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Communicating Health to Young Adults Using Social Media: How, Where, and When? Nutrients 2022; 14:nu14142967. [PMID: 35889924 PMCID: PMC9318771 DOI: 10.3390/nu14142967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 06/28/2022] [Accepted: 07/06/2022] [Indexed: 12/10/2022] Open
Abstract
Communication with young adults about healthy lifestyle behaviours needs to result in improvements in dietary choices to impact the prevalence of diet-related diseases. This paper presents the health beliefs, behaviours, and communication practices in young Australian adults (n = 2019) by their pre-defined psycho-behavioural characteristics: Lifestyle Mavens, Health-Conscious, Aspirational Healthy Eaters, Balanced-All Rounders, Contemplating Another Day, or Blissfully Unconcerned. The Lifestyle Mavens and Health-Conscious groups were more likely to actively seek out health information on social media (p < 0.05). Lifestyle Mavens were the most likely to engage with health and food content on social media, whereas the Blissfully Unconcerned were the least likely to engage (p < 0.05). Lifestyle Mavens are more likely to report creating food and health-related content for social media, whereas Aspirational Healthy Eaters are more likely to report searching for food and health-related content online, but are less likely to share or create content. Contemplating Another Day are more likely to report interactions with commercial content. This paper defines how psycho-behavioural segments communicate about health, where they look for information, how they may prefer to receive health messages, and when they are most receptive to messages. By applying existing robust market segmentation techniques, this paper provides nuanced information that challenges the assumption that online social media health information is preferred by all young adults.
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Ofori PP, Wang W. Emerging technologies adoption in healthcare: A SOHI model. INFORMATION DEVELOPMENT 2022. [DOI: 10.1177/02666669221113766] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The internet and emerging technologies have increased the utilisation of digital platforms. This study aims to draw on performance expectancy, social influence, and satisfaction to investigate a proposed model which is geared toward social media healthcare information (SOHI) adoption. The proposed model uses a structured online questionnaire, and 300 responses were evaluated using partial least squares and structural equation modelling [PLS-SEM]. From the findings, performance expectancy of social media (PESM) and satisfaction with social media (SATSM) were revealed to be significant predictors of behavioural intention towards social media (BISM). Satisfaction with social media (SATSM) had the greatest impact on BISM, accounting for 63.8 per cent of the variance in users' intentions to utilise SOHI. Similarly, PESM and social influence on social media (SISM) had the most predictive influence on SATSM, accounting for 50.5 per cent of the variance in users' social media satisfaction, which led to SOHI adoption. Unlike others, the social influence on social media (SISM) did not have a significant effect on BISM. BISM and satisfaction with social media (SATSM) were significant predictors of SOHI adoption, accounting for 54.5 per cent of the variance in SOHI adoption. The recommendations in this study would help healthcare professionals change their approach to digital healthcare engagement.
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Affiliation(s)
- Philomina Pomaah Ofori
- School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang 212013, P.R. China
- Department of Emerging Technologies, Ghana Communication Technology University, Ghana
| | - Wenxin Wang
- Department of Public Administration, Law School/Institute of Local Government Development, Shantou University
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Henson C, Rambaldini B, Carlson B, Wadolowski M, Vale C, Gwynne K. A new path to address health disparities: How older Aboriginal & Torres Strait Islander women use social media to enhance community health (Protocol). Digit Health 2022; 8:20552076221084469. [PMID: 35273808 PMCID: PMC8902196 DOI: 10.1177/20552076221084469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 02/14/2022] [Indexed: 12/02/2022] Open
Abstract
Background Digital health offers a fresh avenue to address health disparities
experienced by Aboriginal and Torres Strait Islanders. Despite the scant
evidence about how Aboriginal and Torres Strait Islanders access and use
health technology, the Australian government has prioritised research that
uses technology to enable people to manage their health and promote better
health outcomes. Older Aboriginal and Torres Strait Islander women are
cultural leaders in their communities, enabling them to provide valuable
insights about the safety and efficacy of health care messaging. However, no
research has engaged older Aboriginal and Torres Strait Islander, women as
partners in digital health research. Objective This paper provides a protocol for co-designed translational research that
privileges older Aboriginal & Torres Strait Islander women’s cultural
expertise to design and test a framework for accessible, culturally safe and
feasible digital health technologies. Methods This mixed-methods research project will use the collective impact approach,
a user-centred, co-design methodology and yarning circles, a recognised
Indigenous research methodology. A series of yarning circles with three
different communities will elucidate enablers and barriers to access health
information; co-create a framework clarifying what works and does not work
for digital health promotion in their communities; and test the framework by
co-creating three digital health information programs. Conclusions Privileging the cultural expertise of older Aboriginal and Torres Strait
Islander women will provide a novel perspective and vital guidance that end
users and developers can trust and rely upon to create and evaluate
culturally safe and efficacious digital health promotion programs.
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Affiliation(s)
- Connie Henson
- Centre for Global Indigenous Futures, Macquarie University, New South Wales, Australia
- Faculty of Medicine Health and Human Sciences, Macquarie University, New South Wales, Australia
| | - Boe Rambaldini
- Centre for Global Indigenous Futures, Macquarie University, New South Wales, Australia
- Poche Centre for Indigenous Health, The University of Sydney, New South Wales, Australia
| | - Bronwyn Carlson
- Centre for Global Indigenous Futures, Macquarie University, New South Wales, Australia
- Faculty of Arts, Macquarie University, New South Wales, Australia
| | - Monika Wadolowski
- Faculty of Medicine Health and Human Sciences, Macquarie University, New South Wales, Australia
| | | | - Kylie Gwynne
- Centre for Global Indigenous Futures, Macquarie University, New South Wales, Australia
- Faculty of Medicine Health and Human Sciences, Macquarie University, New South Wales, Australia
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Nutrition Meets Social Marketing: Targeting Health Promotion Campaigns to Young Adults Using the Living and Eating for Health Segments. Nutrients 2021; 13:nu13093151. [PMID: 34579028 PMCID: PMC8470224 DOI: 10.3390/nu13093151] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 09/02/2021] [Accepted: 09/06/2021] [Indexed: 01/12/2023] Open
Abstract
Young adults are a key target age group for lifestyle behaviour change as adoption of healthier behaviours has the potential to impact long term health. This paper arises from a multi-disciplinary research project, Communicating Health, which aims to bridge the gap between nutritionists, media, and social marketing professionals to produce the tools that may be used to improve engagement with young adults and reduce the prevalence of obesity. The aim of this paper is to provide nuanced details of the psycho-behavioral characteristics of each of these Living and Eating for Health Segments (LEHS). The design and validation of the LEHS employed a four-stage mixed methods design underpinned by the Integrated Model of Behaviour Change and incorporating sequential formative, qualitative, and quantitative phases. This paper defines the psycho-behavioural characteristics of six distinct market segments: Lifestyle Mavens, Aspirational Healthy Eaters, Balanced-all Rounders, the Health Conscious, those Contemplating Another Day, and the Blissfully Unconcerned. These psycho-behavioural characteristics are important to understand to help build our capability in designing campaigns that are specifically and purposefully targeting these different market segments of young adults. Social marketing practices can enhance the utility of nutrition and health messages to young adults in order to engage them in adopting positive lifestyle change. Tailoring health promotions to the perceived needs of sub-groups or segments of young adults should lead to increased engagement and uptake of messages and cost-efficient use of health promotion budgets.
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Browne J, MacDonald C, Egan M, Carville K, Delbridge R, Backholer K. Relevance of the Aboriginal Rethink Sugary Drink media campaign to Aboriginal and non-Aboriginal audiences in regional Victoria. Aust N Z J Public Health 2021; 45:263-269. [PMID: 33818842 DOI: 10.1111/1753-6405.13086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 12/01/2020] [Accepted: 01/01/2021] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To test the hypothesis that a culturally tailored sugar-sweetened beverage (SSB) campaign designed specifically for the Victorian Aboriginal community will not only be valuable for Aboriginal Victorians but will also have cross-over benefits for non-Aboriginal Victorians. METHODS An online survey was completed by 155 Victorians (78 Aboriginal, 77 non-Aboriginal) four months after the Aboriginal Rethink Sugary Drink (RSD) advertisement was launched. Differences between Aboriginal and non-Aboriginal respondents were assessed using χ2 and Wilcoxon rank-sum tests. RESULTS Seventy-six per cent of Aboriginal respondents recalled seeing the advertisement compared to 56% of non-Aboriginal respondents (p<0.05). A high proportion of respondents (59% for Aboriginal, 55% for non-Aboriginal) who had seen the advertisement correctly identified the sugar content of a 600mL drink. The perceived relevance of the advertisement was high (78% for Aboriginal vs. 47% for non-Aboriginal; p=0.003), as was the response that it motivated action to improve health (82% vs. 50%; p=0.001). CONCLUSION Notwithstanding the small sample size, the Aboriginal advertisement appeared to engage both Aboriginal and non-Aboriginal Victorians and promote SSB knowledge and motivation to improve health, particularly among Aboriginal Victorians, who were the target population. Public health campaigns should be designed with Aboriginal Australians to ensure equitable reach and impacts across the whole population. Implications for public health: Aboriginal-led health promotion campaigns may be beneficial for both Aboriginal and non-Aboriginal audiences.
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Affiliation(s)
- Jennifer Browne
- The Victorian Aboriginal Community Controlled Health Organisation, Victoria
- Global Obesity Centre, Institute for Health Transformation, Deakin University, Victoria
| | | | - Mikaela Egan
- The Victorian Aboriginal Community Controlled Health Organisation, Victoria
| | - Kylie Carville
- The Victorian Aboriginal Community Controlled Health Organisation, Victoria
| | - Robyn Delbridge
- The Victorian Aboriginal Community Controlled Health Organisation, Victoria
- School of Health Sciences, Swinburne University of Technology, Victoria
| | - Kathryn Backholer
- Global Obesity Centre, Institute for Health Transformation, Deakin University, Victoria
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Hefler M, Kerrigan V, Grunseit A, Freeman B, Kite J, Thomas DP. Facebook-Based Social Marketing to Reduce Smoking in Australia's First Nations Communities: An Analysis of Reach, Shares, and Likes. J Med Internet Res 2020; 22:e16927. [PMID: 33300883 PMCID: PMC7759443 DOI: 10.2196/16927] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 07/23/2020] [Accepted: 11/11/2020] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Facebook is widely used by Australia's First Nations people and has significant potential to promote health. However, evidence-based guidelines for its use in health promotion are lacking. Smoking prevalence among Australia's First Nations people is nearly 3 times higher than other Australians. Locally designed programs in Aboriginal Community Controlled Health Services (ACCHOs) to reduce smoking often use Facebook. OBJECTIVE This study reports on an analysis of the reach and engagement of Facebook posts with smoking prevention and cessation messages posted by ACCHOs in the Northern Territory, Australia. METHODS Each service posted tobacco control content at least weekly for approximately 6 months. Posts were coded for the following variables: service posted, tailored First Nations Australian content, local or nonlocally produced content, video or nonvideo, communication technique, and emotional appeal. The overall reach, shares, and reactions were calculated. RESULTS Compared with posts developed by the health services, posts with content created by other sources had greater reach (adjusted incident rate ratio [IRR] 1.92, 95% CI 1.03-3.59). Similarly, reactions to posts (IRR 1.89, 95% CI 1.40-2.56) and shared posts (IRR 2.17, 95% CI 1.31-3.61) with content created by other sources also had more reactions, after controlling for reach, as did posts with local First Nations content compared with posts with no First Nations content (IRR 1.71, 95% CI 1.21-2.34). CONCLUSIONS Facebook posts with nonlocally produced content can be an important component of a social media campaign run by local health organizations. With the exception of nonlocally produced content, we did not find a definitive set of characteristics that were clearly associated with reach, shares, and reactions. Beyond reach, shares, and likes, further research is needed to understand the extent that social media content can influence health behavior.
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Affiliation(s)
- Marita Hefler
- Menzies School of Health Research, Charles Darwin University, Casuarina, Australia
| | - Vicki Kerrigan
- Menzies School of Health Research, Charles Darwin University, Casuarina, Australia
| | - Anne Grunseit
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Sydney, Australia
| | - Becky Freeman
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Sydney, Australia
| | - James Kite
- Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Sydney, Australia
| | - David P Thomas
- Menzies School of Health Research, Charles Darwin University, Casuarina, Australia
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Brennan L, Chin S, Molenaar A, Barklamb AM, Lim MSC, Reid M, Truby H, Jenkins EL, McCaffrey TA. Beyond Body Weight: Design and Validation of Psycho-Behavioural Living and Eating for Health Segments (LEHS) Profiles for Social Marketing. Nutrients 2020; 12:E2882. [PMID: 32967237 PMCID: PMC7551873 DOI: 10.3390/nu12092882] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/10/2020] [Accepted: 09/16/2020] [Indexed: 12/16/2022] Open
Abstract
Obesity, sedentary behaviour, and poor dietary habits amongst young adults are growing concerns, with this age group being in a worse state of health and nutrition than adolescents and adults. This paper presents the procedures for establishing a new instrument for defining behaviours in relation to healthy lifestyle and food choices amongst young adults (Living and Eating for Health Segments: LEHS). The aim of this paper is to outline the instrument design protocol for external validation and to permit replication in other studies. The instrument design process used a multi-step social marketing instrument design method. This approach has previously been used in designing valid and reliable measures in marketing and consumer research, including social marketing. The protocol established six psycho-behavioural LEHS profiles for young adults. These profiles are: Lifestyle Mavens (15.4%), Aspirational Healthy Eaters (27.5%), Balanced-all Rounders (21.4%), Health Conscious (21.1%), Contemplating Another Day (11.2%), and Blissfully Unconcerned (3.4%). Each of these profiles provided insights into psycho-behavioural characteristics that can be used in designing apposite social media social marketing campaigns.
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Affiliation(s)
- Linda Brennan
- School of Media and Communication, RMIT University, Melbourne 3004, Australia; (L.B.); (S.C.)
| | - Shinyi Chin
- School of Media and Communication, RMIT University, Melbourne 3004, Australia; (L.B.); (S.C.)
| | - Annika Molenaar
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia; (A.M.); (A.M.B.); (E.L.J.)
| | - Amy M. Barklamb
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia; (A.M.); (A.M.B.); (E.L.J.)
| | - Megan SC Lim
- Behaviours and Health Risks, Burnet Institute, Melbourne 3004, Australia;
- Melbourne School of Population and Global Health, University of Melbourne, Carlton 3053, Australia
| | - Mike Reid
- School of Economics, Finance and Marketing, RMIT University, Melbourne 3000, Australia;
| | - Helen Truby
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia;
| | - Eva L. Jenkins
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia; (A.M.); (A.M.B.); (E.L.J.)
| | - Tracy A. McCaffrey
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia; (A.M.); (A.M.B.); (E.L.J.)
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Walker T, Molenaar A, Palermo C. A qualitative study exploring what it means to be healthy for young Indigenous Australians and the role of social media in influencing health behaviour. Health Promot J Austr 2020; 32:532-540. [PMID: 32726490 DOI: 10.1002/hpja.391] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 07/20/2020] [Indexed: 02/03/2023] Open
Abstract
ISSUE ADDRESSED This study explored what it means to young Indigenous people to be healthy and how social media influences health behaviours. METHODS Indigenous people (17-24 years) participated in face-to-face interviews or online Facebook conversations. Discussions were informed by the Integrated Model of Behaviour Change exploring perceptions of self, health and wellbeing, social media use, decision making around health and environmental influences on their health. Interviews and online conversations were analysed using thematic analysis. RESULTS Eighteen young Indigenous Australians participated. Three themes were identified (a) Family and community connection in constructing health beliefs; (b) Individual health-seeking behaviours, mental health status and the importance of physical activity; and (c) peers and others were key influencers of health behaviour on social media. CONCLUSIONS Social connection and social media may provide platforms for young Indigenous people to facilitate exchange of culturally relevant information and encourage behaviour change alongside family, peer and community support. SO WHAT?: Unless accompanied with environmental changes, young adults may struggle to assert their individual agency and realise healthful behaviours, therefore strategies to change the environment are urgently required.
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Affiliation(s)
- Troy Walker
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, Australia
| | - Annika Molenaar
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, Australia
| | - Claire Palermo
- Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, Australia
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Carlson B, Frazer R, Farrelly T. "That makes all the difference": Aboriginal and Torres Strait Islander health-seeking on social media. Health Promot J Austr 2020; 32:523-531. [PMID: 32485025 DOI: 10.1002/hpja.366] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Accepted: 05/27/2020] [Indexed: 11/07/2022] Open
Abstract
ISSUE ADDRESSED Little is known about the complex relationships between Australian Indigenous people's use of social media and "health-seeking" - seeking help for issues related to health and well-being. This paper has emerged from a broader sociological research project focusing on the help-seeking and help-giving practices of Aboriginal and Torres Strait Islander people on social media, specifically aiming to unlock its potential to create vital and creative connections between help-seekers and help-givers. METHODS Semi-structured interviews were conducted with 52 Indigenous Facebook users from five sites across Australia. RESULTS The use of grounded theory and Indigenous-centred methodologies for analysis showed clearly that users draw on the connections made possible through Facebook to health-seek. We identify five primary health-seeking strategies that differ in form, purpose and directness: soliciting health-related information, gaining emotional support, producing social health-seeking collectives, engaging in motivational and "eudaimonic" content, and connecting with formal health sources. CONCLUSION While far from being a panacea to health disparities, these findings show that Facebook does provide unique opportunities for many Indigenous help-seekers and help-givers in times of need. SO WHAT?: Social media offers pathways for health-seeking both beyond and outside the dominant western biomedical models of public health promotion. These already-existing pathways should be considered by people working on social media public health promotion campaigns for Aboriginal and Torres Strait Islander people.
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Affiliation(s)
| | - Ryan Frazer
- Macquarie University, Sydney, NSW, Australia
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Abstract
PURPOSE OF REVIEW This review summarizes digital health solutions being used for Indigenous mental well-being, with emphasis on available evidence and examples reported in the literature. We also describe our own local experience with a rural telemental health service for Indigenous youth and discuss the unique opportunities and challenges. RECENT FINDINGS Digital health solutions can be grouped into three main categories: (1) remote access to specialists, (2) building and supporting local capacity, and (3) patient-directed interventions. Limited evidence exists for the majority of digital solutions specifically in Indigenous contexts, although examples and pilot projects have been described. Telemental health has the strongest evidence, along with a growing evidence for web-based applications, largely led by Australia. Other digital approaches remain areas of promise requiring additional study. Co-design and service integration and respect for Indigenous history and ideologies are essential for success. While the use of digital health solutions for Indigenous mental well-being holds promise, there is a limited evidence base for most of them. Future efforts to expand the use of digital solutions in this population should adhere to best practices for the delivery of Indigenous health services.
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Affiliation(s)
- Jennifer M. Hensel
- Department of Psychiatry, University of Manitoba, 771 Bannatyne Ave, Winnipeg, MB Canada
| | - Katherine Ellard
- Department of Psychiatry, University of Manitoba, 771 Bannatyne Ave, Winnipeg, MB Canada
| | - Mark Koltek
- Department of Psychiatry, University of Manitoba, 771 Bannatyne Ave, Winnipeg, MB Canada
| | - Gabrielle Wilson
- Department of Psychiatry, University of Manitoba, 771 Bannatyne Ave, Winnipeg, MB Canada
| | - Jitender Sareen
- Department of Psychiatry, University of Manitoba, 771 Bannatyne Ave, Winnipeg, MB Canada
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