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Social Media for Social Learning on
Health and Medicine:
eHealth Literacy and Navigating
the Web for Wellbeing
Cameron D. Norman PhD
Principal, CENSE Research + Design
Adjunct Professor, Dalla Lana School of Public Health, University of Toronto
@cdnorman	
  
PWIAS International Roundtable on Health Literacy: Vancouver, BC May 2013
Any electronic, networked information resource that
derives its principal value from user contributions &
engagement
See: Logan, R.K. (2000). The sixth language: learning
a living in the Internet age. Toronto, ON: Stoddart.
eHealth literacy is defined as:
“the ability to seek, find, understand, and
Appraise health information from
electronic sources and apply the
knowledge gained to addressing
or solving a health problem.”
-- Norman, CD & Skinner, HA (2006). Journal of Medical Internet
Research 8 (2)
HealthLiteracy
Inform
ation
Literacy
Traditional
Literacy
Science
Literacy
Computer
Literacy
MediaLiteracy
eHealth
Literacy
Norman & Skinner (2006a). JMIR, 8 (2) e9
HealthLiteracy
C
om
puter
Literacy
Traditional
Literacy
Science
Literacy
Information
Literacy
MediaLiteracy
eHealth
Literacy
  Traditional (Basic) Literacy
& Numeracy
  Media Literacy
  Information Literacy
HealthLiteracy
C
om
puter
Literacy
Traditional
Literacy
Science
Literacy
Information
Literacy
MediaLiteracy
eHealth
Literacy
  Computer Literacy
  Science Literacy
  Health Literacy
NARRATIVE /
COLLABORATIVE CARE
Creating
Conversations
•  Give and take
•  Engagement vs.
Broadcast
•  Sharing (but not
always equal)
•  Different cadence and
pace of information
flow
•  Process and outcomes
are developmental,
evolving, complex
How do we create the literacy
conversation?
MOBILITY
Taking	
  informa,on	
  with	
  you	
  
Mental Models
•  Systems thinking
– Looking at wholes rather than parts
•  Network effects
– Connection numbers, types, and clusters
– Cliques, contagions, and resistance
•  Design thinking
– Intentionally shaping interventions
– Formulating strategy
The whole is greater than the sum of its parts
– Systems Thinking maxim
….Understanding these connections can
help us better leverage the power of
networks for health literacy promotion
Design Thinking
Design: Planning and making things with intention;
>>> it is about making intent real
We need to be clear about our intentions and goals
Learning	
  to	
  Learn	
  
•  Many	
  systema,c	
  barriers	
  
– Most	
  are	
  social	
  /	
  organiza,onal	
  	
  
– Few	
  are	
  technological	
  
•  The	
  myths	
  /	
  reali,es	
  of	
  the	
  digital	
  divide	
  
•  Framing	
  new	
  ways	
  to	
  think	
  and	
  spaces	
  to	
  think	
  
in	
  may	
  be	
  the	
  key	
  
•  Training	
  in	
  technical	
  issues,	
  not	
  systemic	
  ones	
  
Mindfulness in practice
Events	
  
PaBerns	
  
Systemic	
  Structures	
  
Who Lives, Who Dies? Will Social Media Decide?
2012 Hart House Hancock Lecture
http://feeds.tvo.org/tvobigideas (March 1st, 2013)
Science-ish Blog: http://www2.macleans.ca/science-ish/
Julia Belluz (@juliaoftoronto)
Cameron D. Norman PhD
Principal, CENSE Research + Design
@cdnorman
http://censemaking.com
http://www.cense.ca

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