I’m guessing you’ve heard about social media’s promise for public health? We’ve been talking about this for years now. We’ve been busily incorporating social media in to every health communication and social marketing plan and trying to measure the awareness and behavior change effects.

We’ve seen many great examples.

I mean, more than 1.2 million people currently follow CDC Emergency on Twitter, and that momentum began with interest from consumers during the 2009 H1N1 flu outbreak. That’s something, right? That’s huge!

Among other fact bits, from Pew Internet, we’ve learned that having a chronic illness (once online) is associated positively with working on a blog and participating in online health discussions.

Where are we, then, when it comes to social media’s affects on health awareness and behavior change as part of public health campaigns? Where are the results?

Today “…as yet we have no proof of principle.

I borrow this quote from an excellent recent literature review conducted by the Peel region Canadian public health department on effectiveness of the use of social media for public health campaigns. I think the crew did quite the bang up job on this paper. The review of 39 articles and studies covering evidence behind domestic and Canadian public health campaigns incorporating social media found:

  • Research to date has focused on potential for learning and behavior change. This is largely because of a lag in the research cycle as compared to the rapid speed of social platform development.
  • Few peer-reviewed studies have tested social media interventions for desired outcomes, such as adoption of behaviors or even increased learning tied to social media.
  • In the several original research studies with evaluative components, results were confounded because researchers couldn’t isolate social media from other communication tactics.
  • The authors noted that even in the studies which attempted to evaluate behavior change, results may not be generalizeable from one health issue to another or in a different context.

These MIT researchers told us we can have better health through social networking. I see this referenced quite a bit. This study found that participants were more likely to sign up for an online health information forum through smaller networks of closer contacts than through larger networks of weak contacts. Its self-described limitations: it did not measure actual behavior change, simply likeliness to sign up for a network based on reinforcement from close online friends.

So many questions remain. Does social media work in certain situations, with certain audiences, for certain health outcomes? There’s not one study that I’ve found that shows this is the case, just yet. What about for improved knowledge and awareness but not for behavioral change?

Much of the success in public health we’ve seen were in crises – take 2009 H1N1 flu. Do differences exist in social media’s affects on public information gathering and action during health crises as compared to long-term chronic disease prevention campaigns?

I’m working through these issues because I’ve got my communication thesis topic idea due in 3 months and I’ve yet to come up with any solid research questions I can actually test.

Any one know of any other studies on this topic? Any one else working on one?

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Every day it seems, I hear about the latest mobile health app that promises to transform me, one step at a time, in to a healthier, happier, more awesome version of myself. There’s thousands of health apps on the various app markets, and of those, many offer a promise of behavior change based on receiving credits for meeting certain goals or through competitions with friends.

Don’t get me wrong. There’s a ton of potential here.

  • Evidence exists supporting behavior change games in certain situations for certain audiences.
  • Self-efficacy, or a person’s confidence in performing a particular behavior, is part of several behavior theories in which small steps are encouraged to ensure success.
  • Folks like persuasion psychologist BJ Fogg at Stanford are looking to the future — how mobile devices can influence behavior in the daily routines, targeted to what someone is doing at the right time and right place.
  • The Open mHealth project, among its other pilots aimed at developing an evidence base in support of mobile health, is studying how smartphones can monitor diet, stress, and exercise for prevention in new moms at risk of heart disease.

But can we face reality for a moment, as in today, right now?

First, most apps in the overall marketplace are not exactly Angry Birds.

Of all apps downloaded in 2010, 26 percent were used just once and, according to Pew Internet, only two-thirds of those who have apps use them

I hate to think where that leaves health apps, among the least sexy of the apps bunch.

Second, and I surmise here, people who are motivated enough to download and then actually use a healthy behavior mobile app are already healthy people. They may be looking for a minor boost, reminders, or a way to connect with other healthy people just like them.

It’s highly unlikely the typical health app user falls in to the audiences for many behavior change interventions such as youth and low socioeconomic groups. I’d like to see some more research in this area, though.

Lastly, unless there’s a study specifically on a mobile health app that I’ve missed (and I try to pay really close attention to this business), the bottom line is that we don’t really know. Show me some causal evidence, a pretest/post test with control group study, or even a self-reported survey. Anyone?

I’m definitely looking forward to future research results that shed more light on this topic.

So, what do you think? What did I miss?

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I’ve been having a blast getting my guest blog on over at Shonali Burke’s blog, Waxing Unlyrical. As I’ve been pathetically remiss in keeping anything regular going here, I’m especially grateful for the opportunity Shonali has afforded me to share some insights in to digital marketing for “good.”

My latest post is up: Using Google Insights to End a Year-End Blogging Rut.

It’s part of Shonali’s series on Blogging for Grasshoppers.

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