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Erschienen in: Annals of Behavioral Medicine 5/2016

08.04.2016 | Original Article

Health Communication in Social Media: Message Features Predicting User Engagement on Diabetes-Related Facebook Pages

verfasst von: BA Holly M. Rus, PhD Linda D. Cameron

Erschienen in: Annals of Behavioral Medicine | Ausgabe 5/2016

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Abstract

Background

Social media provides unprecedented opportunities for enhancing health communication and health care, including self-management of chronic conditions such as diabetes. Creating messages that engage users is critical for enhancing message impact and dissemination.

Purpose

This study analyzed health communications within ten diabetes-related Facebook pages to identify message features predictive of user engagement.

Method

The Common-Sense Model of Illness Self-Regulation and established health communication techniques guided content analyses of 500 Facebook posts. Each post was coded for message features predicted to engage users and numbers of likes, shares, and comments during the week following posting.

Results

Multi-level, negative binomial regressions revealed that specific features predicted different forms of engagement. Imagery emerged as a strong predictor; messages with images had higher rates of liking and sharing relative to messages without images. Diabetes consequence information and positive identity predicted higher sharing while negative affect, social support, and crowdsourcing predicted higher commenting. Negative affect, crowdsourcing, and use of external links predicted lower sharing while positive identity predicted lower commenting. The presence of imagery weakened or reversed the positive relationships of several message features with engagement. Diabetes control information and negative affect predicted more likes in text-only messages, but fewer likes when these messages included illustrative imagery. Similar patterns of imagery’s attenuating effects emerged for the positive relationships of consequence information, control information, and positive identity with shares and for positive relationships of negative affect and social support with comments.

Conclusions

These findings hold promise for guiding communication design in health-related social media.
Literatur
1.
Zurück zum Zitat Kaplan AM, Haenlein M. Users of the world, unite! The challenges and opportunities of Social Media. Bus Horizons. 2010; 53: 59-68. CrossRef Kaplan AM, Haenlein M. Users of the world, unite! The challenges and opportunities of Social Media. Bus Horizons. 2010; 53: 59-68. CrossRef
2.
Zurück zum Zitat Fox S, Jones S. The Social Life of Health Information. Washington, DC: Pew Internet & American Life Project, 2009-12; 2009. Available at: http://​www.​pewinternet.​org/​2009/​06/​11/​the-social-life-of-health-information/​.​ Accessed January 25, 2014. Fox S, Jones S. The Social Life of Health Information. Washington, DC: Pew Internet & American Life Project, 2009-12; 2009. Available at: http://​www.​pewinternet.​org/​2009/​06/​11/​the-social-life-of-health-information/​.​ Accessed January 25, 2014.
3.
Zurück zum Zitat National Diabetes Information Clearinghouse. National Institute of Health Web site. http://​www.​diabetes.​niddk.​nih.​gov/​.​ Published 2012. Updated, March 30, 2013. Accessed April 13, 2013. National Diabetes Information Clearinghouse. National Institute of Health Web site. http://​www.​diabetes.​niddk.​nih.​gov/​.​ Published 2012. Updated, March 30, 2013. Accessed April 13, 2013.
4.
Zurück zum Zitat Facebook Company Information. Facebook Company Web site. http://​newsroom.​fb.​com/​company-info.​ Published 2015. Accessed March 22, 2016. Facebook Company Information. Facebook Company Web site. http://​newsroom.​fb.​com/​company-info.​ Published 2015. Accessed March 22, 2016.
5.
Zurück zum Zitat Woolley P, Peterson M. Efficacy of a health-related Facebook social network site on health-seeking behaviors. Social Marketing Quarterly. 2012; 18: 29-39. CrossRef Woolley P, Peterson M. Efficacy of a health-related Facebook social network site on health-seeking behaviors. Social Marketing Quarterly. 2012; 18: 29-39. CrossRef
6.
Zurück zum Zitat Greene JA, Choudhry NK, Kilabuk E, Shrank WH. Online social networking by patients with diabetes: A qualitative evaluation of communication with Facebook. J Gen Inter Med. 2010; 26: 287-292. CrossRef Greene JA, Choudhry NK, Kilabuk E, Shrank WH. Online social networking by patients with diabetes: A qualitative evaluation of communication with Facebook. J Gen Inter Med. 2010; 26: 287-292. CrossRef
7.
Zurück zum Zitat Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: US Department of Health and Human Services; 2014. Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. Atlanta, GA: US Department of Health and Human Services; 2014.
8.
Zurück zum Zitat Leventhal H, Brissette I, Leventhal EA. The Common-Sense Model of Self-Regulation of Health and Illness. In: Cameron LD, Leventhal H, eds. The Self-Regulation of Health and Illness Behaviour. London: Routledge; 2003: 42-65. Leventhal H, Brissette I, Leventhal EA. The Common-Sense Model of Self-Regulation of Health and Illness. In: Cameron LD, Leventhal H, eds. The Self-Regulation of Health and Illness Behaviour. London: Routledge; 2003: 42-65.
9.
Zurück zum Zitat Cameron LD, Chan CKY. Designing health communications: Harnessing the power of affect, imagery, and self-regulation. Soc Pers Psychol Compass. 2008; 2: 262-282. CrossRef Cameron LD, Chan CKY. Designing health communications: Harnessing the power of affect, imagery, and self-regulation. Soc Pers Psychol Compass. 2008; 2: 262-282. CrossRef
10.
Zurück zum Zitat Cameron LD, Durazo A, Rus H. Illness representations. In: Benyamini Y, Johnston M, Karademas, V eds., Assessment in Health Psychology, in press. Cameron LD, Durazo A, Rus H. Illness representations. In: Benyamini Y, Johnston M, Karademas, V eds., Assessment in Health Psychology, in press.
11.
Zurück zum Zitat Cameron LD, Moss-Morris R. Illness-Related Cognitions and Behaviour. In: French D, Vedhara K, Kaptein AA, Weinman JA, eds. Health Psychology. 2nd ed. Oxford: Blackwell; 2010: 84-110. Cameron LD, Moss-Morris R. Illness-Related Cognitions and Behaviour. In: French D, Vedhara K, Kaptein AA, Weinman JA, eds. Health Psychology. 2nd ed. Oxford: Blackwell; 2010: 84-110.
12.
Zurück zum Zitat Leventhal H, Bodnar-Deren S, Breland JY, et al. Modeling Health and Illness Behavior: The Approach of the Common-Sense Model. In: Baum A, Revenson TA, Singer J, eds. Handbook of Health Psychology. 2nd ed. New York: Taylor & Francis; 2012: 585-606. Leventhal H, Bodnar-Deren S, Breland JY, et al. Modeling Health and Illness Behavior: The Approach of the Common-Sense Model. In: Baum A, Revenson TA, Singer J, eds. Handbook of Health Psychology. 2nd ed. New York: Taylor & Francis; 2012: 585-606.
13.
Zurück zum Zitat Paddison CAM, Alpass FM, Stephens CV. Using the common sense model of illness self-regulation to understand diabetes-related distress: The importance of being able to “make sense” of diabetes. NZ J Psychol. 2010; 39: 45-50. Paddison CAM, Alpass FM, Stephens CV. Using the common sense model of illness self-regulation to understand diabetes-related distress: The importance of being able to “make sense” of diabetes. NZ J Psychol. 2010; 39: 45-50.
14.
Zurück zum Zitat Awasthi P, Mishra RC. Illness beliefs and coping strategies of diabetic women. Psychol Studies. 2011; 56: 176-184. CrossRef Awasthi P, Mishra RC. Illness beliefs and coping strategies of diabetic women. Psychol Studies. 2011; 56: 176-184. CrossRef
15.
Zurück zum Zitat Broadbent E, Donkin L, Stroh JC. Illness and treatment perceptions are associated with adherence to medication, diet, and exercise in diabetic patients. Diabetes Care. 2011; 34: 338-340. CrossRefPubMedPubMedCentral Broadbent E, Donkin L, Stroh JC. Illness and treatment perceptions are associated with adherence to medication, diet, and exercise in diabetic patients. Diabetes Care. 2011; 34: 338-340. CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Gherman A, Schnur J, Montgomery G, Sassu R, Veresiu I, David D. How are adherent people more likely to think? A meta-analysis of health beliefs and diabetes self-care. Diabetes Educator. 2011; 37: 392-408. CrossRefPubMed Gherman A, Schnur J, Montgomery G, Sassu R, Veresiu I, David D. How are adherent people more likely to think? A meta-analysis of health beliefs and diabetes self-care. Diabetes Educator. 2011; 37: 392-408. CrossRefPubMed
17.
Zurück zum Zitat Barnes L, Moss-Morris R, Kaufusi M. Illness beliefs and adherence in diabetes mellitus: Comparisons between Tongan and European patients. New Zeal Med J. 2004; 117: 1188. Barnes L, Moss-Morris R, Kaufusi M. Illness beliefs and adherence in diabetes mellitus: Comparisons between Tongan and European patients. New Zeal Med J. 2004; 117: 1188.
18.
Zurück zum Zitat Epstein S. Cognitive Experiential Self-Theory: An Integrative Theory of Personality. In: Tennen H, Suls J, eds. Handbook of Psychology, Vol. 5: Personality and Social Psychology. Hoboken, NJ: Wiley; 2003. Epstein S. Cognitive Experiential Self-Theory: An Integrative Theory of Personality. In: Tennen H, Suls J, eds. Handbook of Psychology, Vol. 5: Personality and Social Psychology. Hoboken, NJ: Wiley; 2003.
19.
Zurück zum Zitat Lee TJ, Cameron LD, Wünsche B, Stevens C. A randomized trial of computer-based communications using imagery and text information to alter representations of heart disease risk and motivate protective behaviour. Brit J Health Psych. 2011; 16: 72-91. CrossRef Lee TJ, Cameron LD, Wünsche B, Stevens C. A randomized trial of computer-based communications using imagery and text information to alter representations of heart disease risk and motivate protective behaviour. Brit J Health Psych. 2011; 16: 72-91. CrossRef
20.
Zurück zum Zitat Magnan RE, Cameron LD. Do young adults perceive that graphic warnings provide new information about the harms of smoking? Ann Behav Med, 2015. 10.1007/s12160-015-9691-6. Magnan RE, Cameron LD. Do young adults perceive that graphic warnings provide new information about the harms of smoking? Ann Behav Med, 2015. 10.1007/s12160-015-9691-6.
21.
Zurück zum Zitat Peters E, Romer D, Slovic P, et al. The impact and acceptability of Canadian-style cigarette warning labels among U.S. smokers and nonsmokers. Nicotine Tob Res. 2007; 9: 473-481. CrossRefPubMed Peters E, Romer D, Slovic P, et al. The impact and acceptability of Canadian-style cigarette warning labels among U.S. smokers and nonsmokers. Nicotine Tob Res. 2007; 9: 473-481. CrossRefPubMed
22.
Zurück zum Zitat Schneider S, Gadinger M, Fischer A. Does the effect go up in smoke? A randomized controlled trial of pictorial warnings on cigarette packaging. Patient Edu Couns. 2012; 86: 77-83. CrossRef Schneider S, Gadinger M, Fischer A. Does the effect go up in smoke? A randomized controlled trial of pictorial warnings on cigarette packaging. Patient Edu Couns. 2012; 86: 77-83. CrossRef
23.
Zurück zum Zitat Cameron LD, Jago L. Emotion regulation interventions: A common-sense model approach. Brit J Health Psych. 2008; 13: 215-221. CrossRef Cameron LD, Jago L. Emotion regulation interventions: A common-sense model approach. Brit J Health Psych. 2008; 13: 215-221. CrossRef
24.
Zurück zum Zitat Hatchett L, Friend R, Symister P, Wadhwa N. Interpersonal expectations, social support, and adjustment to chronic illness. J Pers Soc Psychol. 1997; 73: 56-573. CrossRef Hatchett L, Friend R, Symister P, Wadhwa N. Interpersonal expectations, social support, and adjustment to chronic illness. J Pers Soc Psychol. 1997; 73: 56-573. CrossRef
25.
Zurück zum Zitat Hoyt M, Stanton AL. Adjustment to Chronic Illness. In: Baum A, Revenson TA, Singer J, eds. Handbook of Health Psychology. 2nd ed. New York, NY: Taylor & Francis; 2012: 219-246. Hoyt M, Stanton AL. Adjustment to Chronic Illness. In: Baum A, Revenson TA, Singer J, eds. Handbook of Health Psychology. 2nd ed. New York, NY: Taylor & Francis; 2012: 219-246.
26.
Zurück zum Zitat Bender J, Jimenez-Marroquin MC, Jadad AR. Seeking support on Facebook: A content analysis of breast cancer groups. J Med Internet Res. 2011; 13. doi: 10.2196/jmir.1560. Bender J, Jimenez-Marroquin MC, Jadad AR. Seeking support on Facebook: A content analysis of breast cancer groups. J Med Internet Res. 2011; 13. doi: 10.2196/jmir.1560.
27.
Zurück zum Zitat Charmaz K. Loss of self: A fundamental form of suffering in the chronically ill. Sociol Health Ill. 1983; 5: 168-195. CrossRef Charmaz K. Loss of self: A fundamental form of suffering in the chronically ill. Sociol Health Ill. 1983; 5: 168-195. CrossRef
28.
Zurück zum Zitat Wiebe DJ, Berg C, Palmer D, et al. ‘Illness and the self: Examining adjustment among adolescents with diabetes,’ paper presented at the Annual Meeting of the Society of Behavioral Medicine. Washington DC. (2002). Wiebe DJ, Berg C, Palmer D, et al. ‘Illness and the self: Examining adjustment among adolescents with diabetes,’ paper presented at the Annual Meeting of the Society of Behavioral Medicine. Washington DC. (2002).
29.
Zurück zum Zitat Taylor SE, Aspinwall LG. Coping with Chronic Illness. In: Goldberger L, Breznitz S, eds. Handbook of Stress: Theoretical and Clinical Aspects. 2nd ed. New York, NY, US: Free Press; 1993: 511-531. Taylor SE, Aspinwall LG. Coping with Chronic Illness. In: Goldberger L, Breznitz S, eds. Handbook of Stress: Theoretical and Clinical Aspects. 2nd ed. New York, NY, US: Free Press; 1993: 511-531.
30.
Zurück zum Zitat Mayer RE, Heiser J, Lonn S. Cognitive constraints on multimedia learning: When presenting more material results in less understanding. J Educ Psychol. 2001; 93: 187. CrossRef Mayer RE, Heiser J, Lonn S. Cognitive constraints on multimedia learning: When presenting more material results in less understanding. J Educ Psychol. 2001; 93: 187. CrossRef
31.
Zurück zum Zitat Mayer RE. Applying the science of learning: Evidence-based principles for the design of multimedia instruction. Am Psychol. 2008; 63: 760. CrossRefPubMed Mayer RE. Applying the science of learning: Evidence-based principles for the design of multimedia instruction. Am Psychol. 2008; 63: 760. CrossRefPubMed
32.
Zurück zum Zitat Muller C, Cameron LD. Trait anxiety, information modality, and responses to communications about prenatal genetic testing. J Behav Med. 2014; 1-12. Muller C, Cameron LD. Trait anxiety, information modality, and responses to communications about prenatal genetic testing. J Behav Med. 2014; 1-12.
33.
Zurück zum Zitat National Cancer Institute. Making Health Communication Programs Work: A Planner’s Guide. Rev. ed. Bethesda, MD: National Cancer Institute; 2001. National Cancer Institute. Making Health Communication Programs Work: A Planner’s Guide. Rev. ed. Bethesda, MD: National Cancer Institute; 2001.
34.
Zurück zum Zitat StataCorp. Stata Statistical Software: Release 13. College Station, TX: StataCorp LP; 2013. StataCorp. Stata Statistical Software: Release 13. College Station, TX: StataCorp LP; 2013.
35.
Zurück zum Zitat Gardner W, Mulvey EP, Shaw EC. Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull. 1995; 118: 392-404. CrossRefPubMed Gardner W, Mulvey EP, Shaw EC. Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol Bull. 1995; 118: 392-404. CrossRefPubMed
36.
Zurück zum Zitat Raudenbush SW, Bryk AS. Hierarchical Linear Models: Applications and Data Analysis Methods. 2nd ed. Newbury Park, CA: Sage; 2002. Raudenbush SW, Bryk AS. Hierarchical Linear Models: Applications and Data Analysis Methods. 2nd ed. Newbury Park, CA: Sage; 2002.
37.
Zurück zum Zitat Hilbe, JM. Brief overview on interpreting count model risk ratios: An addendum to negative binomial regression; 2008. Hilbe, JM. Brief overview on interpreting count model risk ratios: An addendum to negative binomial regression; 2008.
38.
Zurück zum Zitat Carver CS, Scheier MF. On the Self-Regulation of Behavior. Cambridge, UK: Cambridge University Press; 1998. CrossRef Carver CS, Scheier MF. On the Self-Regulation of Behavior. Cambridge, UK: Cambridge University Press; 1998. CrossRef
39.
Zurück zum Zitat Rothman AJ, Kelly KM, Hertel AW, Salovey P. Message Frames and Illness Representations: Implications for Interventions to Promote and Sustain Healthy Behavior. In: Cameron LD, Leventhal H, eds. The Self-Regulation of Health and Illness Behaviour. London: Routledge; 2003: 278-296. Rothman AJ, Kelly KM, Hertel AW, Salovey P. Message Frames and Illness Representations: Implications for Interventions to Promote and Sustain Healthy Behavior. In: Cameron LD, Leventhal H, eds. The Self-Regulation of Health and Illness Behaviour. London: Routledge; 2003: 278-296.
40.
Zurück zum Zitat Leventhal H, Leventhal E, Cameron LD. Representations, Procedures, and Affect in Illness Self Regulation: A Perceptual-Cognitive Approach. In: Baum A, Revenson T, Singer J, eds. Handbook of Health Psychology. New York: Erlbaum; 2001: 19-48. Leventhal H, Leventhal E, Cameron LD. Representations, Procedures, and Affect in Illness Self Regulation: A Perceptual-Cognitive Approach. In: Baum A, Revenson T, Singer J, eds. Handbook of Health Psychology. New York: Erlbaum; 2001: 19-48.
41.
Zurück zum Zitat Epstein S, Pacini R. The influence of visualization on intuitive and analytical information processing. Imagination, Cognition and Personality. 2001; 20: 195-216. CrossRef Epstein S, Pacini R. The influence of visualization on intuitive and analytical information processing. Imagination, Cognition and Personality. 2001; 20: 195-216. CrossRef
42.
Zurück zum Zitat Kim E, Han JY, Moon TJ, et al. The process and effect of supportive message expression and reception in online breast cancer support groups. Psycho-Oncology. 2012; 21: 531-540. CrossRefPubMed Kim E, Han JY, Moon TJ, et al. The process and effect of supportive message expression and reception in online breast cancer support groups. Psycho-Oncology. 2012; 21: 531-540. CrossRefPubMed
Metadaten
Titel
Health Communication in Social Media: Message Features Predicting User Engagement on Diabetes-Related Facebook Pages
verfasst von
BA Holly M. Rus
PhD Linda D. Cameron
Publikationsdatum
08.04.2016
Verlag
Springer US
Erschienen in
Annals of Behavioral Medicine / Ausgabe 5/2016
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-016-9793-9