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Presentation given at the 8th Biennial JBI colloquium, Chiang Mai Thailand, 2012
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Copyright © 2012 Indiana Center for Evidence Based Practice Channeling the Rivers of Knowledge to Improve Global Policy and Practice Social Media and Evidence Based Policy and Practice
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Page 1: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 2: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 3: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 4: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 5: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 6: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 7: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 8: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 9: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 10: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 11: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 12: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 13: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 14: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 15: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 16: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 17: Social Media and Evidence Based 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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 18: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 19: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 20: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 21: Social Media and Evidence Based Healthcare

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

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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

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 22: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 23: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 24: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 25: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 26: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 27: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 28: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 29: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 30: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 31: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 32: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment
Page 33: Social Media and Evidence Based Healthcare

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

  • Social Media and Evidence Based Policy and Practice
  • Social Media and Evidence Based Policy and Practice (2)
  • Slide 3
  • Social Media
  • In other wordshellip
  • Slide 6
  • Categories of Social Media
  • Slide 8
  • Slide 9
  • Slide 10
  • Do enough people use social media as an option for KT and EBHC
  • Canadian Nurses
  • What is the world-wide traffic in social mediamdashunique visitors
  • Slide 14
  • Slide 15
  • Slide 16
  • Slide 17
  • Value in Network Grows with New Members
  • Slide 19
  • Slide 20
  • Dutch mixed methods evaluation study infertility
  • Too much information
  • Can we tame it
  • Lisarsquos Picks-Aggregators
  • Lisarsquos Picks-Aggregators of anything including evidence
  • Lisarsquos Picks-Social bookmarking to support EBHC
  • Opportunity
  • Opportunity (2)
  • Lisarsquos Picks-Wikirsquos for Collaborative Writing
  • Slide 30
  • Slide 31
  • Barriers to EBP and ICTs
  • Or just is it just best for entertainment

Recommended