Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population

Petkovic, Jennifer; Duench, Stephanie; Trawin, Jessica; Dewidar, Omar; Pardo, Jordi Pardo; Simeon, Rosiane; DesMeules, Marie; Gagnon, Diane; Roberts, Janet Hatcher; Hossain, Alomgir; Pottie, Kevin; Rader, Tamara; Tugwell, Peter; Yoganathan, Manosila; Presseau, Justin; Welch, Vivian

doi:10.1002/14651858.cd012932.pub2

Cited by 70 publications

(71 citation statements)

References 294 publications

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“…Social media based health promotion programs tend to reach younger and more diverse audiences. 18 - 20 In addition, health promotion programming is becoming more rooted in internet-based mediums with social media use exponentially increasing. 20 , 21 Future research with the Get WalkIN’ program will consider a social media component.…”

Section: Discussionmentioning

confidence: 99%

What Works and for Whom? Outcome Evaluation of an E-mail Walking Program Delivered Through Cooperative Extension

Richards

Woodcox

Förster

2022

J Prim Care Community Health

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Introduction: Get WalkIN’ is a 12-week, e-mail-based walking promotion program. The purpose of this study was to (1) compare sociodemographics of participants who enrolled versus completed the program; and (2) evaluate program feasibility/acceptability from perspectives of program participants and county-based Extension Educators who implemented the program. Methods: Participants (N = 875), recruited by county-based Extension Educators, were asked Likert-scale questions (eg, ease of reading the e-mails and frequency of e-mails) to assess program acceptability and open-ended questions regarding improvements. Educators (N = 55) were asked Likert-scale and open-ended questions regarding program training, recruitment, strengths, and areas for improvement. Descriptive statistics summarized participant characteristics, acceptability, and feasibility data. Open-ended responses were analyzed using thematic analysis. Results: There were no significant sociodemographic differences between participants (N = 875) who started the program and completed the program (n = 438). Participants reported intervention e-mails were easy to read (mean = 4.5 ± 0.7), understand (mean = 4.5 ± 0.7), and encouraged more walking (mean = 4.1 ± 0.9). Participants would like to connect/interact with other participants/Educators, have more monitoring tools for accountability, and more visuals/videos embedded within e-mails. Educators reported program training was adequate, e-mail messages were helpful and easy to use, and requested more visuals (eg, videos) to help with recruitment. Educators thought adding a social component (eg, kick-off walk or walking group) would be helpful. Conclusions: This Extension-delivered walking program is acceptable to participants and feasible to deliver. However, participants and Educators reported they would like more interaction, even if virtual. Future e-mail-based programs should consider ways to incorporate social interaction among users as well as provide a wide variety of recruitment resources.

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Section: Discussionmentioning

confidence: 99%

What Works and for Whom? Outcome Evaluation of an E-mail Walking Program Delivered Through Cooperative Extension

Richards

Woodcox

Förster

2022

J Prim Care Community Health

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“…Social networking sites are increasingly being used for health behavior change interventions (Dahl, Hales, & Turner-McGrievy, 2016 ; Hou, Charlery, & Roberson, 2014 ; Maher, Ryan, Kernot, Podsiadly, & Keenihan, 2016 ; Petkovic et al, 2021 ), typically as a platform to disseminate intervention materials (e.g. Napolitano, Hayes, Bennett, Ives, & Foster, 2013 ) or as an add-on in multicomponent interventions to provide a supportive environment for behavior change (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…Godino et al, 2016 ). Because these platforms are widely integrated into daily social life, they allow to easily reach a wide range of populations with evidence-based health behavior change interventions (Arigo et al, 2019 ; Petkovic et al, 2021 ). They also likely increase the dose of effective ingredients of behavioral interventions (‘behavior change techniques’; Michie et al, 2013 ), as they are remotely and continuously accessible, and frequently used (Mata & Baumann, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…They also provide unique features for interacting with like-minded people in private online spaces such as private forums or Facebook groups, increasing social support and social influence (Dahl et al, 2016 ; Zhang et al, 2016 ). Findings are mixed but results of several meta-analyses suggest a small positive effect of interventions using social networking sites for health behavior change (Laranjo et al, 2015 ; Petkovic et al, 2021 ; Waring et al, 2018 ; Williams, Hamm, Shulhan, Vandermeer, & Hartling, 2014 ; Yang, 2017 ). Nevertheless, little is known about potential mechanisms underlying these effects because social networking sites’ unique effects are rarely isolated, and hypothesized intermediate outcomes are hardly ever tested (Waring et al, 2018 ; Yang, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

“…Building on the integrated SDT-TPB model (Hagger & Chatzisarantis, 2009 ) and the advancement of the TPB to the reasoned action approach, we expect intervention effects on behavior change to be at least partially mediated by changes in autonomous (but not controlled) motivation (Ng et al, 2012 ; Ntoumanis et al, 2021 ), and by changes in attitudes, social norms, and self-efficacy (McEachan et al, 2016 ; Sheeran et al, 2016 ). Higher need fulfillment may further lead to higher perceived social support, one key mechanism of health behavior change, which is usually targeted with social-networking-site and online-community-based health behavior interventions (Dahl et al, 2016 ; Petkovic et al, 2021 ), because participants feel understood and supported. Increased need support could also positively impact engagement and participation within online communities by improving users’ experiences, and in consequence make interventions more successful (Perski et al, 2017 ; Waring et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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A theory-based video intervention to enhance communication and engagement in online health communities: two experiments

Kilb

Dickhäuser

Mata

2022

Health Psychology and Behavioral Medicine

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Background Online communities and social networking sites have great potential for supporting health behavior change. However, interventions vary greatly in participants’ engagement rates and, consequently, their effectiveness. Theory-based interventions in real-world contexts are needed to further increase engagement and effectiveness. Methods We experimentally tested whether a video intervention teaching Self-Determination-Theory-based communication strategies increases need-supportive communication strategy use over one week (Study 1, N = 76) and perceived need support, engagement, and goal attainment in a behavior change intervention supported by a forum-based online community (Study 2, N = 537). In Study 2, participants chose a goal (increasing either fruit or vegetable consumption or increasing moderate or vigorous physical activity) and joined an online community for 2 weeks. Data from both experiments were analyzed with mixed models and follow-up tests. Results In Study 1, participants in the intervention but not in the control group showed an increase in the number of need-supportive communication strategies used both immediately and one week after the intervention (condition × time interaction, partial η 2 = 0.31). In Study 2, participants who watched the intervention video had a higher number of postings and reported a higher subjective forum use frequency (but not a higher number of logins) compared to participants who watched the control video. However, the effect on the subjective forum visit frequency was not robust. There were no intervention effects on perceived need support, goal attainment, or secondary outcomes. The results might be explained by low application of need-supportive communication strategies. Conclusion A brief video intervention may be a suitable, low-cost intervention to promote need-supportive communication strategy use, benefitting both engagement and behavior change. Future studies should incorporate additional means to further improve communication strategy uptake and engagement in online communities.

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What is the RCT evidence for effects of interactive social media interventions on health behaviors and quality of life among adults?

Burch¹,

Ciapponi²

2021

Cochrane Clinical Answers

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Behavioural interventions delivered through interactive social media for health behaviour change, health outcomes, and health equity in the adult population

Cited by 70 publications

References 294 publications

What Works and for Whom? Outcome Evaluation of an E-mail Walking Program Delivered Through Cooperative Extension

What Works and for Whom? Outcome Evaluation of an E-mail Walking Program Delivered Through Cooperative Extension

A theory-based video intervention to enhance communication and engagement in online health communities: two experiments

What is the RCT evidence for effects of interactive social media interventions on health behaviors and quality of life among adults?

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