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Use of new media technologies part 1
- 1. Use of new media technologies to improve adolescent health Julia Joseph-Di Caprio, M.D., M.P.H. Chief, HCMC Department of Pediatrics julia.joseph@hcmed.org 1
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- 4. Objectives 1. Define new media technologies and their use by adolescents 2. Describe how healthcare organizations are using new media technologies to better serve adolescents 3. Review use of new media technologies to improve immunization rates 4. Consider incorporating new media technologies into your work with youth 4
- 5. Objectives 1. Define new media technologies and their use by adolescents 2. Describe how healthcare organizations are using new media technologies to better serve adolescents 3. Review use of new media technologies to improve immunization rates 4. Consider incorporating new media technologies into your work with youth 5
- 6. New media technologies 1. On-demand 2. Digital 3. Interactive, participatory 4. Democratic 5. Unregulated content 6. Mobile 6
- 12. New media technologies 1. Internet 2. Websites 3. Computer multimedia 4. Video games 5. CD-ROMS, DVDs 12
- 14. 14 pewinternet.org 3 Tablets are also taking hold, as close to one in four teens say they have one of these devices. Taken together, teens have more ways than ever to stay connected throughout the day — and night. Internet use over time by teens and adults % within each age group who go online Source: The Pew Research Center’s Internet & American Life Project surveys. All teen data comes from separate surveys of teens and their parents. Methodological info for each survey is available at: http://pewinternet.org/Data- Tools/Download-Data
- 15. New media use 1. Media use by adolescents continues to increase 2. Even “old” media use is via new media 3. Teens multitask 4. 20% of adolescent media use is mobile 5. More than ¾’s of teens have cell phones 6. Minority youth have high rates of cell phone ownership 7. Over 40% of black teens use their phones to go online 15
- 16. 16 Teen Computer and Tablet Ownership Demographics % of teens in each demographic group Own a Computer Own a Tablet All teens, ages 12-17 (n=802) 80% 23% Teen Gender a Boys(n=405) 77 20 b Girls (n=397) 82 27 a Age of Teen a 12-13 (n=246) 72 26 b 14-17 (n=556) 83 a 22 Teen Gender and Age a Boys, 12-13 (n=122) 66 23 b Boys, 14-17 (n=283) 82 a 18 c Girls, 12-13 (n=124) 79 28 d Girls, 14-17 (n=273) 84 a 27 Parent Race/ethnicity a White, Non-Hispanic (n=542) 81 b 25 b Black, Non-Hispanic (n=122) 64 19 c Hispanic (n=92) 79 21 Parent Education a Less than High School/High school grad (n=244) 77 16 b Some College (n=192) 78 30 a c College + (n=363) 85 29 a Parent Household Income a Less than $30,000/yr (n=154) 73 15 b $30,000-$49,999 (n=155) 82 19 c $50,000-$74,999 (n=110) 84 27 d $75,000+ (n=335) 81 31 ab Urbanity a Urban (n=278) 75 25 b Suburban (n=410) 84 a 23 c Rural (n=101) 72 23 Source: Pew Internet Teens and Privacy Management Survey, July 26-September 30, 2012. N=802 parents of teens ages 12-17 and 802 teens ages 12-17. Margin of error is +/- 4.5 percentage points. Note: Columns marked with a superscript letter ( a ) or another letter indicate a statistically significant difference between that row and the row designated by that superscript letter. Statistical significance is determined inside the specific section covering each demographic trait. ⏎
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- 18. 18 For instance, teens living in the lowest-earning households (under $30,000 per year) are just as likely as those living in the highest-earning households ($75,000 or more) to own smartphones (39% vs. 43%). Older teens are more likely than younger teens to have cell phones and those phones are more likely to be smartphones. Rural teens are significantly less likely to have a smartphone than urban or suburban teens. Source: Pew Internet Teens and Privacy Management Survey, July 26-September 30, 2012. N=802 parents of teens ages 12-17 and 802 teens ages 12-17. Margin of error is +/- 4.5 percentage points. One in four teens are “cell-mostly” internet users — far more than the 15% of adults who are cell-mostly. Among teen smartphone owners, half are cell-mostly.
- 19. 19 Teen Cell Phone and Smartphone Ownership Demographics % of teens in each demographic group Own a Cell Phone (any kind) Own a Smartphone All teens, ages 12-17 (n=802) 78% 37% Teen Gender a Boys(n=405) 77 36 b Girls (n=397) 78 38 Age of Teen a 12-13 (n=246) 68 23 b 14-17 (n=556) 83 a 44 a Teen Gender and Age a Boys, 12-13 (n=122) 65 20 b Boys, 14-17 (n=283) 83 ac 43 ac c Girls, 12-13 (n=124) 71 26 d Girls, 14-17 (n=273) 82 a 44 ac Parent Race/ethnicity a White, Non-Hispanic (n=542) 81 c 35 b Black, Non-Hispanic (n=122) 72 40 c Hispanic (n=92) 64 43 Parent Education a Less Than High School/High school grad (n=244) 71 35 b Some College (n=192) 79 35 c College + (n=363) 87 ab 41 Parent Household Income a Less than $30,000/yr (n=154) 69 39 b b $30,000-$49,999 (n=155) 74 24 c $50,000-$74,999 (n=110) 81 38 d $75,000+ (n=335) 86 ab 43 b Urbanity a Urban (n=278) 76 42 c b Suburban (n=410) 81 39 c c Rural (n=101) 73 19 Source: Pew Internet Teens and Privacy Management Survey, July 26-September 30, 2012. N=802 parents of teens ages 12-17 and 802 teens ages 12-17. Margin of error is +/- 4.5 percentage points. Note: Columns marked with a superscript letter ( a ) or another letter indicate a statistically significant difference between that row and the row designated by that superscript letter. Statistical significance is determined inside the specific section covering each demographic trait. ⏎ ⏎
- 20. Social media 1. Digital technology that allows interaction 2. Adolescents use cell phones for texting more than talking 3. Minority teens more likely to text 4. Two-thirds of youth use social networks 5. Lower income youth most likely to use online social networks 6. Facebook is the preferred social network 20
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Notes de l'éditeur
- Good morning. I’m Julia Joseph-Di Caprio. I am the Chief of Pediatric at HCMC and I practice adolescent medicine primarily and some general pediatrics. It is my pleasure to talk present on the use of new media technologies to improve adolescent health. As I do this, I will use my experience in order to demonstrate how a novice to social media like me has begun to integrate new media technologies, actually social media in my practice. For the purposes of this conference, I will also show how new media technologies are being used to help with immunization efforts.
- I had a number of experiences that led me to realize the potential power of new media technologies. First, I noticed over the past year or two that several of my patients were using apps to track their menses and remember to take their birth control like this one, iPeriod. This can be downloaded for free and tracks all aspects of menstrual cycles. This was initially available only for Apple devices, but iPeriod is now available for Android devices also.
- So anyway, I noticed increased use of media technologies by my patients and then I had a bit of an epiphany while at a Wild game in December 2011. My daughter was home from school, sitting behind me, and she leaned over and said, “Harry tweeted me and Lil Wayne and Drake are at the Mall of America.” A little while later she leaned over and said, “Harry just tweeted me again-the Mall of America is on lock down.” What I was impressed with wasn’t that the story of Lil Wayne and Drake being at the Mall of America wasn’t true, although I was intrigued by the possibility of someone sending out incorrect information to bring a mob of teens to the MOA to loot and cause trouble, (the police have subsequently discounted this as being a planned event). What I was intrigued by the fast transit of information. Harry wasn’t even at the MOA, but he had received this information and passed it on to others, who told their friends, who then told their friends, and so on, and so on… By the way, this story on the Gawker website got over 187,000 likes.New media technologies are powerful tools for information dissemination and youth health serving providers are recognizing this. They are trying to, and at times are able to harness this power to improve adolescent health. Because of this, I decided to see what I could learn about this phenomenon and how it could be used in my Adolescent Medicine practice.
- The objectives for my presentation are as followsDefine new media technologies and their use by adolescentsDescribe how healthcare organizations are using new media technologies to better serve adolescents (as I do this I will speak about some work with new technologies I am involved with)Review use of new media technologies to improve immunization ratesConsider incorporating new media technologies into your work with youthThroughout this presentation, I will reference examples of various new media that you may want to use with adolescents or just learn more about the organizations behind these different uses.
- The objectives for my presentation are as followsDefine new media technologies and their use by adolescentsDescribe how healthcare organizations are using new media technologies to better serve adolescents (as I do this I will speak about some work with new techologies I am involved with)Review use of new media technologies to improve immunization ratesConsider incorporating new media technologies into your work with youthThroughout this presentation, I will reference examples of various new media that you may want to use with adolescents or just learn more about the organizations behind them.
- New media, versus “old media”, can be described as being:On-demandDigital, versus analog. It it electronic media that works on digital codesInteractive, participatoryDemocraticUnregulated contentMobile
- What is meant by democratic, participatory, unregulated? Well here’s a bit of video of the Mall of America riots that someone captured, uploaded on You Tube and then was used by many mainstream and other media outlets on their websites.
- Here’s an example of a media broadcast that used that You Tube video.
- Here’s an example of how new media technologies, in this case the internet and a Google search, can be used to look for information about a health issues, in this case about the side effects of the HPV vaccine. I conducted a Google search for HPV vaccine side effects-here is the first page that came up. I decided to go to the site that seemed appealing, where there was the picture (I’m a sucker for visual content). I went to the site Mercola.com that was entitled HPV Vaccine Victim Sues Merck/Gardasil Dangers-Mercola. This was the video I found—next slide.
- As you can see, new media is unregulated and participatory.
- Luckily, that is not all that is out there about the HPV vaccine. This is more difficult to find, but is available. I have used it with some of the parents of the youth I serve. The California Department of Public Health commissioned a fotonovela company to produce a fotonovela to encourage Latina mothers of 11 and 12 year old girl to get their daughters vaccinated against HPV. This fotonovela is available on line. Fotonovelas are popular and effective methods to disseminate health information to some Latino populations.
- Examples of new media technologies include:InternetWebsitesComputer multimediaVideo gamesCD-ROMS, DVDsNote: for the first 4 types of new media, mobile access is critical as I will discuss later.
- Here are just a fewexamples of new media technologies that areavailable now. How many of these technologies are you familiar with? (click)It is this last image (click) that I think is the most exciting now-mobilephones, because this image illustrates the need for all platforms to be mobile.
- Internet use for adolescents is high. Here is recent data from the Pew Research Center’s Internet and American Life Project that tracks new media technology use, particularly that of adolescents. The Pew Center did a nationally representative study in 2012 that included over 800 12-17 year olds. They found that internet use is high for all groups, and is highest among 12-17 year olds.
- New media use by adolescent continues to increase. Total media use by 8-18 year olds increased by more than 2 hours from 2005-2009 to 8 ½ hours per day. Even “old” media use is by adolescents is via new media, for example watching movies on the computer, reading books on a Kindle. But, if you are wondering how teens can have so much media use—it is possible because they multitask. They may be texting while watching a movie on their computer; or, they are listening to music on their smartphone while playing video games. Increasingly important when thinking about what social media strategy to implement for the youth you serve, is to recognize that 20% of adolescent media use is mobile. This is because more than ¾’s of teens have cell phones, along with the fact that mobile internet use allows them a significant amount of privacy. Also important for organizations serving youth, is to recognize that here does not appear to be any digital disparity—minority youth, that is, Latino and African-American youth, have high rates of cell phone ownership at rates only slightly lower than those for Caucasian youth. Further, over 40% of black teens use their phones to go online compared to 35% of Latino youth and 20% of white youth. This does not mean that a youth once they have mobile phone access will have it consistently. I have noticed that youth purchase a certain amount of cell phone access and they may be without when it runs out until they can afford to buy more access.
- This table illustrates that there is not much of a digital divide-black and Latino youth have high computer ownership (click). Studies have also shown that71% of the time youth will say that the computer they use most is shared with family members. The need for privacy and the need to communicate with friends is why mobile internet use is coveted by teens.
- When looking at access to the internet there isn’t much of a disparity by ethnicity or SES either. All ethnicities have high internet access. Further, many youth use mobile devices. In fact, ¾’s of teens say that they access the internet on cell phones, tablets, and other mobile devices (click). You can see that black youth were more likely then other youth to say they access the internet mostly on a cell phone (click).
- This shows the high cell phone ownership for all teens and the increasing smartphone ownership.
- Here is a breakdown of cell phone and smartphone ownership by youth. You can see that 37% of 12-17 year olds have smartphones (click) and there is not much of a digital divide (click). Further, 50% of youth with smartphone access the internet primarily via their mobile device. By the way, a smartphone is a phone that is able to perform most of the functions of a computer. They usually have larger screens and have operating systems that can run various applications. Because smartphone use is not ubiquitous, web sites should be built on platforms that allow easy use on all cell phones.
- Social media is digital technology that allows interaction and this is very appealing to teens. For example, teens use cell phones for texting more than talking. Only 14% of adolescents in 2011 said they talk on their cell phone daily, which was down from 30% in 2009, whereas 75%, up from 60%, report texting daily. Teens will make an average of 5 calls on their cell phone per day, whereas they send and receive an average of more than 60, up from 50 in 2009, text messages per day. Minority teens text the most. In terms of other social networks, 2/3’s of youth use online social networks and lower income teens are more likely to use these social networks.
- Facebook is the most widely used social network by youth. The Pew Center reported that in 2012 94% of US teens are on Facebook. It will be interesting to see what happens now that many adults are on Facebook, will teens migrate away from it, maybe they’ll choose to use other tools, perhaps the microblogging sites Twitter and Tumblr more (click), or have increased use of photo sharing apps like Instagram or Snapchat(click). Teens become accomplished at decreasing their Facebook use if they have a lot of studying to do, or if they believe there is too much “drama” on Facebook. But like always, parents can and should monitor their teens usage, until they get too old to do that. But key is what has always been key-know your child’s friends, do things with your teen, and model the type of behavior you want to see in them.
- In terms of other social networks, Twitter is a microblogging site. Users can send and read text-based posts of up to 140 characters or tweets. With Twitter users can have followers of one’s tweets, follow other’s tweets, or read what is being tweeted about various subjects. Twitter also allows messages to be sent directly to other’s on Twitter and users can also contribute to what is being tweeted on any topic. Twitter’s use by teens doubled from 2009 to 2011 and then again from 2011 to 2012. 26% of teens use Twitter. Instagram use by teens was measured at 11% in 2012.
- Twitter’s use by teens doubled from 2009 to 2011 and then again from 2011 to 2012. 26% of teens use Twitter. Instagram use by teens was measured at 11% in 2012.
- If you want to see what a Twitter page looks like, here is the Twitter page for the National Suicide Prevention Lifeline. This site has over 17,000 followers and sends out inspiring and helpful messages everyday.
- Here’s my Twitter page. I am proud that I have 100 followers, finally. Although the reach of Twitter is beyond followers-it really depends on the terms you use.
- This graphic is a somewhat old graphic that illustrates the complexity of social networks.
- An online presence for a youth-serving health organization is important because a majority of teens report using the internet to search for health, dieting or fitness information. This slide shows data from the Pew Center Internet and American Life Project that found that almost 1 in 3 online teens search for health, dieting, or physical fitness information; 17% search for sensitive health information online.
- Here is data from the Internet Sexuality Information Services, as it was previously known, it is now youth+tech+health, . This study used focus groups with 13-24 year olds, including youth of color, in Oakland, California and Chicago, Illinois in 2011, to figure out how urban youth of color use technology, especially as it might relate to getting information about sexual health. This study revealed that an online search was the first option when a young person had a question about sexual health-including birth control and sexually transmitted diseases. Interestingly, this study found that health professionals were still trusted sources of information, but the youth did express discomfort going to a doctor they or their family knew. They also viewed doctors as some who could help them solve their health problems, but the youth saw themselves as significant resources, especially since they could go online and get health information from around the world. The results from this study and the recent Pew study on mobile technologies, highlights how quickly technology and new media change occurs. When the ISIS study was done, very few of the participants reported using mobile technologies. This is much different from what is going on now. But the ISIS participants did say that receiving a birth control or appointment reminder via a text message would be acceptable to them.