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SOCIAL MEDIA
& HEALTH
POLICY AND
SYSTEMS
RESEARCH
Iris Thiele Isip Tan MD, MSc
Professor 3, UP College of Medicine
Director, UP Manila Interactive Learning Center
Chief, UP Medical Informatics Unit
@endocrine_witch
NOTHING TO DISCLOSE
I give consent for the audience to tweet this talk
and give me feedback (@endocrine_witch).
Feel free take pictures of my slides (though it
will be on www.slideshare.net/isiptan).
RESEARCHERS
AND SOCIAL
MEDIA
SOCIAL MEDIA
ENGAGEMENT
FOR HPSR
SOCIAL MEDIA
FOR RESEARCH
DISSEMINATION
RESEARCH-PRACTICE GAP
Partly due to ineffective
dissemination
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
Passive approaches to dissemination are
largely ineffective because uptake does not
happen spontaneously.
1
485 UK-based principal investigators of publicly-
funded applied & public health research
50% questionnaire completion n=243
Wilson et al. Implement Sci 2010;5:61
Wilson et al. Implement Sci 2010;5:61
COMMUNICATION
CHANNELS USED
BY RESEARCHERS
Academic journal 98%
Conference presentation 96%
Report to funder 91%
Seminar 62%
Workshop 57%
Web access to full report 54%
Web access to summary report 50%
Issued press release 48%
Networking 46%
Face to face meetings 40%
Stakeholder engagement in research
and evaluation processes is likely to
enhance dissemination.
2
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
n=266
61% university researchers
41% CDC scientists
38% NIH scientists
How do you rate your efforts to
disseminate your research
findings to non-research audiences?
Tabak R et al. Public Health Rep 2014;129(4):361-8.
1/3
rated dissemination
efforts as POOR
REASONS TO DISSEMINATE
Obligation of researchers
Importance to work/department of disseminate
PERCEPTION THAT
DISSEMINATION WAS EXPECTED
by employers and funders
WORK, TRAINING & EXPERIENCE
OF RESEARCHERS
Worked in a practice or policy setting
Type of institution where employed
Tabak R et al. Public Health Rep 2014;129(4):361-8.
MULTIVARIATE LOGISTIC REGRESSION
Significantly related to excellent/good
dissemination effort self-rating:
Dissemination expected by funder
Whether researcher had ever worked
in a practice setting
https://www.altmetric.com/about-our-data/the-donut-and-score/
Dissemination of
research to nonscientists
is enhanced when
messages are framed in
ways that evoke
emotion and interest
and demonstrate
usefulness.
3
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
Picture credit: http://www.wadeharman.com/the-attention-economy-why-trigger-response-is-vital-marketing/
The ATTENTION ECONOMY is not growing,
which means we have to grab the attention
that someone else has today.
- Brent Leary, CRM Essentials Co-founder
Average time on social
media (any device)
3H 57 MIN
Average time on TV
(broadcast, streaming,
video on demand)
3H 37 MIN
2018 Digital Report: We Are Social
vs
We don’t have a choice
whether we do social
media, the question is
how well we do it.
- Erik Qualman, Socialnomics
Stories package information into a
structure that is easily remembered.“ R Kosara, J Mackinlay. Computer 46 (5), 44-50
INFOGRAPHIC VS CRITICAL APPRAISAL FORMAT
Preference for summarizing results from systematic reviews
Crick K, Hartling L (2015) Preferences of Knowledge Users for Two Formats of Summarizing Results from Systematic Reviews:
Infographics and Critical Appraisals. PLoS ONE 10(10): e0140029. doi:10.1371/journal.pone.0140029
INFOGRAPHIC VS CRITICAL APPRAISAL FORMAT
Preference for summarizing results from systematic reviews
Crick K, Hartling L (2015) Preferences of Knowledge Users for Two Formats of Summarizing Results from Systematic Reviews:
Infographics and Critical Appraisals. PLoS ONE 10(10): e0140029. doi:10.1371/journal.pone.0140029
51% preferred infographic
n = 59
67% (8/12) nurses
68% (15/22) physicians
Rated higher for clarity
Rated higher for aesthetic appeal
No difference between formats
for comprehensibility
Most useful for patients/caregivers
Most useful for professional roles
STRUCTURED
ABSTRACT
Introduction
Objectives
Methods
Results
Conclusion
http://www.surgeryredesign.com/resources/
#VISUALABSTRACT
@andrewmibrahim
Visual summary of the information contained within an abstract
For professionals
For lay
Dissemination approaches should be time-
efficient, consistent with organizational
climate, culture and resources, and aligned with
the skills of staff members.
4
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
APPROACHES & TOOLS FOR DISSEMINATING
TO NONRESEARCH AUDIENCES
• Develop a dissemination plan early in the process
• Engage with stakeholders for dissemination
planning
• Select and use a dissemination framework
• Make use of social media (Twitter, Facebook, LinkedIn)
• Create and share podcasts
• Describe research in personal blogs
• Prepare brief summaries of research (policy briefs,
issue briefs)
• Seek advice from media and public relations experts
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
Dissemination to policy audiences needs to take
into account unique characteristics of policy
makers as dissemination targets.
5
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
CHARACTERISTIC
EXECUTIVE BRANCH,
PUBLIC HEALTH
PRACTITIONER
LEGISLATIVE
BRANCH, ELECTED
OFFICIAL
LEGISLATIVE
BRANCH, STAFF
MEMBER
Time in position Longer Shorter
Accountability
Governor, board of health,
agency head
Constituents by
whom they are elected,
political party
Elected legislator,
committee
member
Personal connection
to constituents
Moderate High High to moderate
Knowledge span
Deeper knowledge on
health issues (often more
specialized in larger agencies)
Less depth, wider breadth
Decision-making
based on external factors
(aside from research)
Low to moderate High
Time spent on a
particular issue
Longer Shortest Shorter
Type of evidence
relied upon
Science, evidence reviews,
experience from the field,
personal experience
“Real world” stories, constituents,
gatekeepers, party priorities, media,
science
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
www.healthxph.net
T1. What factors led to the initial success of the Sin Tax law?
T2. How can the current Sin Tax law be further improved?
T3. How can we unite policymakers towards stronger tobacco
control and taxation?
Markers of academic impact often differ
significantly from the markers of importance to
practice and policy audiences.
6
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
www.endocrine-witch.net
As clinician educators our job is not to create knowledge
obscura, trapped in ivory towers and only accessible to
the enlightened; the knowledge we create and manage needs
to impact our communities.
- Dr. Daniel Cabrera
“
J Grad Med Educ 2017;Vol. 9(4):421-425.
JACR 2018;15(1):135-141
SOCIAL MEDIA
FOR RESEARCH
DISSEMINATION
RESEARCHERS
AND SOCIAL
MEDIA
SOCIAL MEDIA
ENGAGEMENT
FOR HPSR
Scholars may not like it, but that
doesn’t change the fact that in
the 21st century’s fragmented
media environment, marketing
and branding are key to
disseminating the knowledge
and tools we produce.
Tom Scheinfeldt (2009)
http://foundhistory.org/2009/02/brand-name-scholar/
“
www.endocrine-witch.net
www.facebook.com/EndocrineWitch
www.facebook.com/EndocrineWitch
KARDASHIAN INDEX
CELEBRITY [F(a)]
number of Twitter followers
SCIENTIFIC VALUE [F(c)]
number of citations
K-index = F(a)/F(c)
Neil Hall 

Genome Biology 2014,15:424
Science Kasdashians
K-index > 5
The Kardashian index:
a measure of discrepant social
media profile for scientists
Neil Hall 

Genome Biology 2014,15:424
n =40
KARDASHIANS
https://blogs.scientificamerican.com/science-sushi/social-media-for-scientists-part-1-it-8217-s-our-job/
@NerdyChristie
Research that is translated too quickly may cause harm if
its findings are incorrect
Little editorial oversight of online material
Eminent online individuals may develop an outsized
influence on clinical practice
#FOAMed
@NerdyChristie
https://blogs.scientificamerican.com/science-sushi/social-media-for-scientists-part-2-you-do-have-time/
@RealScientists
Rotational Twitter
account where the
weekly featured scientist
talks about their lives
and their work
@NerdyChristie
https://blogs.scientificamerican.com/science-sushi/social-media-for-scientists-part-2-5-breaking-stereotypes/
n=100
Faculty members in ecology &
evolutionary biology
Cote I & Darling E. Facets 2018
Credits: (Graphic) N. Desai and C. Smith/Science; (Data) I. Côté and E. Darling
WHO FOLLOWS SCIENTISTS ON TWITTER?
@NerdyChristie
https://blogs.scientificamerican.com/science-sushi/social-media-for-scientists-part-3-win-win/
Health services and health policy researchers primarily
affiliated with an academic institution (n=215)
Grande et al. Health Affairs 2014;33(7)
Grande et al. Health Affairs 2014;33(7)
EFFICACY OF DISSEMINATION METHODS
BY ACADEMIC RANK
Grande et al. Health Affairs 2014;33(7)
EFFICACY OF DISSEMINATION METHODS
IN COMMUNICATING WITH POLICYMAKERS
AND OTHER DECISION MAKERS
Grande et al. Health Affairs 2014;33(7)
PARTICIPANTS’ REPORTED DISSEMINATION
ACTIVITIES IN THE PREVIOUS YEAR, 2013
Web-based survey (n=856): demographics, current use
of social media, beliefs and attitudes towards the use of
social media for professional purposes
Interviews with participants from Australia, India and
Malaysia (n=69)
CATEGORIES OF PROFESSIONAL USE OF SOCIAL MEDIA
Tunnecliff et al. JMIR 2015;17(5):e119
Tunnecliff et al. JMIR 2015;17(5):e119
OBSTACLES TO OBTAINING OR SHARING RESEARCH
OR CLINICAL INFORMATION
SOCIAL MEDIA
FOR RESEARCH
DISSEMINATION
RESEARCHERS
AND SOCIAL
MEDIA
SOCIAL MEDIA
ENGAGEMENT
FOR HPSR
Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
WHAT IS MEANINGFUL
ENGAGEMENT?
TIME
FRAME
SETTING
ACADEMIC PRACTICE POLICY
Short-term
Publication downloads
Citation rates
Awareness/knowledge
of an evidence-based
practice
Awareness/
knowledge of an
evidence-based policy
Self-efficacy in using evidence
Intentions to use evidence
Medium-
term
Citation networks
Social media
networks
h-index scores
Altmetric scores
Coverage in mass media
Presence of evidence
(eg. recommendations from
systematic reviews) in
funding announcements
Use of analytic tools to
inform practice
Long-term
Use of individual studies
in systematic reviews; in
tools for practitioners or
policy makers
Update of evidence-
based interventions
Termination of
ineffective interventions
Enactment of
evidence-based
policies
Ongoing evaluation of
enacted policies
Brownson R et al. J Public Health Manag Pract 2018;24(2):102-111
Social media is associated with the generation of
communities of practice that promote the transfer of
information at scale.
How social media definitively affects health policy is not
clear, and evidence is scant.
https://medium.com/@HeathEvans/content-is-king-essay-by-bill-gates-1996-df74552f80d9
Smith BG & Smith SB. Engaging Health: Health Research and Policymaking in the Social Media Sphere, 2015.
INTERACTION is KING
and CONTENT is more
appropriately the PAWN.

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