Abstract
The worldwide expansion of users on the Internet has popularized the access of individuals to information that may not be obtained otherwise. Social media has fostered interactions between individuals and health organizations by changing the nature and speed of engagement. While it is known that many public health organizations use social media to engage their audiences, little is known about effective strategies and best practices for the dissemination of knowledge and audience engagement. Many barriers exist in the dissemination of public health messages, including limited funds to support information sharing. Blogs and social media networking sites can be dynamic, cost-effective communication tools with the potential to reach scientific, practitioner, and public audiences who may be missed through traditional outlets. This article describes rudimentary processes of developing a blog and using social media to disseminate public health information and potential applications in the day-to-day activities for other public health organizations. With the growing demand for instant communication and concise information, a strong Internet presence could help organizations maximize their reach and impact.
Keywords: blog, Facebook, Internet, multimedia, social media, social networks, Twitter
As noted by Brownson et al, “The gap between discovery of public health knowledge and application in practice settings and policy development is due in part to ineffective dissemination.”1(p102) Passive methods of dissemination, such as the publication of consensus conferences in professional journals, are generally ineffective and produce little change in practice.2 Social media has become a cost-effective way for public health practice to inform audiences of health issues, enhance communication during public health emergencies or outbreaks, and respond to public reporting of a particular public health issue.3–5 Scientists are increasingly using social media to share journal articles, promote scientific opinions, post updates from conferences and meetings, and circulate information about professional opportunities and upcoming events.6 Social media is more regularly being leveraged by public health organizations, such as the Centers for Disease Control and Prevention (CDC), state and local health departments, and other health agencies, to enhance existing dissemination practices.7 Yet, many researchers and practitioners alike remain uncertain of how to best utilize social media for disseminating their evidence-based research to increase implementation.8–10 This article describes efforts to increase the impact of the Journal of Public Health Management and Practice (JPHMP) in improving practice, research, and policy in a rapidly changing environment. We first describe efforts to maximize engagement and use of JPHMP by expanding reach and accessibility and then summarize Internet-based dissemination strategies that researchers, practitioners, or public health agencies can use to impact public perception, increase awareness of evidence-based information, and encourage implementation of scientific discovery.
Maximizing Engagement and Expanding Reach and Accessibility
In September 2014, with support from the de Beaumont Foundation, JPHMP convened a strategic planning session to review and adjust, formulate, and implement strategic effectiveness. Four priorities were identified: (A) maximize engagement and use by expanding reach and accessibility; (B) align content with the field's emerging needs; (C) develop strategic partnerships to enhance journal reach and capacity; and (D) align journal operations and resources with changing needs. While priorities sometimes overlap, we focus here on “priority A.”
In March 2016, JPHMP hired a full-time editorial associate to build a blog and expand JPHMP's social media presence on Facebook and Twitter. At that time, content on both platforms was generated by dlvr.it, an automated social media scheduling tool. Most of the generated content consisted of text-based posts of article titles and descriptions in JPHMP's RSS feed. There was virtually no engagement from either of the social networking sites. In September 2016, JPHMP Direct was launched as a companion blog Web site to JPHMP, designed to engage a deeper conversation with public health thought leaders, researchers, practitioners, and students. Initially, the blog featured author Q&As and blog posts on a variety of public health topics. Over time, podcasts, infographics, videos, and tools for authors and students were added to the blog's repository of content. JPHMP Direct has attracted more than 100 000 unique site visits and more than 50 000 visitors; provided an array of tools, resources, and information to students, practitioners, and researchers; highlighted research published in JPHMP; increased awareness of the journal; directed traffic to the journal's Web site; and created promotional opportunities for authors who publish in the journal.
Concurrently, 2 marketing firms were hired to help JPHMP develop a communications plan. In July 2016, the first firm began gathering information to establish a baseline of readership engagement with JPHMP and to develop a comprehensive tactical marketing strategy. The second firm assisted in establishing a social media presence for JPHMP and optimized the blog search and usability functions. The social media accounts were rebranded with a consistent look that represented JPHMP, and an updated process was established for manually scheduling posts at optimal times to social media. As a result of the rebranding and updated processes, the number of users following JPHMP on Twitter increased 12-fold and the number of users following JPHMP on Facebook quadrupled.
When JPHMP Direct was launched, the capacity to execute a comprehensive communication strategy was limited. Initially, the strategy focused on producing quality blog content and disseminating through Facebook and Twitter. As the blog received more traffic and traction on social media, JPHMP expanded its reach through creating other social media accounts, such as Instagram and LinkedIn, and venturing into podcast and video sites, such as Sound Cloud and YouTube. A summary of best practices JPHMP has learned while developing and implementing a comprehensive digital strategy is summarized in the Table.
TABLE. Best Practices and Approaches for Disseminating Journal Contenta.
| Best Practice | Tool | Time Commitment | Approach |
|---|---|---|---|
| Understand and use appropriate channels to disseminate content | Blog | Medium-high |
|
| Social media | Medium |
|
|
| Consistently generate relevant digital content that engages stakeholders | Resources and tools | Medium-high |
|
| Regular blog posts | Medium-high |
|
|
| Multimedia content | Medium-high |
|
|
| Use highly visual images or videos | Infographics | Low |
|
| Understand the level of effort and use resources/tools to streamline processes | Internal resources | High |
|
| External resources | Low-high |
|
|
| Evaluate your efforts and make adjustments | WordPress Metrics | Low |
|
| Google Analytics | Low |
|
|
| Social media analytics | Low |
|
aLevel of commitment based on our experience: low = less than 3 hours at one time; medium = between 3 and 10 hours at one time; high = almost daily effort, or more than 10 h/wk.
If You Blog It, They Will Come
More public health agencies and organizations are seeing the benefits of creating professional blogs from which to share reliable, evidence-based information—and help dispel misinformation—with both public and professional audiences. Health agencies, such as Public Health-Seattle & King County (Public Health Insider Blog), Big Cities Health Coalition (Front Lines Blog), National Association of County and City Health Officials (NACCHO Voice), CDC (Public Health Matters Blog), and other organizations are creating open-access content, such as infographics, podcasts, videos, and blog articles, that can be shared on their blogs to audiences in their local communities or around the globe.
Even for individual scientists and practitioners, a well-regarded, fact-based blog can help establish authority and increase social media influence. Blogger David Harlow of the popular Health Blawg, a health care law blog, has nearly 18 000 followers on Twitter, a respectable following by most estimations. Dr Sandro Galea, a physician, epidemiologist, and dean at Boston University School of Public Health, maintains a personal blog where he writes about LGBT health, abortion, homelessness, and other public health issues. Even guest-blogging for reputable public health blogs is a viable option for researchers and practitioners to talk about their work to established audiences interested in public health issues.
Know Your Audience on Social Media
Developing a social media presence requires more than just showing up to the party to hand out evidence-based research. In today's highly politicized climate, even well-intentioned public health social media campaigns may be attacked by “astro-turfing” (ie, fake grassroots groups or other opponents of controversial public health topics) as happened with the Chicago Department of Public Health (CDPH) when more than 600 “Twitter bombs” from opponents of proposed regulation tried to derail CDPH's e-cigarette campaign.11
Every social media site is its own unique community, with many smaller communities stacked inside it. To leverage social media for disseminating evidence-based information, we must listen to the conversations taking place in those communities and craft messaging that stands the highest likelihood of being effective. For an introductory overview of using social media, CDC provides a social media tool kit, guidelines, and best practices at https://www.cdc.gov/socialmedia/tools/guidelines/index.html.
Conclusion
With the growing demand for instant communication and concise information, a strong digital strategy rooted in best practices, consistency, and awareness of your target audience is essential for maximizing engagement and expanding reach. A blog can complement the content being disseminated, while social media networking sites allow individuals and organizations to widely share content that is appealing to diverse consumers. By providing relevant, consistent, and engaging content to audiences across online platforms, public health research can be disseminated more comprehensively than by nondigital means alone.
Implications for Policy & Practice
Public health blogs create repositories of evidence-based research and information such as infographics, podcasts, videos, articles, and tools that are freely and widely available to public and professional audiences around the globe. Blogs are cost-effective means by which to increase evidence-based information and help dispel misinformation.
Reputable, fact-based public health blogs not only disseminate evidence-based research but can also help establish researcher and practitioner authority and influence in social media communities such as Twitter, LinkedIn, Facebook, and Instagram.
With growing demand for instant communication, the use of social media can help organizations share timely information related to research or practice, but avoiding potential attacks to well-intentioned public health campaigns may require strategic communications planning from professional marketing firms.
Footnotes
The authors declare no conflicts of interest.
References
- 1.Brownson RC, Eyler AA, Harris JK, Moore JB, Tabak RG. Getting the word out: new approaches for disseminating public health science. J Public Health Manag Pract. 2018;24(2):102–111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Bernhardt JM, Mays D, Kreuter MW. Dissemination 2.0: closing the gap between knowledge and practice with new media and marketing. J Health Commun. 2011;16(suppl 1):32–44. [DOI] [PubMed] [Google Scholar]
- 3.Harris JK, Hawkins JB, Nguyen L, et al. Using Twitter to identify and respond to food poisoning: the Food Safety STL Project. J Public Health Manag Pract. 2017;23(6):577–580. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Scott KK, Errett NA. Content, accessibility, and dissemination of disaster information via social media during the 2016 Louisiana floods. J Public Health Manag Pract. 2018;24(4):370–379. [DOI] [PubMed] [Google Scholar]
- 5.Lehnert JD, Ellingson MK, Goryoka GW, Kasturi R, Maier E, Chamberlain AT. Use of obstetric practice Web Sites to distribute Zika virus information to pregnant women during a Zika virus outbreak. J Public Health Manag Pract. 2017;23(6):608–613. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Bik HM, Goldstein MC. An introduction to social media for scientists. PLoS Biol. 2013;11(4):e1001535. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Heldman AB, Schindelar J, Weaver JB. Social media engagement and public health communication: implications for public health organizations being truly “social.” Public Health Rev. 2013;35(1):13. [Google Scholar]
- 8.Buckarma ELH, Thiels CA, Gas BL, Cabrera D, Bingener-Casey J, Farley DR. Influence of social media on the dissemination of a traditional surgical research article. J Surg Educ. 2017;74(1):79–83. [DOI] [PubMed] [Google Scholar]
- 9.Gruzd A, Staves K, Wilk A. Connected scholars: examining the role of social media in research practices of faculty using the UTAUT model. Comput Hum Behav. 2012;28(6):2340–2350. [Google Scholar]
- 10.Wilkinson C, Weitkamp E. A case study in serendipity: environmental researchers use of traditional and social media for dissemination. PLoS One. 2013;8(12):e84339. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Harris JK, Moreland-Russell S, Choucair B, Mansour R, Staub M, Simmons K. Tweeting for and against public health policy: response to the Chicago Department of Public Health's electronic cigarette Twitter campaign. J Med Internet Res. 2014;16(10):e238. [DOI] [PMC free article] [PubMed] [Google Scholar]