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Published on 11.02.14 in Vol 16, No 2 (2014): February

This paper is in the following e-collection/theme issue:

    Editorial

    Harnessing the Social Web for Health and Wellness: Issues for Research and Knowledge Translation

    1Faculty of Medicine, eHealth Strategy Office, University of British Columbia, Vancouver, BC, Canada

    2see acknowledgements, Vancouver, BC, Canada

    Corresponding Author:

    Kendall Ho, MD, FRCPC

    Faculty of Medicine

    eHealth Strategy Office

    University of British Columbia

    Room 215

    855 West 10th Avenue

    Vancouver, BC, V5Z 1L7

    Canada

    Phone: 1 6048754111 ext 69153

    Fax:1 6048755083

    Email:


    ABSTRACT

    Social media is a powerful, rapid, and popular way of communication amongst people around the world. How can health professionals and patients use this strategy to achieve optimal disease management and prevention and attainment of wellness? An interdisciplinary group at University of British Columbia, supported by a grant from UBC Peter Wall Institute of Advanced Studies, conducted a research workshop in February 2013 to explore what is known and yet to be researched in using social media for nurturing the growth of virtual communities of people for health and wellness. This two and a half day workshop brought together a group of 30 multidisciplinary experts in closed discussions to reflect on five research themes in detail: (1) individual information acquisition and application, (2) community genesis and sustainability, (3) technological design issues, (4) knowledge management, dissemination, and renewal, and (5) research designs. In addition, a public forum for the general public, which attracted over 195 live participants, over 100 participants via Web casting, 1004 tweets, and 1,124,886 impressions following the #HCSMForum hash tag on Twitter, demonstrated the keen interest of the general public in this topic. Key concepts were captured in JMIR publications in this issue, and future directions, including research, knowledge translation approaches, and strategic partnerships of interdisciplinary researchers with policy makers and industries emerged from the workshop proceedings.

    J Med Internet Res 2014;16(2):e34)

    doi:10.2196/jmir.2969

    KEYWORDS



    Introduction

    The Journal of Medical Internet Research (JMIR) has recently published a small theme issue with three papers that emerged from a workshop on social media [1-3]. Social media is a collective term that describes a rapidly developing group of powerful and ubiquitous technologies and a set of socio-technical approaches for people to connect, support, and learn from each other [4]. Social media provides a powerful means of connectivity that can join community members in active pursuit of issues of common interest [5]. Dialogues of virtual communities formed through social media can bypass traditional methods of peer review, knowledge synthesis, and validation, thereby accelerating the dissemination and democratization of information by novices and experts alike [6-8]. Concerns have been raised that the misuse of social media forums can lead to spread of inaccurate or even harmful information, and potentially misguide participants into doing more harm than good to their wellness [9,10].

    We need to understand how this popular and emerging phenomenon of social media can be effectively and safely leveraged for the pursuit of wellness and health of a community and its members. This popular and emerging phenomenon of health management calls for illumination [11]. Research is needed on how the use of social media for health and wellbeing differs across different contexts (eg, different social norms, individual attitudes and practices, professional interventions, reward structures, and learning and play) [12]. Also important is examining how health information dissemination and health practices unfold and evolves fluidly with the to and fro of interaction among participants in social media communities, contrasting this with systems designed for planned application. We need to examine the operation of new designs in social media to explore and gain a greater understanding of the impact of online tools and concepts such as open source, peer production, crowdsourcing, virtual communities, participatory culture, e-learning, and game play, on the wellbeing and health of their users.

    A multi-disciplinary approach would benefit this examination, studying the issue through different research traditions, including but not limited to the social sciences (sociology, anthropology, psychology, communications), knowledge science (library science, education), technologies (engineering, computer science), management science (business engineering), and health sciences (medicine, nursing, public health). Collectively, studies from different research areas, such as social informatics, the science of socio-technical systems, eHealth, e-science, e-learning, management information systems and human-computer interaction, information science, computer science, management science, sociology, psychology, and anthropology will provide a more complete picture on the topic.

    The aim of our workshop, “Harnessing the Social Web: Communities for Health and Wellness” and the study was to gather an interdisciplinary group of researchers to examine the issues of using social media for supporting health and wellness.


    Scope of the Peter Wall Workshop

    A group from 5 faculties at the University of British Columbia (UBC)—Medicine, Library Science, Nursing, Sauder School of Business, and Engineering—successfully obtained a competitive grant funding from the UBC Peter Wall Institute of Advanced Studies to organize a research workshop to invite experts in various disciplines who share a common interest in social media and the use of the Web for wellness and health to explore the various dynamics at play in social media that contribute to success or failure, and the related management of information, social support, decision-making, and action in support of individual and community wellness goals. The purpose of the workshop was to bring together a group of experts to pool knowledge in support of a multi-faceted understanding of social media use in health and wellness by and for individuals and communities to explore 6 research themes (see Textbox 1).


    Textbox 1. The 6 research themes discussed at the Peter Wall workshop.
    View this box

    Workshop Program Overview

    We successfully invited a group of 30 multidisciplinary experts from library and information science, medicine, engineering, computer science, nursing, public health, communications, anthropology, education and sociology, health policy, and business and health economics to participate in this workshop, which took place from February 3 to 5, 2013 (Figure 1). The experts were engaged to consider the 6 research themes (Textbox 1), and produced background papers in preparation for the workshop. We also engaged graduate students from interdisciplinary studies, including the School of Population and Public Health, School of Nursing, School of Library, Archival and Information Studies, and Department of Computer Science to participate in our discussion and contributed their ideas and insights to our discussion.

    During the three days of the workshop, we maximized interactions amongst participants in order to draw upon their own disciplines’ perspectives and experiences on social media for health and identify interdisciplinary opportunities and gaps needing further illumination and research. We concentrated on generating academic papers to capture the multi-dimensional ideas discussed at the workshop, resulting in 3 full papers and this editorial in the Peter Wall workshop theme issue in JMIR [1-3].

    On the evening of February 4th, 2013, we conducted a public forum to present issues of using social media for wellness, inviting a few members from our workshop to give a keynote presentation and to be panellists of the forum. We invited the audience to engage in a dialogue to explore issues and ideas from their perspectives, from which we created a public forum, titled “Social Media: The Good, the Bad and the Possible,” which brought together the general public, digital and health care experts, dignitaries, and researchers to engage in dialogues on how social media can be used to improve their own health and wellness. The forum, which attracted an audience of over 195 live participants locally, over 100 participants via Web casting, 1004 tweets, and 1,124,886 impressions following the #HCSMForum hash tag on Twitter from BC and beyond, demonstrated the keen interest of the general public in this topic.

    Figure 1. Participants of the Peter Wall Institute of Advanced Studies funded workshop "Harnessing the Social Web for Health and Wellness: Issues for Research and Knowledge Translation", in Vancouver, Canada, February 3 - 5, 2013.
    View this figure

    Workshop Results

    The success of this workshop was built on the intellectual diversity and collaboration of a group of multidisciplinary experts, enriched by the experiences of users of social media in the public. Our primary intention was to address a health audience and a social media audience of fellow researchers and academics in different disciplines who are interested in learning about and/or engaging in ways social media can be harnessed in the service of health and wellbeing. Our secondary audience included: (1) the general public to give us insights on the everyday use of social media and health practices to potentially participate with us in our research; (2) research institutions’ decision makers to raise their interest in this area of research to support further exploration of this important sociotechnical phenomenon; and (3) knowledge users wanting to leverage this medium to help improve wellness of our citizens (health policy makers, businesses and corporations, engineering/computer science enterprises, social scientists, health professionals).

    The pre-workshop preparations on the 6 questions, and the input and discussions at the research workshop and the public forum, served as the basis of the 3 manuscripts associated with this workshop published in JMIR [1-3]. Their content will not be detailed in this editorial, but readers are encouraged to access these papers. The discussions in the workshop brought out several key insights which crossed disciplinary boundaries, highlighted in Textbox 2. These are essential questions and issues that need to be further investigated and addressed through interdisciplinary research.


    Textbox 2. Key multidisciplinary insights from discussion in the Peter Wall workshop.
    View this box

    Next Steps

    Together, the workshop and public forum shed light on the need to engage the general public, health professionals, researchers, and innovators to work together to unleash the power of social media and modern information technologies. The workshop further shed light on new and exciting ways to leverage social media in health care and to improve our health system’s ability and capacity to support each of us in wellness and sickness alike. In addition to disseminating the findings through publications, we were delighted to be engaged by the British Columbia Patient Safety and Quality Council to co-organize a follow up workshop, scheduled to occur in early 2014, to uncover the most beneficial ways of leveraging social media to promote quality and health in BC. Insights and lessons learned from this workshop will also be incorporated into the eHealth educational curriculum of medicine at UBC, and nationally through the Royal College of Physicians and Surgeons of Canada eHealth Expert Working Group and the Association of Faculties of Medicine of Canada eHealth education Committee.

    We further intend to maintain connections with our workshop and public forum participants, and invite others interested in this endeavour to join and continue to explore this subject. For more information, please contact the corresponding author.

    Acknowledgments

    This workshop was funded by a grant from the Peter Wall Institute of Advanced Studies. The author would like to recognize the University of British Columbia co-investigators and leads from the different schools: Caroline Haythornthwaite from School of Library Science, Leanne Currie from the School of Nursing, Hasan Cavusoglu from the Sauder School of Business, and Sid Fels from Engineering and Helen Novak Lauscher from Faculty of Medicine eHealth Strategy Office for steering the development and implementation of this workshop. The author would like to thank the 30 participants at the workshop, Lindsay Zibrik from the eHealth Strategy Office for the administrative organization of the workshop, Francisco Grajales III and Ajay Puri for leading the social media strategy. The author would also like to thank the public forum moderator and panel speakers: Gillian Shaw from the Vancouver Sun newspaper Ana Lucia Ruggiero from Pan American Health Organization, Gunther Eysenbach from University of Toronto, Caroline Haythornthwaite, Helen Novak Lauscher, and Francisco Grajales III, and the general public audience members that participated in person or virtually in the forum. Finally, the author would like to acknowledge the Harnessing the Social Web Workshop Collaborators in the collective contributions to the content of this editorial.

    List of Peter Wall workshop participants:

    Richard Booth; Western University

    Elizabeth Borycki; University of Victoria

    Lorna Boschman; University of British Columbia

    Joan Bottorff; University of British Columbia's Okanagan campus

    Hasan Cavusoglu; University of British Columbia

    Leanne Currie; University of British Columbia

    Gunther Eysenbach; University of Toronto

    Larry Frisch; Vancouver Coastal Health Research

    Bernie Garrett; University of British Columbia

    Jennifer A Gibson; University of British Columbia

    Francisco Grajales III; University of British Columbia

    Anatoliy Gruzd; Dalhousie University

    Caroline Haythornthwaite; University of British Columbia

    Kendall Ho; University of British Columbia

    Christina Krause; BC Patient Safety and Quality Council

    Andre Kushniruk; University of Victoria

    Bernadette Mah; Peter Wall Institute for Advanced Studies

    Sean A Munson; University of Washington

    Cameron Norman; CENSE Research and Design

    Helen Novak Lauscher; University of British Columbia

    John Oliffe; University of British Columbia

    Ajay Puri; BC Patient Safety and Quality Council

    Lucia Ruggiero; Pan American Health Organization/World Health Organization

    Jat Sandhu; Vancouver Coastal Health Authority; University of British Columbia

    Sophia Woodman; University of British Columbia

    Lindsay Zibrik; University of British Columbia

    Conflicts of Interest

    None declared.

    References

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    3. Grajales I, Sheps S, Ho K, Novak-Lauscher H, Eysenbach G. Social Media: A Review and Tutorial of Applications in Medicine and Health Care. J Med Internet Res 2014;16(2):e13 [FREE Full text] [CrossRef]
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    11. Kling R, Rosenbaum H, Sawyer S. Understanding And Communicating Social Informatics: A Framework For Studying And Teaching The Human Contexts Of Information And Communication Technologies. Medford, NJ: Information Today; 2005.
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    Edited by G Eysenbach; submitted 19.09.13; peer-reviewed by A Djuricich, A Burke; comments to author 07.10.13; revised version received 09.11.13; accepted 12.01.14; published 11.02.14

    ©Kendall Ho, Peter Wall Workshop Participants. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 11.02.2014.

    This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.