Presentation at the Introduction to Health Policy and Systems Research Short Course (UP College of Public Health and UP College of Medicine supported by @RespondNCD)
1. 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
2. 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).
7. 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
8. 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
9. 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%
10.
11. 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
12. 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
13. 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
14. Significantly related to excellent/good
dissemination effort self-rating:
Dissemination expected by funder
Whether researcher had ever worked
in a practice setting
16. 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
18. 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
19. We don’t have a choice
whether we do social
media, the question is
how well we do it.
- Erik Qualman, Socialnomics
20. Stories package information into a
structure that is easily remembered.“ R Kosara, J Mackinlay. Computer 46 (5), 44-50
21. 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
22. 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
28. 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
29. 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
30. 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
31. 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
32. 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?
33.
34. 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
35. 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
“
36. J Grad Med Educ 2017;Vol. 9(4):421-425.
JACR 2018;15(1):135-141
38. 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/
“
44. 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
45. The Kardashian index:
a measure of discrepant social
media profile for scientists
Neil Hall
Genome Biology 2014,15:424
n =40
KARDASHIANS
47. 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
60. Grande et al. Health Affairs 2014;33(7)
EFFICACY OF DISSEMINATION METHODS
BY ACADEMIC RANK
61. Grande et al. Health Affairs 2014;33(7)
EFFICACY OF DISSEMINATION METHODS
IN COMMUNICATING WITH POLICYMAKERS
AND OTHER DECISION MAKERS
62. Grande et al. Health Affairs 2014;33(7)
PARTICIPANTS’ REPORTED DISSEMINATION
ACTIVITIES IN THE PREVIOUS YEAR, 2013
63. 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)
67. Pagoda S. et al. Adapting Behavioral Interventions for Social Media Delivery
J Med Internet Res 2016;18(1):e24
WHAT IS MEANINGFUL
ENGAGEMENT?
68. 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
69. 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.
71. 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.