1. Using Social Media to Promote Evidence-Based Practice: A Primer on Blogs, Wikis & Twitter Dean Giustini Francisco J Grajales III Daniel Hooker Cochrane Canada Symposium Workshop | 16 February 2011, Vancouver BC

2. Workshop by: Dean Giustini UBC Biomedical Branch Librarian UBC Library Francisco J Grajales III Trainee, Western Regional Training Centre for Health Services Research UBC Graduate Student Researcher UBC eHealth Strategy Office Daniel Hooker Researcher UBC eHealth Strategy Office We received no financial contributions for the planning, development or presentation of this workshop 2 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

4. Learning materials

5. e.g., powerpoints, wiki, manual

6. Outline of activities

7. Group discussion

8. Q & A3 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

9. Evidence-based medicine "EBM is the conscientious, explicit and judicious use of current best evidence in making clinical decisions about the care of individual patients." (David Sackett) A Pyramid of Evidence 4 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

10. Evidence-based practice The Power of “10” … a documented, reproducible process of systematically locating reviewing, appraising & using clinical information (e.g. research) to aid in decision-making and optimum delivery of care VirtualWorlds Rating services Location-based media Power of “10” Categories Social media resources at the Cochrane Collaboration website http://www.cochrane.org/about-us/evidence-based-health-care/webliography/social-media-web-20 5 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

11. What is social media? “…social media refers to tools that enable collaboration, two-way interaction and sharing – also known as web 2.0 services that contain text, images, audio and video… some popular tools are blogs, wikis, Twitter and …?” How can we work towards an evidence-informed use of social media? Image: http://bit.ly/c2Hbi0 6 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

13. inter-professional communication / collaboration

14. medical education / virtual training

15. illness support groups – health advocacy

16. to promote funding opportunities – fundraising

17. public health alerts

18. infectious disease monitoring – e.g., flu tracking, H1N1e.g., CDC Social Media Toolkit Image: http://bit.ly/9YxYtV 7 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

19. What is a blog? …blog is short for “weblog” – a free, easy-to-publish website where bloggers post information & essays in sequential order A recent (peer-reviewed) article surveying medical bloggers noted that: Blogs stimulate discussion, open enquiry and lifelong learning “Medical bloggers are highly educated and devoted writers, faithful to their sources and readers. Sharing practical knowledge and skills as well as influencing how people think are major motivators for bloggers. [They] frequently pick up stories from the mainstream media… [and] influence medical and health policy” Kovic, JMIR 2008 Image: Blogs 8 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

20. Nature.com blog …blog is short for “weblog” – a free, easy-to-publish website where bloggers post information & essays in sequential order http://blogs.nature.com/nm/spoonful/ 9 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

21. Better Health Blog Better Health is an aggregator of other blogs… http://www.getbetterhealth.com/ RSS feeds http://hlwiki.slais.ubc.ca/index.php/RSS 10 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

22. Google Reader http://reader.google.com Two examples of aggregators are Google Reader and Bloglines… http://bloglines.com 11 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

24. Dr. Ves Dimov, author

25. Cited by the Cochrane Collaboration, BMJ, Medscape, Nature & other siteshttp://casesblog.blogspot.com http://twitter.com/drves 12 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

26. Embed information in blogposts 13 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

27. Ethical & authority issues for bloggers http://www.hon.ch/HONcode/Conduct.html 14 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

28. A Wiki is… …a communal website where content can be quickly & easily edited. Wikis support collaboration & information-sharing; feature multimedia such as video, slides, photographs & allow anyone to edit whereas others are password-protected…. WikiDoc The Living Textbook of Medicine The Original Medical Wiki / Encyclopedia http://medpedia.com 15 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

29. Wikifeatures Open Collaborative Simple to use A set of ‘living documents’ Evolving record of evidence Types of wiki software Locally-hosted: Mediawiki Twiki Cloud-based: Wikispaces PBworks Editing … in Wikipedia http://www.wikimatrix.org/ 16 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

33. Wikisurgery http://wikisurgery.comhttp://hlwiki.ca 17 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

34. A “microblogging” (“tiny” blog) service that allows networks of users to send short updates to each other in less than 140 characters. A platform for information dissemination, social networking and real-time communication. Twitter is… 18 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

36. Retweets

37. Mentions

38. Lists

39. Hashtags19 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

41. Connection to other users

42. Sharing of expertise

43. Current and important events in real-timeExample of physician tweet 20 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

45. Twitter ‘spam’

46. Value comes from being publicJAMA published a study in 2011 of physicians with 500 or more Twitter followers… while 38 of 5156 tweets represented potential privacy violations, the authors concluded that the occurrence was rare 21 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

47. Giustini, Grajales, Hooker - Cochrane Canada Symposium Workshop 2011 22 Viewing (Passive) Social Networking e.g., Twitter & Facebook Wikis Blogs People Focus Content Focus Contributing (Active) Donald H Taylor 2009 Mapping social media 22 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

49. For networking … and to monitor information

50. Connect with people you trust

51. To have conversations with peers about evidence in real time

52. To engage in new scholarly practices23 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

53. YouTube Video The Importance of Social Media in Medicine …evidence-based medicine (EBM) does not always answer all the questions we have…. Dr. Scott Strayer http://www.youtube.com/watch?v=T0w9yIc76zo 24 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

55. And, Dr. Stryer’s views of social media?

56. Can social media be used to boost productivity?

57. How might it support learning / build communities of practice?

58. What are the benefits and harms of social media use?

59. What concerns you most about using social media? See manual pg 13 for discussion questions 25 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

60. POST Method A four-step approach to devising a social media strategy P People …with whom do you want to communicate? O Objectives …what do you want to accomplish? S Strategy …how will you ensure your strategy will be successful? T Technology …which tool (or tools) will you try? POST is taken from “Groundswell: Winning in a World Transformed by Social Technologies” by Charlene Li and Josh Bernoff http://forrester.typepad.com/groundswell/2007/12/the-post-method.html 26 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011

61. Questions? All materials in this workshop come under the Creative Commons Attribution 2.5 Canada Licence 27 Giustini, Grajales III, Hooker | Cochrane Canada Symposium Workshop 2011