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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

The use of social networking platforms for sexual health promotion: identifying key strategies for successful user engagement

Authors: Hilary J Veale, Rachel Sacks-Davis, Emma RN Weaver, Alisa E Pedrana, Mark A Stoové, Margaret E Hellard

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Online social networking platforms such as Facebook and Twitter have grown rapidly in popularity, with opportunities for interaction enhancing their health promotion potential. Such platforms are being used for sexual health promotion but with varying success in reaching and engaging users. We aimed to identify Facebook and Twitter profiles that were able to engage large numbers of users, and to identify strategies used to successfully attract and engage users in sexual health promotion on these platforms.

Methods

We identified active Facebook (n = 60) and Twitter (n = 40) profiles undertaking sexual health promotion through a previous systematic review, and assessed profile activity over a one-month period. Quantitative measures of numbers of friends and followers (reach) and social media interactions were assessed, and composite scores used to give profiles an ‘engagement success’ ranking. Associations between host activity, reach and interaction metrics were explored. Content of the top ten ranked Facebook and Twitter profiles was analysed using a thematic framework and compared with five poorly performing profiles to identify strategies for successful user engagement.

Results

Profiles that were able to successfully engage large numbers of users were more active and had higher levels of interaction per user than lower-ranked profiles. Strategies used by the top ten ranked profiles included: making regular posts/tweets (median 46 posts or 124 tweets/month for top-ranked profiles versus six posts or six tweets for poorly-performing profiles); individualised interaction with users (85% of top-ranked profiles versus 0% for poorly-performing profiles); and encouraging interaction and conversation by posing questions (100% versus 40%). Uploading multimedia material (80% versus 30%) and highlighting celebrity involvement (70% versus 10%) were also key strategies.

Conclusion

Successful online engagement on social networking platforms can be measured through quantitative (user numbers and interactions) and basic qualitative content analysis. We identified the amount and type of host activity as key strategies for success, and in particular, regular individualised interaction with users, encouraging conversation, uploading multimedia and relevant links, and highlighting celebrity involvement. These findings provide valuable insight for achieving a high level of online engagement through social networking platforms to support successful health promotion initiatives.
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Literature
1.
go back to reference Zuckerberg M. 300 million and on. In: The facebook blog. 2009. Zuckerberg M. 300 million and on. In: The facebook blog. 2009.
3.
4.
go back to reference Boyd DNE. Social network sites: Definition, history and scholarship. J Computer-Mediated Comm. 2007;13(1):Article 11.CrossRef Boyd DNE. Social network sites: Definition, history and scholarship. J Computer-Mediated Comm. 2007;13(1):Article 11.CrossRef
5.
go back to reference Hart J, Ridley C, Taher F, Sas C, A Dix: Exploring the Facebook Experience: A New Approach to Usability. Proceedings of the 5th Nordic conference on Human-computer interaction: building bridges 2008; Lund, Seden; 2008. Hart J, Ridley C, Taher F, Sas C, A Dix: Exploring the Facebook Experience: A New Approach to Usability. Proceedings of the 5th Nordic conference on Human-computer interaction: building bridges 2008; Lund, Seden; 2008.
7.
go back to reference Kamel Boulos MN, Wheeler S. The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education1. Health Inform Libraries J. 2007;24(1):2–23.CrossRef Kamel Boulos MN, Wheeler S. The emerging Web 2.0 social software: an enabling suite of sociable technologies in health and health care education1. Health Inform Libraries J. 2007;24(1):2–23.CrossRef
8.
go back to reference Bennett GG, Glasgow RE. The delivery of public health interventions via the Internet: actualizing their potential. Annu Rev Public Health. 2009;30:273–92.CrossRefPubMed Bennett GG, Glasgow RE. The delivery of public health interventions via the Internet: actualizing their potential. Annu Rev Public Health. 2009;30:273–92.CrossRefPubMed
9.
go back to reference Freeman B, Chapman S. Gone viral? Heard the buzz? A guide for public health practitioners and researchers on how Web 2.0 can subvert advertising restrictions and spread health information. J Epidemiol Community Health. 2008;62(9):778–82.CrossRefPubMed Freeman B, Chapman S. Gone viral? Heard the buzz? A guide for public health practitioners and researchers on how Web 2.0 can subvert advertising restrictions and spread health information. J Epidemiol Community Health. 2008;62(9):778–82.CrossRefPubMed
11.
go back to reference Strecher VJ, McClure J, Alexander G, Chakraborty B, Nair V, Konkel J, et al. The role of engagement in a tailored web-based smoking cessation program: randomized controlled trial. J Med Internet Res. 2008;10(5):e36.CrossRefPubMedPubMedCentral Strecher VJ, McClure J, Alexander G, Chakraborty B, Nair V, Konkel J, et al. The role of engagement in a tailored web-based smoking cessation program: randomized controlled trial. J Med Internet Res. 2008;10(5):e36.CrossRefPubMedPubMedCentral
12.
go back to reference Crutzen R, de Nooijer J, Brouwer W, Oenema A, Brug J, de Vries NK. Strategies to facilitate exposure to internet-delivered health behavior change interventions aimed at adolescents or young adults: a systematic review. Health Educ Behav. 2011;38(1):49–62.CrossRefPubMed Crutzen R, de Nooijer J, Brouwer W, Oenema A, Brug J, de Vries NK. Strategies to facilitate exposure to internet-delivered health behavior change interventions aimed at adolescents or young adults: a systematic review. Health Educ Behav. 2011;38(1):49–62.CrossRefPubMed
13.
go back to reference Neiger BL, Thackeray R, Burton SH, Giraud-Carrier CG, Fagen MC. Evaluating social media’s capacity to develop engaged audiences in health promotion settings: use of twitter metrics as a case study. Health Promot Pract. 2013;14(2):157–62.CrossRefPubMed Neiger BL, Thackeray R, Burton SH, Giraud-Carrier CG, Fagen MC. Evaluating social media’s capacity to develop engaged audiences in health promotion settings: use of twitter metrics as a case study. Health Promot Pract. 2013;14(2):157–62.CrossRefPubMed
14.
go back to reference Cairncross S, Mannion M. Interactive multimedia and learning: realizing the benefits. Innov Educ Teach Int. 2001;38(2):156–64.CrossRef Cairncross S, Mannion M. Interactive multimedia and learning: realizing the benefits. Innov Educ Teach Int. 2001;38(2):156–64.CrossRef
15.
go back to reference Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38–48.CrossRefPubMed Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38–48.CrossRefPubMed
16.
go back to reference Myung S, McDonnell DD, Kazinets G, Seo H, Moskowitz JM. Effects of web- and computer-based smoking cessation programs: meta-analysis of randomized controlled trials. Arch Intern Med. 2009;169(10):929–37.CrossRefPubMed Myung S, McDonnell DD, Kazinets G, Seo H, Moskowitz JM. Effects of web- and computer-based smoking cessation programs: meta-analysis of randomized controlled trials. Arch Intern Med. 2009;169(10):929–37.CrossRefPubMed
17.
go back to reference Neville LM, O’Hara B, Milat AJ. Computer-tailored dietary behaviour change interventions: a systematic review. Health Educ Res. 2009;24(4):699–720.CrossRefPubMedPubMedCentral Neville LM, O’Hara B, Milat AJ. Computer-tailored dietary behaviour change interventions: a systematic review. Health Educ Res. 2009;24(4):699–720.CrossRefPubMedPubMedCentral
18.
go back to reference Guse K, Levine D, Martins S, Lira A, Gaarde J, Westmorland W, et al. Interventions using new digital media to improve adolescent sexual health: a systematic review. J Adolesc Health. 2012;51(6):535–43.CrossRefPubMed Guse K, Levine D, Martins S, Lira A, Gaarde J, Westmorland W, et al. Interventions using new digital media to improve adolescent sexual health: a systematic review. J Adolesc Health. 2012;51(6):535–43.CrossRefPubMed
19.
go back to reference Portnoy DB, Scott-Sheldon LAJ, Johnson BT, Carey MP. Computer-delivered interventions for health promotion and behavioral risk reduction: a meta-analysis of 75 randomized controlled trials, 1988–2007. Prev Med. 2008;47(1):3–16.CrossRefPubMedPubMedCentral Portnoy DB, Scott-Sheldon LAJ, Johnson BT, Carey MP. Computer-delivered interventions for health promotion and behavioral risk reduction: a meta-analysis of 75 randomized controlled trials, 1988–2007. Prev Med. 2008;47(1):3–16.CrossRefPubMedPubMedCentral
20.
go back to reference Singh S: Influencing behavioral change by customer engagement amongst youth. Adolescent Health, Medicine and Therapeutics 2011, 2(123–132) Singh S: Influencing behavioral change by customer engagement amongst youth. Adolescent Health, Medicine and Therapeutics 2011, 2(123–132)
23.
go back to reference Gold J, Pedrana A, Sacks-Davis R, Hellard M, Chang S, Howard S, et al. A systematic examination of the use of Online social networking sites for sexual health promotion. BMC Public Health. 2011;11(1):583.CrossRefPubMedPubMedCentral Gold J, Pedrana A, Sacks-Davis R, Hellard M, Chang S, Howard S, et al. A systematic examination of the use of Online social networking sites for sexual health promotion. BMC Public Health. 2011;11(1):583.CrossRefPubMedPubMedCentral
24.
go back to reference Gold J, Pedrana AE, Stoove MA, Chang S, Howard S, Asselin J, et al. Developing health promotion interventions on social networking sites: recommendations from The FaceSpace Project. J Med Internet Res. 2012;14(1):e30.CrossRefPubMedPubMedCentral Gold J, Pedrana AE, Stoove MA, Chang S, Howard S, Asselin J, et al. Developing health promotion interventions on social networking sites: recommendations from The FaceSpace Project. J Med Internet Res. 2012;14(1):e30.CrossRefPubMedPubMedCentral
25.
go back to reference Pedrana A, Hellard M, Gold J, Ata N, Chang S, Howard S, et al. Queer as F**k: reaching and engaging gay men in sexual health promotion through social networking sites. J Med Internet Res. 2013;15(2):e25.CrossRefPubMedPubMedCentral Pedrana A, Hellard M, Gold J, Ata N, Chang S, Howard S, et al. Queer as F**k: reaching and engaging gay men in sexual health promotion through social networking sites. J Med Internet Res. 2013;15(2):e25.CrossRefPubMedPubMedCentral
26.
go back to reference Singhal A, Rogers E. Entertainment-education: a communication strategy for social change. Mahwah, NJ: Lawrence Erlbaum Associates; 1999. Singhal A, Rogers E. Entertainment-education: a communication strategy for social change. Mahwah, NJ: Lawrence Erlbaum Associates; 1999.
27.
go back to reference Preece J, Shneiderman B. The reader-to-leader framework: motivating technology-mediated social participation. AIS Transactions on Human-Computer Interact. 2009;1(1):13–32. Preece J, Shneiderman B. The reader-to-leader framework: motivating technology-mediated social participation. AIS Transactions on Human-Computer Interact. 2009;1(1):13–32.
28.
go back to reference Fogg BJ. Mass interpersonal persuasion: an early view of a new phenomenon. 3rd International Conference on Persuasive Technology, Persuasive 2008; Berlin: Springer: Springer Berlin Heidelberg; 2008: 23–34 Fogg BJ. Mass interpersonal persuasion: an early view of a new phenomenon. 3rd International Conference on Persuasive Technology, Persuasive 2008; Berlin: Springer: Springer Berlin Heidelberg; 2008: 23–34
29.
go back to reference Oinas-Kukkonen H: Behaviour change support systems: the next frontier for web-science. Proceedings of the WebSci10: Extending the Frontiers of Society On-Line: April 26-27th 2010; Raleigh, NC:US; 2010. Oinas-Kukkonen H: Behaviour change support systems: the next frontier for web-science. Proceedings of the WebSci10: Extending the Frontiers of Society On-Line: April 26-27th 2010; Raleigh, NC:US; 2010.
30.
go back to reference Fogg BJ. Creating persuasive technologies: an eight-step design process. 4th International Conference on Persuasive Technology, Persuasive 2009; Claremont, California: ACM New York NY, USA; 2009: 1–6. Fogg BJ. Creating persuasive technologies: an eight-step design process. 4th International Conference on Persuasive Technology, Persuasive 2009; Claremont, California: ACM New York NY, USA; 2009: 1–6.
32.
go back to reference Neuendorf K. The content analysis guidebook. Thousand Oaks California, USA: SAGE Publications, Inc; 2002. Neuendorf K. The content analysis guidebook. Thousand Oaks California, USA: SAGE Publications, Inc; 2002.
33.
go back to reference Kim I, Kuljis J. Applying content analysis to web-based content. J Comput Inf Technol. 2010;18(4):369–75.CrossRef Kim I, Kuljis J. Applying content analysis to web-based content. J Comput Inf Technol. 2010;18(4):369–75.CrossRef
34.
go back to reference Cha M, Haddadi H, Benevenuto F. PK Gummadi: Measuring user influence in twitter: The million follower fallacy. AAAI Conference on Weblogs and Social Media. 2010;14:8. Cha M, Haddadi H, Benevenuto F. PK Gummadi: Measuring user influence in twitter: The million follower fallacy. AAAI Conference on Weblogs and Social Media. 2010;14:8.
35.
go back to reference Lampel J, Bhalla A. The role of status seeking in online communities: giving the gift of experience. J Comput-Mediat Commun. 2007;12(2):434–55.CrossRef Lampel J, Bhalla A. The role of status seeking in online communities: giving the gift of experience. J Comput-Mediat Commun. 2007;12(2):434–55.CrossRef
36.
go back to reference Kolbitsch J, Maurer H. The transformation of the web: how emerging communities shape the information we consume. J Universal Computer Sci. 2006;12(2):187–213. Kolbitsch J, Maurer H. The transformation of the web: how emerging communities shape the information we consume. J Universal Computer Sci. 2006;12(2):187–213.
37.
go back to reference Nguyen P, Gold J, Pedrana A, Chang S, Howard S, Ilic O, et al. Sexual health promotion on social networking sites: a process evaluation of the facespace project. J Adolesc Health. 2013;53(1):98–104.CrossRefPubMed Nguyen P, Gold J, Pedrana A, Chang S, Howard S, Ilic O, et al. Sexual health promotion on social networking sites: a process evaluation of the facespace project. J Adolesc Health. 2013;53(1):98–104.CrossRefPubMed
38.
go back to reference Rozen D, Askalani M, Senn T. Staring at the sun: identifying, understanding and influencing social media users. Research brief. Montreal, Canada: Aimia Inc; 2012. Rozen D, Askalani M, Senn T. Staring at the sun: identifying, understanding and influencing social media users. Research brief. Montreal, Canada: Aimia Inc; 2012.
39.
go back to reference Kim AE, Hansen HM, Murphy J, Richards AK, Duke J, Allen JA. Methodological considerations in analysing twitter data. J Natl Cancer Inst Monogr. 2013;47:140–6.CrossRef Kim AE, Hansen HM, Murphy J, Richards AK, Duke J, Allen JA. Methodological considerations in analysing twitter data. J Natl Cancer Inst Monogr. 2013;47:140–6.CrossRef
40.
go back to reference Zafarani R, Abbasi MA, Liu H. Social media mining, an introduction. Cambridge, UK: Cambridge University Press; 2014.CrossRef Zafarani R, Abbasi MA, Liu H. Social media mining, an introduction. Cambridge, UK: Cambridge University Press; 2014.CrossRef
Metadata
Title
The use of social networking platforms for sexual health promotion: identifying key strategies for successful user engagement
Authors
Hilary J Veale
Rachel Sacks-Davis
Emma RN Weaver
Alisa E Pedrana
Mark A Stoové
Margaret E Hellard
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1396-z

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