MyHeartMap Challenge Inspires Pennsylvanians to Map AEDs

The University of Pennsylvania has been conducting a contest — the MyHeartMap Challenge — in which participants record locations of automated external defibrillators (AEDs) throughout the state. The purpose of the contest is to raise awareness about the importance and location of AEDs, and to build a statewide database of AED locations.

MyHeartMap Challenge

Medpedia: Reliable Crowdsourcing of Health and Medical Information

According to a recent survey by the Pew Internet & American Life Project, 61% of adults look online for health information [1]. Surprisingly however, three-quarters of those searching don’t consistently check the source and date of the health reference they find [2]. Indeed, searching for health information online is dangerous and finding credible, up-to-date sources of health information can be a challenge.

Wikipedia is the Web’s most popular free online encyclopedia. If you’ve ever searched for health or medical content online, Wikipedia articles typically appear at or near the top of search engine results. Nevertheless, Wikipedia’s medical entries are prone to manipulation and are not reliable [3]. Moreover, in many cases you don’t know who has contributed content nor their background or expertise.

Wisdom of crowds is the new model for innovation on the Internet in which collective knowledge is thought to be superior to the intelligence of the few. Nevertheless, not all crowds are wise. Recent cases and new research suggests that crowdsourcing is only truly successful when it is focused on a specific task and when the most effective collaborators are involved [4].

Enter Medpedia.

medpedia-logo

The Medpedia Project is a long-term, worldwide initiative to develop an online collaborative source of health and medical information for medical professionals and the general public. A joint effort with Harvard Medical School, Stanford School of Medicine, Berkeley School of Public Health, University of Michigan Medical School and other global health organizations, the intent of Medpedia is to be a repository of up-to-date unbiased medical information, contributed and maintained by health experts around the world and freely available to the general public. Unlike Wikipedia, which allows anyone to modify pages, Medpedia content creators and editors are required to have an M.D., D.O. or Ph.D. in a biomedical field; each contributor has an author page detailing their qualifications and background.

Presenting Highlight HEALTH 2.0

I’ve written previously about my desire to explore the use of web 2.0 in health and medicine. Two months ago, I created a page on the Highlight HEALTH Web Directory to index articles that discuss web 2.0 in health, fitness and medicine.

… Then I realized my mistake.

No blog. No RSS. Why was I writing articles on web 2.0 and not using the tools?

I alluded to this issue when I introduced The Highlight HEALTH Network, an aggregation of feeds from Highlight HEALTH and the Highlight HEALTH Web Directory.

Accordingly, I’m pleased to present Highlight HEALTH 2.0, a blog focused on following web 2.0 in health and medicine. My intention is to develop an article resource discussing social networks and health, and to catalog a series of reviews written by myself and guest writers, describing various health-focused social networks and what they have to offer. Since I believe health-focused social networks can affect patients the same as real-life social networks, offering the information as an additional resource to a web directory of quality health-related websites seemed appropriate.

YouTube as a Source of Health Misinformation

social network
The Internet is rapidly transforming healthcare. Not only is it creating new connections for the access, sharing and exchange of information, it is cultivating a new level of knowledge among patients, enabling them to have input into decisions about their healthcare. Indeed, 80% of adult Americans say they have researched at least one specific health topic, either information on exercise and fitness, or information about immunizations or vaccines, online at some point [1]. A 2003 WebMD study found that consumers spent more time researching health information online than any other media source [2].

Unfortunately, with all the reliable health information online, an equal or greater amount of misinformation also exists. An article in the Economist last year discussed the exponential increase in user-generated content, encouraged by sites such as YouTube, Facebook and Wikipedia, and its affect on healthcare [3]. The article concluded by quoting a professor at Harvard Medical School:

Many doctors, he says, “don’t get the wisdom of crowds.” But he thinks the combined knowledge of a crowd of his patients would be far greater than his own.

However, the trouble with “The Wisdom of Crowds” or “Crowdsourcing” is that a group of people connected by a network doesn’t necessarily mean they will work together as or more effectively than in traditional organizations.

… Quite simply, not all crowds are wise.

In his book “The Wisdom of Crowds”, James Surowiecki wrote the following [4]:

The smartest groups are made up of people with diverse perspectives who are able to stay independent of each other. Independence doesn’t imply rationality or impartiality. You can be biased and irrational, but as long as you’re independent, you won’t make the group any dumber.

A study published in the Journal of the American Medical Association examined “The Wisdom of Crowds” by evaluating YouTube as a source of information on immunization [5]. University of Toronto researchers searched YouTube using the keywords “vaccination” and “immunization”, and measured users interaction with the videos using view counts and viewer reviews indicated by the star-rating system. Scientists evaluated 153 videos:

  • 73 (48%) of the videos were positive, meaning the central message of the video supported immunization (e.g. described the benefits and safety of immunizing, described immunization as a social good, or encouraged people to receive immunizations).
  • 49 (32%) of the videos were negative, meaning the central message of the video portrayed immunization negatively (e.g. emphasized the risk of immunization, advocated against immunizing, promoted distrust in vaccine science, made allegations of conspiracy or collusion between supporters of vaccination and manufacturers).
  • 31 (20%) of the videos were ambiguous, meaning the video contained either a debate or was ambivalent.

Although almost half the videos were positive and only 20% were negative, compared with positive videos, negative videos were more likely to receive a rating, had a higher mean star rating and more views.

The videos were then rated for scientific accuracy based on the 2006 Canadian Immunization Guide, which has recommendations similar to those from the American Centers for Disease Control and Prevention. None of the positive videos contradicted the Guide. However, nearly half of the negative videos (22 of 49; 45%) carried messages that did contradict the Guide. These included messages that general childhood immunization can cause autism and that scentific research supports the link between thimerosal and autism. However, perhaps the most striking data from the study was that, among the positive videos, public service announcements received the lowest mean ratings and the fewest views.

The authors comment at the end of the study that:

The video ratings and view counts suggest the presence of a community of YouTube users critical of immunization.

And that community of YouTube users is growing rapidly. According to a December 2007 report by the Pew Internet & American Life Project, the typical share of internet users going to video sites was nearly twice as large as it was in December 2006 [6].

With the pervasiveness of blogs and RSS on the Internet today, content has become a commodity. Indeed, “information overload” tends to be everywhere. With too much information and not enough time, capturing an audience’s attention is paramount. Everyone has heard the cliché: “Content is King”. In the age of Web 2.0 and YouTube, packaging, not content, has clearly become King. This is the message public health authorities and others trying to communicate accurate health information need to pay attention to: it’s not just what you say, it’s how it’s presented.

References

  1. Fox S and Fallows D. Internet Health Resources: Health searches and email have become more commonplace, but there is room for improvement in searches and overall Internet access. Pew Internet & American Life Project. 2003 July 16.
  2. Research Reveals That Internet Has Become Primary Means by Which Consumers Access Health Information. WebMD press release. 2003 Feb 10.
  3. Health 2.0. The Economist. 2007 Sep 6.
  4. Suroweicki J. (2004). The Wisdom of Crowds: Why the Many Are Smarter Than the Few and How Collective Wisdom Shapes Business, Economies, Societies and Nations. Boston: Little, Brown, Boston.
  5. Keelan et al. YouTube as a source of information on immunization: a content analysis. JAMA. 2007 Dec 5;298(21):2482-4. DOI: 10.1001/jama.298.21.2482
    View abstract
  6. Rainie L. Increased Use of Video-sharing Sites. Pew Internet & American Life Project. 2008 Jan 9.

Social Networks and Health – The Research and the Reviews

I’ve been increasingly interested in health-focused social networks. Why? Because several recent scientific studies have found that real-life social networks are quite relevant to health. Indeed, a study published earlier this year in the New England Journal of Medicine evaluated a large social network of over 12,000 people over 32 years to assess the person-to-person spread of obesity [1]. The study results suggest that friends, siblings and spouses have an even greater effect on a person’s risk of obesity than genetics.

What’s interesting is that this type of research is being done now, when the use of web 2.0 services facilitating collaboration and sharing between users on the internet is thriving. We’re witnessing an explosion of social networking sites, many of which are focused on health.