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
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
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
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.
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
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
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
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
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?
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