Skip to main content
Top
Published in: BMC Pediatrics 1/2014

Open Access 01-12-2014 | Research article

A systematic review of the use and effectiveness of social media in child health

Authors: Michele P Hamm, Jocelyn Shulhan, Gillian Williams, Andrea Milne, Shannon D Scott, Lisa Hartling

Published in: BMC Pediatrics | Issue 1/2014

Login to get access

Abstract

Background

Social media use is highly prevalent among children, youth, and their caregivers, and its use in healthcare is being explored. The objective of this study was to conduct a systematic review to determine: 1) for what purposes social media is being used in child health and its effectiveness; and 2) the attributes of social media tools that may explain how they are or are not effective.

Methods

We searched Medline, CENTRAL, ERIC, PubMed, CINAHL, Academic Search Complete, Alt Health Watch, Health Source, Communication and Mass Media Complete, Web of Knowledge, and Proquest Dissertation and Theses Database from 2000–2013. We included primary research that evaluated the use of a social media tool, and targeted children, youth, or their families or caregivers. Quality assessment was conducted on all included analytic studies using tools specific to different quantitative designs.

Results

We identified 25 studies relevant to child health. The majority targeted adolescents (64%), evaluated social media for health promotion (52%), and used discussion forums (68%). Most often, social media was included as a component of a complex intervention (64%). Due to heterogeneity in conditions, tools, and outcomes, results were not pooled across studies. Attributes of social media perceived to be effective included its use as a distraction in younger children, and its ability to facilitate communication between peers among adolescents. While most authors presented positive conclusions about the social media tool being studied (80%), there is little high quality evidence of improved outcomes to support this claim.

Conclusions

This comprehensive review demonstrates that social media is being used for a variety of conditions and purposes in child health. The findings provide a foundation from which clinicians and researchers can build in the future by identifying tools that have been developed, describing how they have been used, and isolating components that have been effective.
Appendix
Available only for authorised users
Literature
4.
go back to reference Schurgin O’Keeffe G, Clarke-Pearson K, Council on Communications and Media: The impact of social media on children, adolescents, and family. Pediatrics. 2011, 127 (4): 4- Schurgin O’Keeffe G, Clarke-Pearson K, Council on Communications and Media: The impact of social media on children, adolescents, and family. Pediatrics. 2011, 127 (4): 4-
5.
go back to reference Hamm MP, Chisholm A, Shulhan J, Milne A, Scott SD, Given LM, Hartling L: Social media use among patients and caregivers: a scoping review. BMJ Open. 2013, 3 (5): Hamm MP, Chisholm A, Shulhan J, Milne A, Scott SD, Given LM, Hartling L: Social media use among patients and caregivers: a scoping review. BMJ Open. 2013, 3 (5):
6.
go back to reference Kaplan AM, Haenlein M: Users of the world, unite! The challenges and opportunities of Social Media. Bus Horiz. 2010, 53: 10-CrossRef Kaplan AM, Haenlein M: Users of the world, unite! The challenges and opportunities of Social Media. Bus Horiz. 2010, 53: 10-CrossRef
7.
go back to reference Tricco AC, Tetzlaff J, Pham B, Brehaut J, Moher D: Non-Cochrane vs. Cochrane reviews were twice as likely to have positive conclusion statements: cross-sectional study. J Clin Epidemiol. 2009, 62: 8- Tricco AC, Tetzlaff J, Pham B, Brehaut J, Moher D: Non-Cochrane vs. Cochrane reviews were twice as likely to have positive conclusion statements: cross-sectional study. J Clin Epidemiol. 2009, 62: 8-
9.
go back to reference Wells G, Shea B, O'Connell J, Robertson J, Peterson V, Welch V, Losos M, Tugwell P: The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analysis. [http://www.ohri.ca/programs/clinical_epidemiology/oxford.Asp] Wells G, Shea B, O'Connell J, Robertson J, Peterson V, Welch V, Losos M, Tugwell P: The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analysis. [http://​www.​ohri.​ca/​programs/​clinical_​epidemiology/​oxford.​Asp]
10.
go back to reference Bond K, Ospina M, Blitz S, Friesen C, Innes G, Yoon P, Curry G, Holroyd B, Rowe B: Interventions to reduce overcrowding in emergency departments. 2006, Ottawa: Technology Report 67.4 Bond K, Ospina M, Blitz S, Friesen C, Innes G, Yoon P, Curry G, Holroyd B, Rowe B: Interventions to reduce overcrowding in emergency departments. 2006, Ottawa: Technology Report 67.4
11.
go back to reference Braner DA, Lai S, Hodo R, Ibsen LA, Bratton SL, Hollemon D, Goldstein B: Interactive Web sites for families and physicians of pediatric intensive care unit patients: a preliminary report. Pediatr Crit Care Med. 2004, 5 (5): 434-439. 10.1097/01.PCC.0000137358.72147.6C.CrossRefPubMed Braner DA, Lai S, Hodo R, Ibsen LA, Bratton SL, Hollemon D, Goldstein B: Interactive Web sites for families and physicians of pediatric intensive care unit patients: a preliminary report. Pediatr Crit Care Med. 2004, 5 (5): 434-439. 10.1097/01.PCC.0000137358.72147.6C.CrossRefPubMed
12.
go back to reference Lim Fat MJ, Doja A, Barrowman N, Sell E: YouTube videos as a teaching tool and patient resource for infantile spasms. J Child Neurol. 2011, 26 (7): 804-809. 10.1177/0883073811402345.CrossRef Lim Fat MJ, Doja A, Barrowman N, Sell E: YouTube videos as a teaching tool and patient resource for infantile spasms. J Child Neurol. 2011, 26 (7): 804-809. 10.1177/0883073811402345.CrossRef
13.
go back to reference Ewing LJ, Long K, Rotondi A, Howe C, Bill L, Marsland AL: Brief report: A pilot study of a web-based resource for families of children with cancer. J Pediatr Psychol. 2009, 34 (5): 523-529. 10.1093/jpepsy/jsn096.CrossRefPubMed Ewing LJ, Long K, Rotondi A, Howe C, Bill L, Marsland AL: Brief report: A pilot study of a web-based resource for families of children with cancer. J Pediatr Psychol. 2009, 34 (5): 523-529. 10.1093/jpepsy/jsn096.CrossRefPubMed
14.
go back to reference Nicholas DB, Chahauver A, Brownstone D, Hetherington R, McNeill T, Bouffet E: Evaluation of an online peer support network for fathers of a child with a brain tumor. Soc Work Health Care. 2012, 51 (3): 232-245. 10.1080/00981389.2011.631696.CrossRefPubMed Nicholas DB, Chahauver A, Brownstone D, Hetherington R, McNeill T, Bouffet E: Evaluation of an online peer support network for fathers of a child with a brain tumor. Soc Work Health Care. 2012, 51 (3): 232-245. 10.1080/00981389.2011.631696.CrossRefPubMed
15.
go back to reference Stinson J, McGrath P, Hodnett E, Feldman B, Duffy C, Huber A, Tucker L, Hetherington R, Tse S, Spiegel L, Campillo S, Gill N, White M: Usability testing of an online self-management program for adolescents with juvenile idiopathic arthritis. J Med Internet Res. 2010, 12 (3): e30-10.2196/jmir.1349.CrossRefPubMedPubMedCentral Stinson J, McGrath P, Hodnett E, Feldman B, Duffy C, Huber A, Tucker L, Hetherington R, Tse S, Spiegel L, Campillo S, Gill N, White M: Usability testing of an online self-management program for adolescents with juvenile idiopathic arthritis. J Med Internet Res. 2010, 12 (3): e30-10.2196/jmir.1349.CrossRefPubMedPubMedCentral
16.
go back to reference Bers MU, Gonzalez-Heydrich J, Raches D, DeMaso DR: Zora: a pilot virtual community in the pediatric dialysis unit. Stud Health Technol Inform. 2001, 84 (Pt:1): 1-4. Bers MU, Gonzalez-Heydrich J, Raches D, DeMaso DR: Zora: a pilot virtual community in the pediatric dialysis unit. Stud Health Technol Inform. 2001, 84 (Pt:1): 1-4.
17.
go back to reference Bers MU: New media for new organs: A virtual community for pediatric post-transplant patients. Convergence. 2009, 15 (4): 462-469. 10.1177/1354856509342344. Bers MU: New media for new organs: A virtual community for pediatric post-transplant patients. Convergence. 2009, 15 (4): 462-469. 10.1177/1354856509342344.
18.
go back to reference Merkel RM, Wright T: Parental self-efficacy and online support among parents of children diagnosed with type 1 diabetes mellitus. Pediatr Nurs. 2012, 38 (6): 303-308.PubMed Merkel RM, Wright T: Parental self-efficacy and online support among parents of children diagnosed with type 1 diabetes mellitus. Pediatr Nurs. 2012, 38 (6): 303-308.PubMed
19.
go back to reference Nordfeldt S, Hanberger L, Berterö C: Patient and parent views on a Web 2.0 Diabetes Portal–the management tool, the generator, and the gatekeeper: qualitative study. J Med Internet Res. 2010, 12: 9-10.2196/jmir.1347.CrossRef Nordfeldt S, Hanberger L, Berterö C: Patient and parent views on a Web 2.0 Diabetes Portal–the management tool, the generator, and the gatekeeper: qualitative study. J Med Internet Res. 2010, 12: 9-10.2196/jmir.1347.CrossRef
20.
go back to reference Whittemore R, Grey M, Lindemann E, Ambrosino J, Jaser S: Development of an Internet coping skills training program for teenagers with type 1 diabetes. Comput Inform Nurs. 2010, 28 (2): 103-111. 10.1097/NCN.0b013e3181cd8199.CrossRefPubMedPubMedCentral Whittemore R, Grey M, Lindemann E, Ambrosino J, Jaser S: Development of an Internet coping skills training program for teenagers with type 1 diabetes. Comput Inform Nurs. 2010, 28 (2): 103-111. 10.1097/NCN.0b013e3181cd8199.CrossRefPubMedPubMedCentral
21.
go back to reference Baum LS: Internet parent support groups for primary caregivers of a child with special health care needs. Pediatr Nurs. 2004, 30 (5): 381-401.PubMed Baum LS: Internet parent support groups for primary caregivers of a child with special health care needs. Pediatr Nurs. 2004, 30 (5): 381-401.PubMed
22.
go back to reference Nicholas DB, Darch J, McNeill T, Brister L, O’Leary K, Berlin D, Koller DF: Perceptions of online support for hospitalized children and adolescents. Soc Work Health Care. 2007, 44 (3): 205-223. 10.1300/J010v44n03_06.CrossRefPubMed Nicholas DB, Darch J, McNeill T, Brister L, O’Leary K, Berlin D, Koller DF: Perceptions of online support for hospitalized children and adolescents. Soc Work Health Care. 2007, 44 (3): 205-223. 10.1300/J010v44n03_06.CrossRefPubMed
23.
go back to reference Cordeira KL: Effects of a Health Advocacy Program to Promote Physical Activity and Nutrition Behaviors Among Adolescents: An Evaluation of the Young Leaders for Healthy Change program MPH Thesis. 2012, School of Public Health: The University of Texas, Cordeira KL: Effects of a Health Advocacy Program to Promote Physical Activity and Nutrition Behaviors Among Adolescents: An Evaluation of the Young Leaders for Healthy Change program MPH Thesis. 2012, School of Public Health: The University of Texas,
24.
go back to reference DeBar LL, Dickerson J, Clarke G, Stevens VJ, Ritenbaugh C, Aickin M: Using a website to build community and enhance outcomes in a group, multi-component intervention promoting healthy diet and exercise in adolescents. J Pediatr Psychol. 2009, 34 (5): 539-550. 10.1093/jpepsy/jsn126.CrossRefPubMed DeBar LL, Dickerson J, Clarke G, Stevens VJ, Ritenbaugh C, Aickin M: Using a website to build community and enhance outcomes in a group, multi-component intervention promoting healthy diet and exercise in adolescents. J Pediatr Psychol. 2009, 34 (5): 539-550. 10.1093/jpepsy/jsn126.CrossRefPubMed
25.
go back to reference Lao L: Evaluation of a social networking based SNAP-Ed nutrition curriculum on behavior change MS Thesis. 2011, Department of Nutrition and Food Sciences: University of Rhode Island Lao L: Evaluation of a social networking based SNAP-Ed nutrition curriculum on behavior change MS Thesis. 2011, Department of Nutrition and Food Sciences: University of Rhode Island
26.
go back to reference Rydell SA, French SA, Fulkerson JA, Neumark-Sztainer D, Gerlach AF, Story M, Christopherson KK: Use of a Web-based component of a nutrition and physical activity behavioral intervention with Girl Scouts. J Am Diet Assoc. 2005, 105 (9): 1447-1450. 10.1016/j.jada.2005.06.027.CrossRefPubMed Rydell SA, French SA, Fulkerson JA, Neumark-Sztainer D, Gerlach AF, Story M, Christopherson KK: Use of a Web-based component of a nutrition and physical activity behavioral intervention with Girl Scouts. J Am Diet Assoc. 2005, 105 (9): 1447-1450. 10.1016/j.jada.2005.06.027.CrossRefPubMed
27.
go back to reference Savige GS: E-learning: a nutritionally ripe environment. Food & Nutrition Bulletin. 2005, 26 (2:Suppl 2): S230-S234.CrossRef Savige GS: E-learning: a nutritionally ripe environment. Food & Nutrition Bulletin. 2005, 26 (2:Suppl 2): S230-S234.CrossRef
28.
go back to reference Cox MF, Scharer K, Clark AJ: Development of a Web-based program to improve communication about sex. Comput Inform Nurs. 2009, 27 (1): 18-25. 10.1097/NCN.0b013e31818dd3c5.CrossRefPubMed Cox MF, Scharer K, Clark AJ: Development of a Web-based program to improve communication about sex. Comput Inform Nurs. 2009, 27 (1): 18-25. 10.1097/NCN.0b013e31818dd3c5.CrossRefPubMed
29.
go back to reference Jones K, Baldwin KA, Lewis PR: The potential influence of a social media intervention on risky sexual behavior and Chlamydia incidence. J Community Health Nurs. 2012, 29 (2): 106-120. 10.1080/07370016.2012.670579.CrossRefPubMed Jones K, Baldwin KA, Lewis PR: The potential influence of a social media intervention on risky sexual behavior and Chlamydia incidence. J Community Health Nurs. 2012, 29 (2): 106-120. 10.1080/07370016.2012.670579.CrossRefPubMed
30.
go back to reference Lou CH, Zhao Q, Gao ES, Shah IH: Can the Internet be used effectively to provide sex education to young people in China?. J Adolesc Health. 2006, 39 (5): 720-728. 10.1016/j.jadohealth.2006.04.003.CrossRefPubMed Lou CH, Zhao Q, Gao ES, Shah IH: Can the Internet be used effectively to provide sex education to young people in China?. J Adolesc Health. 2006, 39 (5): 720-728. 10.1016/j.jadohealth.2006.04.003.CrossRefPubMed
31.
go back to reference Yager AM, O'Keefe C: Adolescent Use of Social Networking to Gain Sexual Health Information. J Nurse Pract. 2012, 8 (4): 294-298. 10.1016/j.nurpra.2012.01.016.CrossRef Yager AM, O'Keefe C: Adolescent Use of Social Networking to Gain Sexual Health Information. J Nurse Pract. 2012, 8 (4): 294-298. 10.1016/j.nurpra.2012.01.016.CrossRef
32.
go back to reference Chen HH, Yeh ML, Chao YH: Comparing effects of auricular acupressure with and without an internet-assisted program on smoking cessation and self-efficacy of adolescents. J Altern Complement Med. 2006, 12 (2): 147-152. 10.1089/acm.2006.12.147.CrossRefPubMed Chen HH, Yeh ML, Chao YH: Comparing effects of auricular acupressure with and without an internet-assisted program on smoking cessation and self-efficacy of adolescents. J Altern Complement Med. 2006, 12 (2): 147-152. 10.1089/acm.2006.12.147.CrossRefPubMed
33.
go back to reference Chen HH, Yeh ML: Developing and evaluating a smoking cessation program combined with an Internet-assisted instruction program for adolescents with smoking. Patient Educ Couns. 2006, 61: 411-418. 10.1016/j.pec.2005.05.007.CrossRefPubMed Chen HH, Yeh ML: Developing and evaluating a smoking cessation program combined with an Internet-assisted instruction program for adolescents with smoking. Patient Educ Couns. 2006, 61: 411-418. 10.1016/j.pec.2005.05.007.CrossRefPubMed
34.
go back to reference Patten CA, Croghan IT, Meis TM, Decker PA, Pingree S, Colligan RC, Dornelas EA, Offord KP, Boberg EW, Baumberger RK, Hurt RD, Gustafson DH: Randomized clinical trial of an Internet-based versus brief office intervention for adolescent smoking cessation. Patient Educ Couns. 2006, 64 (1–3): 249-258.CrossRefPubMed Patten CA, Croghan IT, Meis TM, Decker PA, Pingree S, Colligan RC, Dornelas EA, Offord KP, Boberg EW, Baumberger RK, Hurt RD, Gustafson DH: Randomized clinical trial of an Internet-based versus brief office intervention for adolescent smoking cessation. Patient Educ Couns. 2006, 64 (1–3): 249-258.CrossRefPubMed
35.
go back to reference Baggett KM, Davis B, Feil EG, Sheeber LL, Landry SH, Carta JJ, Leve C: Technologies for expanding the reach of evidence-based interventions: preliminary results for promoting social-emotional development in early childhood. Top in Early Child Spec Educ. 2010, 29 (4): 226-238. 10.1177/0271121409354782.CrossRef Baggett KM, Davis B, Feil EG, Sheeber LL, Landry SH, Carta JJ, Leve C: Technologies for expanding the reach of evidence-based interventions: preliminary results for promoting social-emotional development in early childhood. Top in Early Child Spec Educ. 2010, 29 (4): 226-238. 10.1177/0271121409354782.CrossRef
36.
go back to reference Hudson DB, Campbell-Grossman C, Hertzog M: Effects of an internet intervention on Mothers' psychological, parenting, and health care utilization outcomes. Issues Compr Pediatr Nurs. 2012, 35 (3/4): 176-193.CrossRefPubMed Hudson DB, Campbell-Grossman C, Hertzog M: Effects of an internet intervention on Mothers' psychological, parenting, and health care utilization outcomes. Issues Compr Pediatr Nurs. 2012, 35 (3/4): 176-193.CrossRefPubMed
37.
go back to reference Williams G, Hamm MP, Shulhan J, Vandermeer B, Hartling L: Social media interventions for healthy diet and exercise: a systematic review and meta-analysis of randomized controlled trials. BMJ Open. 2014, 4 (2): e003926-10.1136/bmjopen-2013-003926.CrossRefPubMedPubMedCentral Williams G, Hamm MP, Shulhan J, Vandermeer B, Hartling L: Social media interventions for healthy diet and exercise: a systematic review and meta-analysis of randomized controlled trials. BMJ Open. 2014, 4 (2): e003926-10.1136/bmjopen-2013-003926.CrossRefPubMedPubMedCentral
39.
go back to reference Institute of Medicine: Finding what works in health care: Standards for Systematic Review. 2011, Washington, DC: The National Academies Press Institute of Medicine: Finding what works in health care: Standards for Systematic Review. 2011, Washington, DC: The National Academies Press
40.
go back to reference Hartling L, Scott S, Pandya R, Johnson D, Bishop T, Klassen TP: Storytelling as a communication tool for health consumers: development of an intervention for parents of children with croup. Stories to communicate health information. BMC Pediatr. 2010, 10: 64-10.1186/1471-2431-10-64.CrossRefPubMedPubMedCentral Hartling L, Scott S, Pandya R, Johnson D, Bishop T, Klassen TP: Storytelling as a communication tool for health consumers: development of an intervention for parents of children with croup. Stories to communicate health information. BMC Pediatr. 2010, 10: 64-10.1186/1471-2431-10-64.CrossRefPubMedPubMedCentral
Metadata
Title
A systematic review of the use and effectiveness of social media in child health
Authors
Michele P Hamm
Jocelyn Shulhan
Gillian Williams
Andrea Milne
Shannon D Scott
Lisa Hartling
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2014
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-14-138

Other articles of this Issue 1/2014

BMC Pediatrics 1/2014 Go to the issue