Social Media and Evidence Based Healthcare

Channeling the Rivers of Knowledge to Improve Global
Policy and Practice

Social Media and Evidence
Based Policy and Practice

Copyright © 2012 Indiana Center for Evidence Based Practice

Policy and Practice

Social Media and Evidence
Based Policy and Practice
Lisa Hopp PhD RN FAAN
Director, Indiana Center for Evidence Based Practice
ljhopp@purduecal.edu
@ljhopp


Policy and Practice

Objective…in 140  Identify social
characters or less media tools that
may be helpful for
evidence based
policy or practice
 List some tools that
might work


Policy and Practice

Social Media  Employ mobile and web-
What is it? based technologies to
create highly interactive
platforms via which
individuals and
communities share, co-
create, discuss, and
modify user-generated
content
Image source:
www.tricycle.com/files/images/issues/v20n3/052social
media_1.jpg

Kietzmann JH, Hermkens K, McCarthy IP,
Copyright © 2012 Indiana & Silvestre BS (2011). Bus Horizons, 54, 241-251
Center for Evidence Based Practice

Policy and Practice

In other words…
source: www.reachbrands.co.uk/wp-
content/uploads/Co-Creation-02.gif

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

Policy and Practice

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

Policy and Practice

Categories of Social Media?
Blogs/Microbl
Personal ogs

Wikipedia/Yo Collab-
uTube orative

Online
Facebook/Link
Comm edIn/Video
-unity

Second Social
Life Worlds


Policy and Practice

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

Strategy Analytics,
Oct 2012


Policy and Practice

Who has mobile smart
devices and how do
they use them and

http://appngonews.thebutterflyfx.com/bl_portfolio/381/
who can afford them?

October 2012:
• Now over 1 billion smart
devices worldwide
• 1/7 people owns one

Image source:
worldwide
(Strategy Analytics, Oct 2012)


Copyright
©
Policy and Practice

2012
Indiana

Center
for
Evidence
Based

http://1x57.com/wp-content/uploads/2012/03/global-mobile-trends-mighty-
culture-label-appstores-worldwide-users-billion-smartphone-sales-china-
Practice

india-phone.jpg

Policy and Practice

Do enough people use social media as
an option for KT and EBHC?
http://pewinternet.org/Commentary/2012/March/Pew-
Internet-Social-Networking-full-detail.aspx


Policy and Practice

Canadian Nurses
College of Nurses of Ontario. (2012). The Standard,

www.cno.org/Global/pubsmTSMVol37No2 pdf
.
37(2), 14-15. Retrieved from


Policy and Practice

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

Comscore In Adweek, 2012, Oct 29-Nov4 V 53 (38)
Pinterest 25M
Twitter 37M

Facebook 150M
Bing 167M
Google (main search) 187M
For the month of September 2012

Policy and Practice
content/uploads/2011/09/FranceInfographic_600pxw.jpg
http://www.comscoredatamine.com/wp-


Policy and Practice

Hard-
ware

Does it
work?
Usage

Little evidence….yet

Policy and Practice

Opportunity
for
healthcare?

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


Policy and Practice

http://www.comscoredatamine.com/wp-content/uploads/2012/01/Mobile-Health-
Access_November-2011-Data.jpg
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

Policy and Practice
http://upload.wikimedia.org/wikipedia/commons/thumb/2/24/Network_Tree_diag

Value in Network Grows with New
Members
 Metcalfe’s law:
[expressed as n(n-
ram.png/220px-Network_Tree_diagram.png

1)/2]
 N=4, value=6
 N=7, value=21
Image source:

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


Policy and Practice

Microblogging—  Convenience - cellphones
opportunities for are routinely on hand and
switched on
healthcare?
 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
Weaver, B., Lindsay, B., Gitelman, B.,
(September 30, 2012) OJIN Vol.
communication capability
17, No. 3, Manuscript 3. provides opportunities for
DOI: 10.3912/OJIN.Vol17No03Man03
direct engagement

Policy and Practice

Microblogging—  Monitoring - can be used
opportunities? 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,
Weaver, B., Lindsay, B., Gitelman, B.,
(September 30, 2012) OJIN Vol.
video or other websites
17, No. 3, Manuscript 3.
DOI: 10.3912/OJIN.Vol17No03Man03


Policy and Practice

Dutch mixed methods evaluation study;
infertility
Breejen et al. (2012)J of Medical Internet Research

N=298
Interface must
be clean, simple
www.jmir.org/2012/5/e138/

and
84% would straightforward
participate again,
Young, mostly despite
female and already accessibility and
use the Internet attractiveness
Copyright © 2012 Indiana
barriers for
Center Evidence Based Practice

Policy and Practice

Too much information?
 “data asphyxiation” (William
van Winkle)
magazine/2011/07/02/wb/20110702_wbd000.jpg

 “data smog” (David Shenk)
http://media.economist.com/images/images-

 “information fatigue
syndrome” (David Lewis)
 “cognitive overload” (Eric
Schmidt)

 “time famine” (Leslie Perlow)

Copyright © 2012 Indiana Center
Schumpeter for Evidence Based Practice
(2011) www.economist.com/node/18895468

Policy and Practice

Can we tame it?

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


Policy and Practice

Lisa’s Picks-Aggregators

 NetVibes—aggregate
information from:
 RSS feeds
 Other aggregators like
delicious
 Standing online searches
 TOC alerts
 Share!


Policy and Practice

Lisa’s Picks-Aggregators of
anything, including evidence

 EVERNOTE—Web
Clipping
 Capture anything
 Access anywhere
 Integrates with other tools
for sharing
 Multi-device, browser add-
on
 Share


Policy and Practice

Lisa’s Picks-Social bookmarking
to support EBHC

 Delicious—social
bookmarking
 Browser free
 Easy tagging
 Organize
 Push to aggregator
 Share!


Policy and Practice

Opportunity?

 AHRQ—offering several social media
options
 AHRQ—for patients, engaging them in
evidence-based decision making


Policy and Practice

Opportunity?

 Patient empowerment—E-- Equipped
patient Dave Engaged
Empowered
Copyright ©
Enabled
2012 Indiana Center for Evidence Based Practice

Policy and Practice

Lisa’s Picks-Wiki’s for Collaborative
Writing
 Wiki for medicine
 Any registered
medical
professional
 http://www.ganfyd.
org/


Policy and Practice

Computerized Reminders on
Medication Management
26 RCTs and 29 comparisons

Benner and Glasziou (2003),
Patient-directed 2/4 positive effect

Medical Journal of Australia.
Reminders to Feedback only 5/7
providers 6/12 positive improved provider
with RR 1.0 to 42 behavior with RR 1-

178(5):217-22.
2.5

Combined reminders and feedback, one
comparison, no effect


Policy and Practice

Patient Interactive Systems
on Patient Outcomes
(Interactive computer-mediated applications and chronic

Murray E, Burns J, See Tai S, Lai R, Nazareth I. Interactive
Health Communication Applications for people with chronic
disease. Cochrane Database of Systematic Reviews 2005,
disease)

24 RCTs of 3739 participants

Positive impact on knowledge

10.1002/14651858.CD004274.pub4.
(SMD=.46, 95% CI .22-.69)

Issue 4. Art. No.: CD004274. DOI:
Positive impact on social support
(SMD=.35, 95% CI .18-.52)

Positive impact on clinical outcomes
(SMD=18, 95% CI 01-.35)

Policy and Practice

Barriers to EBP and ICTs

Hutchinson & Johnston
(2006) JONA 16, 189
Access
Attitudes toward
Computing research
skills Complexity

Pravikoff, Pierce, Tanner
Time
Human factors Lack of authority

(2005) AJN
Critical Appraisal Reliance on peers as
skills information sources

Policy and Practice

Or just is it just best for
entertainment?


Social Media and Evidence Based Healthcare

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