Presentation at 10th Anniversary Convention of the Ateneo School of Medicine & Public Health, 24 Nov 2017. Novotel Araneta.

1. www.fb.com/endocrinewitch

2. www.dokbru.endocrine-witch.net

4. CAN SOCIAL MEDIA
CHANGE HEALTH
BEHAVIOR?
IRIS THIELE ISIP TAN MD, MSC
Professor, UP College of Medicine
Chief, UP Medical Informatics Unit
Director, UP Manila Interactive Learning Center
@endocrine_witch

5. I have nothing to disclose

6. POTENTIAL
EVIDENCE
STRATEGY
FUTURE

7. Patients are increasingly using online social networks to
connect with other patients and healthcare professionals
PEER-TO-PEER HEALTHCARE
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

8. CAN SOCIAL MEDIA CHANGE HEALTH BEHAVIOR?
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

9. People can participate as part of their
usual social media routine
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

10. Social media facilitates
self-help behavior
Logan A. Community hypertension programs in the age of mobile
technology & social media. Am J Hypertension 2014;27(8): 1033-1035

11. Berkman L, Glass T. (2000) Social integration, social networks, social support and health
SOCIAL INFLUENCE
How the presence,
actions or expectations
of others influence the
way one behaves

12. SOCIAL ENGAGEMENT
& ATTACHMENT
Berkman L, Glass T. (2000) Social integration, social networks, social support and health

13. How social network structure
affects access to resources
SOCIAL RECOMMENDATIONS
Berkman L, Glass T. (2000) Social integration, social networks, social support and health

14. SOCIAL CONTAGION
How health behaviours
may be ‘transmitted’ by
‘person-to-person spread’
across social networks Berkman L, Glass T. (2000) Social integration,
social networks, social support and health

15. SOCIAL SUPPORT
Emotional, functional and informational
assistance influences health Berkman L, Glass T. (2000) Social integration,
social networks, social support and health

16. POTENTIAL
EVIDENCE
STRATEGY
FUTURE

17. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours:
a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926.
RCTs of social media interventions promoting
healthy diet and exercise behaviors
Interventions using social media, alone or
as part of a complex intervention

18. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours:
a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926.

19. Williams G,Hamm MP, Shulhan J, et al. BMJ Open 2014;4:e003926.

20. Williams G,Hamm MP, Shulhan J, et al. Social media interventions for diet and exercise behaviours:
a systematic review and meta-analysis of randomised controlled trials. BMJ Open 2014;4:e003926.
Dietary fat consumption decreased significantly among
participants exposed to social media

21. Williams G,Hamm MP, Shulhan J, et al. BMJ Open 2014;4:e003926.
Voluntary recruitment may have resulted in increased
participant motivation and selection bias
Losses to follow-up were very high [challenges of adherence
and keeping participants engaged]
LIMITATIONS
Participants mostly female, Caucasian
of higher socioeconomic status

22. Evaluate the use and effectiveness of interventions using
social networking sites (SNSs) to change health behaviors
Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256. doi:10.1136/amiajnl-2014-002841
Meta-analysis
8 RCTs

23. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256
FACEBOOK
HEALTH-SPECIFIC
TWITTER
social network sites
12 studies (n=7411)
8 RCTs

24. Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256
Slight positive effect of SNS interventions on health
behavior-related outcomes
Considerable heterogeneity

25. Low-cost opportunity to virally spread health information
PUBLIC HEALTH IMPACT
Laranjo L, et al. J Am Med Inform Assoc 2015;22:243–256
SNSs may be used in a synergistic way with personal
health records and mobile devices

26. POTENTIAL
EVIDENCE
STRATEGY
FUTURE

27. 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

28. 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

29. DEFINE PARAMETERS
Modality
Purpose
Community type
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

30. 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

31. PLATFORM
SELECTION
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

32. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
TARGET POPULATION
Platform users
Non-users
User of any platform

33. RECRUITMENT
Social media
Local
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

34. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
CONTENT CONVERSION/DEVELOPMENT

35. 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

36. 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

37. TRAINING
Interventionist
Participant Pagoda S. et al. Adapting Behavioral Interventions for Social
Media Delivery J Med Internet Res 2016;18(1):e24
How to
maximize
experience

38. 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?

39. POTENTIAL
EVIDENCE
STRATEGY
FUTURE

40. 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

41. 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

42. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
WHAT IS MEANINGFUL
ENGAGEMENT?

43. FOR
WHOM?
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24

44. IRIS THIELE ISIP TAN MD, MSC
Professor, UP College of Medicine
Chief, UP Medical Informatics Unit
Director, UP Manila Interactive Learning Center
@endocrine_witch