A Bicycle Built for Two: 10 Lessons Learned on Integrating Social Media and Health

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Ten lessons learned about integrating social media into health, with an eye towards shared decision making (SDM). Presented at the 2011 Dartmouth Summer Institute on Shared Decision Making.

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A Bicycle Built for Two 10 Lessons Learned on Integrating Social Media and Health

Jodi Sperber, MSW, MPH

8/29/11

1.  let’s  face  it:  lots  of  people  are  out  for  a  ride.  

Photo  credit:  boston.com.  h8p://bo.st/prPD7h  

8 in 10 adults in the U.S. use the Internet. 18-29 year olds online: 95% Adults 65+ years: 42% Latinos: 78% African Americans: 67%

Who's  Online:  Internet  User  Demographics  |  Pew  Research  Center's  Internet  &  American  Life  Project  h8p://bit.ly/ra8nCd  

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What are the top 5 things people in the U.S. do online?

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What are people doing when they are online? 92% Send or read an email 87% Use search to find information

83% Look for health/medical information

83% Look for info about a hobby or interest

82% Search for a map or driving directions

What Internet Users Do Online | Pew Research Center's Internet & American Life Project http://bit.ly/r4Duh1

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Social Life of Health Information, Pew Internet and American Life, June 11, 2009. By Susannah Fox and Sydney Jones.

Health is social

§  59% turn to Internet when they need info and assistance in dealing with health or medical issues.

§ 60% say information found online affected a decision about how to treat an illness or condition.

§  56% say it changed their overall approach to maintaining their health or the health of someone they help take care of.

59%

60%

56%

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Decisions & actions impacted

§  53% - led them to ask a doctor new questions, or to get a second opinion from another doctor.

§ 49% - changed the way they think about diet, exercise, or stress management.

§ 38% - affected decision about whether to see a doctor.

§ 38% - changed the way they cope with a chronic condition or manage pain.

53%

49%

38%

38%

Social Life of Health Information, Pew Internet and American Life, June 11, 2009. By Susannah Fox and Sydney Jones.

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Clinical support + Non-clinical support

Better health

Photo  Credit:  Reini68.  h8p://www.flickr.com/photos/stansich/184606467/    

Photo  Credit:  Reini68.  h8p://www.flickr.com/photos/stansich/184606467/    

2.  if  all  you  see  are  the  potholes,    you’re  in  for  a  bumpy  ride.  

Adults living with 2+ chronic conditions 2x likely to report “major help”

Social Life of Health Information, 2011. Pew Research Center’s Internet and American Life Project, August 9 – September 13, 2010 Survey. http://bit.ly/nbTvPr

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3.  if  you  don't  have  the  basics  

down  it’s  harder.  

It’s social media

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Photo  credit:  Evgeniy  Zotov.  h8p://bit.ly/qArGrv  

Listen and observe first. It’s not (just) about you.

Photo credit: Kyle Rokos. http://bit.ly/qOlYpU

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h8p://www.pedalinghistory.com/PHhistory.html    

4.  things  evolve  over  Zme,    but  the  basics  are  the  same.  

5.  it  takes  pracZce.  and  it’s  ok  to  have  help.  Photo  Credit:  adwriter.  h8p://bit.ly/oIei5Q  

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Photo  credit:  earth2marsh.  h8p://bit.ly/oF3u0b  

6.  it's  not  about  owning  a  bike;    it's  that  you  ride  it.  

Sharing: Ideas

Experience Support

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#hcsm:  Every  Sunday,  6pm  Pacific,  9pm  Eastern  

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Independent

Organizational

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7.  ok,  it's  a  li8le  bit  about  the  bike.    

Planning is essential

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Goal:    

P   Who  is  your  primary  audience?    Where  can  they  be  found?  

O   What  are  you  trying  to  accomplish?  

S   What  will  change  if  you  are  successful?    How  will  you  respond?  

T   Based  on  the  above,  what  tools  make  sense?  

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Adapted  from  Forrester  Research.  More  at  h8p://bit.ly/pTp4R2    

Make SDM part of routine care

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Photo  credit:  SCA  Svenska  Cellulosa  AkZebolaget.  h8p://bit.ly/owZjca  

8.  it’s  exercise,  but  and  it’s  fun!  

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-­‐       

9.  without  you  it’s  less  useful.  

Case Study

2010 Research and Policy Forum Washington, DC

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2010 Research and Policy Forum

•  Combination of tools – Eventbrite (invite), Twitter (messaging),

Watershed/UStream (webcast)

•  Promoted hashtag: #rpforum •  Requested (free) signup prior to event •  Goal: 25-50 participants

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From  Auckland,  NZ  to  Yaphank,  NY  

•  Australia  •  Austria  •  Belgium  •  Brazil  •  Bulgaria  •  Canada  •  Germany  

•  Great  Britain  •  Greece  •  Israel  •  Netherlands  •  New  Zealand  •  Spain  •  United  States  

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Those  with  interest  and  influence  may  not  be  in  the  room,  but  they  can  s;ll  be  an  asset.  

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A  few  weeks  later…  

…the  conversaZon  conZnued  

Case Study: #rpforum

•  Leveraged network built over time •  Expanded reach globally for very little cost •  Brought virtual audience into the room •  Kept the conversation going •  Mutually beneficial

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Day 1 of SIIPC

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Day 1 of SIIPC

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SZmulate  a  two  way  flow  of  informaZon  and  encourage  paZents  to  ask  quesZons,  explain  their  circumstances,  and  express  their  personal  preferences  

Salzburg statement on shared decision making

Speak  up  about  their  concerns,  quesZons,  and  what’s  important  to  them  

Clinicians:

Patients:

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SZmulate  a  two  way  flow  of  informaZon  and  encourage  paZents  to  ask  quesZons,  explain  their  circumstances,  and  express  their  personal  preferences  

Salzburg statement on shared decision making

Speak  up  about  their  concerns,  quesZons,  and  what’s  important  to  them  

Clinicians:

Patients:

it’s social

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but  it's  sZll  a  bike.  

10.  everyone  has  their  

own  style...    

Photo  credit:  faster  panda  kill  kill.  h8p://bit.ly/pvrLgM  

Photo  credit:  Dmitry  Gudkov.  h8p://bit.ly/qR1Gvb  

Your next step, in a tweet

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#siipc  

A Bicycle Built for Two 10 Lessons Learned on Integrating Social Media and Health

Jodi Sperber, MSW, MPH

8/29/11

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