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Saini R, Jeyaraman M, Jeyaraman N, Jain VK, Ramasubramanian S, Iyengar KP. Advancing orthopaedic trauma care through WhatsApp: An analysis of clinical and non-clinical applications, challenges, and future directions. World J Orthop 2024; 15:529-538. [PMID: 38947267 PMCID: PMC11212534 DOI: 10.5312/wjo.v15.i6.529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 04/23/2024] [Accepted: 05/13/2024] [Indexed: 06/12/2024] Open
Abstract
The integration of WhatsApp, a widely-used instant messaging application (IMA), into the realm of orthopaedics and trauma surgery has emerged as a significant development in recent years. This paper explores the multifaceted role of WhatsApp in orthopaedics, focusing on its clinical and non-clinical applications, advantages, disadvantages, and future prospects. The study synthesizes findings from various research papers, emphasizing the growing reliance on mobile technology in healthcare. WhatsApp's role in orthopaedics is notable for its ease of use, real-time communication, and accessibility. Clinically, it facilitates triage, teleconsultation, diagnosis, treatment, patient advice, and post-operative monitoring. Non-clinically, it supports telemedicine, teleradiology, virtual fracture clinics, research, and education in orthopaedic surgery. The application has proven beneficial in enhancing communication among healthcare teams, providing quick responses, and motivating junior physicians. Its use in educational settings has been shown to improve learner's understanding and patient care. However, the use of WhatsApp in orthopaedics is not without challenges. Risks include the potential spread of misleading information, privacy concerns, and issues with image quality affecting diagnosis and treatment decisions. The paper acknowledges the importance of maintaining professional boundaries and the need for oversight measures to ensure content accuracy. Looking forward, the potential of WhatsApp and similar IMAs in orthopaedics lies in their ability to streamline data collection and retrieval, improve doctor-patient communication, and address challenges like bureaucratic red tape and limited resources. The paper suggests that future orthopaedic practice, particularly in emergency departments, will increasingly rely on such technologies for efficient patient management. This shift, however, must be approached with an understanding of the ethical, legal, and practical implications of integrating social media and mobile technology in healthcare.
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Affiliation(s)
- Ravi Saini
- Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India
| | - Madhan Jeyaraman
- Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai 600077, Tamil Nadu, India
| | - Naveen Jeyaraman
- Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai 600077, Tamil Nadu, India
| | - Vijay Kumar Jain
- Department of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences, Dr Ram Manohar Lohia Hospital, New Delhi 110001, India
| | - Swaminathan Ramasubramanian
- Department of Orthopaedics, Government Medical College, Omandurar Government Estate, Chennai 600002, Tamil Nadu, India
| | - Karthikeyan P Iyengar
- Department of Trauma and Orthopaedics, Southport and Ormskirk Hospitals, Mersey and West Lancashire Teaching NHS Trust, Southport PR8 6PN, United Kingdom
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Carrillo MA, Gessler AM, Rivera Ramirez T, Cárdenas Sanchez R, Lindenmeier J, Kern WV, Kroeger A. WhatsApp-based intervention in urban Colombia to support the prevention of arboviral diseases: a feasibility study. Pathog Glob Health 2024; 118:334-347. [PMID: 38794811 PMCID: PMC11238608 DOI: 10.1080/20477724.2024.2358263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2024] Open
Abstract
Arboviral diseases remain a significant health concern worldwide, with over half the world's population at risk for dengue alone. Without a vaccine or targeted treatment, the most effective strategy of prevention is vector management with community involvement. mHealth interventions, like WhatsApp, offer promising results for engaging communities and promoting healthier behaviors. This study explores the feasibility of integrating WhatsApp in vector control activities to improve arbovirus prevention in Colombia. A mixed-methods approach was employed to assess the WhatsApp-based intervention. WhatsApp messages were sent to 45 community women for 5 weeks to increase their knowledge and practices about dengue, Zika, and chikungunya. Pre-and-post surveys and focus group discussions were conducted in community settings to measure the feasibility and acceptability of this intervention. Chat reviews were done to assess the usability of users. A total of 1566 messages were exchanged in 45 WhatsApp chats. High acceptance and good usability (82% of users used the app for replying) were reported in this study. WhatsApp messages were perceived as short, clear, and enjoyable. Users liked the frequency, and design of messages. Pre- and post-surveys demonstrated improvements in the knowledge and practices of arboviral diseases. The intention to apply this knowledge in practice was reflected in a significant improvement, particularly in cleaning the laundry tank once a week (pre 62.1% to post 89.6%, p < 0.008). This study suggests that using WhatsApp as an additional tool could be a feasible, acceptable, and affordable strategy for improving the adoption of better practices in the prevention of arboviral diseases.
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Affiliation(s)
- Maria Angelica Carrillo
- Centre for Medicine and Society, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Research Group Geotecnia Ambiental (GIGA), University Francisco De Paula Santander, Cucuta, Colombia
| | - Alisa Maria Gessler
- Graduate Institute, Geneva and Université de Lausanne, Lausanne, Switzerland
| | - Tatiana Rivera Ramirez
- Centre for Medicine and Society, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Research Group Geotecnia Ambiental (GIGA), University Francisco De Paula Santander, Cucuta, Colombia
| | - Rocío Cárdenas Sanchez
- Centre for Medicine and Society, Faculty of Medicine, University of Freiburg, Freiburg, Germany
- Research Group Geotecnia Ambiental (GIGA), University Francisco De Paula Santander, Cucuta, Colombia
- Vector Control Programme, The Health Institute of Cucuta, Cucuta, Colombia
| | - Jörg Lindenmeier
- Corporate Governance und Ethik, Albert-Ludwigs University Freiburg, Freiburg im Breisgau, Germany
| | - Winfried V. Kern
- Center for Medicine, Universitätsklinikum Freiburg, Freiburg im Breisgau, Germany
| | - Axel Kroeger
- Centre for Medicine and Society, Faculty of Medicine, University of Freiburg, Freiburg, Germany
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Zimmermann E, Tomczyk S. Fostering Digital Life Skills Through Social Media With Adolescents in 6 German States: Protocol for an Accessibility Study According to the RE-AIM Framework. JMIR Res Protoc 2024; 13:e51085. [PMID: 38631035 PMCID: PMC11063895 DOI: 10.2196/51085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 01/23/2024] [Accepted: 02/22/2024] [Indexed: 04/19/2024] Open
Abstract
BACKGROUND Social media is essential in the lives of adolescents, with 97% of US teenagers engaging daily. While it facilitates communication, learning, and identity development, it also poses risks like harmful content exposure and psychological distress, particularly for adolescents in their critical developmental stage. Teaching digital life skills innovatively counters these risks, adapting traditional competencies such as decision-making, problem-solving, creative and critical thinking, communication, interpersonal skills, self-awareness, empathy, and emotional and stress management to digital challenges. OBJECTIVE This study evaluates the accessibility of the "leduin" program, a novel intervention designed to impart digital life skills through Instagram. The program aims to leverage social media's educational potential, focusing on effective strategies to engage adolescents. Emphasizing accessibility is crucial, as it determines the program's overall impact. METHODS The leduin program, developed through intervention mapping, applies behavior change techniques via social media for 9th and 10th graders. It is a 14-week spaced learning curriculum with daily sessions <5 minutes. Emphasizing the "reach" aspect of the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) model, the recruitment targets diverse educational settings across 6 German states, aiming for inclusivity. Recruitment will involve schools, youth centers, and therapeutic facilities. The study seeks at least 128 participants, a calculated minimum to detect medium-sized effects in the quasi-experimental design and explore varying engagement levels and program responses. Data collection includes preintervention, postintervention, and 6-month follow-up surveys, using multilevel regression, latent growth models, and qualitative analysis to extensively assess reach and gain first insights on effectiveness, acceptance, implementation, and maintenance. The study aims to reveal key factors influencing program participation and interaction; a detailed analysis of engagement patterns will reveal the effectiveness of the recruitment strategies and barriers to participation. Additionally, initial indications of the program's impact on life skills, social media-related skills, health status, risk behaviors, and academic performance will be analyzed. RESULTS Recruitment was planned from May 2023 until the beginning of the leduin program in October 2023. As of March 2024, we have recruited 283 participants. CONCLUSIONS The leduin program stands as an innovative and essential initiative in adolescent health promotion, harnessing the power of social media to teach important digital life skills. This study highlights the critical role of accessibility in the success of social media interventions. Effective adolescent engagement strategies are imperative, as they dictate the overall impact of such interventions. The insights gained from this study will be instrumental in shaping future programs, laying groundwork for a subsequent, more comprehensive cluster-randomized controlled trial. The study's design acknowledges the limitations of the current quasi-experimental approach, including the anticipated sample size and the absence of a control group, and aims to provide a foundational understanding for future research in this field. TRIAL REGISTRATION Deutsches Register Klinischer Studien DRKS00032308; https://drks.de/search/de/trial/DRKS00032308. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/51085.
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Affiliation(s)
- Elizabeth Zimmermann
- Institute for Health Psychology, Department of Psychology, University of Greifswald, Greifswald, Germany
| | - Samuel Tomczyk
- Institute for Health Psychology, Department of Psychology, University of Greifswald, Greifswald, Germany
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Abou-Ghannam G, Abi-Habib R, Yaktine N. Teleconsultation Platforms Versus WhatsApp Consultations: Evaluating Patients and Physicians' Attitudes. Telemed J E Health 2024; 30:e1101-e1109. [PMID: 37883642 DOI: 10.1089/tmj.2023.0385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2023] Open
Abstract
Background: Since the 1990s, society has witnessed a surge in information and communication technologies that extended to the health care system. Teleconsultation platforms have become widely established tools that provide an opportunity for emerging countries such as Lebanon to expand and advance health care services. However, their use in Lebanon remains limited considering many people's preference to resort to nonmedical platforms such as WhatsApp for consultations. Methods: The purpose of this mixed-method study is to evaluate patients' and physicians' attitudes toward teleconsultation platforms versus WhatsApp consultations in Lebanon. In the quantitative component, 1,467 patients were administered a self-developed questionnaire, while in the qualitative component, a semistructured interview was conducted with 14 physicians practicing in Lebanon. Results: Results revealed that teleconsultation platforms and WhatsApp are not interchangeable. Patients' and physicians' experiences, perceptions, and satisfaction with teleconsultation platforms and WhatsApp are discussed. Conclusions: Individual and governmental recommendations for safer, more controlled, and more ethical online consultation practices are provided for both physicians and patients, through both modalities.
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Affiliation(s)
- Gaël Abou-Ghannam
- Department of Obstetrics and Gynecology, Bellevue Medical Center, Mansourieh, Mount Lebanon, Lebanon
- Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon
| | - Rudy Abi-Habib
- Department of Social and Education Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
| | - Nour Yaktine
- Department of Psychology, Faculty of Letters and Human Sciences, Université Saint-Joseph de Beyrouth, Beirut, Lebanon
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Amon KL, Brunner M, Campbell AJ. The Reel Health Care Professionals of Instagram: A Systematic Review. CYBERPSYCHOLOGY, BEHAVIOR AND SOCIAL NETWORKING 2024; 27:172-186. [PMID: 38359390 DOI: 10.1089/cyber.2023.0311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/17/2024]
Abstract
Social media and health research have covered the benefits for the public and patients as users. Specifically, this has focused on searching for health information, connecting with others experiencing similar health issues, and communicating with their health professionals. Recently, there has been a shift in research to focus on health care professionals as users as they participate in professional development, improve communication with patients, and contribute to health research and service. However, such research has predominantly focused on text-based platforms, namely Facebook and Twitter. The scope of this article is a systematic review of publications on health care professionals' use of the image-based platform Instagram, according to the preferred reporting items for systematic reviews and meta-analyses guidelines. This study, drawing from 51 articles, shows how health care professionals use Instagram, and reveals that these professionals utilize the platform to address health concerns that may not necessarily align with their specific expertise. Images were the common format of posts created by health care professionals, with six content types identified: (a) educational, (b) promotional, (c) patient experience, (d) personal, (e) emotion based, and (f) other. Three measures of post engagement were used by researchers, including (a) likes and comments, (b) use of hashtags, and (c) number of followers. This study also identified the dangers of misleading users, including (a) lack of credentials reported, (b) edited images, (c) quality of content, and (d) patient and client confidentiality issues. In conclusion, insights into the advantages of health care professionals' use of Instagram and ways in which they can maximize its use to reach and engage with their target audience are provided.
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Affiliation(s)
- Krestina L Amon
- Cyberpsychology Research Group, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Melissa Brunner
- Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Andrew J Campbell
- Cyberpsychology Research Group, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
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Lestari L, Heryani H, Ariani D. WhatsApp-based anemia e-leaflet for young women as a media for adolescent health promotion. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 12:448. [PMID: 38464637 PMCID: PMC10920767 DOI: 10.4103/jehp.jehp_186_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 07/01/2023] [Indexed: 03/12/2024]
Abstract
BACKGROUND Adolescence is the right time to intervene in overcoming anemia because it is an important period for growth and development. One of the causes of anemia is nutritional disorders, which can be caused by a lack of information about nutrition or the inability to apply the information obtained in daily life. The implementation of health promotion cannot be separated from the media. E-leaflets based on WhatsApp Messenger are one of the media that is easily accessed and understood by teenagers to reduce the number of anemia problems in young women. Therefore, this study was conducted to produce WhatsApp-based e-leaflet products as a medium for health promotion in adolescents. MATERIALS AND METHODS This research is a type of research and development (RnD). The research subjects were media experts and 20 young women who met the inclusion criteria using a purposive sampling technique. Validation sheets by media experts and response questionnaires for young women were used to test the feasibility of the product. A quantitative descriptive analysis technique was applied for expert validation. RESULTS The results showed that the WhatsApp-based anemia e-leaflet for young women was very feasible as media for promoting youth health based on the results of validation from media experts (96%) and small group trials (88%). CONCLUSION WhatsApp-based anemia e-leaflets for young women are very appropriate as a medium for promoting adolescent health. It is recommended to do a trial in a large group and test the effectiveness of the WhatsApp-based anemia e-leaflet product for young women as a medium for promoting adolescent health.
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Affiliation(s)
- Lusi Lestari
- Department of Midwifery, STIKes Muhammadiyah Ciamis, Indonesia
| | - Heni Heryani
- Department of Midwifery, STIKes Muhammadiyah Ciamis, Indonesia
| | - Dini Ariani
- Department of Midwifery, STIKes Muhammadiyah Ciamis, Indonesia
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Kaur J, Kaur M, Chakrapani V, Kumar R. Theory-guided process evaluation of a multicomponent, technology-based 'SMART Eating' trial among Indian adults: an embedded mixed-methods study. HEALTH EDUCATION RESEARCH 2023; 38:469-489. [PMID: 37207678 DOI: 10.1093/her/cyad020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 02/26/2023] [Accepted: 04/20/2023] [Indexed: 05/21/2023]
Abstract
We report process evaluation findings from the 'SMART Eating' intervention trial, which significantly improved fat, sugar and salt (FSS), and fruits and vegetables (FVs) intake among adults. Intervention used information technology [short message service (SMS), WhatsApp and website] and interpersonal communication (distribution of SMART Eating kit) and pamphlet for comparison group. Guided by UK Medical Research Council's framework, using embedded mixed-methods design, continuous process evaluation documented fidelity, dose, reach, acceptability and mechanisms. Intervention was implemented as intended, with high reach (91%) in both groups: 'comparison group' (n = 366): inadequate use of pamphlets (46%); 'intervention group' (n = 366): with timely remedial measures to remove implementation/usage barriers, dose of SMS (93%), WhatsApp (89%) and 'SMART Eating' kit (100%) was adequate, but website usage was low (50%); compliance was evident from participants' interactions with the implementor and observations on kit usage. All these might have improved attitude, social influence, self-efficacy and household behaviours, which, in turn, mediated intervention's effect on improving FSS and FV intake. Among poor performers, lack of effect on FV intake was perceived to be related to high cost/pesticides use and FSS intake was related to lack of family support. Low website usage, challenges with WhatsApp messaging and contextual factors (cost, pesticides abuse and family support) need to be considered while designing similar future interventions.
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Affiliation(s)
- Jasvir Kaur
- Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012 India
| | - Manmeet Kaur
- Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012 India
| | | | - Rajesh Kumar
- Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012 India
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Mbada CE, Jeje OO, Akande M, Mbada KA, Fatoye C, Olakorede D, Awoniyi O, Okafor UAC, Falade O, Fatoye F. Social presence and dynamics of group communication: An analysis of a health professionals WhatsApp group chats. PLoS One 2023; 18:e0288773. [PMID: 37459341 PMCID: PMC10351686 DOI: 10.1371/journal.pone.0288773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 07/05/2023] [Indexed: 07/20/2023] Open
Abstract
WhatsApp has become a medium of communication with the potential of promoting collaborative environment with peers, patients and general population. Till date, no analysis of professional WhatsApp groups' activities exists in physiotherapy. The official WhatsApp group chats of the Association of Clinical and Academic Physiotherapists of Nigeria (ACAPN) was analyzed. A total of 20760 chats were gleaned from July 2020 to June 2021. Videos, audios and emoticons were excluded in the analysis. Administrative permission to conduct was obtained from ACAPN leadership. Two consenting physiotherapists who had never deleted their ACAPN group chats shared and exported all chats to a Gmail. The social presence theory for group communication was used as the framework of analysis. Thematic content analysis was used to analyze qualitative data. Descriptive statistics of frequency and percentages were used to summarize data. Based on social presence theory classifications, interactive messages (64.5%) followed by cohesive messages (30%) were predominant. Members used the platform more for expression of emotions affectively (100%), referring explicitly to others' messages interactively (56.6%) and for greetings (phatic and salutation) cohesively (61.8%). Qualitative themes indicate that all three categories of social presence theory communications were present sufficiently with interactive category being the most common, as members used the WhatsApp platform to interact, construct and share knowledge. Group WhatsApp platform is a veritable means of communication and an indicator of level of social presence among Nigerian physiotherapists. Communication among Nigerian physiotherapists is mostly interactive, then cohesive and affective in terms of dynamics.
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Affiliation(s)
- Chidozie E. Mbada
- Department of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom
| | - Oluwatosin O. Jeje
- Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Micheal Akande
- Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Kikelomo A. Mbada
- School of Digital Education, Faculty of Learning and Teaching, Arden University, Manchester, United Kingdom
| | - Clara Fatoye
- Department of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom
- Faculty of Health and Care Professions, University Campus Oldham (UCO), University Way, Oldham, United Kingdom
| | - David Olakorede
- Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Olusola Awoniyi
- Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Udoka A. C. Okafor
- Department of Physiotherapy, Faculty of Clinical Sciences, University of Lagos, Ikeja, Nigeria
| | - Olatomiwa Falade
- Royal Oldham Hospital, Oldham, Greater Manchester, United Kingdom
| | - Francis Fatoye
- Department of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom
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Faustino GPDS, da Silva MO, de Almeida AJ, Ferreira MDA. Outline of a project for nursing health education on the Instagram social network. Rev Bras Enferm 2023; 76:e20220301. [PMID: 36995823 PMCID: PMC10042475 DOI: 10.1590/0034-7167-2022-0301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 10/29/2022] [Indexed: 03/29/2023] Open
Abstract
Objectives: to characterize the outline of a project for health education and its contributions to the propagation of information on the Instagram social network. Methods: exploratory and descriptive research on an Instagram profile called “@resenhadasaude”;. Data collection: from July 23, 2020, to April 21, 2021. Interaction metrics were generated on 36 posts. Simple and percentage statistical analysis were applied. Results: there are 1,016 followers in Brazil, with a 206.02% growth. The largest audience is teenagers, young people, and women, with a gender difference of 41.8%. The greatest interest was about covid-19, sexual health, and drugs. Followers’ misconceptions reinforce the need for the dissemination of quality information. Conclusions: Instagram metrics point to the project’s validation in terms of audience interest, mostly adolescents and youth. Instagram proved to be powerful for educational purposes and information dissemination, as well as an autonomous field for nursing.
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Faustino GPDS, Silva MOD, Almeida Filho AJD, Ferreira MDA. Perfil de um projeto de educação em saúde de enfermagem na rede social Instagram. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167-2022-0301pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
Abstract
RESUMO Objetivos: caracterizar o perfil de um projeto de educação em saúde e suas contribuições à difusão de informação na rede social Instagram. Métodos: pesquisa exploratória e descritiva sobre um perfil do Instagram denominado “@resenhadasaude”;. Coleta de dados: de 23 de julho de 2020 a 21 de abril de 2021. Geraram-se métricas de interação sobre 36 postagens. Aplicou-se análise estatística simples e percentual. Resultados: são 1.016 seguidores no Brasil, com crescimento de 206,02%. Maior público é adolescente, jovem e feminino, com diferença entre os gêneros de 41,8%. O maior interesse foi sobre a covid-19, saúde sexual e drogas. Equívocos de conhecimento dos seguidores reforçam a necessidade de difusão de informações de qualidade. Conclusões: as métricas do Instagram apontam a validação do projeto em termos de interesse do público, majoritariamente de adolescentes e jovens. O Instagram mostrou-se potente para fins educativos e difusão de informação, bem como campo autônomo para a enfermagem.
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Picazo-Sánchez L, Domínguez-Martín R, García-Marín D. Health Promotion on Instagram: Descriptive-Correlational Study and Predictive Factors of Influencers' Content. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15817. [PMID: 36497889 PMCID: PMC9739539 DOI: 10.3390/ijerph192315817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 11/22/2022] [Accepted: 11/25/2022] [Indexed: 06/17/2023]
Abstract
The pandemic has accentuated the power that influencers have to influence their followers. Various scientific approaches highlight the lack of moral and ethical responsibility of these creators when disseminating content under highly sensitive tags such as health. This article presents a correlational statistical study of 443 Instagram accounts with more than one million followers belonging to health-related categories. This study aims to describe the content of these profiles and their authors and to determine whether they promote health as accounts that disseminate health-related content, identifying predictive factors of their content topics. In addition, it aims to portray their followers and establish correlations between the gender of the self-described health influencers, the characteristics of their audience and the messages that these prescribers share. Health promotion is not the predominant narrative among these influencers, who tend to promote beauty and normative bodies over health matters. A correlation is observed between posting health content, the gender of the influencers and the average age of their audiences. The study concludes with a discussion on the role of public media education and the improvement of ethical protocols on social networks to limit the impact of misleading and false content on sensitive topics, increasing the influence of real health prescribers.
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Affiliation(s)
- Laura Picazo-Sánchez
- Department of ICT Applied to Education and Media Literacy, Faculty of Education, Universidad Internacional de Valencia (VIU), 46002 Valencia, Spain
| | - Rosa Domínguez-Martín
- Department of Pedagogy, Faculty of Education, Universidad Internacional de Valencia (VIU), 46002 Valencia, Spain
| | - David García-Marín
- Department of Journalism and Corporate Communication, Faculty of Communication Sciences, Universidad Rey Juan Carlos (URJC), 28933 Móstoles, Spain
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Veiga MG, Felizi RT, Trevisan GD, Cubero DDIG, Fernandes CE, Oliveira ED. Message applications in the doctor-patient relationship as a stressor. Rev Assoc Med Bras (1992) 2022; 68:1228-1233. [PMID: 36228253 PMCID: PMC9575017 DOI: 10.1590/1806-9282.20220253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 06/17/2022] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE: The aim of this study was to assess the use of smartphones’ messaging apps as a stressor affecting the well-being of gynecologists who use this tool to communicate with patients. METHODS: A cross-sectional study was conducted with gynecologists who use message applications to communicate with patients. Participants answered the WhatsApp Stress Scale, Oldenburg Burnout Inventory, and the techno-stress questionnaire. The population sample consisted of gynecologists and obstetricians selected by convenience. RESULTS: Physicians who spent more time using WhatsApp to communicate with patients had higher levels of stress (p=0.010), Burnout (p<0.001), and techno-invasion score (p<0.05). CONCLUSIONS: A positive association was found between the high frequency of WhatsApp usage for communication with patients and doctor's Burnout and stress, negatively influencing professional's well-being.
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Affiliation(s)
- Melissa Gonzalez Veiga
- Centro Universitário Faculdade de Medicina do ABC, Department of Gynecology - Santo André (SP), Brazil
| | - Rogério Tadeu Felizi
- Centro Universitário Faculdade de Medicina do ABC, Department of Gynecology - Santo André (SP), Brazil
| | - Gislayne Darly Trevisan
- Centro Universitário Faculdade de Medicina do ABC, Department of Gynecology - Santo André (SP), Brazil
| | | | - César Eduardo Fernandes
- Centro Universitário Faculdade de Medicina do ABC, Department of Gynecology - Santo André (SP), Brazil
| | - Emerson de Oliveira
- Centro Universitário Faculdade de Medicina do ABC, Department of Gynecology - Santo André (SP), Brazil
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Maitra C, Rowley J. Using a social media based intervention to enhance eye health awareness of members of a deprived community in India. INFORMATION DEVELOPMENT 2022. [DOI: 10.1177/02666669211013450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Deprived communities in India experience a range of health challenges as the result of a mixture of lack of access to information technologies, and difficulties in accessing health information and provision. This article reports on an intervention centred on the use of the social media platform, WhatsApp, in order to promote eye health communication. The case study based research was conducted in the village of Chowbaga, close to Kolkata, in West Bengal, with women participants who had low levels of education and high levels of unemployment. The women were invited to participate in a WhatsApp intervention that comprised five educational sessions. Participants were recruited through the local school that their children attended. Shortly after the conclusion of the intervention, focus groups were conducted with the participants in order to develop an understanding of participants views of the beneficial characteristics of such a social media based intervention, and, more specifically, the benefits of WhatsApp in increasing awareness of eye problems within their community. This research demonstrates and summarises the benefits of WhatsApp as a communications medium for deprived communities, as well as its potential for increasing awareness of eye problems. In particular, participants were of the view that future access to WhatsApp and other mobile-based platforms empowered them to take better care of their own and their family’s health.
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14
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Siregar KN, Kurniawan R, Nuridzin DZ, BaharuddinNur RJ, Retnowati, Handayani Y, Rohjayanti, Halim L. Strengthening causes of death identification through community-based verbal autopsy during the COVID-19 pandemic. BMC Public Health 2022; 22:1607. [PMID: 35999519 PMCID: PMC9398045 DOI: 10.1186/s12889-022-14014-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 08/16/2022] [Indexed: 11/10/2022] Open
Abstract
Introduction Indonesia has not optimally provided complete and reliable civil registration and vital statistics (CRVS). Death certification is one of the elements of the CRVS system. Reliable data on death rates and causes serve as the basis for building a strong evidence base for public health policy, planning, monitoring, and evaluation. This study aims to implement an approach to identifying the cause of death through verbal autopsy by empowering community health workers during the pandemic. Method This study is implementation research with the empowerment of the community, in this case, health cadres and health facilitators/workers, to identify the cause of death through a mobile-based verbal autopsy. This implementation research consisted of four main activities: community-based verbal autopsy, mobile-based verbal autopsy development, data collection, and analysis of the suspected causes of death using InterVA-5. Result From October to November 2020, a total of 143 respondents were willing to do a verbal autopsy interview (response rate of 58%). Of 143 respondents, most of them were women (112 or 78.3%), was the child of the deceased (61 or 42.7%) and lived with the deceased until before he/she died (120 or 83.9%). Based on the characteristics of the deceased, of 143 deceased, 78 (54.5%) were male, 134 (93.7%) were adults, 100 (69.9%) died at home, and 119 (83.2%) did not have a death certificate stating the cause of death. The cause of death of 143 deceased mainly was infectious disease (92 or 64.3%), followed by non-communicable disease (39 or 27.3%), external factors (5 or 3.5%), and unknown factors (4 or 2.8%). In sequence, the top five suspected causes of death are acute respiratory infection, including pneumonia (72 or 50.3%), other and unspecified infectious disease (18 or 12.6%), other and unspecified cardiac disease (17 or 11.9%), acute cardiac disease (4 or 2.8%), and Digestive neoplasms (4 or 2.8%). Conclusion The findings showed that the mobile-based verbal autopsy using a community-based mechanism was feasible during the COVID-19 pandemic.
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Affiliation(s)
- Kemal Nazarudin Siregar
- Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia, Depok City, Indonesia. .,Health Informatics Research Cluster (HIRC) Faculty of Public Health, Universitas Indonesia, Depok City, Indonesia.
| | - Rico Kurniawan
- Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia, Depok City, Indonesia
| | - Dion Zein Nuridzin
- Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Diponegoro, Semarang City, Indonesia
| | - Ryza Jazid BaharuddinNur
- Center of Biostatistics and Health Informatics, Faculty of Public Health, Universitas Indonesia, Depok City, Indonesia.,Department Epidemiology, Faculty of Public Health, Universitas Hasanuddin, Makassar City, Indonesia
| | - Retnowati
- Medical Record and Health Information Department, Semarang Health Polytechnic Ministry of Health, Semarang City, Indonesia
| | - Yolanda Handayani
- Health Informatics Research Cluster (HIRC) Faculty of Public Health, Universitas Indonesia, Depok City, Indonesia
| | - Rohjayanti
- Head of NCD Prevention and Control Section, Bogor District Health Office, Bogor District, Indonesia
| | - Lindawati Halim
- Health Center Coordinator in Babakan Madang Sub-District, Bogor District, Indonesia
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Rejeb A, Rejeb K, Abdollahi A, Treiblmaier H. The Big Picture on Instagram Research: Insights from a Bibliometric Analysis. TELEMATICS AND INFORMATICS 2022. [DOI: 10.1016/j.tele.2022.101876] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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16
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Moawad RA. Using WhatsApp During the COVID-19 Pandemic and the Emotions and Perceptions of Users. Psychol Res Behav Manag 2022; 15:2369-2381. [PMID: 36062031 PMCID: PMC9439644 DOI: 10.2147/prbm.s367724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Accepted: 08/19/2022] [Indexed: 11/23/2022] Open
Abstract
Background Purpose Methods and Participants Results Conclusion
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Affiliation(s)
- Ruba AbdelMatloub Moawad
- Psychology Department, King Saud University, Riyadh, Saudi Arabia
- Correspondence: Ruba AbdelMatloub Moawad, Email
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Chimpén-López C, Moral M, Sevilla-Vallejo S. Literary merit as a resource for human growth: the use of social networks for psychotherapeutic purposes. JOURNAL OF POETRY THERAPY 2022. [DOI: 10.1080/08893675.2022.2089692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Carlos Chimpén-López
- Faculty of Nursing and Occupational Therapy, Department of Medical-Surgical Therapy, Psychiatry Area, Universidad de Extremadura, Cáceres, Spain
| | - Manuel Moral
- Department of Religion, Oakwood University, Huntsville, AL, USA
| | - Santiago Sevilla-Vallejo
- Facultad de Educación, University of Salamanca, Salamanca, Spain
- Research Team Innovación, Identidad y Literaturas en Español, International University of La Rioja, Spain
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18
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Encourage autonomy to increase individual work performance: the impact of job characteristics on workaround behavior and shadow IT usage. INFORMATION TECHNOLOGY & MANAGEMENT 2022. [DOI: 10.1007/s10799-022-00368-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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19
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Chen K, Zhou L, Zhao R, Tang Y. Assessing the Quality of Hearing Aids-Related Videos on TikTok. Front Public Health 2022; 10:901976. [PMID: 35812482 PMCID: PMC9257095 DOI: 10.3389/fpubh.2022.901976] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/31/2022] [Indexed: 11/17/2022] Open
Abstract
Hearing aids are effective at improving listening ability and health-related quality of life. Recently, we observed that there are many hearing aids-related videos published on TikTok. However, the quality of the information they offer remains unstudied. This study aimed to evaluate the information quality of hearing aids videos on TikTok. We collected a sample of 155 hearing aids-related videos in Chinese and extracted the basic information. First, we identified the source of each video. Two independent raters assessed the quality of the information in the videos, using the PEMAT-A/V tool and DISCERN instrument. Regarding content, the results showed that the video contents on TikTok mainly about features, functionalities, and suggestions of purchase or fitting of hearing aids, while the information about the disadvantages and complications of hearing aids was limited. The overall quality of the hearing aids-related videos was acceptable on average, although the quality varies greatly depending on the type of source. Patients should be cautious in obtaining information about hearing aids on TikTok.
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Affiliation(s)
- Kai Chen
- Department of Otorhinolaryngology, West China Hospital of Sichuan University, Chengdu, China
- Department of Otorhinolaryngology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Li Zhou
- Core Facilities of West China Hospital, Chengdu, China
| | - Rui Zhao
- Department of Otorhinolaryngology, West China Hospital of Sichuan University, Chengdu, China
| | - Yuedi Tang
- Department of Otorhinolaryngology, West China Hospital of Sichuan University, Chengdu, China
- *Correspondence: Yuedi Tang
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An Audit and Survey of Informal Use of Instant Messaging for Dermatology in District Hospitals in KwaZulu-Natal, South Africa. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127462. [PMID: 35742708 PMCID: PMC9223770 DOI: 10.3390/ijerph19127462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 04/13/2022] [Accepted: 04/20/2022] [Indexed: 02/04/2023]
Abstract
Background. In KwaZulu-Natal (KZ-N), South Africa, recent reports have indicated that spontaneous use of smartphones has occurred, providing access to specialist dermatological care to remote areas. This informal use has raised a number of practical, legal, regulatory, and ethical concerns. Aim. To assess the nature and content of WhatsApp messages sent to dermatologists, to determine the referring doctors’ reasons for, and satisfaction with, their interactions, as well as their knowledge of legal, regulatory, and ethical requirements. Methods. A retrospective study of WhatsApp messages between referring doctors and dermatologists, as well as a cross-sectional survey of doctors working at district hospitals in KZ-N who used IM for teledermatology. Results. Use of IM (primarily WhatsApp) for teledermatology was almost universal, but often not considered ‘telemedicine’. Few referring doctors were aware of South Africa’s ethical guidelines and their requirements, and few of those who did followed them, e.g., the stipulated and onerous consent process and existing privacy and security legislations. No secure methods for record keeping or data storage of WhatsApp content were used. A desire to formalize the service existed. Conclusions. Based upon these findings, it was proposed that a number of described steps be followed in order to formalize the use of IM for teledermatology.
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Amiri P, Moulaei K, Bahaadinbeigy K, Ghaemi MM, Sheikhtaheri A. The information‐seeking behavior of medical sciences students toward COVID‐19 in mass and social media: A cross‐sectional study. Health Sci Rep 2022; 5:e648. [PMID: 35620539 PMCID: PMC9125876 DOI: 10.1002/hsr2.648] [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: 11/23/2021] [Revised: 05/03/2022] [Accepted: 05/06/2022] [Indexed: 12/05/2022] Open
Abstract
Background and Aims During the COVID‐19 pandemic, college students can access health‐related information on the Internet to improve preventative behaviors, but they often judge the merits of such information and create challenges in the community. The aim of this study was to investigate information‐seeking behaviors in regard to COVID‐19 among students at Kerman University of Medical Sciences (KUMS) with the help of mass and social media. Methods The present study is a cross‐sectional study, which was conducted using an online researcher‐made questionnaire. An invitation to participate in the study was sent to 500 students at KUMS, of which 203 were selected according to the inclusion criteria and completed the questionnaire. Descriptive statistics were used to analyze the data. Results COVID‐19 news was mostly obtained through social media platforms such as WhatsApp, Telegram, Instagram, radio, and television, as well as online publications and news agencies. Social media platforms such as WhatsApp, Telegram, Instagram, and satellite networks such as BBC contained the most rumors about COVID‐19. Some of the most common misconceptions regarding COVID‐19 were as follows: “COVID‐19 is the deadliest disease in the world,” “COVID‐19 is a biological attack,” and “COVID‐19 disappears as the air temperature rises.” In addition, most of the virtual training provided through mass media focused on “refraining from visiting holy places and crowded locations such as markets,” “observing personal hygiene and refraining from touching the eyes, nose, and mouth with infected hands,” and “the role of quarantine in reducing the incidence of COVID‐19.” Conclusion Our findings demonstrated that during the pandemic, students used social media platforms the most to obtain health‐related information and these media have a significant impact on their willingness to engage in preventative behaviors and take the COVID‐19 risk seriously.
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Affiliation(s)
- Parasto Amiri
- Student Research Committee, Department of Health Information Management Kerman University of Medical Sciences Kerman Iran
| | - Khadijeh Moulaei
- Student Research Committee, Department of Health Information Management Kerman University of Medical Sciences Kerman Iran
| | - Kambiz Bahaadinbeigy
- Medical Informatics Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran
| | - Mohammad Mehdi Ghaemi
- Medical Informatics Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran
| | - Abbas Sheikhtaheri
- Department of Health Information Management, School of Health Management and Information Sciences Iran University of Medical Sciences Tehran Iran
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22
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Moulaei K, Dinari Z, Dinari F, Jahani Y, Bahaadinbeigy K. The role of social networks in diabetes self‐care: A cross‐sectional study. Health Sci Rep 2022; 5:e601. [PMID: 35509403 PMCID: PMC9059190 DOI: 10.1002/hsr2.601] [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: 12/04/2021] [Revised: 01/27/2022] [Accepted: 03/04/2022] [Indexed: 11/12/2022] Open
Abstract
Background Patient involvement with diabetes self‐care is critical to reducing complications, morbidity, and mortality. Social media, as one of the most important forms of digital health, has always been available for diabetes self‐care, although the role of these media in supporting patient self‐care is unclear. Aims The aim of this study was to investigate the role of social networks in diabetes self‐care. In this study, the most important social networks used to receive self‐care services, diabetes self‐care behaviors, diabetes self‐care educations and benefits of using various services provided through social networks were identified. Methods The present study is a cross‐sectional study that was conducted through an electronic researcher‐made questionnaire in 2021. Two hundred and eighteen patients were selected to participate in the study from centers of diabetes of Fasa city, south of Iran. Sampling was performed by convenience sampling and in accordance with inclusion and exclusion criteria. Data were analyzed by descriptive statistics and analytical tests. Results In the data analysis section on Diabetes self‐care behaviors, there was no significant relationship between gender (p = 0.292), age (p = 0.49), type of diabetes (p = 0.909) and duration of diabetes (p = 0.076) with the use of self‐care services provided through social networks. There was a significant relationship between education level and the use of self‐care services provided through social networks (p = 0.01). “Recognizing diabetes and its complications,” “observing personal hygiene,” and “the impact of physical activity on diabetes control” were the most important educations. “Increasing patient knowledge and understanding about diabetes and its complications,” “reducing the consumption of high‐calorie foods and sugars,” and “observing personal and public health” were the most important social network's benefits, respectively. Conclusions Various self‐care educations and services provided through social networks can increase the in‐depth knowledge of diabetic patients about self‐care techniques and their effective role in controlling and managing diabetes and performing more self‐care processes.
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Affiliation(s)
- Khadijeh Moulaei
- Faculty of Management and Medical Information Sciences, Student Research Committee Kerman University of Medical Sciences Kerman Iran
| | - Zahra Dinari
- Faculty of Psychology and Educational Sciences Marvdasht University of Islamic Azad Marvdasht Iran
| | - Fatemeh Dinari
- Faculty of Management and Medical Information Sciences, Student Research Committee Kerman University of Medical Sciences Kerman Iran
| | - Yunes Jahani
- Modeling in Health Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran
| | - Kambiz Bahaadinbeigy
- Medical Informatics Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences Kerman Iran
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23
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Veiga MG, Felizi RT, Fernandes CE, Oliveira E. WhatsApp and Gynecologist-Patient Interaction: Development and Validation of a Questionnaire to Assess the Stress Perceived by the Doctor. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA : REVISTA DA FEDERACAO BRASILEIRA DAS SOCIEDADES DE GINECOLOGIA E OBSTETRICIA 2022; 44:497-502. [PMID: 35445385 PMCID: PMC9948046 DOI: 10.1055/s-0042-1744289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Construction and validation of the WhatsApp Stress Scale (WASS), a questionnaire designed for physicians that measures how the use of smartphones and related software communication applications affects the quality of life of gynecologists who use this tool to communicate with patients. METHODS The present cross-sectional observational study analyzed 60 gynecologists according to weekly WhatsApp usage time for communication with patients and compared the data with the perception of the doctor on the use of this virtual interaction as a stressor. Physicians were equally divided into three groups: < 2 hours, 2 to 5 hours, and > 5 hours. The authors created a questionnaire in Likert scale format. The study proceeded in three phases: development of the questionnaire items, pretesting, constructing, and validity and reliability testing using factor analysis, Cronbach α coefficient, and paired t-test. RESULTS A 9-item instrument using a 5-point Likert scale was created and administered to the participants in 3 different times: T0, T1 (15 minutes after the end of T0), and T2 (15 days later). All questionnaire items possessed adequate content validity indices and the internal consistency of the instrument was satisfactory (Cronbach α 0.935; 95% confidence interval [CI]: 0.744-0.989; p = 0.0001). No statistically significant differences were observed in the responses between the rounds of testing, indicating good test-retest reliability. A positive association between the high frequency of WhatsApp usage for communication with patients and the stress perceived by the doctor was shown. CONCLUSION The WASS is a valid and reliable instrument for assessing the use of messaging applications to communicate with patients as a stressor perceived by gynecologists.
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Evaluating the Presence of Hospitals on Social Media. INTERNATIONAL JOURNAL OF HEALTHCARE INFORMATION SYSTEMS AND INFORMATICS 2022. [DOI: 10.4018/ijhisi.299954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Today, adults are use social media to seek health information. Evidence suggests that hospitals using Instagram reported better patient engagement and in turn increased profit and reputation. Yet, little is known about how public and private hospitals are leveraging Instagram. This study aims to analyze the presence of hospitals on Instagram using Kuwait as a case study. Hospitals were identified using the Ministry of Health’s website and Instagram. Posts collected from 7 odd months were analyzed using the Constant Comparison method. A total of 3,439 posts were distributed across six categories: Health advice & education, operations & services, current events, hospital community, seasonal occasions, and trivia. Public and private hospitals differed in their activity on Instagram in terms of health topics covered, post categories, and interactions. Hospitals should improve their presence on Instagram to promote healthy lifestyles, augment public health campaigns, and be a source of reliable and accessible health information online.
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Yu C, Sharma N. Growth and Utilization of Radiology Instagram Accounts: Insight and Template From an Online Radiologist Educator. Acad Radiol 2022; 29:609-618. [PMID: 33750639 DOI: 10.1016/j.acra.2021.02.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 02/04/2021] [Accepted: 02/05/2021] [Indexed: 12/15/2022]
Abstract
Instagram is a rapidly growing platform with more than 1 billion monthly active users. It is increasingly becoming recognized as a tool for education in visually rich fields of medicine, being particularly suited to radiology. The purpose of this manuscript is to describe the key strategies employed by an online radiologist educator to optimally utilize and grow a radiology Instagram account. The authors hope that these insights serve as a reproducible template for radiologists seeking to explore this online platform.
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Affiliation(s)
- Chris Yu
- Western Sydney University, School of Medicine, Campbelltown, Australia.
| | - Naveen Sharma
- Department of Radiology, East and North Hertfordshire NHS Trust, Stevenage, United Kingdom, SG1 4AB
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McDonald AC, Maling A, Puttick M. Mobile data security: instant messaging in orthopaedics. ANZ J Surg 2022; 92:825-829. [PMID: 35191179 DOI: 10.1111/ans.17550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Accepted: 01/29/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Instant messaging via WhatsApp is used within hospital teams. Group messaging can lead to efficient and non-hierarchical communication. Despite being end-to-end encrypted, WhatsApp is owned by Facebook, raising concerns regarding data security. The aims of this study were: (1) to record the prevalence of WhatsApp group instant messaging amongst clinical teams; (2) to ascertain clinician attitudes towards use of instant messaging and (3) to gauge clinicians' awareness of best practice regarding mobile data protection. METHODS Over a two-week period in May 2018, clinical nurse specialists in the Auckland District Health Board Orthopaedic department retrospectively collected data from all five team WhatsApp group message threads recording quantity of messages sent and the nature of the messages. Concurrently individuals in these WhatsApp groups completed an anonymous survey of their use of WhatsApp and their awareness of local data security policies and practice. RESULTS One thousand three hundred and sixty messages were sent via WhatsApp in a two-week period. 384 (28%) of the messages contained patient identifiable data. Thirty-six photos were shared. Participants rated use of WhatsApp at 9.1/10 - extremely beneficial. Sixty-five percent of clinicians reported they had not read or were unaware of the ADHB policies regarding mobile devices and information privacy and security. CONCLUSION WhatsApp use is widespread within the Orthopaedic department and is the preferred platform of communication with many perceived benefits. Data security is a risk and implementation of appropriate guidelines to assist clinicians in achieving best practice is crucial to ensure patient data remains protected.
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Affiliation(s)
- Anna Ce McDonald
- Department of Orthopaedics, Auckland District Health Board, Auckland City Hospital, Auckland, New Zealand
| | - Alexandra Maling
- Department of Orthopaedics, Auckland District Health Board, Auckland City Hospital, Auckland, New Zealand
| | - Michael Puttick
- Department of Orthopaedics, Auckland District Health Board, Auckland City Hospital, Auckland, New Zealand
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Farsi D, Martinez-Menchaca HR, Ahmed M, Farsi N. Social Media and Health Care (Part II): Narrative Review of Social Media Use by Patients. J Med Internet Res 2022; 24:e30379. [PMID: 34994706 PMCID: PMC8783277 DOI: 10.2196/30379] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 08/25/2021] [Accepted: 11/30/2021] [Indexed: 12/15/2022] Open
Abstract
Background People are now connected in a borderless web-based world. The modern public, especially the younger generation, relies heavily on the internet as the main source of health-related information. In health care, patients can use social media for more tailored uses such as telemedicine, finding a provider, and for peer support. Objective The aim of this narrative review is to discuss how social media has been used in the health care industry from the perspective of patients and describe the main issues surrounding its use in health care. Methods Between March and June 2020, a review of the literature was conducted on PubMed, Google Scholar, and Web of Science for English studies that were published since 2007 and discussed the use of social media in health care. In addition to only English publications that discussed the use of social media by patients, publications pertaining to ethical and legal considerations in the use of social media were included. The studies were then categorized as health information, telemedicine, finding a health care provider, peer support and sharing experiences, and influencing positive health behavior. In addition, two more sections were added to the review: issues pertaining to social media use in health care and ethical considerations. Results Initially, 75 studies were included. As the study proceeded, more studies were included, and a total of 91 studies were reviewed, complemented by 1 textbook chapter and 13 web references. Approximately half of the studies were reviews. The first study was published in 2009, and the last was published in 2021, with more than half of the studies published in the last 5 years. The studies were mostly from the United States (n=40), followed by Europe (n=13), and the least from India (n=1). WhatsApp or WeChat was the most investigated social media platform. Conclusions Social media can be used by the public and patients to improve their health and knowledge. However, due diligence must be practiced to assess the credibility of the information obtained and its source. Health care providers, patients, and the public need not forget the risks associated with the use of social media. The limitations and shortcomings of the use of social media by patients should be understood.
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Affiliation(s)
- Deema Farsi
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Hector R Martinez-Menchaca
- Department of Comprehensive Dentistry, School of Dentistry, University of Louisville, Louisville, KY, United States
| | | | - Nada Farsi
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Ittefaq M, Seo H, Abwao M, Baines A. Social media use for health, cultural characteristics, and demographics: A survey of Pakistani millennials. Digit Health 2022; 8:20552076221089454. [PMID: 35401998 PMCID: PMC8990539 DOI: 10.1177/20552076221089454] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 03/07/2022] [Indexed: 11/15/2022] Open
Abstract
Objective Over the last 10 years, an extensive body of literature has been produced to
investigate the role of social media in health. However, little is known
about the impact of cultural characteristics (e.g. masculinity,
collectivism, and uncertainty avoidance) on social media use regarding
health-related information, especially in developing countries like
Pakistan. The present study employed Hofstede’s cultural characteristics
framework and uses and gratification theory to examine how Pakistani
millennials’ demographic attributes and cultural characteristics are
associated with their social media use for health-related information. Method An online survey of 722 people aged 18–35 living in Pakistan was conducted in
spring 2020 to examine the intensity and frequency of social media use,
health-related use of social media, cultural characteristics, and
demographic attributes. Results Results showed that cultural characteristics—masculinity, collectivism, and
uncertainty avoidance—are strongly related with their perceptions of social
media importance, usefulness, and perceived ease of access for
health-related information even when controlling for demographic
characteristics. Age and gender are also significantly associated with their
perspectives on social media for health. Conclusions We found that communicating and sharing information is the most important
motivation for Pakistani millennials to use social media in the area of
health with WhatsApp and YouTube being most preferred social media sites for
health-related issues.
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Affiliation(s)
- Muhammad Ittefaq
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, USA
| | - Hyunjin Seo
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, USA
| | - Mauryne Abwao
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, USA
| | - Annalise Baines
- William Allen White School of Journalism and Mass Communications, University of Kansas, Lawrence, USA
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Wal A, Khandai M, Vig H, Srivastava P, Agarwal A, Wadhwani S, Wal P. Evidence-Based Treatment, assisted by Mobile Technology to Deliver, and Evidence-Based Drugs in South Asian Countries. ARCHIVES OF PHARMACY PRACTICE 2022. [DOI: 10.51847/d5zeajvk6x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
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Bian D, Shi Y, Tang W, Li D, Han K, Shi C, Li G, Zhu F. The Influencing Factors of Nutrition and Diet Health Knowledge Dissemination Using the WeChat Official Account in Health Promotion. Front Public Health 2021; 9:775729. [PMID: 34900917 PMCID: PMC8655680 DOI: 10.3389/fpubh.2021.775729] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Accepted: 11/04/2021] [Indexed: 01/16/2023] Open
Abstract
Background: The promotion of a healthy diet via health education is a component of the “Healthy China 2030” plan. However, few studies have reported whether health knowledge about nutrition and diet has gained public attention, and whether it is needed by the public. Methods: The numbers of views, shares, and reads of articles published by the official WeChat account of a hospital in China were accessed. The influence index was obtained via the entropy analysis of these three indices. A questionnaire survey was developed based on the purpose of the study and the conclusion of the content analysis, which conducted to analyze users' requirements for health knowledge and their influencing factors. Moreover, risk factors were explored by logistic regression models. Results: Of the 103 articles considered in this study, four articles in the Top 10 were related to nutrition and diet. The influence index of nutrition and diet knowledge was found to be the highest in the content analysis (p < 0.05). The higher degrees of humor (β = 0.224, p = 0.027), nutrition and diet articles (β = 0.776, p = 0.034), and cover articles (β = 0.312, p = 0.021) have significant influences on the influence index. In total, 581 questionnaires were obtained, and 78.1% of the respondents reported believing that the health knowledge of greatest concern was that related to nutrition and diet. Multivariate logistic regression analyses were conducted to explore the associations between the features of the articles and users reading nutrition and diet knowledge; it was found that gender (female, OR: 4.651, 95%Cl: 2.598, 8.325, and p < 0.001), age (young adult, OR: 0.358, 95%Cl: 0.266, 0.481, and p < 0.001), cancer precaution knowledge (OR: 4.333, 95%Cl: 2.262, 8.299, and p < 0.001), traditional Chinese medicine (OR: 2.121, 95%Cl: 1.064, 4.230, and p = 0.033), the knowledge acquisition approach [circle of friends (OR: 2.586, 95%Cl: 1.373, 4.868, and p = 0.003), social media (OR: 2.183, 95%Cl: 1.204, 3.960, and p = 0.010)), hospitals (OR: 3.194, 95%Cl: 1.793, 5.692, and p < 0.001), television media (OR: 4.348, 95%Cl: 2.341, 8.077, and p < 0.001)], and social media strategies [professionalism and authority (OR: 2.354, 95%Cl: 1.231, 4.505, and p = 0.006)] have statistically significant relationships with users reading nutrition and diet knowledge. Conclusion: Nutrition and diet knowledge could contribute to WeChat user engagement of health information dissemination. Nutrition professionals should improve the scientific popularization ability and effectively use social media for health promotion.
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Affiliation(s)
- Dongsheng Bian
- Department of Clinical Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.,School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yongmei Shi
- Department of Clinical Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wenjia Tang
- Department of Hospital Publicity, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Dong Li
- Department of Hospital Publicity, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Kangni Han
- Department of Hospital Publicity, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Chenshu Shi
- Center for Health Technology Assessment, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, China
| | - Guohong Li
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Fan Zhu
- Department of Hospital Publicity, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Giordano V, Kojima KE, Valderrama-Molina CO, Azi ML, Bidolegui F, Pires RE. Adapting non-medical applications for medical use: Ethical limits, coverage, and validation. Injury 2021:S0020-1383(21)01003-2. [PMID: 34920873 DOI: 10.1016/j.injury.2021.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Accepted: 12/04/2021] [Indexed: 02/02/2023]
Abstract
The widespread adoption of smartphones and other mobile devices amongst healthcare providers opened new possibilities arising from the use of non-medical apps, social media, meeting platforms, and non-medical devices with intended medical purposes, thus expanding the communication and imaging chat systems between these professionals and their patients, as well as amongst healthcare professionals. However, adapting non-medical applications, social media, videoconference platforms and devices for medical use present potential limitations, barriers, and risks, which should be fully recognized to reduce crossing the fine line between ethical and unethical. In the herein study, we analyse the ethical limits, coverage, and validation of non-medical applications adapted for medical use. Level of evidence: IV (evidence from well-designed case-control or cohort studies).
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Affiliation(s)
- Vincenzo Giordano
- Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil; Clínica São Vicente, Rede D'or São Luiz, Rio de Janeiro, Brazil.
| | - Kodi Edson Kojima
- Trauma Service, Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil
| | | | - Matheus Lemos Azi
- Manoel Victorino Hospital, Secretary of Health for the State of Bahia Conselheiro Almeida Couto square S/N, 40050-410, Salvador, Bahia, Brazil
| | - Fernando Bidolegui
- Departamento de Ortopedia y Traumatologia, Hospital Sirio Libanes, Buenos Aires, Argentina
| | - Robinson Esteves Pires
- Departamento de Ortopedia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
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Serious information in hedonic social applications: affordances, self-determination and health information adoption in TikTok. JOURNAL OF DOCUMENTATION 2021. [DOI: 10.1108/jd-08-2021-0158] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
PurposeHedonic social applications have been increasingly popular among health information consumers. However, it remains unclear what motivates consumers to adopt health information in hedonic applications when they have alternative choices of more formal health information sources. Building on the self-determination theory and the affordances lens, this study aims to investigate how different affordances on hedonic social applications affect consumers' basic psychological needs and further influence their intention to adopt health information on such applications.Design/methodology/approachAs TikTok demonstrated great potential in disseminating health information, we developed a model that we analyze using the PLS-SEM technique with data collected from a valid research sample of 384 respondents with health information seeking or encountering experience in TikTok.FindingsThe results suggested that health information adoption in hedonic social applications is significantly predicted by the satisfaction of consumers' basic psychological needs, namely autonomy, relatedness and competence. Moreover, the satisfaction of basic psychological needs is positively affected by affordances provided by the hedonic social applications. The hedonic affordances positively influence autonomy satisfaction, while the connective affordances positively affect relatedness satisfaction, and the utilitarian affordances positively support competence satisfaction.Originality/valueThe study indicates that hedonic social applications such as TikTok could be an important channel for consumers to access and adopt health information. The study contributes to the literature by proposing a theoretical model that explains consumers' health information adoption and yields practical implications for designers and service providers of hedonic social applications.
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Anderson E, Koss M, Castro Luque AL, Garcia D, Lopez E, Ernst K. WhatsApp-Based Focus Groups Among Mexican-Origin Women in Zika Risk Area: Feasibility, Acceptability, and Data Quality. JMIR Form Res 2021; 5:e20970. [PMID: 34709185 PMCID: PMC8587330 DOI: 10.2196/20970] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 11/23/2020] [Accepted: 05/31/2021] [Indexed: 11/26/2022] Open
Abstract
Background Despite unprecedented advances in worldwide access to the internet via smartphones, barriers to engaging hard-to-reach populations remain in many methods of health research. A potential avenue for conducting qualitative research is via participatory web-based media, including the free, popular social platform WhatsApp. However, despite the clear advantages of engaging with participants over a well-established web-based platform, logistical challenges remain. Objective This study aims to report evidence on the feasibility and acceptability of WhatsApp as a method to conduct focus groups. Methods A pilot focus group was conducted with Spanish-speaking women near the US–Mexico border. The content focus was knowledge and perceived risks for exposure to the Zika virus during pregnancy. Results Evidence was obtained regarding WhatsApp as a low-cost, logistically feasible methodology that resulted in rich qualitative data from a population that is often reticent to engage in traditional research. A total of 5 participants participated in a focus group, of whom all 5 consistently contributed to the focus group chat in WhatsApp, which was conducted over 3 consecutive days. Conclusions The findings are noteworthy at a time when face-to-face focus groups, the gold standard, are risky or precluded by safe COVID-19 guidelines. Other implications include more applications and evaluations of WhatsApp for delivering one-on-one or group health education interventions on sensitive topics. This paper outlines the key steps and considerations for the replication or adaptation of methods.
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Affiliation(s)
- Elizabeth Anderson
- Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, United States.,International Center for Research on Women, Washington, DC, United States
| | - Mary Koss
- Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, United States
| | | | - David Garcia
- Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, United States
| | - Elise Lopez
- Department of Health Promotion Sciences, University of Arizona, Tucson, AZ, United States
| | - Kacey Ernst
- Department of Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, United States
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Cangelosi J, Damron T, Ranelli E. Preventive health care information and social media: Consumer preferences. Health Mark Q 2021; 38:270-286. [PMID: 34672896 DOI: 10.1080/07359683.2021.1989745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The dissemination of preventive health care information (PHCI) can create social and economic value. Enhanced communication of health information depends upon the identification of effective channels and user preferences. Recognizing consumers find the internet and, increasingly, social media sites (Facebook and YouTube) to be important sources of PHCI, this research analyzed questionnaire responses from U.S. adults to identify the social media sites (SMSs), communication preferences, and sources consumers prefer when obtaining PHCI via social media.
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Affiliation(s)
| | - Terry Damron
- Austin Peay State University, Clarksville, TN, USA
| | - Ed Ranelli
- University of West Florida, Pensacola, FL, USA
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35
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Botelho F, Truché P, Caddell L, de Campos Vieira Abib S, Bowder AN, Faria I, Zimmerman K, Alonso N, de Caux M, Bentes A, Buda A, Roa L, Mooney DP. Implementation of a checklist to improve pediatric trauma assessment quality in a Brazilian hospital. Pediatr Surg Int 2021; 37:1339-1348. [PMID: 34128087 DOI: 10.1007/s00383-021-04941-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/31/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Trauma is the leading cause of death among children and adolescents in Brazil. Measurement of quality of care is important, as well as interventions that will help optimize treatment. We aimed to evaluate adherence to standardized trauma care following the introduction of a checklist in one of the busiest Latin American trauma centers. MATERIAL AND METHODS A prospective, non-randomized interventional trial was conducted. Assessment of children younger than age 15 was performed before and after the introduction of a checklist for trauma primary survey assessment. Over the study period, each trauma primary survey was observed and adherence to each step of a standardized primary assessment protocol was recorded. Clinical outcomes including mortality, admission to pediatric intensive-care units, use of blood products, mechanical ventilation, and number of CT scans in the first 24 h were also assessed. RESULTS A total of 80 patients were observed (39 pre-intervention and 41 post-intervention). No statistically significant differences were observed between the pre- and post-intervention groups in regard to adherence to checklist by specialty (57.7% versus 50.5%, p = 0.115) and outcomes. No mortality was observed. CONCLUSION In our trauma center, the quality of the adherence to standardized trauma assessment protocols is poor among both surgical and non-surgical providers. The quality of this assessment did not improve after the introduction of a checklist. Further work aimed at organizing the approach to pediatric trauma including triage and trauma education specifically for pediatric providers is needed.
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Affiliation(s)
- Fabio Botelho
- Departamento de Cirurgia Pediátrica, Hospital das Clínicas, Universidade Federal de Minas Gerais, Av Alfredo Balena 110, 6 Oeste, Belo Horizonte, MG, Brazil. .,Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, Montreal, Canada.
| | - Paul Truché
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA
| | - Luke Caddell
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA
| | | | - Alexis N Bowder
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA
| | - Isabella Faria
- Departamento de Cirurgia Pediátrica, Hospital das Clínicas, Universidade Federal de Minas Gerais, Av Alfredo Balena 110, 6 Oeste, Belo Horizonte, MG, Brazil
| | - Kathrin Zimmerman
- Departamento de Cirurgia Pediátrica, Hospital das Clínicas, Universidade Federal de Minas Gerais, Av Alfredo Balena 110, 6 Oeste, Belo Horizonte, MG, Brazil
| | - Nivaldo Alonso
- Departamento de Cirurgia Plastica, Universidade de São Paulo, São Paulo, Brazil
| | - Mariana de Caux
- Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
| | - Aline Bentes
- Fundação Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil
| | - Alexandra Buda
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA
| | - Lina Roa
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA
| | - David P Mooney
- Program in Global Surgery and Social Change, Harvard Medical School, Boston, USA
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Abstract
BACKGROUND Patients, parents, and carers are increasingly using social media to access and contribute to health information. There are currently 3.484 billion active social media users. Instagram is a primarily visual social media platform for sharing photographs and videos with currently over one billion monthly active users. Limited research has investigated the use of Instagram in healthcare contexts including plastic surgery, and in the treatment of specific conditions, such as fibromyalgia and scoliosis. This study aimed to investigate the use of Instagram in relation to craniofacial surgery. METHODS The authors investigated the use of 12 Instagram craniofacial surgery-related hashtags. Quantitative and qualitative data were collected for each of the "top" nine posts associated with each hashtag. Duplicate posts, posts not in English and those not relevant to craniofacial surgery were excluded.Thematic analysis was then used to qualitatively evaluate the captions and comments of each of the nine "top" posts associated with each hashtag. RESULTS A total number of 151,738 posts were identified using the 12 hashtags queried in the present study, with #craniofacial being the most popular hashtag (87% of posts). Parents (n = 25, 33%) and surgeons (n = 25, 33%) were responsible for the majority of posts. A heterogenous group were responsible for the remaining 34% of posts.Results indicated that parents and surgeons posted significantly different images (chi-squared with Yates correlation is 25.0519, P < 0.00001). Parents' posts were predominantly images of their child/patients (n = 24) compared to posts about patients by surgeons (n = 6). Posts by surgeons were predominantly images of professionals (n = 14) compared to images of professionals posted by parents (n = 1).Results of qualitative analysis of captions of posts indicated a significant difference in themes that emerged between parents and surgeons; with surgeons largely using Instagram for information giving, and parents for sharing of experiences (chi-square (n = 108) = 40.83, P < 0.00001).There was a significant difference (two-tailed t test, P = 0.002) in engagement (measured by the number of likes on posts) on posts by parents (mean = 3778) compared to posts by surgeons (mean = 135.4). CONCLUSIONS Results indicate that craniofacial-surgery related posts on Instagram provide a medium to allow individuals and families with rare disorders to connect and share their experiences. The use of Instagram to share information about craniofacial abnormalities via Instagram has the potential to be used by healthcare professionals to educate and support patients and families.
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Walsh-Buhi E, Houghton RF, Lange C, Hockensmith R, Ferrand J, Martinez L. Pre-exposure Prophylaxis (PrEP) Information on Instagram: Content Analysis. JMIR Public Health Surveill 2021; 7:e23876. [PMID: 34061759 PMCID: PMC8367150 DOI: 10.2196/23876] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 11/12/2020] [Accepted: 05/29/2021] [Indexed: 01/19/2023] Open
Abstract
Background There is still an HIV epidemic in the United States, which is a substantial issue for populations bearing a disproportionate burden of HIV infections. Daily oral pre-exposure prophylaxis (PrEP) has proven to be safe and effective in reducing HIV acquisition risk. However, studies document that PrEP awareness/usage is low. There is also limited understanding of social media platforms, such as Instagram, as PrEP information sources. Objective Given the paucity of research on PrEP-related Instagram posts and popularity of this social media platform, the purpose of this research is to describe the source characteristics, image types, and textual contents of PrEP-related posts on Instagram. Methods Using Crowdtangle Search, a public insights tool owned/operated by Facebook, we retrieved publicly accessible and English-language-only Instagram posts for the 12-month period preceding April 22, 2020, using the following terms: Truvada or “pre-exposure prophylaxis” or #truvada or #truvadaprep or #truvadawhore or #truvadaforprep. We employed a qualitative coding methodology to manually extract information from posts. Using a pretested codebook, we performed content analysis on 250 posts, examining message and source characteristics (ie, organization type [eg, government, news] and individual type [eg, physician]), including information about PrEP (eg, how it works, cost), and indicated users. Frequencies and percentages were calculated for all categorical variables. A Chi-square test was conducted to determine differences between source types on a variety of message characteristics. Results Three-quarters of the posts (193/250, 77.2%) were posted by organizations. Of the 250 posts reviewed, approximately two-thirds (174/250, 69.6%) included a photograph, more than half (142/250, 56.8%) included an infographic, and approximately one-tenth (30/250, 12%) included a video. More than half defined PrEP (137/250, 54.8%), but fewer posts promoted PrEP use, explained how PrEP works, and included information on the effectiveness of PrEP or who can use it. The most commonly hashtagged populations among posts were men who have sex with men (MSM), but not necessarily bisexual men. Few posts contained race-/ethnicity-related hashtags (11/250, 4.4%). Fewer posts contained transgender-associated tags (eg, #transgirl; 5/250, 2%). No posts contained tags related to heterosexuals or injection drug users. We found statistical differences between source types (ie, individual versus organization). Specifically, posts from organizations more frequently contained information about who can use PrEP, whereas posts from individuals more frequently contained information describing adverse effects. Conclusions This study is among the first to review Instagram for PrEP-related content, and it answers the National AIDS Strategy’s call for a clearer articulation of the science surrounding HIV risk/prevention through better understanding of the current public information environment. This study offers a snapshot of how PrEP is being discussed (and by whom) on one of the most popular social media platforms and provides a foundation for developing and implementing PrEP promotion interventions on Instagram.
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Affiliation(s)
- Eric Walsh-Buhi
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Rebecca Fagen Houghton
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Claire Lange
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Ryli Hockensmith
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - John Ferrand
- Department of Applied Health Science, Indiana University School of Public Health-Bloomington, Bloomington, IN, United States
| | - Lourdes Martinez
- School of Communication, San Diego State University, San Diego, CA, United States
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de Gruchy T, Vearey J, Opiti C, Mlotshwa L, Manji K, Hanefeld J. Research on the move: exploring WhatsApp as a tool for understanding the intersections between migration, mobility, health and gender in South Africa. Global Health 2021; 17:71. [PMID: 34210311 PMCID: PMC8248753 DOI: 10.1186/s12992-021-00727-y] [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: 08/24/2020] [Accepted: 06/18/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Reflecting global norms, South Africa is associated with high levels of cross-border and internal population mobility, yet migration-aware health system responses are lacking. Existing literature highlights three methodological challenges limiting the development of evidence-informed responses to migration and health: (1) lack of engagement with the process of migration; (2) exclusion of internal migrants; and (3) lack of methodologies that are able to capture 'real-time' data about health needs and healthcare seeking experiences over both time and place. In this paper, we reflect on a four-month pilot project which explored the use of WhatsApp Messenger - a popular mobile phone application used widely in sub-Saharan Africa - and assessed its feasibility as a research tool with migrant and mobile populations in order to inform a larger study that would address these challenges. METHOD A four-month pilot was undertaken with eleven participants between October 2019 and January 2020. Using Survey Node, an online platform that allows for the automatic administration of surveys through WhatsApp, monthly surveys were administered. The GPS coordinates of participants were also obtained. Recruited through civil society partners in Gauteng, participants were over the age of 18, comfortable engaging in English, and owned WhatsApp compatible cell phones. Enrolment involved an administered survey and training participants in the study protocol. Participants received reimbursement for their travel costs and monthly cell phone data. RESULTS Out of a possible eighty eight survey and location responses, sixty one were received. In general, participants responded consistently to the monthly surveys and shared their location when prompted. Survey Node proved an efficient and effective way to administer surveys through WhatsApp. Location sharing via WhatsApp proved cumbersome and led to the development of a secure platform through which participants could share their location. Ethical concerns about data sharing over WhatsApp were addressed. CONCLUSIONS The success of the pilot indicates that WhatsApp can be used as a tool for data collection with migrant and mobile populations, and has informed the finalisation of the main study. Key lessons learnt included the importance of research design and processes for participant enrolment, and ensuring that the ethical concerns associated with WhatsApp are addressed.
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Affiliation(s)
- Thea de Gruchy
- The African Centre for Migration & Society (ACMS), University of the Witwatersrand, Johannesburg, South Africa.
| | - Jo Vearey
- The African Centre for Migration & Society (ACMS), University of the Witwatersrand, Johannesburg, South Africa.,School of Social and Political Studies, University of Edinburgh, Edinburgh, Scotland
| | - Calvin Opiti
- Opiti Consulting, Pretoria, South Africa.,Department of Geography, University of the Witwatersrand, Johannesburg, South Africa
| | - Langelihle Mlotshwa
- The African Centre for Migration & Society (ACMS), University of the Witwatersrand, Johannesburg, South Africa
| | - Karima Manji
- London School of Hygiene & Tropical Medicine (LSHTM), London, England
| | - Johanna Hanefeld
- London School of Hygiene & Tropical Medicine (LSHTM), London, England
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Alfian R, Athiyah U, Nita Y. Social media health interventions to improve diabetes mellitus patient outcome: a systematic review. J Basic Clin Physiol Pharmacol 2021; 32:297-304. [PMID: 34214330 DOI: 10.1515/jbcpp-2020-0501] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Accepted: 02/05/2021] [Indexed: 01/01/2023]
Abstract
OBJECTIVES The use of modern technology and social media has revolutionized the way health information is distributed to diabetes mellitus patients. Social media can be used as a medium of providing health interventions to improve patient health outcomes. Social media is able to provide a more intensive communication facility between healthcare professionals and patients. We aim to systematically review and describe the effect of social media interventions on health outcomes of patients with diabetes mellitus. METHODS A systematic review was carried out from three electronic databases (Pubmed, Scopus, and Medline). Eligible publications are studies that describe the application of social media interventions on the health outcomes of patients with diabetes mellitus. RESULTS Fourteen studies were selected for this systematic review, 10 studies with a randomized controlled trial design, and 4 studies with a nonrandomized controlled trial design. Six studies only used interventions using social media, A blend of face-to-face social media intervention was used in 6 studies, 2 studies used a combination of telephone and social media intervention. One study had treatment behavior outcomes with improvement in treatment behavior, 6 studies had clinical outcomes (an improvement in HbA1c values in the four studies), 6 studies had treatment behavior outcomes and clinical outcomes (1 study had improved treatment behavior and clinical outcomes, 3 studies had improved treatment behavior outcome only), and 1 study had medication adherence outcome (no improvement in medication adherence). CONCLUSIONS These findings indicate that the intervention using social media can improve the health outcomes of diabetes mellitus patients.
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Affiliation(s)
- Riza Alfian
- Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin, Banjarmasin, Indonesia.,Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia
| | - Umi Athiyah
- Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia
| | - Yunita Nita
- Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia
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Wadhwa V, Raichandani S, Vilanilam GK, Van Tassel D, Jorgensen S, Wong K. Establishing an Online Educational Teaching File on Instagram for an Academic Radiology Department: Proof-of-Concept. Acad Radiol 2021; 28:711-717. [PMID: 32773329 DOI: 10.1016/j.acra.2020.06.031] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 06/12/2020] [Accepted: 06/13/2020] [Indexed: 02/03/2023]
Abstract
Instagram is a powerful social media platform, which can serve as the ideal educational companion app for a visually rich discipline such as Radiology. Instagram facilitates easy content creation allowing for educators to utilize this resource for easy and rapid dissemination of educational content. The authors describe their experience of creating an online publicly available radiology teaching file on Instagram as a proof-of-concept, to help other individuals and institutions in leveraging social media to create and share quality educational content for current and future trainees.
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Moraes RR, Correa MB, Daneris Â, Queiroz AB, Lopes JP, Lima GS, Cenci MS, D'Avila OP, Pannuti CM, Pereira-Cenci T, Demarco FF. Email Vs. Instagram Recruitment Strategies For Online Survey Research. Braz Dent J 2021; 32:67-77. [PMID: 33914005 DOI: 10.1590/0103-6440202104291] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 03/05/2021] [Indexed: 11/21/2022] Open
Abstract
In this study, we describe a method for reaching a target population (i.e., dentists practicing in Brazil) to engage in survey research using traditional e-mail invites and recruitment campaigns created on Instagram. This study addresses methodological aspects and compares respondents reached by different methods. A pre-tested questionnaire was used and participants were recruited for 10 days via a source list of email addresses and two discrete Instagram organic open campaigns. A total of 3,122 responses were collected: 509 participants were recruited by email (2.1% response rate) and 2,613 by the two Instagram campaigns (20.7% and 11.7% conversion rates), respectively. Response/min collection rates in the first 24 h ranged between 0.23 (email) and 1.09 (first campaign). In total, 98.8% of all responses were received in the first 48 h for the different recruitment strategies. There were significant differences for all demographic variables (p< 0.001) between email and Instagram respondents, except for sex (p=0.37). Instagram respondents were slightly older, had more professional experience (years in practice), and a higher graduate education level than email respondents. Moreover, most email and Instagram respondents worked in the public sector and private practice, respectively. Although both strategies could collect responses from all Brazilian regions, email responses were slightly better distributed across the five territorial areas compared to Instagram. This study provides evidence that survey recruitment of a diverse, large population sample using Instagram is feasible. However, combination of email and Instagram recruitment led to a more diverse population and improved response rates.
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Affiliation(s)
- Rafael R Moraes
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Marcos B Correa
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Ândrea Daneris
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Ana B Queiroz
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - João P Lopes
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Giana S Lima
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Maximiliano S Cenci
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Otávio P D'Avila
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - Claudio M Pannuti
- School of Dentistry, USP - University of São Paulo, São Paulo, SP, Brazil
| | | | - Flávio F Demarco
- School of Dentistry, UFPEL - Universidade Federal de Pelotas, Pelotas, RS, Brazil
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Nguyen VH, Lyden ER, Yoachim SD. Using Instagram as a tool to enhance anatomy learning at two US dental schools. J Dent Educ 2021; 85:1525-1535. [PMID: 33913160 DOI: 10.1002/jdd.12631] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 03/17/2021] [Accepted: 04/14/2021] [Indexed: 01/22/2023]
Abstract
Although growing evidence supports the inclusion of social media in education, no studies to date have investigated the potential role of Instagram in anatomy education for dental students. Anatomists at University of Texas School of Dentistry (UTSD) and University of Nebraska Medical Center (UNMC) College of Dentistry created unique Instagram pages supplemental to traditional pedagogy, aiming to provide easily-accessible, interactive content for our tech-savvy students. The aim of this study was to evaluate students' perspectives of the use of social media in education and their respective professor's Instagram page. In the fall of 2020, 170 students (86 from UTSD and 84 from UNMC) voluntarily participated in a survey via Qualtrics. The majority of respondents (85.1%) had seven or more years of experience with social media, and 96.9% of students reported using social media as a source of information with 92.5% using for educational purposes. All students agreed that their respective professor's page has been helpful for anatomy study and review, added to their understanding of anatomy, is convenient, engaging, and professional. While consistent themes emerged between cohorts, UNMC students had a higher level of agreement regarding their page's added relevance to learning in the class/clinic (p = 0.0016), while UTSD students reported feeling more comfortable asking their professor questions through Instagram (p = 0.015). Among all variables, female students and Generation Z students responded more favorably than male or Generation Y counterparts. Here, the authors describe benefits and considerations for others interested in using Instagram as an educational tool.
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Affiliation(s)
- Vuvi H Nguyen
- Department of Diagnostic and Biomedical Sciences, University of Texas School of Dentistry, Houston, Texas, USA
| | - Elizabeth R Lyden
- Department of Biostatistics, University of Nebraska Medical Center College of Public Health, Omaha, Nebraska, USA
| | - Shayla D Yoachim
- Department of Oral Biology, University of Nebraska Medical Center College of Dentistry, Lincoln, Nebraska, USA
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Farsi D. Social Media and Health Care, Part I: Literature Review of Social Media Use by Health Care Providers. J Med Internet Res 2021; 23:e23205. [PMID: 33664014 PMCID: PMC8056296 DOI: 10.2196/23205] [Citation(s) in RCA: 57] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/05/2020] [Accepted: 03/04/2021] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND As the world continues to advance technologically, social media (SM) is becoming an essential part of billions of people's lives worldwide and is affecting almost every industry imaginable. As the world is becoming more digitally oriented, the health care industry is increasingly visualizing SM as an important channel for health care promotion, employment, recruiting new patients, marketing for health care providers (HCPs), building a better brand name, etc. HCPs are bound to ethical principles toward their colleagues, patients, and the public in the digital world as much as in the real world. OBJECTIVE This review aims to shed light on SM use worldwide and to discuss how it has been used as an essential tool in the health care industry from the perspective of HCPs. METHODS A literature review was conducted between March and April 2020 using MEDLINE, PubMed, Google Scholar, and Web of Science for all English-language medical studies that were published since 2007 and discussed SM use in any form for health care. Studies that were not in English, whose full text was not accessible, or that investigated patients' perspectives were excluded from this part, as were reviews pertaining to ethical and legal considerations in SM use. RESULTS The initial search yielded 83 studies. More studies were included from article references, and a total of 158 studies were reviewed. SM uses were best categorized as health promotion, career development or practice promotion, recruitment, professional networking or destressing, medical education, telemedicine, scientific research, influencing health behavior, and public health care issues. CONCLUSIONS Multidimensional health care, including the pairing of health care with SM and other forms of communication, has been shown to be very successful. Striking the right balance between digital and traditional health care is important.
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Affiliation(s)
- Deema Farsi
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Anderson EJ, Ernst K, Garcia DO, Lopez E, Pogreba Brown K, Austhof E, Carr McCuin D, Hayden MH, Koss MP. Knowledge of Sexual Transmission of Zika Virus Among Women Who Are Pregnant or Intend to Become Pregnant, Arizona, 2017. Public Health Rep 2021; 137:488-497. [PMID: 33798396 PMCID: PMC9109529 DOI: 10.1177/00333549211006986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES Levels of knowledge about the sexual transmission of Zika virus are consistently low in populations at risk of a mosquito-borne outbreak, including among women of childbearing age and women who are pregnant or intend to become pregnant. We investigated the effectiveness of sources of public health messaging about sexual transmission to women who are pregnant or intend to become pregnant in Arizona. METHODS In 2017, we conducted an Arizona-statewide survey 15 months after the initial release of US guidelines on sexual transmission of Zika virus. We used Poisson regression, adjusting for demographic factors, to estimate the likelihood among women who were pregnant or intended to become pregnant of knowing that Zika virus is sexually transmitted relative to other women of childbearing age. We used multinomial logistic regression models to explore associations with most used health information sources, either in person (eg, medical providers) or online (eg, Facebook), categorized by extent of dependability. RESULTS Women who were pregnant or intended to become pregnant had similarly poor knowledge of the sexual transmission of Zika virus as compared with other women of childbearing age (adjusted prevalence ratio = 1.14 [95% CI, 0.83-1.55]). Only about one-third of all respondents reported knowledge of sexual transmission. Reliance on high- vs low-dependability information sources, whether in person or online, did not predict the extent of Zika virus knowledge among women who were pregnant or intended to become pregnant. CONCLUSION As late as the second year of local Zika virus transmission in the United States, in 2017, women in Arizona were not receiving sufficient information about sexual transmission, even though it was available. To prepare for possible future outbreaks, research should explore which aspects of Zika information campaigns were ineffective or inefficient.
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Affiliation(s)
- Elizabeth J Anderson
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.,10969 International Center for Research on Women, Washington, DC, USA
| | - Kacey Ernst
- 10969 International Center for Research on Women, Washington, DC, USA
| | - David O Garcia
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Elise Lopez
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Kristen Pogreba Brown
- 8041 Department of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Erika Austhof
- College of Public Health, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Dametreea Carr McCuin
- 8041 Department of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
| | - Mary H Hayden
- 14676 National Institute for Human Resilience, University of Colorado, Colorado Springs, CO, USA
| | - Mary P Koss
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
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Hossain I, Mugoya I, Muchai L, Krudwig K, Davis N, Shimp L, Richart V. Blended Learning Using Peer Mentoring and WhatsApp for Building Capacity of Health Workers for Strengthening Immunization Services in Kenya. GLOBAL HEALTH: SCIENCE AND PRACTICE 2021; 9:201-215. [PMID: 33795370 PMCID: PMC8087436 DOI: 10.9745/ghsp-d-20-00421] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 02/12/2021] [Indexed: 11/18/2022]
Abstract
Innovative learning strategies are needed to improve frontline health workers' skills for achieving immunization coverage goals—now even more important with COVID-19. Peer mentoring and WhatsApp networking are low-cost and useful blended learning methods for need-based and individualized capacity building of health workers for improving immunization services that don't disrupt the health care workers' regular work. Evidence from available studies suggests that peer mentoring is a useful tool to build health workers' knowledge, skills, and practices. However, there is a dearth of research on use of this method of learning in immunization programs. Although WhatsApp has been used as a networking platform among health care professionals, there is limited research on its potential contribution to improving the immunization competencies of health workers. This study showed that peer mentoring and WhatsApp networking are useful blended learning methods for need-based and individualized capacity building of health workers providing immunization services. Future research to assess the comparative cost-benefit between classroom-based training and peer mentoring (along with WhatsApp networking) will be useful.
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Affiliation(s)
- Iqbal Hossain
- Immunization Center, JSI Research and Training Institute, Inc., Arlington, VA, USA.
| | - Isaac Mugoya
- JSI Research and Training Institute, Inc., Nairobi, Kenya
| | - Lilian Muchai
- JSI Research and Training Institute, Inc., Nairobi, Kenya
| | - Kirstin Krudwig
- Immunization Center, JSI Research and Training Institute, Inc., Arlington, VA, USA
| | - Nicole Davis
- Center for Health Information, Monitoring and Evaluation, JSI Research and Training Institute, Inc., Arlington, VA, USA
| | - Lora Shimp
- Immunization Center, JSI Research and Training Institute, Inc., Arlington, VA, USA
| | - Vanessa Richart
- Immunization Center, JSI Research and Training Institute, Inc., Arlington, VA, USA
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Digital Educational Support Groups Administered through WhatsApp Messenger Improve Health-Related Knowledge and Health Behaviors of New Adolescent Mothers in the Dominican Republic: A Multi-Method Study. INFORMATICS (MDPI) 2021; 7. [PMID: 33747831 PMCID: PMC7971517 DOI: 10.3390/informatics7040051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: In limited-resource settings such as the Dominican Republic, many factors contribute to poor health outcomes experienced by adolescent mothers, including insufficient support and/or health knowledge. In response, we designed a digital educational support group, administered through WhatsApp Messenger, for new adolescent mothers. The purpose of this study was to assess if participation in this digital support group could improve health outcomes and health behaviors. Methods: Participants completed questionnaires with a health literacy screener, demographic items, knowledge questions, the Index of Autonomous Functioning, and five Patient Reported Outcomes Measurement Information System scales before and after the moderator-led intervention. Differences between pre- and post-intervention scores were calculated and perceptions of the intervention were explored through in-depth interviews analyzed with content analysis. Participants’ well-baby visit attendance and contraceptive use were compared to that of controls and a national sample. Results: Participants’ (N = 58) knowledge scores increased (p < 0.05). Participants were 6.58 times more likely to attend well-baby visits than controls (95% CI: 2.23–19.4) and their contraceptive use was higher than that of the national sample (p < 0.05). Participants indicated the intervention was enjoyable and beneficial. Conclusion: This adolescent-centered digital intervention is a promising method to improve health outcomes and health behaviors of young mothers in limited-resource settings.
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Scott RE, Morris C, Mars M. Development of a "Cellphone Stewardship Framework": Legal, Regulatory, and Ethical Issues. Telemed J E Health 2021; 27:316-322. [PMID: 32460692 PMCID: PMC7958990 DOI: 10.1089/tmj.2020.0048] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 03/24/2020] [Accepted: 03/24/2020] [Indexed: 10/24/2022] Open
Abstract
Introduction: Use of mobile devices within the health care sector has become commonplace in most developed countries, and increasingly common in developing countries. Such technological innovations have outpaced the necessary awareness and understanding of the spectrum of issues that ensure appropriate use of these innovations. The term "stewardship" has been defined and is applied to the appropriate care and use of cellphones by health care providers. Aim: To examine cellphone stewardship issues, and develop a simple framework by which to categorize these issues, using clinical WhatsApp® (WhatsApp Inc., Menlo Park, CA) use as the exemplar. Methods: Nine electronic databases were searched (January 2019) for articles on WhatsApp in clinical service. Inclusion criteria were article was in English, reported on WhatsApp use or potential use in clinical practice, and identified cellphone stewardship issues. Results: Of 590 articles related to WhatsApp use in clinical practice, 167 potentially addressed some form of stewardship issue. After further review of full-text articles, 13 met the inclusion criteria, addressing specific issues related to cellphone stewardship, as defined. Articles were from nine countries (six developing and seven developed economies). Cellphone stewardship issues were abstracted and categorized into legal, regulatory, and ethical aspects, leading to development of the Cellphone Stewardship Framework for Health Care Providers (CSF-HCP). Conclusion: The CSF-HCP facilitates informed and structured debate around this topic, and encourages application of the term "cellphone stewardship" to describe and encompass the diverse legal, regulatory, and ethical issues requiring debate, resolution, and routine practice to ensure appropriate use of cellphones, and other mobile devices, by health care practitioners.
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Affiliation(s)
- Richard E. Scott
- Department of Telehealth, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Department of Community Health Sciences, University of Calgary, Calgary, Canada
- NT Consulting–Global e-Health, Inc., Calgary, Canada
| | - Christopher Morris
- Department of Telehealth, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Maurice Mars
- Department of Telehealth, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
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Martínez-Comeche JA, Ruthven I. Informational features of WhatsApp in everyday life in Madrid: An exploratory study. J Inf Sci 2021. [DOI: 10.1177/0165551521990612] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
WhatsApp is one of the most used social media tools, but little is known about its use for everyday purposes. In this study, the informational features of WhatsApp in everyday life in Madrid are analysed through 30 semi-structured interviews, resulting in an informational typology of the messages, a description of the informational purposes of WhatsApp use and descriptions of the social use of WhatsApp. We conclude that WhatsApp allows us to deepen our understanding of the informational habits of people in everyday life.
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Affiliation(s)
- Juan-Antonio Martínez-Comeche
- Department of Library and Information Sciences, Faculty of Library and Information Sciences, University Complutense, Madrid, Spain
| | - Ian Ruthven
- Department of Computer and Information Sciences, University of Strathclyde, Glasgow, Scotland
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Mohamed IN, Elseed MA. Utility of WhatsApp in healthcare provision and sharing of medical information with caregivers of children with neurodisabilties: experience from Sudan. Sudan J Paediatr 2021; 21:48-52. [PMID: 33879943 DOI: 10.24911/sjp.106-1596913564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The authors used smart phones and its WhatsApp application, as a means of communication among the team members and caregivers for children with neurodisabilities, for patient consultations and medical information sharing as they are faced by an increasing number of patients coming from all over Sudan. The group included 256 mothers (caregivers) of children with neurodisabilities. The caregivers (mostly mothers) were asked to fill in a simple survey to get a feedback regarding the service offered in the WhatsApp group after taking their permission. The main aim of this study is to determine the usefulness of WhatsApp application as a means of communication between neurology team members and caregivers for children with neurodisabilities. Two hundred and forty-two caregivers responded (94.5%). All caregivers think that there is a great benefit from the group in locating the whereabouts of some unattainable/out of stock drugs. Two hundred and forty (99.1%) caregivers think that questions posed in the group are promptly and timely answered; the consultation offered is beneficial and minimises the need to go to hospital or seek a doctor's appointment. In addition, they think that they benefit from the new acquaintance and communication with mothers whose children suffer from similar conditions, which positively impacted their spirits and had a favourable effect psychologically. Using WhatsApp can solve the problems of shortage in neurology service in remote areas in resource limited countries.
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Affiliation(s)
- Inaam N Mohamed
- Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, Sudan.,Neurology Unit, Gaafar Ibnauf Specialized Children's Hospital, Khartoum, Sudan
| | - Maha A Elseed
- Department of Paediatrics and Child Health, Faculty of Medicine, University of Khartoum, Sudan
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Al-Rawi A. The convergence of social media and other communication technologies in the promotion of illicit and controlled drugs. J Public Health (Oxf) 2020; 44:e153-e160. [PMID: 33367816 DOI: 10.1093/pubmed/fdaa210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 07/06/2020] [Accepted: 10/26/2020] [Indexed: 11/13/2022] Open
Abstract
Some social media platforms have strict regulations regarding the promotion of illicit and controlled drug on their sites. This study attempts to examine whether social media outlets like Twitter, Flickr and Tumblr have implemented practical measures to stop the active promotion of such drugs. We examined over 2.6 million social media posts taken from these three platforms. By focusing on keyword searches around mobile apps and communication means, we found evidence of ongoing opioid drug promotion, especially on Twitter followed by Flickr and Tumblr; we discuss our approach which effectively identifies posts related to the promotion of opioids and controlled drugs.
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Affiliation(s)
- Ahmed Al-Rawi
- School of Communication, Simon Fraser University, Room # K8645, 8888 University Dr., Burnaby, B.C. V5A 1S6, Canada
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