summit
Virgen Milagrosa University Foundation, San Carlos City, Pangasinan
12 November 2016
Healthcare is a major part of every country's development platform. By healthcare we are in fact protecting the most important driver of development. Healthcare systems are primarily safe guarding the development core engine and are the best means of sustainable development.
The science and art of preventing disease, prolonging life, and promoting physical and mental health and efficiency through organized community efforts for the sanitation of the environment, the control of community infections, the education of the individual in principles of personal hygiene, the organization of medical and nursing service for the early diagnosis and preventive treatment of disease, and the development of the social machinery, which will ensure to every individual in the community a standard of living adequate for the maintenance of health.
HEALTH COMMUNICATION & MASS MEDIA IN PUBLIC HEALTHAminu Kende
The media is an important ally in any public health situation. It serves the role of being a source of correct information as well as an advocate for correct health behaviors. But before the media can take on that role, it needs to understand the virus, the issues surrounding it, policy and practices, and finally, recommended correct behaviors. Role of mass media in public health
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & Philippine Lipid & Atherosclerosis Society 25 Feb 2017, Crowne Plaza Galleria Manila.
HEALTH COMMUNICATION & MASS MEDIA IN PUBLIC HEALTHAminu Kende
The media is an important ally in any public health situation. It serves the role of being a source of correct information as well as an advocate for correct health behaviors. But before the media can take on that role, it needs to understand the virus, the issues surrounding it, policy and practices, and finally, recommended correct behaviors. Role of mass media in public health
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & Philippine Lipid & Atherosclerosis Society 25 Feb 2017, Crowne Plaza Galleria Manila.
Google is not a doctor and so we don't complete (just a clarification regarding the title given to me by the conference organizers). Presentation at the annual convention of the Philippine Society of Nephrology, 27 April 2019, EDSA Shangrila Hotel.
Potential of social media as a tool to combat foodborne illnessMarcella Zanellato
Abstract
The use of social media platforms, such as Facebook and Twitter, has been increasing
substantially in recent years and has affected the way that people access information online.
Social media rely on high levels of interaction and user-generated context shared through
established and evolving social networks. Health information providers must know how to
successfully participate through social media in order to meet the needs of these online
audiences. This article reviews the current research on the use of social media for public health
communication and suggests potential frameworks for developing social media strategies. The
extension to food safety risk communication is explored, considering the potential of social
media as a tool to combat foodborne illness.
Social media is a broad term that encompasses many Internet
based sites through which online-users communicate and disseminate information. Social media networks, such as Facebook, Twitter, and YouTube, are redefining the concept of community as online users can now exchange ideas, messages, videos, and other forms of usercontent within seconds
Presentation at the 2017 joint annual convention of the Philippine Society of Hypertension & the Philippine Lipid & Atherosclerosis Society 23 Feb 2017 at Crowne Plaza Galleria Manila.
Also presented at the 2017 #HealthXPH Social Media & Healthcare summit 25 Apr 2017 at Marco Polo Hotel, Cebu City.
Social media in health--what are the safety concerns for health consumers? Luis Fernandez Luque
Social media in health--what are the safety concerns for health consumers? by Lau AY, Gabarron E, Fernandez-Luque L, Armayones M. HIM J. 2012;41(2):30-5. https://www.ncbi.nlm.nih.gov/pubmed/23705132
Abstract: Recent literature has discussed the unintended consequences of clinical information technologies (IT) on patient safety, yet there has been little discussion about the safety concerns in the area of consumer health IT. This paper
presents a range of safety concerns for consumers in social media, with a case study on YouTube. We conducted a scan of abstracts on ‘quality criteria’ related to YouTube. Five areas regarding the safety of YouTube for consumers were identified: (a) harmful health material targeted at consumers (such as inappropriate marketing of tobacco or direct-to-consumer drug advertising); (b) public display of unhealthy behaviour (such as people displaying self-injury behaviours or hurting others); (c) tainted public health messages (i.e. the rise of negative voices against public health messages); (d) psychological impact from accessing inappropriate, offensive or biased social media content; and (e) using social media to distort policy and research funding agendas. The examples presented should contribute to a better understanding about how to promote a safe consumption and production of social
media for consumers, and an evidence-based approach to designing social media interventions for health. The
potential harm associated with the use of unsafe social media content on the Internet is a major concern. More empirical and theoretical studies are needed to examine how social media influences consumer health decisions, behaviours and outcomes, and devise ways to deter the dissemination of harmful influences in social media.
Presentation at the Introduction to Health Policy and Systems Research Short Course (UP College of Public Health and UP College of Medicine supported by @RespondNCD)
Social work student beliefs about social media: Implications for education an...husITa
Social workers and other professionals are increasingly using social media in their professional lives as a way to network, serve clients, share information, or find information. Education about technology and social media in social work is often integrated sporadically in to programs, and based on the comfort level or experience of instructors.
This research aims to understand the beliefs and practices of social work students who have completed a social work field placement in an accredited program. Participants responded to survey questions which explore their beliefs about appropriate use of social media in the workplace, as well as the level of training they received in their academic programs and work sites. This study reports on feedback from over 100 students and recent social work graduates. The data offers information about the use of social media in their personal lives and use in field placements, and offer insight in to the widely disperse beliefs of students about whether and when it is appropriate to search for or engage with clients using social media. Data is shared related to student perceptions of agency beliefs around social media use and the need for ongoing education. Two thirds of respondents check their social media sites multiple times each day, and forty percent are on social media during work hours. A third of them search for clients online. Almost half believe that it is acceptable to search for client information on social media for the sake of curiosity. Despite these figures, half of respondents do not know whether their agency permits seeking out or connecting with clients via social media. Qualitative responses indicate the strong polarized feelings of students about appropriate uses of social media. Implications for training and education are discussed.
In this presentation we discuss social media definition, social media landscape, social media facts and statistics in 2013, professional use of social media, use of Social Media in research and strategies for putting social media in practice, and lastly challenges, guidelines & regulations. Prepared by Yazan Kherallah
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Symposium presentation at the annual convention of the Philippine Academy of Family Physicians, 8 March 2024. Philippine International Convention Center.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
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An enema is the instillation of a solution into the rectum and sig
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Social Media and Health Communication
1. SOCIAL MEDIA &
HEALTH COMMUNICATION
Iris Thiele Isip Tan MD, MSc
@endocrine_witch
Professor, UP College of Medicine
Chief, UP Medical Informatics Unit
Director, UP Manila Interactive Learning Center
2. Social media as
a platform
Transforming
health messages
My Dok Bru
experience
3. WHAT WOULD YOU DO?
Your friend notices that you have
a brownish patch at the back of
your neck. She says it looks scary.
She takes a picture of it to show
to you. What would you do?
A. Google for more information
B. Post the picture on your FB wall and
ask friends
C. See a doctor
D. None of the above
4. Pei-Li Teh & Marc Yates (2013)
researchpartnership.com
5. Pei-Li Teh & Marc Yates (2013)
researchpartnership.com
Nine in ten had accessed the internet looking
for healthcare information, with almost 3/4s
having done so in the last month.
6. GENERAL HEALTHCARE WEBSITES
ONLINE HEALTH FORUMS
HEALTH COMMUNITY WEBSITES
DISEASE WEBSITES
CLINICAL WEBSITES
PHARMACEUTICAL WEBSITES
WIKIS
E-NEWSLETTER
FACEBOOK
%
0 25 50 75 100
HEALTH INFORMATION SOURCES EVER USED
Pei-Li Teh & Marc Yates (2013)
researchpartnership.com
(Philippines)
25%
8. Patients are increasingly using online social networks to
connect with other patients and healthcare professionals
PEER-TO-PEER HEALTHCARE
Pagoda S. et a. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
9. SOCIAL MEDIA FOR HEALTH COMMUNICATION
Provide health information
Provide answers to medical Qs
Facilitate dialogue
Collect patient data
Health promotion
Moorhead SA et al. J Med Internet Res 2013;15(4):e85
Health education
Reduce stigma
Online consultation
13. BENEFITS OF SOCIAL MEDIA
FOR HEALTH COMMUNICATION
Increase interaction
Increase accessibility
More available, shared, tailored information
Moorhead SA et al. J Med Internet Res 2013;15(4):e85
Peer/social/emotional support
Public health surveillance
Potential to influence health
policy
14.
15. LIMITATIONS OF SOCIAL MEDIA
FOR HEALTH COMMUNICATION
Lack of reliability
Quality concerns
Moorhead SA et al. J Med Internet Res 2013;15(4):e85
16. Concern over veracity & quality of information
Increased use to post anecdotal information
Minimal guidelines regulating content uploaded
17. Madathil KC et al. Health Informatics J 2015;21(3):173-194
HEALTH-RELATED INFORMATION ON YOUTUBE
Health consumers are
viewing health-related
information on YouTube
Misleading information is
found on YouTube & likely
to be found by health
consumers
Reliable postings from
government/professional
orgs are available
Little difference between
frequency of viewings
between misleading &
accurate posts
18. Madathil KC et al. Health Informatics J 2015;21(3):173-194
SAFETY CONCERNS WITH YOUTUBEYouTube is used as a
medium for promoting
unscientific therapies
YouTube contains
information contradicting
reference standards/
guidelines
YouTube can change the
beliefs of patients about
controversial topics
i.e. vaccination
19. Significant lack of research on developing interventions for the effective
dissemination of YouTube videos for healthcare communication.
Madathil KC et al. Health Informatics J 2015;21(3):173-194
20. Moorhead SA et al. J Med Internet Res 2013;15(4):e85
LIMITATIONS OF SOCIAL MEDIA
FOR HEALTH COMMUNICATION
Lack of confidentiality & privacy
Often unaware of risks of disclosing
personal information online
21.
22.
23. LIMITATIONS OF SOCIAL MEDIA
FOR HEALTH COMMUNICATION
Unaware of risks of
communicating harmful/
incorrect advice using
social media
Unsure how to correctly
apply information found
online to their personal
health situation
Information overload
Moorhead SA et al. J Med Internet Res 2013;15(4):e85
24. LIMITATIONS OF SOCIAL MEDIA
FOR HEALTH COMMUNICATION
Adverse health consequences
Negative health behaviors
Moorhead SA et al. J Med Internet Res 2013;15(4):e85
25. LIMITATIONS OF SOCIAL MEDIA
FOR HEALTH COMMUNICATION Moorhead SA et al. J Med
Internet Res 2013;15(4):e85
Health professionals may not often
use social media for communication
Social media may act as a deterrent from
visiting health professionals
26.
27.
28. WHAT WOULD YOU DO?
You have a mass in your neck that the doctor says needs a
biopsy. Your mother refuses to have it done because sticking
a needle in the mass will make it spread, if it’s cancer.
A. Google for more information
B. Look for people online with a similar experience
C. Look for someone you know with a similar experience
D. Have the biopsy done
29. Do cultural variations exist in patterns
of online health information seeking?
Song et al. Trusting Social Media as a Source of Health Information: Online Surveys
Comparing the United States, Korea, and Hong Kong. J Med Internet Res 2016;18(3):e25)
30. HEALTH INFORMATIONSong et al. J Med Internet Res 2016;18(3):e25)
Expertise-based information
produced by medical professionals
Experience-based information
laypersons’ subjective first-hand
experiences of health & illness
31. Song et al. J Med Internet Res 2016;18(3):e25)
SURVEY QUESTIONNAIRE
English (Milwaukee) n=301
Korean (Seoul) n=179
Chinese (Hongkong) n=337
826 College students
Voluntary participation
Health information seeking & trust
Goals of online health information seeking
Seeking health information on
behalf of family members
32. Frequency of using health
information sources
Song et al. J Med Internet Res 2016;18(3):e25)
Blogs
Support groups
Social networks
Professional
health information
websites
33. SEEKING HEALTH INFORMATION ONLINE
Song et al. J Med Internet Res 2016;18(3):e25)
GOALS
health maintenance
preparation
complementing consultation
validating/challenging consultation
“Searching information for sick family
members is an important family responsibility.”
7-point Likert scale
34. HEALTH INFORMATIONSong et al. J Med Internet Res 2016;18(3):e25)
Expertise-based information
Americans showed a stronger
preference for WebMD & CDC
Experience-based information
Asians showed more trust in
blogs, online support groups &
social networking sites
35. SEEKING HEALTH INFORMATION ONLINE
Song et al. J Med Internet Res 2016;18(3):e25)
“Searching information for sick family
members is an important family responsibility.”
Asians > Americans
HOLISTIC vs ANALYTIC culture
36. SEEKING HEALTH INFORMATION ONLINE
Song et al. J Med Internet Res 2016;18(3):e25)
GOALS
Health maintenance
Americans > Asians
Preparation
Americans > Asians
Complementing consultation
Asians > Americans 7-point Likert scale
37. Song et al. J Med Internet Res 2016;18(3):e25)
Social media can help disseminate expertise-based health
information by enhancing access, relevance and credibility.
Experience-based information can be strategically and
differentially incorporated into expertise-based health information
to target audiences from diverse cultures.
38. Song et al. J Med Internet Res 2016;18(3):e25)
Incorporating health professionals’ comments
in health-related blogs, SNS, and support group sites
may be imperative for Asians.
39. Social media as
a platform
Transforming
health messages
My Dok Bru
experience
41. WHAT IS THE AD TELLING US?
A. Eat more burgers.
B. It is possible to eat burgers for a lifetime and not
have a heart attack.
C. Elderly should be allowed to eat burgers.
D. It’s about love, not burgers.
43. The new challenge for hypertension programs is
maintaining community interest while reiterating the
same health messages.
“
Logan A. Community hypertension programs in the age of mobile
technology & social media. Am J Hypertension 2014;27(8): 1033-1035
44.
45.
46.
47. HOW TO PACKAGE
MESSAGES ON
SOCIAL MEDIA
Logan A. Community hypertension programs in the age of mobile
technology & social media. Am J Hypertension 2014;27(8): 1033-1035
55. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
Behavior
counseling
Supplemental
information
Maximize attendance
& retention
Place to
connect
PURPOSE
56.
57.
58.
59. PLATFORM
SELECTION
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
64. CONTENT LIBRARY
Pagoda S. et al. Adapting Behavioral Interventions for Social
Media Delivery J Med Internet Res 2016;18(1):e24
Web page conversion
Posts
Curated online content
66. ENGAGEMENT PLAN Group chats
Micro-
counseling
Pagoda S. et al. Adapting Behavioral Interventions for Social
Media Delivery J Med Internet Res 2016;18(1):e24
67. Pagoda S. et al. Adapting Behavioral Interventions for Social
Media Delivery J Med Internet Res 2016;18(1):e24
REPORTING
How many likes?
How many replies?
How many posts did participants make?
68. What is the optimal size for an online network
for a behavioral intervention?
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
69.
70. What is the ideal structure of a group intervention?
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
71. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
WHAT IS MEANINGFUL
ENGAGEMENT?
72.
73. FOR
WHOM?
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
74. Social media as
a platform
Transforming
health messages
My Dok Bru
experience
77. IRIS THIELE ISIP TAN MD, MSC
Director, UP Manila Interactive Learning Center
Chief, UP Medical Informatics Unit
Professor, UP College of Medicine
@endocrine_witch