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Adaptivity in health
communication and promotion
The	
  potential	
  of	
  Web	
  2.0	
  and	
  mobile	
  technologies

                                               Marco	
  Bardus
                             Institute	
  of	
  Public	
  Communication	
  and	
  Education
                                     Faculty	
  of	
  Communication	
  Sciences
                                    Università	
  della	
  Svizzera	
  Italiana,	
  USI

   Pro*Doc	
  Conference	
  on	
  Adaptivity	
  in	
  Health	
  Communication	
  -­	
  Ascona,	
  September	
  10,	
  2010
Overview

                                                                      }
  Introduction
              Web	
  2.0	
  and	
  mobile	
  technologies	
  today
              Web	
  2.0	
  for	
  health	
  info                         Background	
  &	
  Rationale
              Web	
  2.0	
  for	
  health	
  communication

  Objectives	
  &	
  Research	
  Questions

  Evidence	
  and	
  Discussion

  Conclusions,	
  Q&A




Adaptivity in health communication and promotion                      Ascona, 11/9/2010                   2
The focus of my research
    New	
  media	
  and	
  technologies	
  for	
  behavior	
  change
    (in	
  health	
  communication	
  and	
  social	
  marketing	
  
    initiatives).

    Focus	
  on:

    1. “Public	
  health	
  messages	
  and	
  campaigns”

    2. “telehealth	
  applications”
                                                         (Healthy	
  People	
  2010)
                 www.healthypeople.gov/document/html/volume1/11healthcom.htm




Adaptivity in health communication and promotion        Ascona, 11/9/2010              3
Web 2.0 and mobile
technologies today
Social media world




Adaptivity in health communication and promotion   Ascona, 11/9/2010   5
Just a fad?




Adaptivity in health communication and promotion   Ascona, 11/9/2010   6
The context
    +400	
  million	
  watch	
  video	
  online
    +350	
  million	
  read	
  blogs
    +300	
  million	
  visit	
  friend’s	
  SNS	
  pro=ile	
  
                                                                                             }           (Parker,	
  2009)




                            +500	
  million	
  Facebook	
  users
    59%	
  adults	
  wirelessly	
  online	
  through	
  mobile	
  phones
    	
           	
            	
           	
     	
                 	
              	
              (Smith,	
  2010)

               61%	
  of	
  American	
  adults	
  looks	
  online	
  for	
  health	
  information
                                                          	
  	
  	
  (Fox	
  &	
  Jones,	
  2009;	
  Lenhart	
  et	
  al.,	
  2010)
    Primary	
  sources:	
  health	
  professionals,	
  friends	
  or	
  family	
  

Adaptivity in health communication and promotion                             Ascona, 11/9/2010                                  7
Web 2.0 vs. Web 1.0
Adaptivity in health communication and promotion   Ascona, 11/9/2010   X
The concepts



“   Web	
  2.0	
  encompasses	
  the	
  idea	
  of	
  the	
  Web	
  as	
  a	
  platform,	
  that	
  
    harnesses	
  collective	
  intelligence	
  through	
  the	
  sharing	
  of	
  
    information	
  and	
  data	
  in	
  a	
  free,	
  open-­‐source	
  way,	
  providing	
  a	
  
    richer	
  user	
  experience
    	
         	
        	
       	
  



    participation,	
  openness,	
  conversation,
    community	
  and	
  connectedness.
    	
         	
        	
            	
  
                                                	
  




                                                  	
  
                                                             	
            (O’Reilly,	
  2005)


    Social	
  media	
  are	
  the	
  social	
  aspects	
  of	
  Web	
  2.0	
  applications:	
  


                                                                	
  	
  	
  	
  	
   (May=ield,	
  2008)



Adaptivity in health communication and promotion                         Ascona, 11/9/2010                 X
Online health information
    in the Web 2.0 era
Health information seekers
    61%	
  of	
  American	
  adults	
  looks	
  online	
  for	
  health	
  
    information
    	
       	
       	
        (Fox	
  &	
  Jones,	
  2009;	
  Lenhart	
  et	
  al.,	
  2010)



    Primary	
  sources:	
  health	
  professionals,	
  friends	
  or	
  family	
  




Adaptivity in health communication and promotion                  Ascona, 11/9/2010              X
WebMDHealth                        2.0 /




Adaptivity in health communication and promotion   Ascona, 11/9/2010   8
Mobile phones for
health enhancement
Self-tracking, self-monitoring




Adaptivity in health communication and promotion   Ascona, 11/9/2010   10
Adaptivity in health communication and promotion   Ascona, 11/9/2010   11
Health/Medicine 2.0



“   Is	
  the	
  use	
  of	
  a	
  speci]ic	
  set	
  of	
  Web	
  tools	
  (blogs,	
  Podcasts,	
  
    tagging,	
  search,	
  wikis,	
  etc)	
  by	
  actors	
  in	
  health	
  care	
  
    including	
  doctors,	
  patients,	
  and	
  scientists,	
  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	
  et	
  al.,	
  2008)




Adaptivity in health communication and promotion                 Ascona, 11/9/2010                       X
iPod/iPad/iPhone apps




Adaptivity in health communication and promotion   Ascona, 11/9/2010   12
Adaptivity in health communication and promotion   Ascona, 11/9/2010   13
Health communication and
social marketing campaigns
Adaptivity in health communication and promotion   Ascona, 11/9/2010   15
Adaptivity in health communication and promotion   Ascona, 11/9/2010   16
Adaptivity in health communication and promotion   Ascona, 11/9/2010   17
Adaptivity in health communication and promotion   Ascona, 11/9/2010   18
Adaptivity in health communication and promotion   Ascona, 11/9/2010   19
Objectives of the
  presentation
We know that…

    People	
  and	
  organizations	
  make	
  use	
  of	
  
    social	
  media	
  and	
  mobile	
  applications.




Adaptivity in health communication and promotion   Ascona, 11/9/2010   21
But we do not know…

    Why,	
  how	
  and	
  with	
  what	
  effects?




Adaptivity in health communication and promotion   Ascona, 11/9/2010   22
Research questions
Research questions
    1. What	
  types	
  of	
  social	
  media	
  and	
  mobile	
  technologies	
  
       are	
  used	
  in	
  public	
  health	
  and	
  health	
  promotion	
  
       initiatives?
    2. What	
  measures	
  of	
  success	
  (or	
  failure)	
  could	
  be	
  used	
  
       to	
  assess	
  social	
  media	
  effectiveness?	
  
    3. What	
  types	
  work	
  best	
  and	
  with	
  whom?	
  
    4. How	
  social	
  media	
  could	
  be	
  effectively	
  and	
  efJiciently	
  
       used	
  in	
  health	
  promotion	
  programs?	
  


Adaptivity in health communication and promotion          Ascona, 11/9/2010              24
Why social media for
 health promotion?
The potential of social media

    Increase	
  the	
  reach
    (Chou	
  et	
  al.,	
  2009;	
  Bennet	
  &	
  Glasgow;	
  Evans,	
  2008;	
  Uhrig	
  et	
  al.,2010)

    Stimulate	
  interpersonal	
  communication	
  about	
  the	
  
    campaign	
  topic	
  +	
  generate	
  larger	
  behavior	
  change
    	
    	
        	
           	
         	
       (Abroms	
  &	
  Maibach,	
  2008)

                                                                Mobile	
  public	
  health	
  programs
                                                                                                (Lefebvre,	
  2009)

    Opportunities	
  for	
  tailoring,	
  and	
  adapting	
  to	
  users’	
  preferences,	
  habits,	
  health	
  
    history,	
  etc.	
  



Adaptivity in health communication and promotion                              Ascona, 11/9/2010                       26
Social media for health
               information: good or bad?
                          pros                                              cons
              Good	
  &	
  reliable	
  source               Privacy	
  of	
  personal	
  data
           (Vance,	
  Howe	
  &	
  Dellavalle,	
  2009)              (Chou	
  et	
  al.,	
  2009)

           Ef]icacious	
  in	
  attracting,	
                     Source	
  credibility
         retaining	
  and	
  engaging	
  users            (Eysenbach,	
  2007;	
  Hu	
  &	
  Sundar,	
  2010;
                                                                   Wang	
  et	
  al.,	
  2008).	
  
               (Bennett	
  &	
  Galsgow,	
  2009)




Adaptivity in health communication and promotion                  Ascona, 11/9/2010                             27
1) what types of social
 media applications?
Results from our scoping review
    367	
  references	
  retrieved
    123	
  articles	
  charted
    40	
  general	
  commentaries	
  and	
  editorial	
  material	
  recognizing	
  the	
  
           potential	
  use	
  in	
  social	
  marketing	
  and	
  health	
  communication
    21	
  social	
  media	
  as	
  health	
  professional	
  education	
  and	
  training.
    10:	
  content	
  analyses	
  of	
  YouTube,	
  Facebook,	
  MySpace.
    4	
  articles	
  (2	
  reporting	
  the	
  same	
  data)	
  explicitly	
  mention	
  
           and	
  report	
  the	
  use	
  of	
  social	
  media	
  in	
  social	
  marketing	
  
           initiatives.


Adaptivity in health communication and promotion                Ascona, 11/9/2010                  29
Social media as learning tools
    Types	
  of	
  social	
  media
       YouTube,	
  wikis,	
  blogs,	
  podcasts,	
  mobile	
  phones	
  



    Training	
  health	
  educators	
  
           (Akagi,	
  2008;	
  Burke	
  &	
  Oomen-­‐Early,	
  2008;	
  Burke	
  &	
  Snyder,	
  2008;	
  Burke,	
  
           Snyder,	
  &	
  Rager,	
  2009)

    Clinical	
  practitioners
           (Boulos,	
  Maramba,	
  &	
  Wheeler,	
  2006;	
  Feeney	
  et	
  al.,	
  2008;	
  Lauber,	
  2009)

    Public	
  health	
  students
           (Goldman,	
  Cohen,	
  &	
  Sheahan,	
  2008;	
  Hanson	
  et	
  al.,	
  2008;	
  Kapp	
  et	
  al.,	
  2009)




Adaptivity in health communication and promotion                              Ascona, 11/9/2010                            30
A lesson for public health



“   The	
  Obama	
  campaign	
  set	
  a	
  new	
  standard,	
  encouraging	
  
    horizontal	
  communication,	
  fostering
    small	
  acts	
  of	
  engagement	
  and	
  facilitating
    in-­‐person	
  grassroots	
  activities.

    	
     	
  
           2009)
                               	
           	
     	
     (Abroms	
  &	
  Lefebvre,	
  




Adaptivity in health communication and promotion             Ascona, 11/9/2010            31
Change we can:
   featuring social
   media
  (1)	
  of]icial	
  website
  (2)	
  the	
  campaign	
  TV	
  channel
  (3)	
  social	
  network	
  sites
  (4)	
  mobile	
  phones
  (5)	
  unof]icial	
  UGC	
  materials




Adaptivity in health communication and promotion   Ascona, 11/9/2010   32
What about
Results from our scoping review
    No	
  theories	
  or	
  models	
  are	
  explicitly	
  reported.
    Only	
  2	
  studies	
  report	
  outcomes:	
  quantitative	
  
    outreach	
  and	
  outputs,	
  i.e.	
  website	
  page	
  views,	
  nr.	
  
    of	
  viewers,	
  registered	
  users,	
  “friends”	
  and	
  
    followers.




Adaptivity in health communication and promotion    Ascona, 11/9/2010             34
2) what measures of
     success?
 Social	
  media	
  effectiveness




  Adaptivity in health communication and promotion   Ascona, 11/9/2010   36
Open questions
Are metrics enough?
       What about behavior change?
         What about new media
              effectiveness?

Adaptivity in health communication and promotion   Ascona, 11/9/2010   38
Conclusions
Setting the research agenda
    We	
  need
    Appropriately	
  designed	
  studies	
  focusing	
  on	
  the	
  effectiveness	
  of	
  
    new	
  media	
  on	
  behavior.

    How?
    By	
  “listening”	
  to	
  the	
  publics	
  before	
  adapting	
  and	
  choosing	
  the	
  
    appropriate	
  media	
  strategy.

    By	
  combining	
  qualitative	
  +	
  quantitative	
  research	
  methods	
  (i.e.	
  
    online/of=line	
  focus	
  groups,	
  structured	
  interviews	
  with	
  the	
  TA,	
  
    formative	
  evaluation,	
  SWOT	
  analysis,	
  conversation	
  tracking	
  and	
  
    analysis,	
  surveys	
  and	
  experiments).	
  


Adaptivity in health communication and promotion                 Ascona, 11/9/2010                  40
Thank you!
                         Marco	
  Bardus
Institute	
  of	
  Public	
  Communication	
  and	
  Education,
        Faculty	
  of	
  Communication	
  Sciences
       Università	
  della	
  Svizzera	
  Italiana,	
  USI
                     marco.bardus@usi.ch
References (1)
    Abroms,	
  L.	
  C.,	
  &	
  Lefebvre,	
  C.	
  (2009).	
  Obama’s	
  wired	
  campaign:	
  Lessons	
  for	
  public	
  health	
  communication.	
  Journal	
  of	
  Health	
  
          Communication,	
  14(5),	
  415-­‐423.	
  

    Abroms,	
  L.	
  C.,	
  &	
  Maibach,	
  E.	
  W.	
  (2008).	
  The	
  effectiveness	
  of	
  mass	
  communication	
  to	
  change	
  public	
  behavior.	
  Annual	
  Review	
  
          of	
  Public	
  Health,	
  29,	
  219-­‐234.	
  

    Akagi,	
  C.	
  (2008).	
  YouTube?	
  for	
  health	
  education?	
  American	
  Journal	
  of	
  Health	
  Education,	
  39(1),	
  58-­‐60.	
  

    Bennett,	
  G.	
  G.,	
  &	
  Galsgow,	
  R.	
  E.	
  (2009).	
  The	
  delivery	
  of	
  public	
  health	
  interventions	
  via	
  the	
  internet:	
  Actualizing	
  their	
  potential.	
  
          Annual	
  Review	
  of	
  Public	
  Health,	
  30(1),	
  273-­‐292.	
  

    Boulos,	
  M.	
  N.,	
  Maramba,	
  I.,	
  &	
  Wheeler,	
  S.	
  (2006).	
  Wikis,	
  blogs	
  and	
  podcasts:	
  A	
  new	
  generation	
  of	
  web-­‐based	
  tools	
  for	
  virtual	
  
           collaborative	
  clinical	
  practice	
  and	
  education.	
  BMC	
  Medical	
  Education,	
  6,	
  41.	
  

    Burke,	
  S.	
  C.,	
  &	
  Oomen-­‐Early,	
  J.	
  (2008).	
  That's	
  blog	
  worthy:	
  Ten	
  ways	
  to	
  integrate	
  blogging	
  into	
  the	
  health	
  education	
  
              classroom.	
  American	
  Journal	
  of	
  Health	
  Education,	
  39(6),	
  362-­‐364.	
  

    Burke,	
  S.	
  C.,	
  Snyder,	
  S.,	
  &	
  Rager,	
  R.	
  S.	
  (2009).	
  An	
  assessment	
  of	
  faculty	
  usage	
  of	
  YouTube	
  as	
  a	
  teaching	
  resource.	
  Internet	
  
              Journal	
  of	
  Allied	
  Health	
  Sciences	
  &	
  Practice,	
  7(1),	
  8p.	
  

    Burke,	
  S.	
  C.,	
  &	
  Snyder,	
  S.	
  L.	
  (2008).	
  YouTube:	
  An	
  innovative	
  learning	
  resource	
  for	
  college	
  health	
  education	
  courses.	
  
              International	
  Electronic	
  Journal	
  of	
  Health	
  Education,	
  11,	
  7p.	
  

    CDC,	
  Centers	
  for	
  Disease	
  Control	
  and	
  Prevention.	
  (2009).	
  Interactive	
  media	
  |	
  CDC	
  health	
  marketing.	
  Retrieved	
  10/5/2009,	
  
              2009,	
  from	
  http://www.cdc.gov/healthmarketing/ehm/interactive.hl	
  



Adaptivity in health communication and promotion                                                                                   Ascona, 11/9/2010                                                   42
References (2)
    Chou,	
  W.	
  Y.,	
  Hunt,	
  Y.	
  M.,	
  Beckjord,	
  E.	
  B.,	
  Moser,	
  R.	
  P.,	
  &	
  Hesse,	
  B.	
  W.	
  (2009).	
  Social	
  media	
  use	
  in	
  the	
  united	
  
             states:	
  Implications	
  for	
  health	
  communication.	
  Journal	
  of	
  Medical	
  Internet	
  Research,	
  11(4),	
  e48.	
  

    Evans,	
  W.	
  D.	
  (2008).	
  Social	
  marketing	
  campaigns	
  and	
  Children’s	
  media	
  use.	
  The	
  Future	
  of	
  Children,	
  18(1),	
  
          181-­‐203.	
  

    Evans,	
  W.	
  D.,	
  Davis,	
  K.	
  C.,	
  &	
  Zhang,	
  Y.	
  (2008).	
  Health	
  communication	
  and	
  marketing	
  research	
  with	
  new	
  
          media:	
  Case	
  study	
  of	
  the	
  parents	
  speak	
  up	
  national	
  campaign	
  evaluation.	
  Cases	
  in	
  Public	
  Health	
  
          Communication	
  &	
  Marketing,	
  2,	
  140-­‐158.	
  

    Eysenbach,	
  G.	
  (2007).	
  From	
  intermediation	
  to	
  disintermediation	
  and	
  apomediation:	
  New	
  models	
  for	
  
         consumers	
  to	
  access	
  and	
  assess	
  the	
  credibility	
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Adaptivity in health communication and promotion                                                                       Ascona, 11/9/2010                                               45

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Adaptivity in Health Communication and Promotion

  • 1. Adaptivity in health communication and promotion The  potential  of  Web  2.0  and  mobile  technologies Marco  Bardus Institute  of  Public  Communication  and  Education Faculty  of  Communication  Sciences Università  della  Svizzera  Italiana,  USI Pro*Doc  Conference  on  Adaptivity  in  Health  Communication  -­  Ascona,  September  10,  2010
  • 2. Overview } Introduction  Web  2.0  and  mobile  technologies  today  Web  2.0  for  health  info Background  &  Rationale  Web  2.0  for  health  communication Objectives  &  Research  Questions Evidence  and  Discussion Conclusions,  Q&A Adaptivity in health communication and promotion Ascona, 11/9/2010 2
  • 3. The focus of my research New  media  and  technologies  for  behavior  change (in  health  communication  and  social  marketing   initiatives). Focus  on: 1. “Public  health  messages  and  campaigns” 2. “telehealth  applications” (Healthy  People  2010) www.healthypeople.gov/document/html/volume1/11healthcom.htm Adaptivity in health communication and promotion Ascona, 11/9/2010 3
  • 4. Web 2.0 and mobile technologies today
  • 5. Social media world Adaptivity in health communication and promotion Ascona, 11/9/2010 5
  • 6. Just a fad? Adaptivity in health communication and promotion Ascona, 11/9/2010 6
  • 7. The context +400  million  watch  video  online +350  million  read  blogs +300  million  visit  friend’s  SNS  pro=ile   } (Parker,  2009) +500  million  Facebook  users 59%  adults  wirelessly  online  through  mobile  phones               (Smith,  2010) 61%  of  American  adults  looks  online  for  health  information      (Fox  &  Jones,  2009;  Lenhart  et  al.,  2010) Primary  sources:  health  professionals,  friends  or  family   Adaptivity in health communication and promotion Ascona, 11/9/2010 7
  • 8. Web 2.0 vs. Web 1.0
  • 9. Adaptivity in health communication and promotion Ascona, 11/9/2010 X
  • 10. The concepts “ Web  2.0  encompasses  the  idea  of  the  Web  as  a  platform,  that   harnesses  collective  intelligence  through  the  sharing  of   information  and  data  in  a  free,  open-­‐source  way,  providing  a   richer  user  experience         participation,  openness,  conversation, community  and  connectedness.               (O’Reilly,  2005) Social  media  are  the  social  aspects  of  Web  2.0  applications:             (May=ield,  2008) Adaptivity in health communication and promotion Ascona, 11/9/2010 X
  • 11. Online health information in the Web 2.0 era
  • 12. Health information seekers 61%  of  American  adults  looks  online  for  health   information       (Fox  &  Jones,  2009;  Lenhart  et  al.,  2010) Primary  sources:  health  professionals,  friends  or  family   Adaptivity in health communication and promotion Ascona, 11/9/2010 X
  • 13. WebMDHealth 2.0 / Adaptivity in health communication and promotion Ascona, 11/9/2010 8
  • 15. Self-tracking, self-monitoring Adaptivity in health communication and promotion Ascona, 11/9/2010 10
  • 16. Adaptivity in health communication and promotion Ascona, 11/9/2010 11
  • 17. Health/Medicine 2.0 “ Is  the  use  of  a  speci]ic  set  of  Web  tools  (blogs,  Podcasts,   tagging,  search,  wikis,  etc)  by  actors  in  health  care   including  doctors,  patients,  and  scientists,  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  et  al.,  2008) Adaptivity in health communication and promotion Ascona, 11/9/2010 X
  • 18. iPod/iPad/iPhone apps Adaptivity in health communication and promotion Ascona, 11/9/2010 12
  • 19. Adaptivity in health communication and promotion Ascona, 11/9/2010 13
  • 20. Health communication and social marketing campaigns
  • 21. Adaptivity in health communication and promotion Ascona, 11/9/2010 15
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  • 24. Adaptivity in health communication and promotion Ascona, 11/9/2010 18
  • 25. Adaptivity in health communication and promotion Ascona, 11/9/2010 19
  • 26. Objectives of the presentation
  • 27. We know that… People  and  organizations  make  use  of   social  media  and  mobile  applications. Adaptivity in health communication and promotion Ascona, 11/9/2010 21
  • 28. But we do not know… Why,  how  and  with  what  effects? Adaptivity in health communication and promotion Ascona, 11/9/2010 22
  • 30. Research questions 1. What  types  of  social  media  and  mobile  technologies   are  used  in  public  health  and  health  promotion   initiatives? 2. What  measures  of  success  (or  failure)  could  be  used   to  assess  social  media  effectiveness?   3. What  types  work  best  and  with  whom?   4. How  social  media  could  be  effectively  and  efJiciently   used  in  health  promotion  programs?   Adaptivity in health communication and promotion Ascona, 11/9/2010 24
  • 31. Why social media for health promotion?
  • 32. The potential of social media Increase  the  reach (Chou  et  al.,  2009;  Bennet  &  Glasgow;  Evans,  2008;  Uhrig  et  al.,2010) Stimulate  interpersonal  communication  about  the   campaign  topic  +  generate  larger  behavior  change           (Abroms  &  Maibach,  2008) Mobile  public  health  programs (Lefebvre,  2009) Opportunities  for  tailoring,  and  adapting  to  users’  preferences,  habits,  health   history,  etc.   Adaptivity in health communication and promotion Ascona, 11/9/2010 26
  • 33. Social media for health information: good or bad? pros cons Good  &  reliable  source Privacy  of  personal  data (Vance,  Howe  &  Dellavalle,  2009) (Chou  et  al.,  2009) Ef]icacious  in  attracting,   Source  credibility retaining  and  engaging  users (Eysenbach,  2007;  Hu  &  Sundar,  2010; Wang  et  al.,  2008).   (Bennett  &  Galsgow,  2009) Adaptivity in health communication and promotion Ascona, 11/9/2010 27
  • 34. 1) what types of social media applications?
  • 35. Results from our scoping review 367  references  retrieved 123  articles  charted 40  general  commentaries  and  editorial  material  recognizing  the   potential  use  in  social  marketing  and  health  communication 21  social  media  as  health  professional  education  and  training. 10:  content  analyses  of  YouTube,  Facebook,  MySpace. 4  articles  (2  reporting  the  same  data)  explicitly  mention   and  report  the  use  of  social  media  in  social  marketing   initiatives. Adaptivity in health communication and promotion Ascona, 11/9/2010 29
  • 36. Social media as learning tools Types  of  social  media YouTube,  wikis,  blogs,  podcasts,  mobile  phones   Training  health  educators   (Akagi,  2008;  Burke  &  Oomen-­‐Early,  2008;  Burke  &  Snyder,  2008;  Burke,   Snyder,  &  Rager,  2009) Clinical  practitioners (Boulos,  Maramba,  &  Wheeler,  2006;  Feeney  et  al.,  2008;  Lauber,  2009) Public  health  students (Goldman,  Cohen,  &  Sheahan,  2008;  Hanson  et  al.,  2008;  Kapp  et  al.,  2009) Adaptivity in health communication and promotion Ascona, 11/9/2010 30
  • 37. A lesson for public health “ The  Obama  campaign  set  a  new  standard,  encouraging   horizontal  communication,  fostering small  acts  of  engagement  and  facilitating in-­‐person  grassroots  activities.     2009)       (Abroms  &  Lefebvre,   Adaptivity in health communication and promotion Ascona, 11/9/2010 31
  • 38. Change we can: featuring social media (1)  of]icial  website (2)  the  campaign  TV  channel (3)  social  network  sites (4)  mobile  phones (5)  unof]icial  UGC  materials Adaptivity in health communication and promotion Ascona, 11/9/2010 32
  • 40. Results from our scoping review No  theories  or  models  are  explicitly  reported. Only  2  studies  report  outcomes:  quantitative   outreach  and  outputs,  i.e.  website  page  views,  nr.   of  viewers,  registered  users,  “friends”  and   followers. Adaptivity in health communication and promotion Ascona, 11/9/2010 34
  • 41. 2) what measures of success?
  • 42.  Social  media  effectiveness Adaptivity in health communication and promotion Ascona, 11/9/2010 36
  • 44. Are metrics enough? What about behavior change? What about new media effectiveness? Adaptivity in health communication and promotion Ascona, 11/9/2010 38
  • 46. Setting the research agenda We  need Appropriately  designed  studies  focusing  on  the  effectiveness  of   new  media  on  behavior. How? By  “listening”  to  the  publics  before  adapting  and  choosing  the   appropriate  media  strategy. By  combining  qualitative  +  quantitative  research  methods  (i.e.   online/of=line  focus  groups,  structured  interviews  with  the  TA,   formative  evaluation,  SWOT  analysis,  conversation  tracking  and   analysis,  surveys  and  experiments).   Adaptivity in health communication and promotion Ascona, 11/9/2010 40
  • 47. Thank you! Marco  Bardus Institute  of  Public  Communication  and  Education, Faculty  of  Communication  Sciences Università  della  Svizzera  Italiana,  USI marco.bardus@usi.ch
  • 48. References (1) Abroms,  L.  C.,  &  Lefebvre,  C.  (2009).  Obama’s  wired  campaign:  Lessons  for  public  health  communication.  Journal  of  Health   Communication,  14(5),  415-­‐423.   Abroms,  L.  C.,  &  Maibach,  E.  W.  (2008).  The  effectiveness  of  mass  communication  to  change  public  behavior.  Annual  Review   of  Public  Health,  29,  219-­‐234.   Akagi,  C.  (2008).  YouTube?  for  health  education?  American  Journal  of  Health  Education,  39(1),  58-­‐60.   Bennett,  G.  G.,  &  Galsgow,  R.  E.  (2009).  The  delivery  of  public  health  interventions  via  the  internet:  Actualizing  their  potential.   Annual  Review  of  Public  Health,  30(1),  273-­‐292.   Boulos,  M.  N.,  Maramba,  I.,  &  Wheeler,  S.  (2006).  Wikis,  blogs  and  podcasts:  A  new  generation  of  web-­‐based  tools  for  virtual   collaborative  clinical  practice  and  education.  BMC  Medical  Education,  6,  41.   Burke,  S.  C.,  &  Oomen-­‐Early,  J.  (2008).  That's  blog  worthy:  Ten  ways  to  integrate  blogging  into  the  health  education   classroom.  American  Journal  of  Health  Education,  39(6),  362-­‐364.   Burke,  S.  C.,  Snyder,  S.,  &  Rager,  R.  S.  (2009).  An  assessment  of  faculty  usage  of  YouTube  as  a  teaching  resource.  Internet   Journal  of  Allied  Health  Sciences  &  Practice,  7(1),  8p.   Burke,  S.  C.,  &  Snyder,  S.  L.  (2008).  YouTube:  An  innovative  learning  resource  for  college  health  education  courses.   International  Electronic  Journal  of  Health  Education,  11,  7p.   CDC,  Centers  for  Disease  Control  and  Prevention.  (2009).  Interactive  media  |  CDC  health  marketing.  Retrieved  10/5/2009,   2009,  from  http://www.cdc.gov/healthmarketing/ehm/interactive.hl   Adaptivity in health communication and promotion Ascona, 11/9/2010 42
  • 49. References (2) Chou,  W.  Y.,  Hunt,  Y.  M.,  Beckjord,  E.  B.,  Moser,  R.  P.,  &  Hesse,  B.  W.  (2009).  Social  media  use  in  the  united   states:  Implications  for  health  communication.  Journal  of  Medical  Internet  Research,  11(4),  e48.   Evans,  W.  D.  (2008).  Social  marketing  campaigns  and  Children’s  media  use.  The  Future  of  Children,  18(1),   181-­‐203.   Evans,  W.  D.,  Davis,  K.  C.,  &  Zhang,  Y.  (2008).  Health  communication  and  marketing  research  with  new   media:  Case  study  of  the  parents  speak  up  national  campaign  evaluation.  Cases  in  Public  Health   Communication  &  Marketing,  2,  140-­‐158.   Eysenbach,  G.  (2007).  From  intermediation  to  disintermediation  and  apomediation:  New  models  for   consumers  to  access  and  assess  the  credibility  of  health  information  in  the  age  of  Web2.0.  Studies  in   Health  Technology  &  Informatics,  129(Pt  1),  162-­‐166.   Feeney,  L.,  Reynolds,  P.  A.,  Eaton,  K.  A.,  &  Harper,  J.  (2008).  A  description  of  the  new  technologies  used  in   transforming  dental  education.  British  Dental  Journal,  204(1),  19-­‐28.   Fox,  S.,  &  Jones,  S.  (2009).  The  social  life  of  health  information.  Washington,  D.C.  (US):  Pew  Internet  &   American  Life  Project.   Goldman,  R.  H.,  Cohen,  A.  P.,  &  Sheahan,  F.  (2008).  Using  seminar  blogs  to  enhance  student  participation  and   learning  in  public  health  school  classes.  American  Journal  of  Public  Health,  98(9),  1658-­‐1663.     Adaptivity in health communication and promotion Ascona, 11/9/2010 43
  • 50. References (3) Hanson,  C.,  Thackeray,  R.,  Barnes,  M.,  Neiger,  B.  L.,  &  McIntyre,  E.  (2008).  Integrating  web  2.0  in  health  education   preparation  and  practice.  American  Journal  of  Health  Education,  39(3),  157-­‐166.     Hu,  Y.,  &  Sundar,  S.  S.  (2010).  Effects  of  online  health  sources  on  credibility  and  behavioral  intentions.   Communication  Research,  37(1),  105-­‐132.     Hughes,  B.,  Joshi,  I.,  &  Wareham,  J.  (2008).  Health  2.0  and  medicine  2.0:  Tensions  and  controversies  in  the  =ield.   Journal  of  Medical  Internet  Research,  10(3),  e23.     Kapp,  J.  M.,  LeMaster,  J.  W.,  Lyon,  M.  B.,  Zhang,  B.,  &  Hosokawa,  M.  C.  (2009).  Updating  public  health  teaching   methods  in  the  era  of  social  media.  Public  Health  Reports,  124(6),  775-­‐777.     Lauber,  C.  A.  (2009).  Using  a  wiki  for  approved  clinical  instructor  training.  Athletic  Therapy  Today,  14(6),  25-­‐28.     Lefebvre,  C.  (2009).  Integrating  cell  phones  and  mobile  technologies  into  public  health  practice:  A  social  marketing   perspective.  Health  Promotion  Practice,  10(4),  490-­‐494.     Lenhart,  A.,  Purcell,  K.,  Smith,  A.,  &  Zickuhr,  K.  (2010).  Social  media  and  young  adults.  Washington,  D.C.  (US):  Pew   Internet  &  American  Life  Project.     O’Reilly,  T.  (2005).  What  is  web  2.0.  design  patterns  and  business  models  for  the  next  generation  of  software.   Retrieved  10/5/2009,  2009,  from  http://oreilly.com/web2/archive/what-­‐is-­‐web-­‐20.hl     Adaptivity in health communication and promotion Ascona, 11/9/2010 44
  • 51. References (4) Parker,  G.  (2009).  Power  to  the  people  -­‐  social  media  tracker  wave  4,  july  2009  Universal  McCann.     May=ield,  A.  (Ed.).  (2008).  What  is  social  media?  an  e-­‐book  http://www.icrossing.co.uk/=ileadmin/uploads/ eBooks/What_is_Social_Media_iCrossing_ebook.pdf  (v1.4  ed.)  iCrossing.     Smith,  A.  (2010).  Mobile  access  2010.  Washington,  D.C.  (US):  Pew  Internet  &  American  Life  Project.     Uhrig,  J.,  Bann,  C.,  Williams,  P.,  &  Evans,  W.  D.  (2010).  Social  networking  websites  as  a  platform  for  disseminating   social  marketing  interventions:  An  exploratory  pilot  study.  Social  Marketing  Quarterly,  16(1),  2.     Vance,  K.,  Howe,  W.,  &  Dellavalle,  R.  P.  (2009).  Social  internet  sites  as  a  source  of  public  health  information.   Dermatologic  Clinics,  27(2),  133.     Wang,  Z.,  Walther,  J.  B.,  Pingree,  S.,  &  Hawkins,  R.  P.  (2008).  Health  information,  credibility,  homophily,  and   in=luence  via  the  internet:  Web  sites  versus  discussion  groups.  Health  Communication,  23(4),  358.           Adaptivity in health communication and promotion Ascona, 11/9/2010 45