Ogilvy and CSIC_Using Social Media Platforms to Amplify Public Health Messages

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    Ogilvy Wshigto &The Ceter for Socil Impct Commuictio t Georgetow Uiversity

    Noveber 2010

    USInG SOCIa MIa

    PaTOMS TOAmpfyPUIC HaTH

    MSSaGSa xmitio of Teets d est Prctices

    for Commuictig with Key audieces

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    or erly two decdes, Ogilvy Wshigto hs bee t the forefrot of socil mrketigdv

    persol d public helth d sfety s well s socil issues vi commuictios d public

    eductio iititives imed t sprkig positive behvior chge. Withi the public helth

    sphere, Ogilvy hs developed umerous cmpigs to successfully rise wreess, educte

    d prompt ctio regrdig some of todys lrgest d most complex helth issues, rgig

    from aIS to obesity, substce buse to ccer, pdemic u to crdiovsculr helththe list i

    extesive. I the U.S. loe, Ogilvys chievemets i socil mrketig icluded providig ldm

    support for the Ceters for isese Cotrol d PrevetiosAmerica Responds to AIDS cmp

    icludig the ntiol aIS Milig (luded by PR Weeks oe of the top 20 cmpigs of

    the 20th cetury); d risig wreess d promptig ctio o womes hert disese fo

    the ntiol Hert, ug, d lood Istitute through The Heart Truth d its icoic ed re

    (recogized by The Holmes Reports oe of the top ve cmpigs of the pst decde).Ogilvy is lso leder i the pplictio of digitl iuece d socil medi eggemet to

    improve persol d public helth. We develop word of mouth d digitl mrketig strte

    usig proprietry techology d methodologies rooted i how people get iformtio i th

    digitl relm. rom idetifyig d eggig iuecers, to ctivtig etworks to egge i

    issues of tiol, commuity, d persol sigicce, to cretig olie commuities for

    kowledge exchgewe crete olie experieces tht icrese persol kowledge d

    drive dvoccy d ctio.

    or more iformtio o Ogilvy, visit www.ogilvypr.com d our group blog, Socil Mrketi

    exCHanG, t http://smexchge.ogilvypr.com/.

    The Ceter for Socil Impct Commuictio t Georgetow Uiversity uderstds the import

    of commuictios s get for positive chge, d ims to educte d tri studets

    will led commuictio d socil resposibility iititives for oprots, corportios d

    govermets. The Ceter is iititive withi the School of Cotiuig Studies Msters for

    Professiol Studies i Public eltios d Corporte Commuictios progrm. The Cete

    visio is to crete ledership opportuities for commuictors who wt to use their skills fo

    positive socil impct. Its gol is to educte grdute level studets through curriculum desig

    to stregthe the socil sector, promote corporte socil resposibility, d build iovtive c

    sector prterships. The Ceter lso shres kowledge with the eld s prt of their commitm

    to dvce the prctice of socil impct commuictios.

    or more iformtio o the Ceter for Socil Impct Commuictio, visit scs.georgetow.edu/cs

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    about the Socil Mrketig ellowship

    I 2010, Ogilvy Wshigto d the Ceter for Socil Impct Commuictio t Georgetow Uiversity

    estblished Socil Mrketig ellowship to eble grdute-level studet i the Msters of

    Professiol Studies i Public eltios d Corporte Commuictios progrm to exmie brod

    rge of topics i public helth socil mrketig, the rst of which is socil medi best prctices i

    public helth socil mrketig. Using Social Media Platforms to Amplify Public Health Messages is the

    rst white pper developed uder this ellowship.

    about the authoralexdr Hughes, MPS

    alexdr Hughes is the 2010 Socil Mrketig ellow for Ogilvy Wshigto d the Ceter for

    Socil Impct Commuictio t Georgetow Uiversity.

    alexdrs work i helth commuictios d socil mrketig beg i 2003, d hs sped

    cross the phrmceuticl, biotechology d o-prot idustries. She received msters degree

    i Public eltios d Corporte Commuictios with cocetrtio i digitl commuictios

    from Georgetow Uiversity, d bchelors degree i Psychology from the College of Chrlesto.

    Methodology

    Using Social Media Platforms to Amplify Public Health Messages ws iformed by review of the

    publicly-vilble public helth d socil mrketig literture, strtegies d tctics employed by

    public helth cmpigs tht hve successfully utilized socil medi to ffect udiece ttitudes,

    behviors d/or wreess of issue, d oe-o-oe iterviews with public helth, socil mrketig

    d socil medi subject-mtter experts cross the coutr y.

    ackowledgemets

    My thks to the followig idividuls for their cotributios: ee ase, Mger, Sydictiod Socil Medi, Myo Cliic; all . adrese, MS, Ph, Professor of Mrketig, Georgetow

    Uiversity Mcoough School of usiess; eth eck, Ma, CHS, xecutive irector, Cpitol

    rest Cre Ceter; nichols Gees, M, Ph, eprtmet of mergecy Medicie, Mout Sii

    School of Medicie; ebecc Hmel, Corporte eltios Mger, Globl Helth Coucil; Meg

    McWhirter, Progrm Mger, Ofce of the Presidet, Georgetow Uiversity; Terry og, Helth

    Commuictios Cosultt d ditor, Social Marketing Quarterly; Joel Selikio, M, irector,

    tye; d alliso Whitey, former irec tor of Commuictios, ombrdi Comprehesive

    Ccer Ceter, Georgetow Uiversity Medicl Ceter.

    Tble of Cotets

    1 Social media and the public Heal th Social marketing Environent........................................

    1.1 Tenets o Counications planning or the arger Social media E nvironent..................

    1.2 Best practices or leenting public Health-driven Social media.....................................

    2 Aling Best practices in Counicating with Audiences.....................................................

    2.1 Ke Consuer Segents........................................................................................................................

    2.1.1 parents..........................................................................................................................................................

    2.1.2 mid-lie woen..........................................................................................................................................

    2.1.3 Seniors..........................................................................................................................................................

    2.1.4 Eerging majorities.................................................................................................................................

    2.2 Health Care providers.............................................................................................................................

    2.2.1 priar Care phsicians..........................................................................................................................

    2.2.2 Nurses...........................................................................................................................................................

    2.2.3 Health Sstes and Hositals................................................................................................................

    3 Suar Conclusions..............................................................................................................................

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    Todys socil etworks hve grow beyod brick

    d mortr commuities d re ow thrivig olie

    through socil medi pplictios such s cebook

    d Twitter. These digitl pltforms re beig used

    to id suicide prevetio efforts, commuicte the

    risks of hert disese, d fcilitte dilogue mog

    members of the public helth provider commuity.

    Socil medi pplictios re lso beig used to promote

    ofie elemets of socil mrketig cmpigs.

    y itegrtig socil medi tctics ito broder socil

    mrketig efforts, mrketers re extedig messgig

    d rech fr beyod trditiol expecttios.

    public health: The sciece of protec

    improvig d promotig helth thro

    the orgized efforts d iformed cof societies, orgiztios, public d

    commuities, d idividuls.

    Social arketing: The pplictio o

    cosumer mrketig priciples to thpromotio of ides, issues d prct

    to crete wreess, d chge tt

    itetios d behviors regrdig s

    d persol issues. This my iclude

    sfety, violece reductio, eviromesustibility, helth d wellbeig,

    disese prevetio iititives. The dis

    ecompsses idividul behviors s

    s the socil d physicl determi

    those behviors, d my be used to ttitudes/itetios roud percepti

    risk d socil orms, s well s prov

    skills eeded to crry out specic be

    or gi ccess to product or servic

    The focus of this pper is public he

    socil mrketig.

    Social edia: a commuictios ch

    tht c be itegrted ito lrger smrketig cmpig, d icludes l

    vrious ctivities tht combie tech

    d socil iterctio betwee peop

    This c tke my differet forms ic

    Iteret forums, messge bords, tevi mobile devices, blogs, socil etw

    such s cebook d MySpce, wik

    podcsts, pictures, d video. Socil

    is less bout the ctul techology,

    more bout the wy it ebles idivito iterct olie.

    Socil medi hs the ite bility to

    commuicte iformtio i rel tim

    s well s lik groups of people togeroud commo issues. accordigly,

    most effective public helth-drive s

    mrketig cmpigs use or icorpo

    socil medi techologies to mplify

    wreess, d impct ttitudes dhelth behviors.

    E-atients: Idividuls who look for

    iformtio bout public helth topics

    icludig specic diseses or medicprocedures, exercise or tess, d

    isurce.4 Sixty percet of e-ptie

    ccess socil medi relted to helth

    WHAT DO WE mEAN WHEN WE SAy, ONNE?

    I the 21st cetury, the term olie c potetilly

    hve differet meigs. I this pper, the term refers

    to coectio with digitl commuictios chel

    vi computer, mobile or smrtphoe device.

    The pst three yers i prticulr hve mrked

    turig poit i the wy americs obti public

    helth iformtio vi the Iteret. Tody oe-third

    of dults ccess socil medi relted to helth, d

    erly 80 percet of olie physicis use socil medi

    chels to crete, cosume, or shre medicl cotet. 2, 3,4

    Iteret users who look for public helth iformtio

    olie re more likely th o-helth seekers to crete

    or work o their ow blog, red someoe elses blog, use

    socil etworkig site, d use sttus updte services. 4

    Thus, beig e-ptiet hs become ledig idictor

    of other forms of socil medi eggemet.4

    This rpid evolutio ito digitl iformtio shrig

    presets sigict opportuity for socil mrketers

    d public helth commuictors like. Cse i poit,

    with the brodeig of trditiol socil etworks cross

    the Web, millios of cosumers ow hve ccess to reliblepublic helth iformtio d itervetios i rel-time.

    I the followig sectios, we will exmie how to leverge

    the opportuities socil medi provides by idetifyig

    teets d best prctices for public helth-drive socil

    medi, s well s provide isights ito how to rech d

    egge key cosumer d provider udieces.

    ntroduction.

    Socil support d strog socil etworks

    mke importt cotributios to our helth.

    They provide emotiol d prcticl resources,

    d mke us feel cred for, loved, esteemed

    d vlued.1 Cosequetly, socil mrketers

    hve log relied o these etworks s chels

    to rise wreess of public helth-reltedissues, fcilitte behvior chge, d ultimtely

    help people live helthier, sfer lives.

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    Establish digital goals, objectives, and strategies.

    Too my mrketers jump o the socil medi

    bdwgo simply becuse its the ext big thig,

    without estblishig soud set of gols, objectives

    d strtegies to orgize efforts d keep cler

    focus o meetig the trget udieces ee ds.

    igitl gols should remi liged with, d ldder

    bck to, broder orgiztiol gols to esure tht

    they hve meigful impct o the fudmetl

    ttitude d/or behvior you wish to iuece d

    chge. after overll digitl gols re estblished,

    skig questios such s, m I tryig to crete buzz

    roud prticulr issue or topic or sustied word

    of mouth? or m I tryig to drive udiece members

    to specic olie resource? will help put specic

    digitl objectives i plce.

    evelopig digitl strtegies mirrors the process for

    developig strtegies ofie. or exmple, your digitlstrtegy is ot wht you re goig to do, but howyou

    im to do it. It is the best rod to ccomplishig

    your digitl gols, d is iformed by combitio

    of experiece, udiece lyses, formtive reserch,

    d strog digitl objectives.

    stblishig digitl gols, objectives, d strtegies lso

    esures tht you re ble to mesure your success lter.

    Segment and prioritize your audiences online.

    Socil mrketers d public helth commuictors

    who re tsked with developig brod-rechig

    itervetio for lrge popultio ofte choose

    the geerl public s their trget udiece. ut this

    pproch igores oe of the most bsic teets of

    commuictios plig segmetig d prioritizig

    udieces improves rech, ehces relevce, d

    helps put your resources to the best possible use.

    igitl segmettio ivolves lyzig your iteded

    udiece d idetifyig distict, mgeble sub-groups

    with similr eeds, ttitudes or behviors i regrds to

    the Iteret d socil medi. This icludes estblishig

    how d where udieces obti iformtio regrdig

    the issue i questio, d giig kowledge from

    multiple sources bout udieces preferred socil

    medi etworks, how ofte they use those etworks,

    d for wht purpose.

    HOW CAN SOCA mED

    CHANNES DEVER pUBC H

    mESSAGNG AND CONTEN

    Public helth iformtio c trvel vimedi chels i severl differet dire

    Here re four key wys i which public

    iformtio is delivered d received t

    EXAMPLE

    Mommy bloggers may

    interact and share advice abo

    parenting with their peers

    through a digital platform.

    - -

    -

    Consumer to

    Consumer

    EXAMPLE

    Nurses can connect and shar

    stories through nursing blogs

    social media networks create

    exclusively for nurses.

    Provider to

    Provider

    EXAMPLE

    The Centers for Disease Contr

    and Prevention (CDC) may

    position advertisement or

    blog post on Sermo, a socia

    network designed exclusive

    for licensed physicians.

    Institution to

    Provider

    EXAMPLE

    Mothers Against Drunk Drivin

    (MADD) may post informatio

    about drunk driving preventio

    on its Facebook page.

    Institution to

    Consumer

    1. Socil Medi d the Public HelthSocil Mrketig viromet

    Socil mrketers cosistetly rely o strog, formtive

    reserch with trget udieces to estblish the potetil

    rech d iuece of their messges. ut like commercil

    mrketers, socil mrketers hve remied limited i

    their bility to egge cosumers through trditiol,

    oe-directiol mss medi chels. Cse i poit,

    mss medi public service oucemets hve log

    bee the commuictios chel of choice withi the

    socil mrketig commuity, prevetig mrketers from

    trgetig iche udieces of providers d cosumers.

    Tody, two-wy coverstios bout socil issues re tkig

    plce through vriety of digitl commuictios chels

    icludig socil medi. Public helth socil mrketig

    cmpigs c ow deliver more trgeted messgig to

    greter rge of udieces, d receive feedbck from

    those udieces i rel-time. accordigly, s greter umbers

    of americs begi relyig o socil medi pltforms to

    fulll both persol d public helth gols, socil mrketers

    must work together to esure tht these idividuls receive

    the most hoest, ccurte iformtio possible.

    ets exmie few bsic teets of the lrger socil medi

    eviromet, i order to better uderstd how socil

    mrketers c deliver more powerful public helth messges

    vi socil medi chels.

    1.1 Tenets o Counications planning or

    the arger Social media Environent

    Socil medi prctitioers, much like public helth

    commuictors, bide by hdful of bsic priciples

    tht help guide their work d orgize their commuictios

    plig process, icludig: stblishig digitl gols,

    objectives, d strtegies, segmetig d prioritizig

    udieces olie, optimizig cotet by listeig,d evlutig.

    The followig teets mirror trditiol commuictios

    d socil mrketig prctices d pproches, with

    few reemets specic to the lrger socil medi

    eviromet. These uiversl guideposts re cosidered

    essetil elemets i y digitl commuictios or

    socil medi cmpig, regrdless of the cmpigs

    topic or itet.

    UNDERSTANDNG TRADTONA

    VERSUS DGTA

    COmmUNCATONS CHANNES

    Select

    Traditional

    Channels

    Radio

    Television

    Print

    Direct Mail

    One-on-one outreach

    Event marketing &

    traditional media outreach

    Select

    Digital

    Channels

    Websites

    E-mail

    Text messaging

    Optimized press releases

    available via the Internet

    Networks such as Facebook

    and MySpace, message boards

    and forums, blogs, wikis,podcasts, photo services such

    as Flickr, video services such

    as YouTube, and status update

    services such as Twitter.

    Social Media

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    blig rel-time feedbck d iput is oe

    of the key beets socil medi chels

    c provide, d will esure tht your socil

    mrketig cmpig is optimized d tilored

    to the iteded udieces eeds i rel-time,

    icresig the likelihood tht your itervetio

    will be successful.

    Evaluate, evaluate, evaluate. Socil mrketers

    routiely evlute the efccy d rech of

    commuictios chels used to dissemite

    messgig durig the course of c mpig.

    vlutig the socil medi compoet of

    socil mrketig cmpig is eqully criticl,

    d c be prticulrly chllegig. as with

    evlutio of trditiol commuictios chels,

    the socil medi evlutio process begis with

    settig bechmrk d eds with mesurig

    outcomes gist tht bechmrk. echmrks

    re estblished by rst cretig digitl situtiolysis of the issue i questio, icludig wht

    competitors re doig i the digitl spce, d

    how trget udieces re discussig the issue

    vi digitl d socil medi chels.

    Ogilvy hs estblished proprietry pproch

    to mesurig socil medi iititives, Conversation

    Impact, which segmets d icorportes metrics

    ito three key ctegories: ech/awreess,

    Preferece, d actio. These metrics evlute

    messgig rech d pull-through, wreess,

    preferece, dvoccy d behvior chge.

    Commo rech d wreess metrics uder

    this pproch iclude: How my members does

    messge bord hve? How my followers

    does cmpig hve o Twitter? How my

    uique mothly visitors re ttrcted to prticulr

    blog post? Wht percetge of coverstios

    roud your messge or issue re o topic?

    To wht extet do olie coverstios roud

    our topic reect our messgig? Preferece

    metrics iclude, for exmple, setimet of olie

    coverstio d f couts.

    advoccy d ctio metrics c iclude

    the umber of idividuls who shre messge

    with frieds or dowlod weight loss pplictio

    or widget from cmpig website. Self-reports

    of eggig i specic behvior s result of

    beig iueced by cmpigs messgig

    erig more bout wht udiece does olie

    i reltio to prticulr socil issue is criticl step

    towrds esurig tht the iteded udieces eeds

    d behviors re recogized d ccouted for.

    Segmetig d prioritizig udieces lso esures

    tht the mesuremet d evlutio process occurs

    more efcietly d effectively.

    Optimize content by listening. ehid every successful

    socil mrketig messge is myrid of reserch ito

    wht the messge should sy, s well s where, whe

    d how the trget udiece will receive d process

    the messge. I the olie spce, this iformtio c

    be cptured by listeig to issue-specic coverstios

    olie, s well s proctively solicitig feedbck from

    trget udieces.

    The listeig pproch determies if cmpigs

    udieces re ctively egged i seekig d processig

    iformtio bout the trget issue, through blog orsocil etwork for exmple. y listeig to coverstios

    bout the issue olie, socil mrketers c estblish

    if the topic is beig discussed i the wy theyd hoped,

    ucover y misperceptios d idetify opportuities

    for eggig with the udiece i meigful wys.

    Iformtio gleed from this pproch c help

    shpe d iform digitl strtegies.

    aother uique spect of listeig olie is the

    bility to d d correct misiformtio. Iccurte

    cotet is rmpt o the Web, d c be potetilly

    hzrdous whe the topic is public he lth. ortutely,

    socil medi pltforms mke it reltively esy for socil

    mrketers d public helth commuictors to correct

    misiformtio i rel-time. or exmple, if blogger

    promotes the merits of o-a-pproved ltertive

    weight loss product i post, obesity prevetio

    cmpig could commet o the post with more

    ccurte iformtio o weight loss itervetios,

    or cotct the blogger bout revisig the post.

    Coversely, solicitig feedbck ivolves proctively

    seekig opiios from trget udieces regrdig the

    cmpigs key issue or messge, ofte through olie

    surveys or discussio groups. The resposes grered

    from this pproch hve sigict implictios for

    future messge cotet d plcemet vitl elemets

    i evolvig socil mrketig cmpigs messges.

    audieces should be otied whe their feedbck is

    trslted ito cotet improvemet, d ecourged

    to commet o cotet chges.

    CONVERSATION IMPACT:

    HOW CAN SOCIAL MEDIA BE

    MEASURED AND EVALUATED?

    vlutig the impct of coverstios

    held vi socil medi chels, whe

    these chels re key elemets i socil mrketig cmpig, is criticl to

    mesuremet of gols d objectives.

    Similr to trditiol process evlutio

    metrics, socil medi metrics mesure

    the extet to which trget udieces reexposed to prticulr messge, develop

    positive opiio o issue, d the

    egge roud progrm d/or tke

    ctio regrdig tht issue.

    or exmple, socil medi metrics my

    iclude shre of voice i give ctegory,

    volume of olie coverstio, d serch

    visibility (for relevt keywords). Iformtiofor these metrics c be grered by

    surveyig udieces who hve bee

    exposed to the cmpigs messgig,d by listeig to d moitorig olie

    coverstios relevt to the topic or issueof iterest. The evlutio of socil medi

    chels is similr to trditiol mesuremet

    ctivities i other key wy s well

    both should produce ctioble dt for

    optimiztio dow the rod. I other words,its importt to trck metrics tht will

    eble you to optimize your cmpig.

    Socil medi metrics re more efciet

    th trditiol process mesures i theirbility to guge opiio idictors such

    s setimet, d ctio idictors such

    s shrig/dvoccy d self-reported

    behvior chge, i rel-time. Self-reportig

    c lso be mde esier through pltformssuch s Twitter which, for exmple, eble

    idividuls to tweet chges i their

    helth sttus or behviors.

    or dditiol iformtio o socil medimesuremet visit: http://blog.ogilvypr.

    com/ctegory/mesuremet/.

    is lso cosidered dvoccy d c

    metric, d c be mesured usig spe

    developed pplictio to llow such rep

    espite gis mde i mesurig socil

    iheret vlue, skepticism regrdig pr

    metrics remis, primrily becuse soci

    is still somewht ovel vehicle for mess

    Curret metrics relisticlly serve s pr

    stroger, yet-to-be-idetied mesurem

    1.2 Best practices or lee

    public Health-driven Social

    now tht we hve idetied the bsic tee

    commuictios plig for the lrger soci

    eviromet, lets exmie six best prcti

    for implemettio. The followig pproc

    re rooted i behviorlly-bsed socil m

    theories tht id commuictors i risig

    wreess of public helth-relted issues o

    iuecig/chgig specic helth behv

    Abide by the one click rule whenever p

    audieces will lwys sk, how does th

    iformtio ffect me? e prepred to

    this questio, d offer your udiece

    of the iformtios vlue d impct, o

    or less wy from your ldig site. Provid

    udieces with the most vluble d c

    iformtio (s well s the cosequece

    tkig ctio) oe click or less wy from

    ldig site will icrese the likelihood th

    will follow your recommedtios.

    or exmple, if you wt your t rget ud

    to sig olie petitio o bullyig pre

    its importt to esure tht the petitio

    posted directly o, or oe click wy fro

    cmpigs cebook pge or website ho

    also, o mtter wht the perceived vlu

    the iformtio youre shrig, do ot s

    your udiece will follow you from oe d

    pltform to other. emostrte the v

    of the iformtio youre providig cro

    of the digitl pltforms i your c mpig

    just few. or exmple, the iformtio

    your cebook pge, while optimized fo

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    prticulr socil medi pltform, should ot pper

    less comprehesive th the iformtio vilble

    through cmpig website.

    Develop a constantstream of compelling digital content.

    Iformtio olie evolves i rel-time t sigictly

    more rpid pce th trditiol commuictios

    chels, d socil mrketers d public he lth

    commuictors must be prepred to respod to this

    ow of iformtio t the sme pce s their udieces

    re cosumig it.

    Whe messgig d itervetios re delivered

    vi socil medi chels, socil mrkers d public

    helth commuictors must deliver constantstrem

    of diverse, compellig digitl cotet to fcilitte

    dilogue d keep udieces d iuecers egged.

    Cotet c be mde more per susive d compellig,

    for exmple, by supplemetig text-bsed copy with

    tgged photos or iterctive video, or by ddig mobile pplictio or compoet. This requires sigict

    resources, preprtio, d strog commitmet to

    updtig cotet s circumstces evolve o d ofie.

    or exmple, if brest ccer reserch orgiztio

    publishes blog o the ltest ccer reserch, the

    blogs followers will expect ew blog post withi dys

    (or hours) of ew reserch beig publicly relesed.

    This pproch to cotet developmet d delivery

    will esure tht your udieces d iuecers follow

    the cmpigs messgig, d dd you to their list of

    trusted sources for up-to-the-miute iformtio o

    your prticulr public helth issue.

    Enable people to show their involvement in a visible

    way. blig people to tlk opely bout socil

    issues such s those relted to public helth, d

    promptig their peers to do the sme, c empower

    idividuls to chge their behviors for the better.

    Public helth socil mrketig c mpigs tht utilize

    socil medi to eble udieces to demostrte d

    shre iformtio bout how issue ffects their

    lives, icludig wht ctios theyve tke towrds

    improvemet or uderstdig of their situtio, re

    likely to hve greter impct th cmpigs tht do

    ot. This is ccomplished i prt through cogitive

    dissoce, or the cocept tht eblig idividuls

    to publicly commit to behvior icetivizes them to

    re-commit to tht behvior gi d gi i order

    REAL-WORLD BEST PRACTICES:

    ENABLING PEOPLE TO SHOW

    THEIR INVOLVEMENT IN A

    VISIBLE WAY.

    I 2002, the ntiol Hert, ug, d

    lood Istitute (nHI) luched The

    Heart Truth, tiol cmpig to

    icrese wreess mog wome bout

    their risk of hert disese, d ecourgethem to tke ctio gist their persol

    risk fctors. The cmpigs core udiece

    is wome ges 40 to 60 yers.

    The socil medi compoet of thecmpig beg i 2007. Specic socil

    medi tools which eble wome to

    become more ivolved d egged i the

    cmpig iclude the followig:

    ntiol Wer ed y coutdow

    widgets/gdgets

    The Heart Truth prole o el.icio.us.com

    The Heart Truth photo gllery o lickr

    The Heart Truth cebook f pge

    I 2009, nHI luched the Helthyactio Commuity pge o The HeartTruth website to eble wome to more

    esily demostrte their commitmet

    to The Heart Truth d dvce the

    cmpigs messges vi word of mouth.This pge liks The Heart Truth cebook

    f pge d lickr feed, d icludes hert

    helthy bdges for visitors to post o

    their blog or socil medi prole.

    as result of eblig their core udiece

    to ctively demostrte their ivolvemet

    i The Heart Truth cmpig olie, the

    cmpigs cebook f pge membershipexperieced 447 percet icrese i fs

    from ebrury 2008, d the lickr strem

    registered 175 dditiol tgged photos

    from wht ws posted i ebrury 2008.

    or more iformtio o The Heart Truth,

    visit: www.HertTruth.gov.

    to void the stress ssocited with ctig i mer

    tht coicts with their stted beliefs. 5 or exmple, if

    cebook user shres the sttemet I follow hert-

    helthy diet becuse hert disese rus i my fmily

    vi his or her cebook pge, the user will likely be

    icetivized to cotiue to follow the diet becuse it

    hs bee shred with brod etwork of frieds.

    The users cebook frieds my the red the post

    d offer words of ecourgemet, d/or sk for more

    iformtio o the elemets of the diet pl. oth

    rectios reiforce the user s hert-helthy behvior.

    It is importt to remember tht eblig people to

    demostrte ivolvemet i public helth issue

    requires coectig them with the digitl tools to do

    so. If providers or cosumers d tht they cot

    esily ccess or shre iformtio vi socil medi

    pplictio, theyll likely move elsewhere. or exmple,

    if you ecourge trget udiece to uplod videos

    to your cmpigs blog, its importt to providethem with bsic video uplodig tool, s well s

    strightforwrd istructios o how to utilize the tool.

    Collaborate with inuencers online. applyig socil

    mrketig techiques to public helth chllege ofte

    ivolves collbortig with outside prters or istitutios,

    whether becuse of budget limittios, the size d scope

    of the effort, or to commuicte with udiece tht

    does ot ccess mss medi chels for public helth

    iformtio. The sme is true of public helth-drive

    socil medi. ggig with iuetil blogger,

    for exmple, who is willig to be dvocte for your

    public helth cmpig my eble you to better rech

    d iuece tht bloggers followers. y remiig

    ope to collbortig with orgiztios d key opiio

    leders who shre your missio d digitl gols, you

    c leverge their etwork of prters.

    Its importt to ote tht collbortios must remi

    trspret. ggig i mutully beecil prterships

    is ethicl to the extet tht your udieces uderstd

    the ture of the reltioship.

    Align efforts with public health providers ofine.

    espite the bility to provide public helth iformtio

    i rel-time, socil medi is most impctful whe

    combied with resources ofie such s physicis,

    commuity helth workers or licesed couselors.

    Most americs still tur to ofie professiol

    REAL-WORLD BEST PRACTIC

    ALIGNING EFFORTS WITH

    PROVIDERS OFFLINE.

    I 2006, the S rcisco eprtm

    of Public Helth (SPH) d IterSexulity Iformtio Services, Ic. (

    prtered to develop SXInO,

    codetil text messgig service

    provides tees with bsic fcts bou

    sexul helth d reltioships, s ws referrls to youth-orieted cliics

    socil services ofie.

    The service c be ccessed by text

    SXInO to 5-digit umber fromwireless phoe. Tees c lso text s

    digits for more tilored iformtio.

    or exmple, by textig 5, tees c

    receive text messge for free ST

    checkup with helth cre provider S rcisco re. a website sext

    org lso provides smple texts.

    The SXInO progrm does more thjust coect textig tees with pro

    ofie. The progrm relies o cos

    of commuity orgiztios, icludi

    school helth progrms, cliic stff

    helth gecies to ssist with idetifculturlly pproprite locl referrl se

    The iitil gol of the progrm ws t

    decrese sexully trsmitted ifect

    (STI) rtes mog dolescets i thercisco re. ad by directly prov

    tees with referrl for i-perso

    cosulttio with helth cre provi

    s opposed to simply textig sexu

    helth messges the service hs mstrides towrds ccomplishig this g

    a prelimiry evlutio of the prog

    foud tht 4,500 iquiries were set

    the rst 25 weeks of the SXInO l

    over hlf led to iformtio d refeMessges relted to codom brekg

    d pregcy were the most comm

    or more iformtio bout the SX

    progrm, visit www.sexifosf.org.

    Sources: The ntiol Cmpig to P

    Tee d Upled Pregcy, 200

    The S rcisco City Cliic, 2008

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    commuity byCeter, 63 percet of moms use socil

    medi regulrly.10

    orty-four percet of moms reportedusig socil medi for word-of-mouth recommedtios

    o brds d products, d 73 percet reported dig

    trustworthy iformtio bout products d services

    through olie commuities focused o issues such s

    pretig. The byCeter survey lso reveled tht moms

    use differet socil etworks for differet purposes.

    or exmple, moms reported relyig o lrger socil

    etworks for socilizig d etertimet, d mom-

    cetric commuities to grer iformtio d dvice

    o pretig. Childres helth issues re overwhelmigly

    the ledig topic of iterest withi these olie commuities,

    followed by dvice regrdig childhood developmet.10

    ess is kow bout the socil medi behviors of dds,

    however, myrid of ew orgiztios, websites d blogs

    idicte tht the dddy blogger er is ow upo us.11,12

    Prets re lso usig socil medi to coect with their

    ow childre. I recet survey by etrevo, 48 percet

    of prets who were o cebook reveled tht they re

    frieds with their childre; prets with teege childre

    were the most likely to be frieds with their kids.13 Givetht prets re importt itermediry iuecers of

    their childres ttitudes d behviors, this dt suggests

    tht socil medi pltforms my be vible chel for

    prets to shre iformtio bout public helth issues

    with their childre.

    WHAT ABOUT THE NEARLY 70

    MILLION DADS IN THE U.S.?

    eserch o prets public helth-relted

    socil medi behviors hs lrgely focused

    o moms, give tht wome ofte serve

    s the gtekeepers of fmilys wellbeig.ut preset-d-ccouted-for dd is

    lso ssocited with helthier d hppier

    childre. Thus, its importt to uderstd

    dds olie behviors, s well s moms.

    accordig to the Pew eserch Ceter,

    me d wome re eqully likely to hve

    prole o socil etwork, suggestig

    tht dds re just s likely to use socil medi

    techologies s moms. Pew lso reportstht oce olie, wome d me re

    eqully s likely to post their ow helth

    experieces or to ccess the resources

    creted by other people. ikewise, there

    is o sigict differece i wome dmes use of socil etworkig services for

    public helth queries d updtes, or theimpct of those iquiries.

    Geder differeces do begi to emerge

    whe the type of iformtio sought

    olie is exmied. or exmple, me

    re sigictly less likely th wome

    to look olie for weight loss iformtio,iformtio bout physicis d helth

    cre professiols, d iformtio bout

    prescriptio medictios.

    While geder-bsed socil medi reserchcot deitively tell us wht dds re

    doig olie, it c give us ide. as

    the er of the dddy blogger begis,

    perhps we will see more reserch o

    dds socil medi behviors.

    Sources: Pew eserch Ceter, 2009;

    TIME, 2010.

    NSGHTS ON pARENTS fOR pUBC

    HEATH-REATED SOCA mEDA OUTREACH

    Facilitate peer-to-peer information sharing.

    Pretl peers re perhps the most trusted

    source of iformtio o childres issues for

    other prets, d socil medi pltforms eble

    moms d dds to shre experieces d

    expertise with idividuls who were previously

    out of rech.14 I fct, oe of the pricipl resos

    moms d dds use socil medi is to seek out

    d ler from dvice d iformtio shred

    by other prets. Thus, eblig peer-to-peer

    etworkig d iformtio shrig should be

    key compoet of y socil medi c mpig

    trgeted towrds prets.

    Help busy moms and dads track public health

    information. The relities of moder pretig

    re ofte deed by demdig schedule lledwith school, doctors ppoitmets, sports prctice

    or dycre. This hurried lifestyle ofte leves

    moms d dds feelig exhusted, with little free

    time to dedicte to their fmilys wellbeig.

    Cosequetly, socil medi tools tht eble

    prets to esily moitor public helth iformtio

    d gols c be ivluble. or exmple, ddig

    hshtg such s #childweightloss to Twitter

    updtes from childhood obesity reductio

    cmpig c eble busy prets to serch for

    the cmpigs ofcil messgig d weight loss

    recommedtios olie. Similrly, eblig

    pret to trck their childs weight cross time usig

    digitl body mss idex tool, llows the pret

    to moitor their childs progress gist weight

    loss gol, s well s see wht remis to be doe.

    These tools re gret wy to grer support

    for public helth issue, while eblig prets

    to keep trck of iformtio d persol

    progress cross time.

    Remember that not all social networks are

    the same. eserch suggests tht prets surf

    betwee socil medi pltforms depedig o

    the type of iformtio they re seekig. Mss

    socil medi etworks such s cebook pper

    to be more populr for socilizig, wheres smller

    olie commuities re beig used s sources

    of dvice d iformtio bout pretig.

    I view of this reserch, the type of soci

    pltform used to commuicte helth-re

    messgig d its fuctio should lwy

    cosidered whe prets re the trget

    2.1.2 mid-lie woen

    Wome re the pricipl helth cre decisio

    i two-thirds of americ households, d

    their 40s, 50s d 60s, ofte become the

    sfety, helth, d welless gtekeeper for

    fmilies, icludig their childre, spouse, or

    prets or reltives.8

    egiig i their erly 40s through their l

    wome lso experiece severl chges th

    hve profoud impct o their dy-to-d

    Meopuse begis durig these yers, s d

    eed for ul digostic testig for co

    such s brest ccer d hert disese.

    accordig to 2009 survey by logHe r, o

    42 millio U.S. wome who go olie week

    egge i some type of socil medi ctiv

    pproximtely 13 millio re betwee the

    44 d 62 yers.15 a 2009 study by ShesCo

    reported tht wome over 40 yers of ge

    for over hlf (53 percet) of core femle so

    medi users i the U.S. 16

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    rge etworks such s MySpce d cebook

    re the most populr socil medi ctivity mog

    wome of ll ges, followed by blogs, messge

    bords d forums d sttus updtig through

    pltforms such s Twitter.15

    I 2009 the fstest growig segmet of cebook

    users ws wome over ge 55; cebook use

    mog wome ge 45 to 5 4 lso grew rpidly

    durig this period.17

    Wht re wome doig o socil medi

    etworks? eserch suggests tht wome

    primrily use pltforms like cebook to mke

    coectios d shre items from their persol

    lives, s well s seek out iformtio bout rel

    people experiecig similr coicts. 18

    Whe sked which topics do you like to red bout

    d/or post commets bout olie? the logHersurvey reveled tht 42 percet of wome who

    prticipte i socil etworks me helth d

    welless s topic of iterest. I fct, wome rked

    helth d welless s the fourth most-populr

    topic of iterest overll.15

    This dig ligs with womes roles s helth

    cre d welless gtekeepers withi their fmilies.

    NSGHTS ON mD-fE WOmEN fOR pUBC

    HEATH-REATED SOCA mEDA OUTREACH

    Leverage their role as gatekeepers for

    their families. Give tht mid-life wome re

    ofte resposible for the wellbeig d sfety

    of diverse etwork of idividuls rgig

    from teege childre to elderly reltives

    they eed quick ccess to brod rry of

    public helth iformtio olie. Socil medi

    techologies c provide this ccess, d

    ccordigly, should be mrketed to mid-life

    wome s oe of the fstest d most efciet

    mes of dig swers to public helth-

    relted questios. Socil medi techology

    c lso provide vluble support etworks for

    wome iterested i shrig their experieces

    olie, d lerig from others.

    Blend wellness issues with other topics

    of interest. While sfety, helth d

    welless my ot be t the top of mid-life

    womes iterests olie, whe bleded

    with more populr ctegories such s fmily

    or etertimet, these issues c potetilly

    become more ppelig.

    Socil medi techologies preset excellet

    pltform for this type of topic meldig.

    or exmple, fshio blogger could esily

    icorporte cotet regrdig brest ccer

    screeig by ecourgig reders to wer

    pik durig the moth of October ntiol

    rest Ccer awreess Moth. This type

    of cotet c be shred esily mog

    reders withi their ow socil etworks.

    Balance public health information with

    lifestyle solutions. Mid-life wome re

    iterested i more th just sttic iformtio

    they re lso ctively seekig c tioble

    lifestyle or welless solutios. or exmple,

    whe serchig for iformtio bout the

    risks of dibetes, wome my lso seek out

    tips o how to miti dibetic food pl,

    or where to purchse sugr-free products.

    Thus, whe commuictig with mid-life

    wome bout public helth-relted issues vi

    socil medi, its importt to offer equl

    blce of iformtio regrdig welless,

    prevetio, d positive lifestyle modictio.

    2.1.3 Seniors

    Seiors re mog the fstest-growig d most importt

    cosumer segmets for public helth messgig d

    itervetios. My of todys most sigict socil

    mrketig iititives focus o commuictig with older

    americs, d with the bby boomer geertio ow

    eterig their 60s d 70s, this trget udiece will oly

    cotiue to expd.

    a persos ge c tell us gret del bout their digitl

    behvior, d seiors re o exceptio. They hve log

    bee oe of the most chllegig cosumer segmets

    to rech olie d through socil medi chels.

    This is lrgely ttributed to the very low rte of Iteret

    d socil medi usge mog dults over 65 yers.

    My seiors simply rely o more trditiol commuictios

    pltforms, such s ewsppers d televisio, to obti

    iformtio. or this reso, socil mrketers ofte rely

    o word of mouth mrketig to commuicte with

    seiors. This essetilly mes tht mrketers build

    ctive, mutully beecil cosumer-to-cosumer d

    cosumer-to-mrketer commuictios tht motivte

    seiors to discuss issue, d mke it esier for those

    discussios to tke plce.19

    ut 2009 mrked sigict shift i the umber of

    seiors usig socil medi. eserch from e -Mrketer

    idictes tht the umber of Iteret users betwee

    the ges of 63 d 75 who miti prole o socil

    etwork grew from 10 percet i 2007 to 36 percet i

    2009.20 This dt suggests tht seiors re oe of the

    fstest-growig groups of socil medi users i the U.S .

    nerly ll seiors who miti socil etwork prole

    do so o cebook (90 percet).20 Oly 17 percet utilize

    Twitter.20 as we ge, our socil etworks ofie begi to

    deteriorte d coectios mde olie hve the potetil

    to help ll the gp.21 Seiors doptio of pltforms such s

    cebook suggests tht they my be usig socil medi

    to ll the void creted by the loss of frieds or spouse.

    espite the gis mde i the lst three yers, seiors

    re still sigictly less likely th youger americs

    to go olie d utilize socil medi i geerl, s well

    s utilize socil medi d the Iteret to ccess helth

    iformtio. The Pew Iteret & americ ife Project

    reports tht oly 7 percet of the totl dult Iteret-usig

    popultio is ge 64-72, d oly 4 percet of this

    popultio is over the ge of 73.22 Seiors Iteret usge

    SENORS ON SOCA NETWO

    The percetge of Iteret users ge 6

    75 yers who miti prole o so

    etwork grew sigictly betwee 20

    d 2010 (from 10 percet to 36 perce

    respectively).

    Source: Pew eserch Ceter, 2009

    40%

    35%

    30%

    25%

    20%

    15%

    10%

    5%

    0%

    2007

    2

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    lso decreses with ge. While 56 percet of seiors

    ge 65-69 re olie, oly 45 percet ge 70-75

    yers d 27 percet ge 76+ yers re olie.22

    urther, of the 61 percet of americ dults

    who go olie for helth iformtio, oly 27

    percet re 65 yers d older.4 Seiors re lso

    sigictly less likely to ccess user-geerted

    cotet relted to helth whe compred with

    dults ges 18 to 49 yers, d e-ptiets ges

    30-64 re more likely th older e-ptiets to

    hve tgged helth-relted cotet olie.4

    NSGHTS ON SENORS fOR pUBC HEATH-

    REATED SOCA mEDA OUTREACH

    Consider starting ofine. Most seiors still

    rely o trditiol medi etworks such s

    ewsppers d televisio to obti iformtio.

    ad while this is slowly chgig, seiors stilleed ecourgemet ofie to begi lookig

    for cotet olie. or exmple, icorportig

    liks to socil medi etworks d iterctive

    websites, withi the coes of trditiol

    dvertisig pltforms, my ecourge seior

    cosumers to egge i socil medi cmpig.

    adoptio my be lower th other cosumer

    segmets, but c still be impctful.

    Look to inuencers and intervening audiences.

    My seiors rely o etwork of cregivers to

    mge their persol helth. This etwork c

    iclude dult childre, grdchildre or locl helth

    cre providers, d these idividuls re mog

    seiors most trusted sources of iformtio

    regrdig how, whe d where to obti c re.

    This etwork c lso be leverged to ecourge

    more seiors, vi word of mouth techiques, to

    use socil medi to obti public helth-relted

    iformtio olie. octors c ecourge seior

    ptiets to log o d ler more bout

    medictios. Childre d grdchildre c tech

    prets d grdprets how to use socil

    medi etworks to iterct with fellow seiors.

    all of these digitl itervetios c hve

    profoud impct o seiors doptio of socil

    medi techologies.

    Watch for growth in social media adoption.

    Medicre-eligible cosumers should o loger

    be cosidered urechble vi socil medi

    chels. Seiors socil medi usge grew

    sigictly betwee 2007 d 2009, d reserch

    suggests tht more growth is likely o the wy.

    Socil mrketers d public helth commuictors

    should tke ote of this tred, d wtch for

    other socil medi treds mog americs

    65 d older.

    2.1.4 Eerging majorities

    The socil medi eviromet is becomig

    icresigly ethiclly d socio-ecoomiclly

    diverse. mergig mjorities such s afric

    americs d Hispics, who re ofte wrogly

    ssocited with digitl divide or gp i

    Iteret ccess d use cused by vriety of

    socioecoomic d culturl fctors, re oe of the

    fstest growig d most dymic users of socil

    medi techologies. The emergece of smrtphoe

    techology, combied with less expesive computers

    d greter public Iteret ccess hs fueled this

    growth. accordig to the Pew Iteret & americ

    ife Project, afric americs re ow the

    fstest-growig d most ctive users of the mobile

    Iteret.23 amog hdheld device users, both afric

    americs d Hispics re more likely to go olie usig

    their hdheld device th Whites (48 percet d 47

    percet versus 28 percet, respectively).23

    eserch lso idictes tht emergig mjorities re usig

    socil medi techologies i greter umbers th Whites.

    a recet study by the Pew Iteret & americ ife

    Project reveled tht Whites re less likely th afric

    americs or Hispics to hve prole o socil

    etworkig site (31 percet versus 43 percet d 48

    percet, respectively), suggestig tht socil medi my

    be highly effective mes to rech emergig mjority

    udieces.24 Whites re lso less likely to use sttus updte

    services, such s Twitter oly 19 percet of Whites use

    these services wheres 26 percet of afric americs

    do so.25

    I regrds to helth, afric americ d Hispic

    e-ptiets re more likely th Whites to report thttheir lst olie helth sessio hd mjor impct

    (26% d 16% versus 11%, respectively).4 Yet afric

    americs d Hispics re less likely th Whites to

    reserch medicl problem olie, serch for iformtio

    for prescriptio drugs d look for iformtio bout

    doctors or helth professiols.4

    Ufortutely, the growth i emergig mjorities use of

    socil medi techologies hs ot resulted i improved

    ccess to cre mog these popultios. This my be

    due i prt to lck of comprehesive helth isurce.26

    I 2009, the U.S. eprtmet of Helth d Hum

    Services lbeled uisurce importt cotributor

    to disprities i helth cre, d subsequet studies by the

    Kiser mily oudtio hve reported tht emergig

    mjorities such s afric americs d Hispics re

    less likely th Whites to be isured.26,27 accordigly,

    specic emergig mjorities re more likely to hve

    less ccess to helth cre d experiece poorer helth

    outcomes compred with Whites, mkig it ll the more

    criticl to rech this cosumer segmet with effective

    public helth-specic messgig.

    EmERGNG mAJORTES AND

    SOCA mEDA

    afric americs d Hispics ow

    Whites i their use of socil medi. O

    percet of Whites olie hve prolsocil etworkig site, wheres 43 pe

    afric americs d 48 percet of

    olie do.

    Source: Pew eserch Ceter, 2009

    Whites

    60%

    50%

    40%

    30%

    10%

    20%

    0%

    African

    AmericansH

    - -

    -

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    INSIGHTS ON EMERGING MAORITIES FOR PUBLIC

    HEALTH-RELATED SOCIAL MEDIA OUTREACH

    Dont fear the digital divide. Specic emergig

    mjority popultios re ow more likely to

    use socil medi techologies th Whites,

    idictig tht socil mrketers d public

    helth commuictors should ot void

    pprochig these popultios usig Web 2.0

    techology. eserch hs reveled tht afric

    americ d Hispic e-ptiets re more likely

    to be impcted by helth iformtio olie,

    suggestig tht commuictig with these

    udieces vi socil medi my i fct be s

    effective s commuictios ofie.

    Ensure that all tools are mobile Web compliant. Give tht emergig mjorities frequetly rely

    o mobile devices to ccess the Iteret, it is

    importt to esure tht public helth-drive

    socil medi efforts trgeted towrds these

    udieces be ccessible usig mobile device.

    This ofte mes tht socil mrketers must

    rely o text-bsed messgig, d void more

    dymic tools tht tke loger for cellulr

    etworks to dowlod.

    Sttus updte services such s Twitter mke

    idel text-bsed chels for socil medi

    messgig vi mobile techology, d should

    be cosidered s key pltform for rechig

    emergig mjority udieces.

    Focus on easily implementable health care

    solutions. espite growth i the use of socil

    medi techologies, emergig mjority fmilies

    still suffer from poorer helth outcomes d fce

    lesser ccess to helth cre services th Whites.

    This my be ttributed i prt to the cil

    hrdships my of these fmilies experiece,

    combied with the growig costs of helth cre.

    or these resos, public helth messgig to

    emergig mjority udieces should provide cler,

    low-cost solutios or recommedtios regrdig

    the issue t hd. Messgig d tools cot

    be perceived s cretig dditiol burde

    for these commuities.

    2.2 Health Care providers

    I idustry where compestio is ofte tied

    to the umber of ptiets treted, helth cre

    providers re discoverig tht socil medi is oe

    of the most efciet d lest costly iformtio-

    shrig resources vilble. More d more, providers

    re drive towrds deliverig more persolized,

    better-iformed cre, d hve strted usig

    socil medi techologies to do so. Yet, brriers

    to socil medi doptio mog these idividuls

    remi. Whe it comes to ptiet-to-provider

    iterctios vi socil medi, providers of te hesitte

    to egge becuse of their medicl triig, which

    stresses the importce of privcy d mitiig

    professiol distce.28 My providers lso

    feel tht eggig with ptiets vi socil medi

    blurs the lie betwee HIPaa violtio d

    good-fith iformtio shrig.

    ut it is eggemet betwee fellow providers tht

    is ofte most vitl to effective socil mrketig d

    public helth itervetios. Thus, it is importt

    to uderstd why my physicis still perceive

    relice o peer-to-peer socil medi resources

    s ultimtely uproductive. It is eqully criticl to

    idetify why providers ofte still questio the

    premise tht doptio of socil medi techologies

    will ultimtely beet ptiet helth outcomes.

    These public helth professiols re witig

    stroger evidece from mrketers of socil

    medis iheret vlue.

    So how c we overcome these brriers roud

    physicis perceptio of socil medi?

    The swer my lie i the diffusios of iovtio

    theory, which sserts tht people do ot embrce

    ides just becuse they re ovel or re promoted

    through mss medi.5 Helth cre providers, like

    cosumers, re iueced by the ctios of their

    iuetil peers. Thus, if more key opiio leders

    i the public helth commuity c be persuded

    to leverge socil medi pltforms, greter umbers

    of providers will follow suit.

    2.2 .1 priar Care phsicians

    Primry cre physicis re oe of the lichpis

    of the americ public helth system. They re

    ofte the rst poit of cotct for iformtio-

    seekig cosumers, d for tht reso, re

    importt udiece for public helth-focused

    socil mrketig cmpigs.

    Historiclly, physicis hve bee wry of e

    i socil medi. ut s youger, more Web

    geertios of doctors begi prcticig m

    the medicl commuity hs see shift i p

    cre physicis level of socil medi egg

    Severl recet surveys hve documeted th

    accordig to Mhtt eserch survey

    published i 2009, 60 percet of U.S. phy

    re either ctively usig socil medi etw

    re iterested i doig so. 29 nerly 90 per

    olie U.S. physicis sy the Iteret is es

    to their professiol prctice, d 2008

    by orrester eserch idicted tht 76 pe

    of olie physicis used oe form of soc

    medi or other to crete, cosume, or sh

    medicl cotet.3,30

    Physicis eggemet i socil medi do

    occur frequetly, however. ess th 50 peolie physicis report tht they crete, c

    or shre medicl cotet o mothly bs

    supportig the ssertio tht my provid

    perceive frequet or dily use of socil me

    ieffectul. Whe physicis do use socil

    for professiol purposes, it predomitl

    vi peer-to-peer etworks. I 2008, 73 per

    of specilists olie icludig primry c

    physicis reported usig physici port

    to d iformtio or sty updted o cli

    mtters d tretmets.3 a 2010 study by n

    Kovc of ew medi use mog physicis

    88 percet hve visited cebook d 16 p

    idicte they re usig or hve visited Twit

    xclusive physici-trgeted socil medi e

    such s Sermo, SocilM d Ozmosis re

    providig physicis with sfe, secure evir

    i which to shre ides. These etworks h

    ttrcted tes of thousds of members

    loe hd over 100,000 members i 2009

    of their ppel is the ssurce tht oly li

    physicis my become members d shre

    This wlled grde pproch bolsters phy

    codece i the relibility d ccurcy o

    etworks cotet d sources.

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    0

    pHySCANS pREfERRED CNCA

    AND TREATmENT RESOURCES ONNE

    a 2008 orrester eserch survey idictes

    tht physicis re ow relyig o the digitl

    equivlet of trditiol commuictioschels for cliicl d tretmet iformtio.

    Source: orrester eserch, 2008

    - -

    -

    0% 20% 40% 60% 80% 100%

    Association or

    professional

    society

    Online journals

    Literature

    databases

    Physician

    portals

    Drug reference

    tools or

    databases

    Wht re physicis discussig o these etworks? Most

    olie specilists coect vi the Iteret to improve their

    prctice d busiess, or d or shre cses, iformtio

    o prescriptio drugs or tretmets, d reserch.3

    eserch preseted by Joel Selzer, Co-ouder d CO

    of Ozmosis, suggests tht physicis re focused o skig

    d swerig questios, etworkig with peers, cosultig

    o cliicl cses, discussig product efccy, reviewig

    public helth lerts d cosumig cotiuig medicl

    eductio d eductiol videos.32

    These digs suggest tht key medicl opiio leders

    d iformed peers remi two of the key iuecers of

    physicis behvior d cliicl prctices.

    NSGHTS ON pRmARy CARE pHySCANS fOR

    pUBC HEATH-fOCUSED SOCA mEDA OUTREACH

    Authenticate your evidence online. Primry crephysicis vlue the iformtio tht is vilble to

    them olie, but wt to kow where it comes from

    d who they re commuictig with. Thus its

    importt to iclude evidetiry iformtio whe

    deliverig prticulr dig or set of public helth

    recommedtios to primry cre physicis vi

    socil medi chel. It my lso be criticlly importt

    to require tht physicis submit some type of professiol

    idetictio before prticiptig i peer-to-peer

    socil medi etwork or olie coverstio.

    tig d sourcig the iformtio you provide c

    be ccomplished reltively esily usig digitl tctics.

    or exmple, hyperlikig to origil source or

    jourl bstrct is gret wy to iclude referece

    without ddig dditiol cotet. This is lso key

    opportuity for govermet-sposored websites,

    if the iformtio is esy to d d ccess.

    Keep it simple (or risk losing your audience). Time is

    precious commodity mog primry cre physicis,

    who re ofte tsked with tretig ptiets bck-to-bck

    throughout the workdy. Cosequetly, these providers

    must be ble to icorporte socil medi pplictios

    ito their dy-to-dy lives simply d efcietly. Time or

    lbor-itesive pplictios will likely be igored i fvor

    of tools tht re more esily utilized.

    Oe wy to icrese the efciecy d

    effectiveess of socil medi pplictios trgeted

    towrds providers is to iclude tool for users

    to seek help if they eed dditiol iformtio

    or ssistce olie. Offerig digitl help desk,

    for exmple, is gret wy for physicis to ler

    how to vigte your socil medi pplictio

    i rel-time, without the dded time d

    complictio of cotctig you directly.

    Look to digital champions and ambassadors.

    ike my of us, physicis ted to rely o

    etworks of trusted peers d well-estblished

    public helth istitutios for cliicl d tretmet

    iformtio. Socil lerig theory supports this

    otio, d tells us tht chmpios ply

    sigict role i ecourgig positive behvior.5

    a like-mided key opiio leder or istitutioo the frot lies of public helth issue c

    ofte become digitl mbssdor for

    cmpigs socil medi messgig, give his

    or her bility to dissemite trusted cotet

    to lrge etworks of peers o d ofie.

    These etworks c i tur become importt

    iformtio pipelies durig cmpig or

    public helth crisis. igitl mbssdors c lso

    provide isights o how to rech d iuece

    specic groups of cosumers d providers.

    Its importt to ote tht y reltioship with

    public helth professiols withi the cotext

    of socil mrketig cmpig should remi

    trspret d uthetic to esure the credibility

    of the cmpig d its messgig remis itct.

    2.2.2 Nurses

    nurses re ofte the rst poit of cotct for

    cosumers seekig helth cre d, like primry

    cre physicis, they hve historiclly bee skepticl

    of socil medis potetil to improve ptiet cre.

    Yet urses re ofte more willig to egge i

    ptiet-to-provider iterctios vi socil medi

    pltforms. as urse blogs such s Codeblog d

    mergiblog d ursig commuities such s

    allnurses d nurseCoect hve grow, more

    d more urses re begiig to shre olie.

    Ptiet-to-urse iterctios vi socil medi

    occur i my wys. or exmple, pproxi

    three out of four U.S. urses recommed h

    websites to ptiets.33 nurses re lso utili

    micro-bloggig d sttus updte services

    commuicte with ptiets, s well s oe

    I 2010 survey, 11 percet of urses reporte

    Twitter d 77 percet reported visitig c

    egrdig exclusively peer-to-peer egg

    reported 65 percet of urses pl to e

    i socil medi i the future for professio

    developmet resos.34 nursig blogs driv

    sigict portio of this eggemet mos

    report usig blogs for eductio d profe

    developmet.34 also, erly 25 percet of

    report visitig the professiol developme

    etwork ikedI.

    NSGHTS ON NURSES fOR pUBC

    HEATH-fOCUSED SOCA mEDA OUTR

    Nae our sources. ike physicis, ur

    vlue iformtio vilble olie d th

    socil medi etworks, but wt to kow

    it comes from. Iformtio shred vi socichels tht is ot thoroughly referec

    sourced is ot likely to be used by urse

    cliicl settig ofie. blig urses to

    iformtio o their bckgroud or cliic

    before shrig public helth recommed

    with ptiets or peers c lso be impor

    or exmple, disclosig if urse is reg

    urse or certied urse prctitioer,

    dd to the credibility of the iformtio

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    2

    manage but dont control dialogue. Whe it comes to

    socil medi, urses vlue isights d feedbck from

    ptiets d fellow urses like. Thus, socil medi

    commuities d tools desiged for urses should

    eble everyoe to ler d shre, provided tht the

    iformtio give remis trspret. attempts t

    cotrollig the coverstio my drive urses wy,

    d dimiish the vlue of the socil medi pplictio.

    Create a cliate that acilitates education and ersonal

    inoration sharing. nursig is very persol professio,

    d urses ofte crete ptiet composites msh-up

    of severl similr ptiet experieces ito sigle

    ptiet whe discussig their experieces olie.

    Other urses c ler from these composites d

    shre them with ech other.

    ut urses re lso iterested i coectig with oe

    other d shrig stories bout their dy-to-dy lives.

    Idelly, socil medi etwork gered towrds ursesshould eble them to do both.

    2.2 .3 Health Sstes and Hositals

    Helth cre systems d hospitls re criticl udiece

    for socil mrketers d public helth commuictors. They

    house ptiets o their jourey towrds welless d ofte

    serve s trusted uthorities for public helth iformtio.

    The umber of hospitls doptig socil medi techologies

    hs skyrocketed i recet yers.35 Socil medi pltforms

    such s cebook, YouTube d Twitter re ow beig used

    i customer service, medi reltios, d provider recruitmet

    efforts. or exmple, the Myo Cliic i Miepolis hs

    creted cebook Pge d Twitter feed dedicted

    to helpig people d job t the Cliic. Job seekers c

    see sttus updtes o ew opeigs, or post commets

    or questios bout workig t oe of the Cliics fcilities.

    d eett, irector of Web Strtegy t the Uiversity

    of Mryld Medicl System, hs estimted tht the

    socil medi doptio rte mog hospitls i the U. S.

    is pproximtely 53 percet.36 The rte of doptio is

    hevily skewed to lrger hospitls, but this my chge

    s more fcilities gi better ude rstdig of the

    low-cost beets socil medi pplictios c provide.

    Ptiets re lso respodig to hospitls efforts. nerly

    oe-qurter of e-ptiets lredy cosult rkigs or

    reviews olie of hospitls or other medicl fcilities.4

    Still oly four percet post review of hospitl olie.4

    AUDENCE NSGHTS ON HEATH SySTEmS AND

    HOSpTAS fOR pUBC HEATH-fOCUSED

    SOCA mEDA OUTREACH

    Turn roviders into advocates.

    eserch hs demostrted tht growig

    umber of americs re seekig iformtio

    olie bout where to obti helth cre.

    accordigly, hospitls flited providers should

    be give socil medi tools to commuicte with

    potetil ptiets bout the type of cre they c

    expect to receive t prticulr fcility, s well

    s covey relible public helth iformtio to

    members of the hospitls commuity. Physicis

    d urses c become hospitls strogest

    dvoctes through socil medi pltforms such

    s blogs d podcsts, ll of which c be mde

    vilble through hospitls website.

    Counicate intentions and exectations.Helth cre fcilities tht utilize socil medi

    should clerly commuicte their socil medi

    policies d procedures to their ledership,

    stff d ptiets. This my be doe i writig

    or vi the hospitls website or blog, if oe exists.

    Clerly displyig socil medi policies elimites

    cofusio regrdig the itet of hospitls socil

    medi efforts, d helps mitigte potetil risks.

    ook to social edia in a crisis. Give tht

    socil medi techology c eble two-wy

    commuictios i rel-time, it c be vluble

    tool for hospitl durig public helth crisis.

    More speciclly, socil medi pltforms c be

    used to recruit medicl voluteers to disster site,

    rpidly covey criticl iformtio to commuity,

    d lig respose efforts o the groud.

    after the crisis hs subsided, the goodwill creted

    by these types of socil medi-bsed respose

    efforts c result i hospitl becomig more

    trusted source of public helth iformtio

    mog its costituets.

    WHAT SOCA mEDA NETWORKS

    DO HOSpTAS pREfER?

    Hospitls use of socil medi pltforms grew

    expoetilly betwee 2009 d 2010. amog

    smple of 660 hospitls i the U.S. whoutilize socil medi, 507 utilize Twitter, 459

    utilize cebook, 308 utilize YouTube, d 85

    utilize blogs.

    Sources: Ogilvy, 2010; d eett.org, 2010

    - -

    -

    0 100 200 300 400 500 600

    Twitter

    Blogs

    Facebook

    YouTube

    3. Summry Coclusios

    Socil mrketig is rooted i the belief tht g

    udiece eggemet trsltes ito more p

    solutios d itervetios.5 Socil etwor

    fcilitte eggemet, d with the dvet o

    medi etworks olie, peoples prticiptio

    mrketig itervetios is ow greter th

    Public helth progrms hve leverged this

    d re successfully doptig pltforms su

    cebook d YouTube to iuece d ch

    peoples behviors for the better.37 eelig

    hve the right iformtio to live helthier,

    fulllig lives is empowerig, d socil me

    fuel tht sese of empowermet.

    ut ot ll of us re e-ptiets coected tsocil etwork of public helth iformtio

    If socil mrketig is truly bout protectig

    improvig the wellbeig of others, we must

    wys to rech d egge those who re

    ctively seekig public helth iformtio

    the Web. Perhps givig providers d co

    equl shre of voice i the developme

    public helth messgig d itervetios w

    us overcome this chllege. Socil mrkete

    udoubtedly be usig socil medi techo

    to seek d d the swer.

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    4

    efereces

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