Qjbc2016 social media

[email protected] @ljhopp @PurdueNorthwest @icebnp www.ebnp.org

Social Media and Evidence Based Policy and Practice

mailto:[email protected]


Tweet, Snapchat and Text, Oh My! Role of Social Media in

KTLisa Hopp PhD RN FAANDirector, Indiana Center for Evidence Based [email protected]@ljhopp



Objective…in 140 characters or less

Tell me what social media tools may be helpful for evidence based policy or practice

Create better messages for KT



Social Media Employ mobile and web-based technologies to create highly interactive platforms via which individuals and communities share, co-create, discuss, and modify user-generated content

What is it?

Kietzmann JH, Hermkens K, McCarthy IP,& Silvestre BS (2011). Bus Horizons, 54, 241-251

Image source: www.tricycle.com/files/images/issues/v20n3/05

2socialmedia_1.jpg



In other words…

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source: http://wajidali.files.wordpress.com/2009/11/hero-overview-share.jpg

Share

Modify

Co-create



www.solveitmedia.com/wp-content/uploads/2012/07/SocialMediaLandscape.jpg



Categories of Social Media?Personal Blogs/Microblogs

Collab-orative

Wikipedia/YouTube

Online Comm-unity

Facebook/LinkedIn/Video

Social Worlds

Second Life



Who has mobile smart devices?

Strategy Analytics, Oct 2012

63%2015 (Pewinternet.org

92% of Americans own a mobile device



Pew Research Center (2016)



Who has mobile smart devices and how do they use them and who can afford them?

October 2012: • Now over 1 billion

smart devices worldwide

• 1/7 people owns one worldwide (Strategy Analytics, Oct 2012) Im

age

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5 Billion People will Use Mobile Phones by 2017 Worldwide

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Opportunity abounds in rich countries, but usage lags in emerging economies

Pew Research Center (2016) http://www.pewglobal.org/2016/02/22/smartphone-ownership-and-internet-usage-continues-to-climb-in-emerging-economies/technology-report-01-03/



R=.84

US: 72% own $55,900 GDP/capita

Ethiopia: 4% own $1774 GDP/capita

Canada: 67% own $45,481 GDP/capita



R=.87

Canada: 90% use $45,481 GDP/capita

Ethiopia: 8% use $1774 GDP/capita

US: 89% use $55,900 GDP/capita



Do enough people use social media as an option for KT and EBHC?

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In 2015-social media age gap narrows:

Venezuala Canada Australia US UK0

20406080

100120140160180200

93 93 91 89 84

82 65 60 63 59

% Internet or Smartphone Users of Social Media Users by Age

Age 18-34 Age 35+



Generally, FB continues to rule (UK data)

<35 yo spent 795 min/month on Fb July 2016

http://www.comscore.com/Insights/Data-Mine/Facebook-retains-Social-Media-crown-for-UK-Millennials



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Australian and NZ Nurses/Midwives (2016)

Facebook

YouTube

Pinterest

Instagram

0 20 40 60 80 100 120

% Use

% Use

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2016

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Australian and NZ Nurses/Midwives (2016)

Social

Education

Entertainment

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What is the world-wide traffic in social media—unique

visitors?Pinterest 25M Twitter 37M

Facebook 150MBing 167MGoogle (main search) 187M

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(38)For the month of September

2012



Image source: http://www.keler-amse.nl/wp-content/uploads/socialmedia.jpg

Opportunity for healthcare?

https://youtu.be/2Zy3qTKMQzs


http://youtu.be/YEp0e69b4Ag


16.9 million mobile users in the U.S. accessed health information on their device during the three-month average period ending November 2011, growing 125 percent from the previous year. Of those that accessed health information, nearly 3 in 5 were under the age of 35 ht

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Value in Network Grows with New Members

Metcalfe’s law: [expressed as n(n-1)/2]

N=4, value=6 N=7, value=21

Frazer, R (2012). OJIN, 17(3). DOI: 10.3912/OJIN.Vol17No03ManOS Im

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Microblogging—opportunities for healthcare?

Convenience - cellphones are routinely on hand and switched on

Ubiquity - most people have a mobile device with text capability

Immediacy - recipients are more likely to read a message and take action right away

Communication - two-way communication capability provides opportunities for direct engagement

Weaver, B., Lindsay, B., Gitelman, B., (September 30, 2012) OJIN Vol.17, No. 3, Manuscript 3.DOI: 10.3912/OJIN.Vol17No03Man03



Microblogging—opportunities?

Monitoring - can be used not just for communication, but also to monitor/report symptoms

Measurability - results can be tabulated and measured

Dissemination - can be used for emergency alerts

Multimedia - texts can include links to audio, video or other websites

Weaver, B., Lindsay, B., Gitelman, B., (September 30, 2012) OJIN Vol.17, No. 3, Manuscript 3.DOI: 10.3912/OJIN.Vol17No03Man03



84% would participate again, despite accessibility and attractiveness barriers

N=298

Young, mostly female and already use the Internet

Dutch mixed methods evaluation study; infertility

Interface must be clean, simple and straightforward

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Too much information? “data asphyxiation”

(William van Winkle) “data smog” (David Shenk) “information fatigue

syndrome” (David Lewis) “cognitive overload”

(Eric Schmidt) “time famine” (Leslie

Perlow)

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Schumpeter (2011) www.economist.com/node/18895468



Push or Pull? Shifting away from pushing?

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Health isn’t making it in the app market

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http://www.socialblabla.com/wp-content/uploads/2011/07/social-media-manager.jpg

Can we tame it?



Texting is popular



Can SMS make a difference—when patients are the KU?

A meta-review of 12 systematic reviews

Effect of SMS on self-care on management of chronic conditions? Jo

nes,

Lek

hak

& K

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014)

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SMS might work to increase 11 systematic reviews published

2009-2012 4 SRs of RCTs only 3 of RCTs and CCTs 4 of mixed designs

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SMS might workIn what conditions? Asthma, diabetes,

short-term smoking cessation, HIV-AIDS

Wide range of age and SES

Outcomes: self management, making appointments and taking medications

What works better? Tailored messages Interactive capacity Link with internet-

based interventions (HgbA1C)

Frequency—depends; may work better if the frequency matches the frequency of the behavior Jo

nes,

Lek

hak

& K

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014)

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Much remains to study Harm and cautions? Better science Better reporting for synthesis Intensity How to make linkages with online

applications?



What about the way we communicate?



If we communicate like Apple®, can we transfer knowledge?

iPhone 7

What makes this effective communication?

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https://youtu.be/I8rsyOtELgA

http://knowledge.wharton.upenn.edu/wp-content/uploads/2014/03/apple-1024x440.jpg



http://www.apple.com/


Crafting the Message—Making it Stick

Simple Unexpected Concrete Credentialed Emotional Story



According to Heath2: Find the core Translate the core using the SUCCESs

checklist

Heath, C & Heath D (2008) Made to stick. Random House: NY, NY



Simple Finding the ‘core’ St. Exupéry: “A designer knows he has achieved perfection not when there is nothing left to add, but when there is nothing left to take away” Elegance




Make this simple? “Online strategies for health-related knowledge

translation can act as a vehicle to link researchers, practitioners, policymakers and consumers, thus facilitating the timely and relevant exchange of information, including where gaps in knowledge exist…Virtual communities of practice are an effective and pragmatic way for health professionals, the general public and other key stakeholders to interact and share knowledge.” (p. 261) Mai

rs e

t al.

(201

3). H

ealth

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arie

s Jo

urna

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, 262

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Better for Transfer?

Like a learning huddle, online strategies work best when people who care get together online

Image source: http://tinyurl.com/jfcdgwx

Simple = core + compact


http://tinyurl.com/jfcdgwx

http://tinyurl.com/jfcdgwx


Unexpected Surprise makes

us pay attention We want to fill

gaps-they make us curious

Imag

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: http

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5Heath, C & Heath D (2008) Made to stick. Random House: NY, NY


http://tinyurl.com/z8ewbl5

http://tinyurl.com/z8ewbl5


Create Curiosity with the Unexpected

Which one wins to improve diet and exercise?

Facebook or the clinic?



Concrete Concrete is

memorable Eg:




Concrete Concrete is memorable

Eg:




Credentialed Beyond

“good”evidence: Say it so we get it Relate the

magnitude to something people can connect to

Scale and context matter-it’s why I like NNT

Check this out: http://www.thennt.com



http://www.thennt.com/




Which would have more impact in a Tweet?

If 8 patients take systemic steroids at the beginning of an asthma attack, 1 will not be hospitalized http://tinyurl.com/zj77ese

Early use of CS for acute asthma in the ED significantly reduced admission rates (N = 11; pooled OR: 0.40, 95% CI: 0.21 to 0.78) http://tinyurl.com/go84so3


http://tinyurl.com/zj77ese

http://tinyurl.com/zj77ese

http://tinyurl.com/go84so3




Can social media really be “credentialed”?




You make the call…



Emotional Make people

care-they will act Message about

the particular “If I look at the

mass, I will never act. If I look at the one, I will”-Mtr TheresaHeath, C & Heath D

(2008) Made to stick. Random House: NY, NY



A second look…why has this non-credible message stuck?



Appeal to self interest and identities


https://health.clevelandclinic.org/2015/11/happens-body-quit-smoking-infographic/?utm_campaign=cc+tweets&utm_medium=social&utm_source=twitter&utm_content=092116+smoking+body+changes&dynid=twitter-_-cc+tweets-_-social-_-social-_-092116+smoking+body


Story Patient is not a

3rd person word

(e-patient Dave)




Opportunity?

Patient empowerment—E--patient Dave

EquippedEngagedEmpoweredEnabled

3:50-6:20


http://on.ted.com/Dave


Opportunity? AHRQ—for patients, engaging them

in evidence-based decision making-what do you think?

We need to a lot better….


http://youtu.be/N4iOUNpokcU

http://www.youtube.com/user/AHRQHealthTV


Make messages

stick!

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My presentation: http://www.slideshare.net

Search on users: Lisa Hopp


http://www.slideshare.net/

http://www.slideshare.net/

Qjbc2016 social media

Healthcare

Transcript of Qjbc2016 social media