Annual Digital Impact Report 2015-16uk.cochrane.org/sites/uk.cochrane.org/files/public... ·...

Cochrane UK Digital Impact Report 2015/16

Trusted evidence. Informed decisions. Better health.

Cochrane UK Digital Impact Report 2015/16 2

The National Institute for Health Research is the largest single funder of Cochrane UK, which is part of Cochrane, an independent not-for-profit consortium dedicated to providing up-to-date, accurate information about the effects of health care.

Digital Impact Every quarter we record our digital impact across all our platforms. For us digital impact means the following:

• Growth: We measure the basic numbers across all our digital platforms, to find out whether our followers and users have increased. This is our first key measurement when it comes to our digital impact metrics; we initially want to know if more and more people are accessing our content.

• Conversations: We record online conversations with people through our digital platforms. We do this simply by taking a screen shot of each conversation. This is key information that tells us how well we are engaging with our stakeholders and where we could improve. We use these conversations to add depth of understanding to the data we record around Growth. This provides a rich source of information on how people are accessing and using our content and adds to our ongoing digital story.

• Campaign engagement: Campaign engagement looks at specific campaigns we have run and data surrounding them to answer the questions:

o Have the campaigns engaged with our key stakeholders?

o Have our audiences clicked through to our content?

o Have the campaigns led to new relationships that will be beneficial in the future?

To measure campaign engagement we have a formula relating to the data on the campaign content: Conversations + analytics (page views + new visitors + time spent) + new relationships

• New relationships: What new relationships with our stakeholders, have been formed in the last year? We record a basic list of the people. This is important as we could use the relationships in future projects.

Cochrane UK Annual Report 2014/15 3

6197 7006

7900

9042

10358

11449

13337

14531

6000

7000

8000

9000

10000

11000

12000

13000

14000

15000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

317 372 440

612

806

988

1321

1538

300

500

700

900

1100

1300

1500

1700

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

258

372 375

487 493

626 626

752

250

350

450

550

650

750

850

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/14 2015/16

Growth: Cochrane UK social media We measure the basic numbers across all our digital platforms, to find out whether our followers and users have increased. This is our first key measurement when it comes to our digital impact metrics; we initially want to know if more and more people are accessing our content. Number of Twitter followers The number of Twitter followers at the end of each quarter.

twitter.com/CochraneUK

Number of likes on Facebook The number of people who have liked our Facebook page at the end of each quarter.

Facebook.com/ukcochranecentre

Number of followers on LinkedIn The number of people who have followed our company page on LinkedIn at the end of each quarter.

linkedin.com/company/uk-cochrane-centre


6 9

12 17

18

25

29 29

5

10

15

20

25

30

35

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

3 5

9

19 19 22

30

45

2 7

12 17 22 27 32 37 42 47 52

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

Number of Google+ followers The number of people who have followed our Google+ page at the end of each quarter.

Google.com/+cochraneukcentre

Number of YouTube Subscribers The number of people who have subscribed to our YouTube channel at the end of each quarter.

youtube.com/channel/UCp_Vim5gfnLUsF3cxQLcBzQ



0

5000

10000

15000

20000

25000

30000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

0

5000

10000

15000

20000

25000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

0

0.5

1

1.5

2

2.5

3

3.5

4

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

Growth: uk.cochrane.org

Number of sessions The number of sessions that were had on the website during each quarter.

Number of users The number of individual users who visited the website during each quarter.

Number of pages per session The average number of pages visited per session, during each quarter.



00:00:00

00:00:43

00:01:26

00:02:10

00:02:53

00:03:36

00:04:19

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

70.92 65.31 68.05

72.37 67.95

83.77 85.8 84.17

3.44 3.96 6.11 7.18 3.56 0.54 0.57 1.8 0

10 20 30 40 50 60 70 80 90

100

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

0

10

20

30

40

50

60

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

Average session duration The average amount of time users spent on the website during each quarter.

Bounce rate The percentage amount of single page visits (they left the site without interacting with any other pages), during each quarter.

“The lower, the better”

Percentage of UK & Ireland sessions The amount of UK- and Ireland-based visits during each quarter.



0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

0

5000

10000

15000

20000

25000

30000

35000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

1.8

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

Growth: evidentlycochrane.org Number of sessions The number of sessions that were had on the website during each quarter.





00:00:00 00:00:09 00:00:17 00:00:26 00:00:35 00:00:43 00:00:52 00:01:00 00:01:09 00:01:18 00:01:26

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

39.58 40.37

46.78 43.06

35.35

28.49

33.94 34.1

1.76 2.07 1.65 1.86 2.02 2.55 2.4 2.14

0 5

10 15 20 25 30 35 40 45 50

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

68 70 72 74 76 78 80 82 84 86 88

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16



Percentage of UK & Ireland sessions The amount of UK- and Ireland-based visits during each quarter.



2

5

4

1

7

1

1

4

1

1

1

2

1

1

1

1

4

1

1

2

2

10

14

1

1

6

1

2

7

2

11

0 2 4 6 8 10 12 14 16

Acute Respiratory Infections

Airways

Anaesthesia, Critical Care & Emergency Care

Back

Bone, Joint & Muscle Trauma

Colorectal Cancer

Consumers & Communication

Dementia & Cognitive Improvement

Effective Practice & Organisation of Care

Ear, Nose & Throat

Eyes & Vision

Gynaecological Cancer

IBD

Incontinence

Injuries

Kidney & Transplant

Metabolic & Endocrine Disorders

Multiple Sclerosis

Musculoskeletal

Neonatal

Oral Health

Pain, Palliative & Supportive Care

Pregnancy & Childbirth

Public Health

Schizophrenia

Skin

STI

Tobacco Addiction

Vascular

Work

Wounds

Cochrane Reviews in blog The number of Cochrane Reviews blogged about in Evidently Cochrane, throughout 2014/15.



660 770

957

1004

1178

1332 1431

1508

600 700 800 900

1000 1100 1200 1300 1400 1500 1600

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

599 684

787 886

1095

1231 1321

1436

550 650 750 850 950

1050 1150 1250 1350 1450 1550

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

10

16

19

24 24 26 25

28

0

5

10

15

20

25

30

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

Growth: S4BE social media Number of Twitter followers The number of Twitter followers @Students4BE had at the end of each quarter.

Twitter.com/Students4BE

Number of likes on Facebook The number of people who have liked our Facebook page at the end of each quarter.

Facebook.com/Students4BE

Number of Google+ followers The number of people who have followed our Google+ page at the end of each quarter.

Plus.google.com/+Students4bestevidenceNet EBM



0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

0

10000

20000

30000

40000

50000

60000

70000

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

1.24

1.26

1.28

1.3

1.32

1.34

1.36

1.38

1.4

1.42

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

Growth: students4bestevidence.org Number of sessions The number of sessions that were had on the website during each quarter.





00:00:00

00:00:09

00:00:17

00:00:26

00:00:35

00:00:43

00:00:52

00:01:00

00:01:09

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16

32.83 36.25 37.17 36.66

19.41

14.01

19.1 21.38

8.3 8.35 6.65 5.92

0

5

10

15

20

25

30

35

40

Q1 Q2 Q3 Q4

2015/16

83 83.5

84 84.5

85 85.5

86 86.5

87 87.5

88 88.5

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

2014/15 2015/16



Countries with the highest percentage of sessions The amount of UK- and Ireland-based visits during each quarter.

(USA, UK, Australia and Canada)



Across all three websites there has been an increased number of users visiting the sites year on year. There is a significant increase in the number of users accessing uk.cochrane.org (3-4 fold) reflecting the attractiveness and success of the Cochrane re-branding. There is steady growth of our audience across all social media channels.

Evidently Cochrane Between 1 April 2015 and 31 March 2016 we published 69 blogs on Evidently Cochrane, featuring 99 Cochrane reviews.

Bringing patient and professional experience to the blogs The combination of clear and accessible evidence summaries with perspectives from patients or clinicians in many of our blogs is highly valued by our readers. Over the past year we have had 16 guest blogs, including one by a 15 year old, and in others have included a commentary on our evidence summary by someone for whom it is relevant.

Awareness events and campaigns Some of our weekly blogs link to awareness events or campaigns and in the past year these have included Sport England’s ‘This Girl Can’ campaign, Choosing Wisely, and World Antibiotics Awareness Week, for which we created a special collection on our website of blogshots on relevant reviews and a blog by Cochrane UK Senior Fellow Richard Lehman, on an important new Cochrane review on shared decision-making and antibiotic prescribing in general practice. These were shared by many doctors on Twitter, often with their own comments; for example

“LOTS OF ANTIBIOTIC DISCUSSIONS WITH PATIENTS IN SURGERY THIS AM, THEN A FEW MINS

READING WHY IT MATTERS SO MUCH”

@DR_A_RASHID (NHS DOCTOR, CAMBRIDGESHIRE)

“Providing useless treatm ent is w orse than doing nothing. It can harm your patient & others.”

@ ArtKellerm annM D (Dean of Hebert School of M edicine, USU)

We also ran our own campaign weeks, with multiple blogs or other social media outputs on a single theme. This year’s Evidently Advent campaign, which is a good way for us to reach a new audience, featured six Lego animations about Cochrane reviews.

• “Fabulous, really inventive way of getting evidence across, so impressed!” @GabrielleLevy

Editor RIB (Royal College of Nursing Research Innovation Bulletin)



• • “Thanks to @ukcochranecentr for another creative presentation of research evidence”

@HBmedlib Helen Baxter, Clinical Librarian, Melbourne, Australia •

We had a ‘healthy weight’ week to coincide with the publication of a new Cochrane review on portion size, for which we produced a blog, an infographic and several blogshots, as well as blogs on other reviews relevant to healthy weight. Our other campaigns launched our new ‘Evidence for Everyday’ series.

‘Evidence for Everyday’ series In November, we launched Evidence for Everyday Nursing (#EENursing) and Evidence for Everyday Midwifery (#EEMidwifery), followed in February by ‘Evidence for Everyday Health Choices’ (#EEHealthChoices), for patients and others making choices about their health. These are ongoing series, with dedicated blogs and blogshots for these audiences and occasional tweetchats. The objective is to increase engagement with these groups and to make it easier for them to access relevant evidence.

The response has been very positive, with many comments like these:

“This hashtag [#EEM idw ifery] is revolutionizing how students and m idw ives alike can stay up to date w ith the latest evidence”

@ Nicolacbrow n12 (3 rd year student m idw ife, Queen’s University Belfast)

“A great init iative in order to im prove our practice. Thanks a lot.” [#EENursing]

@ EdurneZabaleta (Nurse researcher, Barcelona)

The series have enabled us to make new connections, invite new partnerships and strengthen existing relationships with stakeholder groups. For #EEMidwifery we have partnered with The Practising Midwife, an evidence-based journal. We will be co-writing four Cochrane Corners with them in 2016, for publication in the journal and on Evidently Cochrane, and the December issue of the journal featured a ‘Viewpoint’ article written by Sarah Chapman, introducing Evidence for Everyday Midwifery.

Good relationships with the #WeCommunities, including @WeMidwives and @WeNurses, increase our reach on social media and facilitate our engagement with a range of health professionals. This is really important for getting evidence into practice.

Evidence for Everyday - impacting clinical practice A Cochrane review on management of peripheral vascular catheters was the focus for the #WeNurses tweetchat which we guest hosted, supported by two of the review authors, Claire Rickard and Joan Webster. This was a really successful session, with 63 contributors sharing over 400 tweets, and revealed a wide variation in practice despite current guidelines which are in line with the evidence. Details of the chat can be found in full here



http://wecommunities.org/tweet-chats/chat-details/2581 and in this reflection on the tweetchat in an Evidently Cochrane blog http://www.evidentlycochrane.net/getting-evidence-into-nursing-practice-replacing-the-routine/ . Two nurses followed their participation with action in their clinical areas:

@CraigBradleyF1, an Infection Prevention Nurse, tweeted during the tweetchat: “leaves little room for argument, let’s get on it!” The next day:

“To update: w e are on it and w il l be m aking change soon based on the latest evidence #tw eetchat to #action”

Later, January 12 2016, Craig updated us again:

“I added changes to the new policy docum ent and now just w aiting for it to be approved”

Nursing Student Darren followed up the tweetchat by questioning their practice of routine replacement with the ward sister and was told it was Trust policy. He said he would be taking it up with the infection control team.

Evidence for Everyday - impacting health choices

The launch week for #EEHealthChoices included a slidecast made by Cochrane Senior Fellow Lynda Ware introducing EBM and Cochrane, and blogs on orthodontic retainers, written by a teenage retainer-wearer, grommets, constipation and running.

The blog on Cochrane evidence relevant to runners, incorporating the story of Eddie Izzard’s 27 marathons challenge for Sport Relief which he had started that week, was a highly topical blog with a wide potential audience. We were delighted that it was picked up by the Mail Online and subsequently by other global press.

Comments on Twitter showed an appetite for reliable information relevant to everyday choices; for example:

“This piece about #M arathons is bri l l iant, could you do one on Com pression/Gels and a few others?”

@ ukm arathonchat

“Great article putting the evidence review in the context of real l i fe”

@ VPrescriber



“I love @ UKCochraneCentr. In the m idst of m uch m isleading online w ibble, this is the place for evidence-based info.”

@ ke2m ey (Developm ental Psychologist)

“Thank you Liv. M y son (and half his class) is goin g through this at the m om ent and it 's really helpful to read the blog.”

@ RM Engagem ent

#WeCATS Critical Appraisal Twitter Sessions This year we launched #WeCATS, a joint initiative with @WeNurses, @CASPUK and @Mental_Elf, to bring critical appraisal sessions to Twitter. The emphasis of these sessions is on people who have few critical appraisal skills but the chats have been joined also by those with greater experience, making for a useful and interesting mix.

The third #WeCATS tweetchat looked at systematic reviews, using the recent Cochrane review on portion size as an example. 98 contributors to the chat shared 657 tweets. CASP led the first half of the chat introducing some basics about systematic reviews and Cochrane UK (Sarah Chapman) and Ian Shemilt led the second half to look at the portion size review.

Link to chat details: http://www.wecommunities.org/tweet-chats/chat-details/2603

This is a fairly challenging activity but the initiative has been welcomed, particularly by nurses wishing to improve their ability to engage with research, and more tweetchats are planned.

Keeping Well Cochrane UK continues to write an ‘Evidence Matters’ article for ‘Keeping Well’, the quarterly newsletter of the Patient Participation Group at the Nuffield Practice, Witney. These all feature one or more Cochrane reviews, summarizing the evidence for those attending this busy practice.



Blogshots In June 2015 we started experimenting with blogshots to share Cochrane evidence. These images with brief information, shared through social media, are proving to be very popular. Our most successful blogshot so far, on the new Cochrane review on portion size, quickly generated more than 1000 clicks through to the review.

Initially developed with user feedback on social media, over the year we have continue to develop and adapt the format, tailoring it for our new ‘Everyday’ series for specific audiences. We have drawn on work conducted by Cochrane colleagues for the development of Plain Language Summaries to ensure that these mini evidence summaries are consistent, accurate and accessible.

They are now translated into other languages, by Cochrane translators, and we are working to make our blogshots widely available throughout Cochane and to enable others to create blogshots as part of their dissemination activity.

For our external audiences, the blogshots are shared on our Cochrane UK website, Twitter, Facebook and Instagram, a new platform for Cochrane UK this year. We also started sharing them on Pinterest, but with the links not fully supported we are in the process of making the transfer to Tumblr, where we will be able to have a searchable archive of blogshots.

Between June 2015 and 31 March 2016 the following were published: 112 Blogshots

• 92 reviews (41 new; 51 updates) were highlighted from 34 Cochrane Review Groups (20 UK based)

• 22 blogshots were linked to health awareness events/priorities/NICE guidance: o 4 to Stoptober o 4 to portion size and healthy eating campaign o 6 to World Antibiotics Awareness Week o 2 to Stop Pressure Ulcers Day o 1 to World Cancer Day o 2 to World Oral Health Day o 1 to coincide with Oxford University Hospitals NHS Foundation Trust’s new discharge

plan policy o 1 to coincide with latest NICE guideline publication o 1 addressing no. 3 priority in list of top ten priorities for research evidence for the NIHR

James Lind Alliance Priority Setting Partnership for Multiple Sclerosis

• 43 blogshots were linked to 4 campaigns: o 14 to Evidence for Everyday Nursing o 13 to Evidence for Everyday Midwifery o 7 to Evidently Advent o 9 to Evidence for Everyday Health Choices



• Topics covered included:

o helping smokers to quit o midwifery-led care and evidence for everyday maternal and newborn care o patient safety in when to replace peripheral venous catheters, treating and preventing

pressure ulcers and other evidence for everyday nursing care o considered use of antibiotics o discharge planning from hospital to home o detecting dementia (Cochrane Diagnostic Test Accuracy Review) o drug treatments and behavioural interventions for vulnerable people (those with

depression; attention deficit hyperactivity disorder, those with intellectual disabilities; substance-using adolescents)

o preventing and treating fatigue in multiple sclerosis and after stroke o alleviating pain o portion size, healthy eating and lifestyle interventions to maintain health and

wellbeing at work and at home o oral health

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