Digital Communication Power Tools: Speakers Notes version
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This Keynote presentation at the 2012 Ontario Association of Social Work annual conference outlines the "digital communication power tools" for social workers and other practitioners. Speakers' notes can be toggled on or off. This file provides the Speakers Notes that accompany the slides.
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Digital Communication Power Tools: Speakers Notes version
- 1. The Digital Communication Power Tools Transforming Social Work Today Ontario Association of Social Workers Provincial Conference November 10, 2012 Marilyn Herie PhD RSW Invited Keynote presentation: http://www.oasw.org/public/membership‐benefits/oasw‐conference‐2012.aspx 1
- 2. Marilyn Herie PhD RSW Dr. Herie is Director of the TEACH Project, a University of Toronto, Faculty of Medicine Certificate Program in Cessation Counselling at the Centre for Addiction and Mental Health, where she incorporates distributed learning and social media in reaching professionals from across Canada and from over 15 disciplines. As well as being Director of the University of Toronto's Collaborative Program in Addiction Studies, Dr. Herie has engaged in research and education focused on online clinical education in social work and has taught a Masters‐level online addictions MSW course for nearly 10 years. http://ca.linkedin.com/pub/marilyn‐herie/39/161/945 2
- 3. Looking forward with a hurricane at our back The subtitle of this talk – it is not whether to adopt or get on board with these digital tools – it is how we will participate This is already a reality for our profession, and the momentum is building.
- 7. social media collaboration e-therapy I will focus on three general areas
- 8. Learning Objectives 1. Identify the digital tools that best fit your professional objectives and needs 2. Anticipate upcoming trends and implications for your practice 3. Access resources and tips for using these tools to their full potential And these three areas will address the above learning objectives. 8
- 12. social media collaboration e-therapy Take a couple of minutes and reflect on what you are ALREADY doing in these three areas
- 13. social media collaboration e-therapy • Facebook • Webinar, web conference • LinkedIn • Screenr, Vimeo • Twitter • Online course • YouTube • Wikis • Wordpress, Blogger • Google+ • Pintrest, Tumblr • Twitterchat • Stumbleupon • E‐therapy • Reddit • Other? What is your experience? How do these examples fit? What is missing from this list?
- 15. Technology Acceptance Model (TAM): Ease of use and usefulness will predict an individual’s attitudes towards, intention to use, and acceptance of the technology Perceived Usefulness External Behaviour Attitude Intention to use Factors Perceived Ease of Use Technology Use McGowan et al., 2012. Understanding the Factors That Influence the Adoption and Meaningful Use of Social Media by Physicians to Share Medical Information. Journal of Medical Internet Research. I like to start with a theoretical framework, and TAM hypothesizes that time may not be the most important predictor of technology acceptance/use by practitioners. 15
- 16. “It appears that the frequency of social media usage is influenced primarily by positive attitudes toward the technology, perceiving that the technology is easy to use, and perceiving the technology to be useful to achieve better performance outcomes. Conversely, factors found to be nonsignificant included demographic variables typically perceived as important, such as years since graduation (a proxy for age), gender, patients seen per week (a proxy for how busy a physician is), and type of specialty. This finding is consistent with other studies, which have shown practice-related characteristics to be unassociated with use of Internet-based communication technologies.” McGowan et al., 2012. Understanding the Factors That Influence the Adoption and Meaningful Use of Social Media by Physicians to Share Medical Information. Journal of Medical Internet Research. In other words, OLD and BUSY practitioners are just as likely to use technology. My goal in this presentation is to demystify and demonstrate the utility of some key applications for clinical practitioners (ease of use + utility) 16
- 17. Personal Learning Networks (PLNs) “A PLN is a system for lifelong learning” Social Microblogging Social Bookmarking Networking News Wikis Aggregators Backchanelling of conferences Professional Profiles Webinars Blogs http://edudemic.com/2012/10/build-personal-learning-network/ And to consider how all of these fit together synergistically to comprise your very own PLN http://educateria.com/2012/10/24/personal‐learning‐networks‐plns/ 17
- 18. Topic #1: Social Media 18
- 20. i. e.: The world
- 24. 1. Choose a random person in the audience 2. Ask their name 3. Google them 4. How many hits? 5. What comes up? Or…when was the last time you searched yourself online? Was there anything that surprised you in response to this activity?
- 25. The Paradox of Online Identity The question is: Who controls it? The paradox is this: We hold ourselves back from participating in social media in order to better manage our online identity; yet by not participating we lose control over ways of presenting ourselves online The majority of people already have some type of online identity regardless of personal preference.
- 27. Use the Security Settings • Be judicious • But remember that you are probably more visible than you think • Do an online search of yourself – regularly • Ask an expert (teenager) for help! But, determine your own individual privacy threshold, and take steps to ensure that you understand and use the security settings among the various tools/applications.
- 28. • Facebook • Slideshare • LinkedIn • Pinterest • Google+ • Stumbleupon • Twitter • Screenr • YouTube Let’s look at these select applications, keeping in mind that this represents only a fraction of what is out there.
- 29. JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, 31(3):215–219, 2011 Medicine and Medical education are frontrunners in research and publications on social media applications
- 30. • Facebook • Slideshare • LinkedIn • Pinterest • Google+ • Stumbleupon • Twitter • Reddit • YouTube • Screenr Let’s start with the “big four”
- 32. A 15 year old’s perspective… • Facebook: “There’s a lot of ads but it’s really good” • LinkedIn: “Nobody uses LinkedIn in unless you have, like, a job” • Google+: “nobody has Google+” • Twitter: “It’s good for keeping track of things” Interesting how these statements in fact capture an essential element within each application.
- 33. A 15 year old’s perspective… • Facebook: “There’s a lot of ads but it’s really good” • LinkedIn: “Nobody uses LinkedIn in unless you have, like, a job” • Google+: “nobody has Google+” • Twitter: “It’s good for keeping track of things” Including much chatter on the Internet about the extent to which Google+ has as much adoption and traffic/sharing as promos suggest? Graphic from: http://mashable.com/2012/08/08/infographic‐google‐plus‐ghost‐town/
- 35. What’s right for you? Are you…. Looking for a job or wanting to network/collaborate with other professionals? Wanting to share information, invite feedback/contributions, and follow others? Wanting to push out links/short reflections and follow others? How do I decide? Here are some suggestions.
- 41. Profile Everything about you in 160 characters or less So…if you’re not already on Twitter, you need to craft a profile of no more than 160 characters.
- 43. Quick Twitter Tips • # (hashtag): categorizes tweets – there is a taxonomy of hashtags, or you can create your own (www.hashtags.org) • @MarilynHerie: Twitter handle – how your Tweets will appear • 140 characters max • If sending a link, make it into a “Tiny URL” Twitter is especially good for sharing links to interesting/important/entertaining content to others in your network. TinyURL is an example of a free online application to shorten the URL so that it can fit in the 140 character limit of a tweet (see next slide).
- 45. Twitter Practice • What is something that is unique to me? • What is something I have experienced that others may identify with? http://kellyburstow.com/2011/10/how-to-write-a-twitter-bio/ Here are some key questions to get you started writing (or revising) your Twitter bio.
- 46. Twitter Practice • Turn to the person behind you • If you’re on Twitter: – Share your handle and bio – Who do you follow and why? • If you’re not on Twitter: – What would you say about yourself in your brief bio? – Practice writing a “Tweet” about this session
- 49. • Facebook • Slideshare • LinkedIn • Pinterest • Google+ • Stumbleupon • Twitter • Screenr • YouTube Now let’s talk about YouTube…
- 51. The two talking cats? Really? If you need to see this: http://www.youtube.com/watch?v=z3U0udLH974
- 53. Create Video Content To… • Share research findings • Demonstrate clinical skills • Hear from stakeholders, guest experts, etc. • Disseminate talks or presentations • Video Blogging (Vlogging) But YouTube is so much more than cat/music/etc videos. Here are some suggested applications to consider in using this powerful dissemination and communication tool at a professional or organization level.
- 58. http://vimeo.com/ For this reason, many professionals and organizations are choosing Vimeo. “Online video has become synonymous with YouTube. Its size and high profile make it an obvious consideration for hosting your business videos — and of course, it’s free. On the other hand, Vimeo has built its reputation on providing a professional platform with advanced features and a more engaged audience. When choosing the best platform to host your business videos, consider the goal of your campaign (views vs. engagement), your budget, and your brand itself. YouTube may be more suitable if high volume and high exposure are key considerations for your videos. If brand reputation and detailed analytics are more important, then Vimeo may be the better choice. In either case, your business will benefit from being part of the vastly popular, online video movement.” http://sproutsocial.com/insights/2011/08/youtube‐vs‐vimeo‐business/
- 60. • Facebook • Pinterest • LinkedIn • Stumbleupon • Google+ • Slideshare • Twitter • Screenr • YouTube Now let’s look briefly at some other interesting social media applications
- 62. http://pinterest.com/rtkrum/infographic-visual-resumes/ This concept – Infographic CVs – is so obvious and compelling, and I love how the examples are curated and collected here.
- 64. http://thenextweb.com/apps/2012/07/26/forget-about-me-vizify-is-your-new-online- profile-of-choice-invites/ And the new kid on the block – Vizify – takes the concept of infographic CV and puts it into an online application/community.
- 72. Collaboration Tools • Blogging • Webinars, webconferencing • Wikis In this section we’ll look at these three tools: Blogging, webinars and wikis
- 75. What blog names have others used? How did you decide? Do an online search for examples of blog names, or ask others about names they’ve used or considered.
- 79. Template Title Description Banner Image Optional Picture http://educateria.com/ I have chosen Wordpress for my blog. This slide illustrates the different components that you can populate once you sign up and get started.
- 80. Post Title Categories/Tags http://educateria.com/ Subtitle
- 89. Take‐Home Messages • You might be online even if it’s not “you” • Consider a “placeholder” with some content across platforms, especially if you/your organization’s name is not unique • Don’t assume you/your organization’s name is unique • Even if you don’t use a platform, someone else might be searching for you on it So here are some thoughts to consider, even if you aren’t sure that a particular platform is for you. Especially as an organization, it may make sense to have a presence across platforms.
- 90. How do I decide? 1. Do I want to install, configure, and host my blog myself, or would I rather rely on a hosted service? 2. Do I want to create my own blog theme, or am I satisfied with using or customizing an existing theme? 3. Do I want to be able to install custom plug‐ins or am I satisfied with the functionality that is built‐in to the platform I choose? 4. Will I be writing more long‐form posts or posting cool things I find online? Or do I need to be able to do both? 5. Do I want others to be able to comment on my post and interact with my content in a social way, or do I just want to be able to have a place to post my writing where people can read it and nobody can bother me? 6. Am I willing to pay for this blogging platform? http://lifehacker.com/5878847/which-blogging-platform-should-i-use This article at Lifehacker.com gives some great questions and suggestions to help you to decide which blogging platform is a good fit for your objectives and style.
- 92. Collaboration Tools • Blogging • Webinars, webconferencing • Wikis OK. Let’s talk webinars.
- 96. Who has presented a webinar as a speaker/facilitator? What have you learned from your own experiences facilitating or participating in webinars or web/video conferences? These valuable experiences about the process yield some important “best practice” tips.
- 99. Six Webinar Tips 1. It might not be a webinar 2. I like text chat better than voice 3. Prime participants to participate 4. You can’t do it all 5. Ready for your close‐up 6. Less text more pictures http://educateria.com/2012/10/02/quick-tips-for-faclitating-webinars/ Here are some tips from my blog post on facilitating webinars: It might not be a webinar: Sometimes network connections fail, either at your end or for participants. Send out a complete slide deck ahead of time and have a teleconference line just in case. I like text chat better than voice: In webinars, text chat is really seamless, especially with large groups (e.g., 100 or more). Encourage people to chat with each‐other as well as the facilitator throughout the webinar. This brings me to two more points: Prime participants to participate: Most people regard online, text‐based communication as more an act of publishing than as an act of speech. This cognition tends to constrain spontaneous conversation, so I ask participants to write down at least one question ahead of time. That way people are “primed” to participate, and once the ice is broken the group can really take off. You can’t do it all: With lots of sidebar chat it’s pretty much impossible to present AND read comments/questions at the same time. Having a moderator to help cue the presenter with key questions or pauses is essential. Ready for your close‐up: Built‐in computer webcams tend not to give the most flattering angle. Use a separate webcam for better camera postioning, add extra light, and talk to the camera. Participants want to feel connected to the facilitator. Less text more pictures: If text‐heavy presentations are boring in person, they are even more deadly by webinar. (Plus, disengaged participants will toggle back and forth between a boring webinar and another, more interesting, website). Keep people engaged with well‐designed content and activities.
- 105. Collaboration Tools • Blogging • Webinars, webconferencing • Wikis Now, on to wikis.
- 109. E‐Therapy • 1st provision of behavioural health services delivered from a distance… 1959 Considerations for the provision of e-therapy, SAMHSA, 2009 This earliest documented telepsychiatry intervention was from the Nebraska psychiatric institute – where a television link used to provide consultation to patients.
- 110. http://newsmagazine.oasw.org/magazine.cfm?magazineid=9&articleid=155 And e‐therapy – and attendant opportunities and issues – are the focus of increasing attention within social work and other helping professions. This article by Paul Parnass in the OASW Newsmagazine gives a great overview and discussion for practitioners.
- 111. http://www.ocswssw.org/docs/newslettereng_fall2011-rev5-final- ya.pdf?LanguageID=EN-US The Ontario College of Social Workers and Social Service Workers (OCSWSSW) has also written about social media and e‐therapy in their “Practice Notes” series, highlighting some important ideas and things to consider.
- 112. Clinical Social Work Journal, published online Feb 2012 And this recent article by Mishna et al. is a wonderful example of the power of qualitative research to hone in on thematic observations and issues that are of paramount relevance to clinical practice. Highly recommended reading for ALL practitioners, regardless of discipline and level of interest in social media and e‐ therapy. Because a take‐home message from this research is that we are all affected – and will be increasingly affected – by our patients’ and our own uptake of these tools and applications.
- 113. “It Just Crept In” • Client‐driven practice • Pandora’s Box • Ethical gray zone • Permeable boundaries Mishna et. al., 2012 These are the four themes that stood out from the research that Mishna et al. conducted. Again, a must‐read!
- 114. http://store.samhsa.gov/product/Considerations-for-the-Provision-of-E- Therapy/SMA09-4450 This publication by SAMHSA – available for free download – is also relevant across disciplines and specialties, and provides a rich discussion of logistical, ethical and practice issues relating to the provision of e‐therapy.
- 115. What is e‐therapy? “The use of electronic media and information technologies to provide services for participants in different locations” Considerations for the provision of e-therapy, SAMHSA, 2009 What is e‐therapy? Here is a working definition from the SAMHSA document.
- 116. Applications • Psychoeducation • General counselling • Self‐help • CBT Considerations for the provision of e-therapy, SAMHSA, 2009 How can e‐therapy be applied? Across a range of practice approaches, including self‐help.
- 117. For diverse issues, including… • Substance dependence treatment • Panic disorder • Public speaking anxiety • Agoraphobia • Eating disorders • Depression Considerations for the provision of e-therapy, SAMHSA, 2009 For what kinds of issues? Again, e‐therapy has been used and evaluated across a range of presenting issues.
- 118. E‐Therapy Platforms Text-Based Non-Text- Based Synchronous Internet Telephone Messaging (IM) Video-conference Online Chat Web-conference Text message Asynchronous Email Fax Discussion board/ Video Online forum Voice recording Comments on blogs, vlogs I have roughly divided e‐therapy applications into this 2 x 2 table. Note that there is some overlap across some of the categories, and e‐therapy may use numerous communication strategies that encompass both synchronous (real‐time) and asynchronous (not at the same time) communication/counselling styles and methods.
- 119. Pros and Cons of E‐Therapy • Accessibility • Digital divide • Cost • Confidentiality • Continuity of care • Technology failures • Demand • Communication barriers • Stigma of accessing (e.g., linguistic community resources competence, • Privacy communication norms) • Emergencies/crises Considerations for the provision of e-therapy, SAMHSA, 2009 These pros and cons are explained in more detail in the SAMHSA document, and are merely highlighted here.
- 121. Small comparison study of online vs face-to-face manualized group CBT counselling for clients with disordered eating “Significant improvements on all outcome variables were observed and maintained at follow-up in both groups” Take home message: Brief group CBT therapy appears to be adaptable to an online, synchronous (chat room/discussion board) delivery context
- 123. Small, self-selected sample of online therapy consumers “Exceeding expectations and despite low power, results on the composite scale and goal subscale of the WAI were significantly higher than those from the representative sample of face-to-face clients” Take home message: Participants corresponding with therapists using more than one online modality demonstrated stronger working alliance
- 125. Meta-analysis of 56 studies published between 1998- 2010 “Direct comparisons favour FTFIs over CDIs although the incremental effect is small” Take home message: Research needs to go beyond simple efficacy evaluations and investigate specific intervention components and their applications in CDIs
- 126. Research Issues • Small sample sizes • High dropout • Lack of comparison groups • Diversity of delivery modes • Lack of standardized interventions Considerations for the provision of e-therapy, SAMHSA, 2009 Overall, however, research – especially high‐quality research – is lacking in this area. Therefore, proceed with caution, recognizing that evidence‐informed approaches are less developed for e‐therapy at this time.
- 127. Ethical, Legal and Regulatory Issues • Confidentiality: – Records can be breached/not easily deleted – Client forwards correspondence to third party • May favour more affluent, literate, educated • How do we know it works? Outcomes? • Foremost clinical decision is whether to provide treatment • Jurisdictional issues • Scope of practice • Which region’s regulations take precedence? Considerations for the provision of e-therapy, SAMHSA, 2009 Practitioners also need to consider numerous ethical and regulatory issues that may not be clearly defined, and can impact professional practice.
- 128. Informed Consent • Treatment process/procedures • Benefits and risks • Actions taken to prevent risks • Procedures for emergencies • Confidentiality and safeguards And finally, it’s important to note that informed consent on the part of clients needs to address these general areas – and in the case of e‐therapy, to outline the specific and unique actions and procedures that will apply to virtual counselling contexts.
- 132. Every ceiling, when reached, becomes a floor. ‐ Aldous Huxley And, of course, as you reach proficiency in anything, that becomes the foundation to take it to the next level.
- 133. Summary Utility and ease of use are better predictors of uptake than time, age or specialty You likely already have an online identity – social media can help you further control and define it + establish PLNs Social media tools go far beyond vehicles for corporate communication Online collaboration and discussion (blogging, micro- blogging, wikis, etc.) can further reflective practice and knowledge sharing/exchange People – clients, students, peers and others – are already driving change Some disciplines (for example Medicine) are ahead of the curve in adoption, evaluation and research The collaborative and systems orientation of social work may be a natural fit with these new and emerging technologies In summary…here is an overview of key points.
- 139. Ralph Waldo Emerson
- 140. marilyn.herie@camh.ca www.educateria.com @MarilynHerie Thanks for tuning in!