Preliminary findings from sample MyVoice dataset on youth perception and responses to "fake news." MyVoice is an interactive text message survey platform, developed by a research team based at the University of Michigan. As the Research Communications & Informatics Project Manager in the department of family medicine, I contribute to the implementation of the SMS-based platform; development of text message-friendly adolescent-focused surveys; qualitative data analysis; creative strategy, graphic design, technical lead, and data management for participant recruitment and retention. For more information: http://hearmyvoicenow.org/ Presented at the North American Primary Care Research Group annual meeting in Montreal, QC, November 20, 2017.

1. A
Judge the page source
and visual cues of
credibility
Ask a trusted
source (Mom)
Par=cipant Demographics n=49*
Age, mean (SD) 19.5 (3.1) Race, n (%) Parents' Educa=on, n (%)
Gender, n (%) Non-Hispanic White 23 (47) Less than high school 3 (6)
Male 15 (31) Non-Hispanic Black 11 (23) High school graduate 5 (10)
Female 33 (67) Hispanic 1 (2) Associate’s or some college 5 10)
Other 1 (2) Asian 9 (18) Bachelor’s 6 (12)
MulMracial & Other 5 (10) Grad training or higher 30 (61)
Free or Reduced Lunch, n(%) 12 (25)
*Demographics were not required for par6cipa6on
Hashtag Health: Designing Effective, Timely, &
Trustworthy Patient Education Campaigns
in the Age of Information Overload
Christina Czuhajewski, MSI1; Melissa DeJonckheere, PhD1; Lauren Nichols, MPH1; Melissa Plegue, MA1; V.G. Vinod Vydiswaran, PhD2;
Tammy Chang, MD, MPH, MS1,3
1Department of Family Medicine, Medical School, University of Michigan; 2Department of Learning Health Sciences, Medical School, University of Michigan;
3Institute for Health Policy and Innovation (IHPI), University of Michigan
background
AGE 14-24
n=60
PAID SMS
SURVEYS
OBJECTIVE results
This project was funded through MCubed (University of
Michigan) and a Building Blocks Grant (Department of Family
Medicine, UM). We would like to thank all the parMcipants
who responded to the prompts with their honest thoughts on
this topic. No members of the team have any conflicts of
interest to declare.
• 92% of youth (age 13-17) report going
online daily, 71% report using more than
one social network site (Pew Lenhart 2015)
• Li_le research exists on how youth idenMfy
and respond to “fake news” and how they
deal with news trustworthiness
Hypothesis: Youth are unconfident in their
ability to dis=nguish inaccurate or biased
informa=on online.
To idenMfy how youth idenMfy and respond
to inaccurate or biased informaMon online
theme 2
Many youth are
unsure how to tell
fact from fake.
You can't really [tell if a news story is
fake]. Not unless you take the Mme
out and research everything you
see. -19, Female, MulMracial
It’s hard [to tell if a news
story is fake]. -18, Male,
White
methods
Youth use three
main strategies
to check “fake
news.”
theme 1
Usually the sites seem unreliable or poorly
made with lots of ads. -21, Male, Biracial
check the hosMng website's
reputaMon, see if there are
sources -22, Female, White
Fact check using
Google and other
known sources to
confirm or deny
See if other arMcles say the
same thing as the possibly
fake one. -20, Female, Asian
I could go online and see if there's
more about it from places I trust
-21, Male, Black
I just do more research and see
what my parents think. -16,
Female, White
I would ask my mom or another source with more
accurate informaMon -No demographics provided
What physicians can do:
• Recommend reputable
online sources & provide
informaMon referrals
• Design and share resources
that confirm their credibility through
visual and informaMonal cues, like:
• Transparent use of well-established,
non-biased references
• Simple language and clean visual
design
• Resources that appeal to both youth
and their trusted advisors (e.g.
parents, teachers)
• Mixed methods design including five
qualitaMve probes sent via text message to
a naMonal sample of youth, ages 14-24
years in February 2017
• QualitaMve responses coded into major
themes
• QuanMtaMve data analyzed using
descripMve staMsMcs
When faced with
poten=ally
inaccurate
informa=on, youth
will triangulate:
Evalua=ng the
look, feel and
source of a news
story; using Google
and trusted
sources to validate
claims; and asking
people they trust.
35% doubt their ability to
dis=nguish an accurate
source from “fake
news”
59%
major themes from qualitative analysis
A majority of
respondents (59%)
report seeing
inaccurate news or
info shared among
people they know
conclusions