title: Adapting Behavioral Interventions for Social Media Delivery.
abstract: Patients are increasingly using online social networks (ie, social media) to connect with other patients and health care professionals--a trend called peer-to-peer health care. Because online social networks provide a means for health care professionals to communicate with patients, and for patients to communicate with each other, an opportunity exists to use social media as a modality to deliver behavioral interventions. Social media-delivered behavioral interventions have the potential to reduce the expense of behavioral interventions by eliminating visits, as well as increase our access to patients by becoming embedded in their social media feeds. Trials of online social network-delivered behavioral interventions have shown promise, but much is unknown about intervention development and methodology. In this paper, we discuss the process by which investigators can translate behavioral interventions for social media delivery. We present a model that describes the steps and decision points in this process, including the necessary training and reporting requirements. We also discuss issues pertinent to social media-delivered interventions, including cost, scalability, and privacy. Finally, we identify areas of research that are needed to optimize this emerging behavioral intervention modality.
authors.affiliation: Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Sherry.Pagoto@umassmed.edu.
authors.forename: Sherry
authors.identifier: http://orcid.org/0000-0002-2462-8797
authors.initials: S
authors.lastname: Pagoto
authors.forename: Molly E
authors.identifier: http://orcid.org/0000-0002-9884-9824
authors.initials: ME
authors.lastname: Waring
authors.forename: Christine N
authors.identifier: http://orcid.org/0000-0002-4367-5310
authors.initials: CN
authors.lastname: May
authors.forename: Eric Y
authors.identifier: http://orcid.org/0000-0002-6904-8534
authors.initials: EY
authors.lastname: Ding
authors.forename: Werner H
authors.identifier: http://orcid.org/0000-0001-6264-183X
authors.initials: WH
authors.lastname: Kunz
authors.forename: Rashelle
authors.identifier: http://orcid.org/0000-0002-2590-3404
authors.initials: R
authors.lastname: Hayes
authors.forename: Jessica L
authors.identifier: http://orcid.org/0000-0001-8270-2302
authors.initials: JL
authors.lastname: Oleski
mesh_terms: D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D057226:Information Seeking Behavior; D061108:Social Media; D012944:Social Support
keywords: behavioral interventions; health behavior; online social networks; social media
references.citation: J Adv Nurs. 2014 Mar;70(3):599-609
references.pmid: 23909740
references.citation: J Nutr Educ Behav. 2014 Nov-Dec;46(6):610-5
references.pmid: 25069621
references.citation: J Biomed Inform. 2009 Apr;42(2):377-81
references.pmid: 18929686
references.citation: Transl Behav Med. 2014 Dec;4(4):355-62
references.pmid: 25584084
references.citation: Contemp Clin Trials. 2012 Mar;33(2):268-72
references.pmid: 22101207
references.citation: J R Soc Interface. 2015 Mar 6;12(104):20140686
references.pmid: 25631561
references.citation: Am J Prev Med. 2012 Nov;43(5):467-74
references.pmid: 23079168
references.citation: Contemp Clin Trials. 2014 Jan;37(1):10-8
references.pmid: 24215774
references.citation: PLoS One. 2014;9(10):e108842
references.pmid: 25272039
references.citation: Drug Alcohol Rev. 2014 Nov;33(6):667-73
references.pmid: 24689339
references.citation: Tob Control. 2012 Jul;21(4):447-9
references.pmid: 21730101
references.citation: J Rehabil Res Dev. 2012;49(8):1175-90
references.pmid: 23341310
references.citation: BMC Public Health. 2013;13:518
references.pmid: 23714411
references.citation: J Med Internet Res. 2010;12(2):e19
references.pmid: 20542858
references.citation: Matern Child Health J. 2011 Nov;15(8):1176-84
references.pmid: 20844941
references.citation: Health Psychol. 2015 Aug;34(8):847-56
references.pmid: 25545041
references.citation: Obesity (Silver Spring). 2015 Aug;23(8):1550-4
references.pmid: 26150394
references.citation: Transl Behav Med. 2013 Sep;3(3):287-94
references.pmid: 24073180
references.citation: Obstet Gynecol. 2014 Apr;123(4):763-70
references.pmid: 24785602
references.citation: Obesity (Silver Spring). 2013 Jan;21(1):25-31
references.pmid: 23505165
references.citation: Am J Health Promot. 2015 Mar-Apr;29(4):e126-35
references.pmid: 24575728
references.citation: J Med Internet Res. 2014;16(6):e158
references.pmid: 24964294
references.citation: West J Emerg Med. 2014 Aug;15(5):575-81
references.pmid: 25157304
references.citation: J Med Internet Res. 2015;17(1):e27
references.pmid: 25624064
references.citation: J Med Internet Res. 2014;16(2):e40
references.pmid: 24550083
references.citation: Pers Soc Psychol Bull. 2014 Apr 25;40(7):910-922
references.pmid: 24769739
references.citation: Am J Prev Med. 2012 Nov;43(5):527-32
references.pmid: 23079176
references.citation: BMC Public Health. 2015;15:22
references.pmid: 25604090
references.citation: Am J Prev Med. 2012 Aug;43(2):176-82
references.pmid: 22813682
references.citation: J Med Internet Res. 2011;13(4):e120
references.pmid: 22186428
references.citation: High Blood Press Cardiovasc Prev. 2013 Jun;20(2):89-92
references.pmid: 23653175
references.citation: Obesity (Silver Spring). 2012 Jul;20(7):1413-8
references.pmid: 22310234
references.citation: J Phys Act Health. 2015 Jun;12 Suppl 1:S18-25
references.pmid: 25599378
references.citation: Ann Intern Med. 2013 Sep 3;159(5):318-24
references.pmid: 24026317
references.citation: J Med Internet Res. 2012;14(6):e173
references.pmid: 23234759
references.citation: J Med Internet Res. 2014;16(7):e170
references.pmid: 25016998
references.citation: J Cancer Surviv. 2013 Sep;7(3):355-68
references.pmid: 23532799
references.citation: J Consult Clin Psychol. 1999 Feb;67(1):132-8
references.pmid: 10028217
references.citation: Health Educ Res. 2012 Apr;27(2):226-36
references.pmid: 22247453
references.citation: Obes Facts. 2014;7(1):36-47
references.pmid: 24504358
references.citation: J Med Internet Res. 2014;16(4):e108
references.pmid: 24727742
references.citation: JMIR Res Protoc. 2015 Oct 23;4(4):e123
references.pmid: 26500186
references.citation: J Med Internet Res. 2013;15(2):e25
references.pmid: 23391459
references.citation: J Am Med Inform Assoc. 2014 Nov-Dec;21(6):1032-7
references.pmid: 24928175
references.citation: J Med Internet Res. 2013;15(11):e262
references.pmid: 24287455
references.citation: J Cancer Educ. 2017 Mar;32(1):155-157
references.pmid: 26351003
references.citation: J Med Internet Res. 2015;17(2):e50
references.pmid: 25707037
references.citation: BMC Womens Health. 2015;15:30
references.pmid: 25886945