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LSBU lecture 2009 Communicating Health in the Ehealth Era
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The theoretical background
The scope of Ehealth
Application of EhealthThe InternetMobile technologiesPodcastsExcer-gaming
Taking the Technology Forward
Ehealth is the use of emerging information and communication technology, especially the Internet to improve or enable our health and healthcare.
Eng (2001)
Rather than Ehealth being a specific list of technologies used for health message delivery, the process of Ehealth is an intrinsic way of thinking which utilizes and improves the application of Information Technology (IT) for health.
Eysenbach (2001)
Theoretical context in communication theory.
How are messages are sent and received
Does the way we send messages affect the reception
Mass media and behaviour change
Mobile phone ownership in 2006 = 80%
Home computer in 2006 = 80%
Internet access in 2006 = 57%
Access to Digital TV in 2006 = 64%
Avery et al (2007)
Per Cent Number of GB Households
Percentage Change on Previous Year
2002 46 11.0m -
2003 50 11.9m 8
2004 51 12.2m 3
2005 55 13.3m 9
2006 57 13.9m 5
UK Male FemalePer CentSearching for information about goods and services 83 88 79
Using Email 80 81 80General browsing or surfing 72 75 68Searching for information about travel and accommodation 71 72 69
Playing or downloading games, images or music 45 51 40
Internet banking 42 47 37Reading or downloading on-line news (inc newspapers or news-magazines)
35 43 27
Activities related specifically to employment(inc current of future job)
32 35 28
Seeking health related information 27 26 28
Activities related to school, college or university course 27 24 30
Looking for job or sending job application 24 26 23
Listening to web radios / watching web TV 23 33 13
Downloading software other than games 23 33 13
Other communication e.g. chat rooms, message boards 20 23 18
Post educational activities (e.g. leisure activities) 18 20 16
Selling goods or services 17 22 13Telephoning over the Internet/Video conferencing 10 13 7
Every day or almost every day
At least once a week (but not every day)
At least once a month (but not every week)
Less than once a month
Per Cent
Men 64 26 6 4
Women 54 28 12 5
All 59 27 9 4
Age Groups
16-24 60 26 9 5
25-44 63 26 8 4
45-54 62 24 10 4
55-64 49 33 13 5
65+ 43 34 13 11
@60+ 31% used Internet for health seeking behaviour
@U60 53% used Internet for health seeking behaviour
Gender divide in health seeking behaviour
Use of Internet to seek health information regarding disease rather than health promotion and prevention.
The most widely used of contemporary ICT Link between use and age
55+ use mobiles for emergencies U35 use mobile phone for social reasons U25 predominant use – text messaging
Text messaging Surprise development of the mobile phone Crucial method of social interaction Privacy
Bluetooth WPAN Free message delivery system
Internet on Phone Newest of mobile technologies 2006 – 30% of households have mobile phones that can access
the Internet 2006 – 11% of people had accessed internet by phone
Introduction of the Smartphone
The Market leader – IPhone
Not just text and talk
Synchronisation to the Internet
Most frequent form of communication for young people
Personal Privacy Positive acceptability for info seeking by
text Text for Health
CSP – Text by resultsSweet Talk – Diabetes EducationSelf Harm and Suicide
Short Range Low Cost Low Power Low Data Transfer Rate Free Wireless Transfe 90.2% ofall mobile devices Most widely used wireless personal area network
How is Bluetooth Used
Gender
Male (n61) Female (n97) Total (n158)
Music Transfer 52 (38%)[85.2%]
85 (62%) [87.6%]
137 (100%){86.7%}
Photo Transfer 51(36.4%)[83.6%]
89 (63.6%) [91.8%]
140 (100%){88.6%}
Message Transfer 9 (47.4%) [14.8%]
10 (52.6%) [10.3%]
19 (100%){12%}
Hands Free 9 (64.3%) [14.8%]
5 (35.7%) [5.2%]
14 (100%){8.9%}
Contact Information 9 (45%) [14.8%]
11(55%) [11.3%]
20 (100%){12.7%}
Something Else 3 (42.9%) [4.9%]
4 (57.1%) [4.1%]
7 (100%){4.4%}
(n=) – Number counted for gender.(%) – Percentage score based on total number using Bluetooth in this way.[%] – Percentage score of use by gender of those having access to Bluetooth.{%} – Percentage score based on total number having access to Bluetooth.
Use of Bluetooth Acceptability Economical assessment Dissemination of messages Use of a prompt to download Multi Channelled approaches Noise!! Use to elicit behaviour Next steps ........
Audio
Downloadable
Personal
iTunes www.digitalpodcast.com
DDR
Wii (WiiFit)
Eye Toy
There is a great temptation in a study such as this to be seduced by
‘Tomorrows World’; to focus on what might be and assume that all the
technological possibilities are both cost effective and accessible to all’
Gough & MuCulloch. (2006)
Technical challenges
Community focus
Acceptability
Principles of diffusion of technology
Multi channelled approaches
Digital Divide
Congruence
Avery V, Chamberlain E, Summerfield, C, Zealey L (2007). Focus on the Digital Age ONS.
Eng T R, The Ehealth Landscape: A Terrain map of emerging information and communication technologies in health and healthcare. Princetown. NJ. The Robert Wood Johnson Foundation.
Fiske J. (1990). Introduction to Communication Studies. (2nd Ed) Routledge. London.
Eisenbach G. (2001) What is Ehealth? Journal of Medical Research 3:(2)
Gough, MuCulloch, (2006). Introduction. Vodaphone Policy Paper Series 4. March 2006. Vodaphone Plc.
Haste H. (2005) Joined up Texting: The role of Mobile Phones in Young Peoples Lives. Nestle Social Research Programme. London.
Health Communication Partnership. (2008) A Field Guide to Designing Health Communication Strategy. John Hopkins Bloomberg University
Rogers E. (1983) Diffusion of Innovations (3rd Ed) The Free Press. Collier Macmillan Publishers. London.
http://www.slideshare.net/FITTmaxx/major-moves-2008-biray-presentation-presentation
www.facebook.com
www.getiton.nhs.uk
www.youtube.com
www.walkertracker.com
www.gaydar.co.uk
www. secondlife.com
www.winchesterlgbt.moonfruit.com
www.voomaxer.com
Yahoo images
From what has been discussed and what know about Ehealth plan a piece of health communication for a target audience using new technologies.
Be prepared to feedback to the rest of the group.
