Can social networks help people change their health behaviors? Some have claimed yes, some no, and digital public health heavyweight, the brilliant Susannah Fox, weighed in today at the #DCWEEK Pew event: Public Health: What’s Digital Got to Do With it?

The answer: we don’t yet know, but if Susannah has anything to do with it (and, uh, she does!), we may know someday.

So, what do we know about how social relationships affect health behaviors?

According to Susannah, we know:

  • Health is social. In a recent Pew report, two thirds who looked online for health information talked with someone else, usually a peer, about the information they found.
  • Chronic disease has an independent negative affect on having access to the internet, but, once online, having a chronic disease is associated positively with using the internet for health, blogging for health, participating in online discussion on health, etc.
  • Offline social networks affect behaviors. Obesity can spread through social networks (check out the book Connected, which discusses how obesity spread through the Framingham heart study’s participants’ networks).
  • Text reminders can help with medication adherence. A Boston study showed this to be the case in getting people to use sunscreen.

So now what?

According to Susannah, we already have a learning system — social media. While we don’t yet know the effects, we do know that people are using social media, and we can make some inferences based on offline social networks what the effects MIGHT be. Again, the research has not caught up with our eagerness to know.

Susannah concluded with some great food for thought, and an appeal for more research beyond anecdotal examples.

  • Can there be a network effect?
  • Can people change their health behaviors based on what they see in their personal online social networks?
  • What is the power of peer to peer advice and how can we harness it?

I’m sure looking forward to seeing what further research comes out of these questions. You?

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The federal government’s one-stop new media shop for HIV/AIDS information, AIDS.gov, recently published its strategy for integrating new and “old” media channels, and you can check it out below, courtesy of Path of the Blue Eye on Slideshare. There are some great nuggets here, including AIDS.gov use of Forrester’s POST (people, objectives, strategy, technology), its new media use in matrix form, its staffing set up, and its future planning ideas.

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When I read recently about the various new hospital visitor policies changing throughout the country due to H1N1 flu, I thought, ok, makes sense. Why wouldn’t you restrict healthy children, among the most vulnerable to swine flu, from visiting care centers for the sickest people?

But I also thought…how sad, especially this time of the year. Many kids will be in the hospital through the holidays and their families will likely face certain limits on who or how many people can visit. This means some families who need to be together the most this season will not.

Then, today, I saw this Facebook post from Children’s National Medical Center, whose visitor restrictions include a limit of two family members in a child’s room at one time.

A slew of long, emotional comments followed. Admittedly, I was nearly in tears (and I’m pretty sure it wasn’t the pregnancy hormones).

“…one thing that made it nice was that the staff was a little lax with visiting hours…”

“…I’m sure this holiday season will be more challenging for families and harder on children…”

“…hardest is missing the special traditions of home and not having all of family together…”

I am really impressed by how  humanly the good PR folks at Children’s are handling this issue.

Yes, they issued a standard formal statement. But they are also using social media communities – Twitter and Facebook – to communicate with parents they are trying to reach using two-way conversations.

Putting the Public Back in Public Relations

Children’s is just one of many hospitals to jump on the social media bandwagon, but I think the medical center is doing a particularly fine job of, as Brian Solis and Deirdre Breakenridge put in their latest book, “putting the public back in public relations.”

The book discusses how top-down messaging strategies, news releases with canned quotes and jargon, and one-way communication led over time to a less credible, less transparent public relations profession.

Solis and Breakenridge argue that the social Web, however, is forcing the reinvention of a PR field that instead focuses on conversation and engaging in meaningful two-way communication. PR has always been about relationships, they say, and we’re living in a time when PR pros can earn new found recognition by turning virtual relationships into real relationships.

Sociology First, Technology Second

My point, and what I think Children’s did really well with its latest Facebook post, is that communicators have an opportunity to humanize stories with social media. Solis and Breakenridge discuss this, and I think it’s their strongest argument. News releases are one-way, but with two-way communications you can really connect with the people you are trying to reach based on their needs and interests.

So while you must release your official statement updating people on your hospital’s new visitor policy because of H1N1, you don’t have to stop there any longer. Through social media and online communities, you can talk directly about the change with people who most affected, see how those people talk to each other, and learn more about what they want.

Does it get any more human than that? Kudos to Children’s. I look forward to watching them more as they grow in the social media space.

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