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Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media and Evidence Based Policy and Practice
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media and Evidence Based Policy and Practice
Lisa Hopp PhD RN FAANDirector Indiana Center for Evidence Based Practiceljhopppurduecaleduljhopp
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Objectivehellipin 140 characters or less
Identify social media tools that may be helpful for evidence based policy or practice
List some tools that might work
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media Employ mobile and web-based technologies to create highly interactive platforms via which individuals and communities share co-create discuss and modify user-generated content
What is it
Kietzmann JH Hermkens K McCarthy IPamp Silvestre BS (2011) Bus Horizons 54 241-251
Image source wwwtricyclecomfilesimagesissuesv20n305
2socialmedia_1jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
In other wordshellip
sourc
e
ww
wr
each
bra
nds
cou
kw
p-
conte
nt
uplo
ads
Co-C
reati
on-0
2g
if
source httpwajidalifileswordpresscom200911hero-overview-sharejpg
Share
Modify
Co-create
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
wwwsolveitmediacomwp-contentuploads201207SocialMediaLandscapejpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media and Evidence Based Policy and Practice
Lisa Hopp PhD RN FAANDirector Indiana Center for Evidence Based Practiceljhopppurduecaleduljhopp
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Objectivehellipin 140 characters or less
Identify social media tools that may be helpful for evidence based policy or practice
List some tools that might work
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media Employ mobile and web-based technologies to create highly interactive platforms via which individuals and communities share co-create discuss and modify user-generated content
What is it
Kietzmann JH Hermkens K McCarthy IPamp Silvestre BS (2011) Bus Horizons 54 241-251
Image source wwwtricyclecomfilesimagesissuesv20n305
2socialmedia_1jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
In other wordshellip
sourc
e
ww
wr
each
bra
nds
cou
kw
p-
conte
nt
uplo
ads
Co-C
reati
on-0
2g
if
source httpwajidalifileswordpresscom200911hero-overview-sharejpg
Share
Modify
Co-create
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
wwwsolveitmediacomwp-contentuploads201207SocialMediaLandscapejpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Objectivehellipin 140 characters or less
Identify social media tools that may be helpful for evidence based policy or practice
List some tools that might work
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media Employ mobile and web-based technologies to create highly interactive platforms via which individuals and communities share co-create discuss and modify user-generated content
What is it
Kietzmann JH Hermkens K McCarthy IPamp Silvestre BS (2011) Bus Horizons 54 241-251
Image source wwwtricyclecomfilesimagesissuesv20n305
2socialmedia_1jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
In other wordshellip
sourc
e
ww
wr
each
bra
nds
cou
kw
p-
conte
nt
uplo
ads
Co-C
reati
on-0
2g
if
source httpwajidalifileswordpresscom200911hero-overview-sharejpg
Share
Modify
Co-create
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
wwwsolveitmediacomwp-contentuploads201207SocialMediaLandscapejpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Social Media Employ mobile and web-based technologies to create highly interactive platforms via which individuals and communities share co-create discuss and modify user-generated content
What is it
Kietzmann JH Hermkens K McCarthy IPamp Silvestre BS (2011) Bus Horizons 54 241-251
Image source wwwtricyclecomfilesimagesissuesv20n305
2socialmedia_1jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
In other wordshellip
sourc
e
ww
wr
each
bra
nds
cou
kw
p-
conte
nt
uplo
ads
Co-C
reati
on-0
2g
if
source httpwajidalifileswordpresscom200911hero-overview-sharejpg
Share
Modify
Co-create
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
wwwsolveitmediacomwp-contentuploads201207SocialMediaLandscapejpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
In other wordshellip
sourc
e
ww
wr
each
bra
nds
cou
kw
p-
conte
nt
uplo
ads
Co-C
reati
on-0
2g
if
source httpwajidalifileswordpresscom200911hero-overview-sharejpg
Share
Modify
Co-create
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
wwwsolveitmediacomwp-contentuploads201207SocialMediaLandscapejpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
wwwsolveitmediacomwp-contentuploads201207SocialMediaLandscapejpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Categories of Social Media
Personal BlogsMicroblogs
Collab-orative
WikipediaYouTube
Online Comm-unity
FacebookLinkedInVideo
Social Worlds
Second Life
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
Strategy Analytics Oct 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Who has mobile smart devices and how do they use them and who can afford them
October 2012 bull Now over 1 billion
smart devices worldwide
bull 17 people owns one worldwide (Strategy Analytics Oct 2012) Im
age s
ou
rce
htt
p
app
ngonew
sth
ebu
tterfl
yfx
com
bl_
port
folio
381
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
1x57c
om
wp-c
on
ten
tu
plo
ads
201
20
3g
lob
al-
mob
ile-
tren
ds-
mig
hty
-cult
ure
-label-
appst
ore
s-w
orl
dw
ide-u
sers
-bill
ion-
smart
phone-s
ale
s-ch
ina-i
ndia
-phonejp
g
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Do enough people use social media as an option for KT and
EBHC
htt
p
pew
inte
rnet
org
Com
menta
ry2
01
2M
arc
h
Pew
-Inte
rnet-
Soci
al-
Netw
ork
ing-f
ull-
deta
ilasp
x
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Canadian Nurses
Col
lege
of
Nur
ses
of O
ntar
io
(201
2) T
he S
tand
ard
37
(2)
14-
15
Ret
rieve
d fr
om
ww
wc
noo
rgG
loba
lpub
smT
SM
Vol
37N
o2p
df
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
What is the world-wide traffic in social mediamdashunique
visitorsPinterest 25M
Twitter 37M
Facebook 150M
Bing 167M
Google (main search) 187M
Com
score
In A
dw
eek
20
12
O
ct 2
9-N
ov4
V 5
3
(38
)
For the month of September 2012
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
htt
p
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ads
20
11
09
Fra
nce
Info
gra
phic
_60
0pxw
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Hard-ware
Usage
Does it
work
Little evidencehellipyet
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Image source httpwwwkeler-amsenlwp-contentuploadssocialmediajpg
Opportunity for healthcare
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
169 million mobile users in the US accessed health information on their device during the three-month average period ending November 2011 growing 125 percent from the previous year Of those that accessed health information nearly 3 in 5 were under the age of 35 h
ttp
ww
wc
om
score
data
min
ec
om
wp-c
onte
nt
uplo
ad
s20
120
1
Mob
ile-H
ealt
h-A
ccess
_Novem
ber-
20
11-D
ata
jpg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Value in Network Grows with New Members
Metcalfersquos law [expressed as n(n-1)2]
N=4 value=6 N=7 value=21
Frazer R (2012) OJIN 17(3) DOI 103912OJINVol17No03ManOS Im
age s
ourc
e
htt
p
uplo
adw
ikim
edia
org
wik
ipedia
com
mons
thum
b2
24
Netw
ork
_Tr
ee_d
iagra
mp
ng2
20
px-N
etw
ork
_Tre
e_d
iagra
mp
ng
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities for healthcare
Convenience - cellphones are routinely on hand and switched on
Ubiquity - most people have a mobile device with text capability
Immediacy - recipients are more likely to read a message and take action right away
Communication - two-way communication capability provides opportunities for direct engagement
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Microbloggingmdashopportunities
Monitoring - can be used not just for communication but also to monitorreport symptoms
Measurability - results can be tabulated and measured
Dissemination - can be used for emergency alerts
Multimedia - texts can include links to audio video or other websites
Weaver B Lindsay B Gitelman B (September 30 2012) OJIN Vol17 No 3 Manuscript 3DOI 103912OJINVol17No03Man03
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
84 would participate again despite accessibility and attractiveness barriers
N=298
Young mostly female and already use the Internet
Dutch mixed methods evaluation study infertility
Interface must be clean simple and straightforward
Bre
eje
n e
t al (
20
12
)J o
f M
edic
al In
tern
et
Rese
arc
h
ww
wjm
iro
rg2
01
25
e1
38
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Too much information
ldquodata asphyxiationrdquo (William van Winkle)
ldquodata smogrdquo (David Shenk)
ldquoinformation fatigue syndromerdquo (David Lewis)
ldquocognitive overloadrdquo (Eric Schmidt)
ldquotime faminerdquo (Leslie Perlow)
htt
p
media
eco
nom
ist
com
im
ages
images-
magazi
ne2
01
10
70
2
wb2
01
10
70
2_w
bd0
00
jpg
Schumpeter (2011) wwweconomistcomnode18895468
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
httpwwwsocialblablacomwp-contentuploads201107social-media-managerjpg
Can we tame it
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators
NetVibesmdashaggregate information from RSS feeds Other aggregators like
delicious Standing online
searches TOC alerts Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Aggregators of anything including evidence
EVERNOTEmdashWeb Clipping Capture anything Access anywhere Integrates with other
tools for sharing Multi-device browser
add-on Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Social bookmarking to support
EBHC
Deliciousmdashsocial bookmarking Browser free Easy tagging Organize Push to aggregator Share
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
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nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
AHRQmdashoffering several social media options
AHRQmdashfor patients engaging them in evidence-based decision making
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Opportunity
Patient empowermentmdashE--patient Dave
EquippedEngagedEmpoweredEnabled
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Lisarsquos Picks-Wikirsquos for Collaborative Writing
Wiki for medicine Any registered
medical professional
httpwwwganfydorg
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Benner
an
d G
lasz
iou
(2003)
Medic
al Jo
urn
al of
Aust
ralia
1
78
(5)
21
7-2
2
26 RCTs and 29 comparisons
Reminders to providers 612 positive with RR 10 to 42
Combined reminders and feedback one comparison no effect
Feedback only 57 improved provider behavior with RR 1-25
Patient-directed 24 positive effect
Computerized Reminders on Medication Management
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Murr
ay E
B
urn
s J S
ee T
ai S La
i R
N
aza
reth
I
Inte
ract
ive H
ealt
h C
om
mu
nic
ati
on A
pplic
ati
ons
for
people
wit
h c
hro
nic
dis
ease
C
och
rane D
ata
base
of
Syst
em
ati
c R
evie
ws
200
5 Is
sue 4
A
rt N
o
C
D00
4274
D
OI
101
002
146
5185
8C
D0042
74p
ub
4
24 RCTs of 3739 participants
Positive impact on social support (SMD=35 95 CI 18-52)
Positive impact on clinical outcomes (SMD=18 95 CI 01-35)
Positive impact on knowledge (SMD=46 95
CI 22-69)
Patient Interactive Systems on Patient
Outcomes(Interactive computer-mediated applications and
chronic disease)
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Barriers to EBP and ICTs
Time
Access
Computing skills
Attitudes toward
research
Critical Appraisal skills
Complexity
Reliance on peers as information sources
Human factors
Hutc
hin
son amp
Johnst
on
(20
06
) JO
NA
16
1
89
Pra
vik
off
Pi
erc
e
Tanner
(20
05
) A
JN
Lack of authority
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment
Copyright copy 2012 Indiana Center for Evidence Based Practice wwwebnporg
Channeling the Rivers of Knowledge to Improve Global Policy and Practice
Or just is it just best for entertainment