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Author: Brian S McGowan, PhD

MANUSCRIPT: Growing a professional network to over 3000 members in less than 4 years

BACKGROUND:
Use of Web 2.0 and social media technologies has become a new area of research among health professionals. Much of this work has focused on the use of technologies for health self-management and the ways technologies support communication between care providers and consumers. This paper addresses a new use of technology in providing a platform for health professionals to support professional development, increase knowledge utilization, and promote formal/informal professional communication. Specifically, we report on factors necessary to attract and sustain health professionals’ use of a network designed to increase nurses’ interest in and use of health services research and to support knowledge utilization activities in British Columbia, Canada.
OBJECTIVE:
“InspireNet”, a virtual professional network for health professionals, is a living laboratory permitting documentation of when and how professionals take up Web 2.0 and social media. Ongoing evaluation documents our experiences in establishing, operating, and evaluating this network.
METHODS:
Overall evaluation methods included (1) tracking website use, (2) conducting two member surveys, and (3) soliciting member feedback through focus groups and interviews with those who participated in electronic communities of practice (eCoPs) and other stakeholders. These data have been used to learn about the types of support that seem relevant to network growth.
RESULTS:
Network growth exceeded all expectations. Members engaged with varying aspects of the network’s virtual technologies, such as teams of professionals sharing a common interest, research teams conducting their work, and instructional webinars open to network members. Members used wikis, blogs, and discussion groups to support professional work, as well as a members’ database with contact information and areas of interest. The database is accessed approximately 10 times per day. InspireNet public blog posts are accessed roughly 500 times each. At the time of writing, 21 research teams conduct their work virtually using the InspireNet platform; 10 topic-based Action Teams meet to address issues of mutual concern. Nursing and other health professionals, even those who rated themselves as computer literate, required significant mentoring and support in their efforts to adopt their practice to a virtual environment. There was a steep learning curve for professionals to learn to work in a virtual environment and to benefit from the available technologies.
CONCLUSIONS:
Virtual professional networks can be positioned to make a significant contribution to ongoing professional practice and to creating environments supportive of information sharing, mentoring, and learning across geographical boundaries. Nonetheless, creation of a Web 2.0 and social media platform is not sufficient, in and of itself, to attract or sustain a vibrant community of professionals interested in improving their practice. Essential support includes instruction in the use of Web-based activities and time management, a biweekly e-Newsletter, regular communication from leaders, and an annual face-to-face conference.

via Growing a professional network to over 30… [J Med Internet Res. 2014] – PubMed – NCBI.

ABSTRACT: What is appropriate to post on social media? Ratings from students, faculty members and the public

BJECTIVES:
The purpose of this study was to ascertain what medical students, doctors and the public felt was unprofessional for medical students, as future doctors, to post on a social media site, Facebook(®) . The significance of this is that unprofessional content reflects poorly on a student, which in turn can significantly affect a patient’s confidence in that student’s clinical abilities.
METHODS:
An online survey was designed to investigate the perceptions of University of Michigan medical students, attending physicians and non-health care university-wide employees (that serves as a subset of the public) regarding mock medical students’ Facebook(®) profile screenshots. For each screenshot, respondents used a 5-point Likert scale to rate ‘appropriateness’ and whether they would be ‘comfortable’ having students posting such content as their future doctors.
RESULTS:
Compared with medical students, faculty members and public groups rated images as significantly less appropriate (p < 0.001) and indicated that they would be less comfortable (p < 0.001) having posting students as future doctors. All three groups rated screenshots containing derogatory or private information about patients, followed by images suggesting marijuana use, as least appropriate. Images conveying intimate heterosexual couples were rated as most appropriate. Overall, the doctor group, females and older individuals were less permissive when compared with employee and student groups, males and younger individuals, respectively.
CONCLUSIONS:
The most significant conclusion of our study is that faculty members, medical students and the ‘public’ have different thresholds of what is acceptable on a social networking site. Our findings will prove useful for students to consider the perspectives of patients and faculty members when considering what type of content to post on their social media sites. In this way, we hope that our findings provide insight for discussions, awareness and the development of guidelines related to online professionalism for medical students.

via What is appropriate to post on social media? Rating… [Med Educ. 2014] – PubMed – NCBI.

ABSTRACT: Using social media in supportive and palliative care research.

Difficulties relating to supportive and palliative care research are often reported. However, studies have highlighted that people near the end of life are happy to participate in research and want their voices heard. Thus, one may raise a twofold question: are we limiting the freewill of people who are seriously ill? And are we missing important data, which probably cannot be obtained from other sources? In light of this landscape, a new opportunity has emerged: the use of social media (SM). This paper provides a comprehensive summary of SM, including its theoretical underpinnings, and recent examples of successful uses of SM in healthcare research. It also outlines the opportunities (wider reach, direct access, the potential of Big Data, readiness of research data, empowered participants) and challenges (anonymity of participants, digital divide, sample bias, screening and ‘saying no’ to participants, data analysis) of using SM in end-of-life care research. Finally, it describes the practical steps that a researcher could follow to recruit patients using SM. Implications for palliative care clinicians, researchers and policymakers are also discussed, with a focus on the need to facilitate patient-centred care through the use of SM. The need for relevant and updated guidelines in this new, emerging field is highlighted.

via Using social media in supportive an… [BMJ Support Palliat Care. 2014] – PubMed – NCBI.

RESOURCE: Health in hand: mobile technology and the future of healthcare

Wi-Fi, smartphones, and all associated phenomena have permeated lives all around the globe. We are just seeing the first generation of humans to grow up with these things – the first of the ‘digital natives’. The health implications of virtual information and communication technologies have recently been questioned by academics, with forecasts of growing inequalities in health due to differential population access to virtual technologies (1), along with unequal distributions of the literacy skills and ability to find and use high-quality online information. June of 2014 brought about a shift in the digital market, whereby average daily use of health and fitness apps grew by 62%, outpacing the use of apps overall, at only 33% growth (2).

 

Flurryapps

PLOS Public Health Perspectives is pleased to welcome Priya Kumar to discuss these issues on the blog. Kumar is a nearly finished doctoral candidate in the School of Oriental and African Studies at the University of London. Her doctoral research questions the impact of the World Wide Web in fostering online and offline connections between migrant communities around the globe. She is an expert in digital research methods and online content analysis.

This piece will be conducted in two parts…

via Health in hand: mobile technology and the future of healthcare – Public Health.

ABSTRACT: Social Media for Diabetes Health Education – Inclusive or Exclusive?

Technological innovations are rising rapidly and are inevitably becoming part of the health care environment. Patients frequently access Social media as a forum for discussion of personal health issues; and healthcare providers are now considering ways of harnessing social media as a source of learning and teaching. This review highlights some of the complex issues of using social media as forum for interaction between public-patient-healthcare staff; considers the impact in self- education and self-management for patients with diabetes, and explores some recent advances in delivering education for staff. When using any information technology, the emphasis should rely on being assessed rigorously to show it promotes health education safely, can be recognised as delivering up-to-date health information effectively, and should ensure there is no bias in selective communication, or disadvantage to isolated patient groups.

via Social Media for Diabetes Health Education… [Curr Diabetes Rev. 2014] – PubMed – NCBI.

RESOURCE: 5 Social Media Trends Within Healthcare in 2014 | Zach Cutler

Every year, social media increasingly integrates with almost every aspect of daily life. According to the Pew Research Center, 73 percent of adults online use some form of social media. So it’s not surprising that social media is beginning to work its way into the healthcare arena.

A report by the IMS Institute for Healthcare Informatics found physicians spend twice as much time consulting online resources than traditional print sources. And doctors certainly aren’t alone in consulting online sources when it comes to health information. In the U.K., reports place Facebook as the fourth most popular source of health information. In the U.S., between 70 and 75 percent of people look to the internet for healthcare information.

Social media channels are huge portals for sharing information with patients. It seems unlikely the social media trend will die down anytime soon, and healthcare professionals need to become fluent in the ways in which social media can impact and improve their professions and the lives of their patients.

Here are just five of this year’s social media trends impacting the healthcare field:

  1. Crisis Readiness
  2. Teaching Patients
  3. Live Tweeting Procedures
  4. Improving Prevention
  5. Empowering Patients

Read more:  5 Social Media Trends Within Healthcare in 2014 | Zach Cutler.

MANUSCRIPT: Is content really king? An objective analysis of the public’s response to medical videos on YouTube.

Medical educators and patients are turning to YouTube to teach and learn about medical conditions. These videos are from authors whose credibility cannot be verified & are not peer reviewed. As a result, studies that have analyzed the educational content of YouTube have reported dismal results. These studies have been unable to exclude videos created by questionable sources and for non-educational purposes. We hypothesize that medical education YouTube videos, authored by credible sources, are of high educational value and appropriately suited to educate the public. Credible videos about cardiovascular diseases were identified using the Mayo Clinic’s Center for Social Media Health network. Content in each video was assessed by the presence/absence of 7 factors. Each video was also evaluated for understandability using the Suitability Assessment of Materials (SAM). User engagement measurements were obtained for each video. A total of 607 videos (35 hours) were analyzed. Half of all videos contained 3 educational factors: treatment, screening, or prevention. There was no difference between the number of educational factors present & any user engagement measurement (p NS). SAM scores were higher in videos whose content discussed more educational factors (p<0.0001). However, none of the user engagement measurements correlated with higher SAM scores. Videos with greater educational content are more suitable for patient education but unable to engage users more than lower quality videos. It is unclear if the notion “content is king” applies to medical videos authored by credible organizations for the purposes of patient education on YouTube.

via Is content really king? An objective analysis of th… [PLoS One. 2013] – PubMed – NCBI.

ABSTRACT: A patient-led educational program on Tourette Syndrome: impact and implications for patient-centered medical education.

BACKGROUND:
Graduate medical education about Tourette Syndrome does not typically focus on understanding the perspectives and perceptions of individuals with the condition.
PURPOSES:
Explore the impact of patient-centered, patient-led education programs on participant knowledge and empathy for patients.
METHODS:
Seventy-nine medical residents and students at five training sites in New Jersey attended patient-led presentations. Results were obtained using a pretest-posttest design assessing physician empathy, using the 10 perspective-taking items from the Jefferson Scale of Empathy. Additional understanding of residents’ experience was obtained by analyzing participant generated reaction statements.
RESULTS:
A factorial ANOVA (pretest, Posttest × Gender × Specialty) revealed a significant increase (p < .05) from total pre-presentation scores to total post-presentation scores indicating that participants endorsed a more empathic view following the patient-led presentation. Participant statements revealed themes concordant with the practice of patient-centered medicine.
CONCLUSIONS:
Providing patient-led educational presentations to medical residents can increase physician empathy, increase knowledge of Tourette Syndrome, and support the advancement of patient-centered medical education.

via A patient-led educational program on Tourett… [Teach Learn Med. 2014] – PubMed – NCBI.

ABSTRACT: Inspiring innovation in medical education

Traditionally, changes to medical education come from the top down, an approach that potentially misses important contributions from medical students, residents, faculty and staff. In order to provide an avenue for them to bring forward their ideas for educational improvements, the University of Minnesota Medical School sponsored the “What’s the Bright Idea?” contest. Through the contest, we sought to foster a culture of innovation and collaboration among faculty, staff and students. The contest included five phases: launch, idea submission, online voting, follow-up and implementation. Seventy-six ideas were submitted, and 902 people participated in the online voting. When asked in a follow-up survey whether the submitter would have developed their idea without the contest, 27% of respondents answered “no” and 18% answered “maybe.” Three-fourths stated the contest stimulated networking and collaboration. Four of the recommendations are now being implemented.

via Inspiring innovation in medical education. [Minn Med. 2014] – PubMed – NCBI.

MANUSCRIPT: Online continuing medical education (CME) for GPs: does it work? A systematic review.

BACKGROUND:
Numerous studies have assessed the effectiveness of online continuing medical education (CME) designed to improve healthcare professionals’ care of patients. The effects of online educational interventions targeted at general practitioners (GP), however, have not been systematically reviewed.
METHODS:
A computer search was conducted through seven databases for studies assessing changes in GPs’ knowledge and practice, or patient outcomes following an online educational intervention.
RESULTS:
Eleven studies met the eligibility criteria. Most studies (8/11, 72.7%) found a significant improvement in at least one of the fol-lowing outcomes: satisfaction, knowledge or practice change. There was little evidence for the impact of online CME on patient outcomes. Variability in study design, characteristics of online and outcome measures limited conclusions on the effects of online CME.
DISCUSSION:
Online CME could improve GP satisfaction, knowledge and practices but there are very few well-designed studies that focus on this delivery method of GP education.

via Online continuing medical education (CME)… [Aust Fam Physician. 2014] – PubMed – NCBI.