Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter

IntroductionWhile public health campaigns disseminated through Twitter have multiple theoretical advantages over other strategies (e.g., a high potential reach and low economic cost), the effectiveness of social networks as facilitators of attitudinal and behavioral changes in the population seems t...

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Main Authors: Mireia Faus, Francisco Alonso, Arash Javadinejad, Sergio A. Useche
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1045645/full
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author Mireia Faus
Mireia Faus
Francisco Alonso
Francisco Alonso
Arash Javadinejad
Sergio A. Useche
Sergio A. Useche
author_facet Mireia Faus
Mireia Faus
Francisco Alonso
Francisco Alonso
Arash Javadinejad
Sergio A. Useche
Sergio A. Useche
author_sort Mireia Faus
collection DOAJ
description IntroductionWhile public health campaigns disseminated through Twitter have multiple theoretical advantages over other strategies (e.g., a high potential reach and low economic cost), the effectiveness of social networks as facilitators of attitudinal and behavioral changes in the population seems to remain weakly supported. Therefore, this systematic review was aimed to analyze the degree of impact of healthy behavior-related campaigns as documented in scientific literature.MethodsStrictly following the PRISMA methodology, a total of 109 indexed articles were obtained, of which only 18 articles met the inclusion criteria. In addition to accessing the literature available on WOS, Scopus, BVS, Medline, Cochrane Library and PubMed, the quality of the existing studies was assessed through the Critical Appraisal Skills Programme (CASP) protocol.ResultsThe results of this systematic review revealed a small number of evaluations of the effectiveness of social campaigns disseminated on Twitter, although the quality of these studies was considerably good. Most of the research used statistics and metrics for evaluation, with residual use of other measurement methodologies. However, their effectiveness and impact on public health-related behaviors remain arguable, in view of the existence of marked tendencies to: (i) not evaluate these campaigns; (ii) evaluate them through excessively brief, ambiguous, or potentially biased indicators; and (iii) not carry out systematic follow-ups over time.DiscussionAlthough there is no strong evidence of the suitability of Twitter as a suitable medium for raising public health awareness on behavioral health affairs, the actual limitations identified in this review would help to optimize this paradigm and enhance the quality, reach, and effectiveness of such communication strategies.
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spelling doaj.art-c8fda76e01404ca7a9e6acc063a6dd0d2022-12-22T02:46:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.10456451045645Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on TwitterMireia Faus0Mireia Faus1Francisco Alonso2Francisco Alonso3Arash Javadinejad4Sergio A. Useche5Sergio A. Useche6Faculty of Psychology, University of Valencia, Valencia, SpainINTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Valencia, SpainFaculty of Psychology, University of Valencia, Valencia, SpainINTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Valencia, SpainINTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Valencia, SpainFaculty of Psychology, University of Valencia, Valencia, SpainINTRAS (Research Institute on Traffic and Road Safety), University of Valencia, Valencia, SpainIntroductionWhile public health campaigns disseminated through Twitter have multiple theoretical advantages over other strategies (e.g., a high potential reach and low economic cost), the effectiveness of social networks as facilitators of attitudinal and behavioral changes in the population seems to remain weakly supported. Therefore, this systematic review was aimed to analyze the degree of impact of healthy behavior-related campaigns as documented in scientific literature.MethodsStrictly following the PRISMA methodology, a total of 109 indexed articles were obtained, of which only 18 articles met the inclusion criteria. In addition to accessing the literature available on WOS, Scopus, BVS, Medline, Cochrane Library and PubMed, the quality of the existing studies was assessed through the Critical Appraisal Skills Programme (CASP) protocol.ResultsThe results of this systematic review revealed a small number of evaluations of the effectiveness of social campaigns disseminated on Twitter, although the quality of these studies was considerably good. Most of the research used statistics and metrics for evaluation, with residual use of other measurement methodologies. However, their effectiveness and impact on public health-related behaviors remain arguable, in view of the existence of marked tendencies to: (i) not evaluate these campaigns; (ii) evaluate them through excessively brief, ambiguous, or potentially biased indicators; and (iii) not carry out systematic follow-ups over time.DiscussionAlthough there is no strong evidence of the suitability of Twitter as a suitable medium for raising public health awareness on behavioral health affairs, the actual limitations identified in this review would help to optimize this paradigm and enhance the quality, reach, and effectiveness of such communication strategies.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1045645/fullpublic healthcommunication campaignssocial marketingevaluationTwittersocial media
spellingShingle Mireia Faus
Mireia Faus
Francisco Alonso
Francisco Alonso
Arash Javadinejad
Sergio A. Useche
Sergio A. Useche
Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter
Frontiers in Public Health
public health
communication campaigns
social marketing
evaluation
Twitter
social media
title Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter
title_full Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter
title_fullStr Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter
title_full_unstemmed Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter
title_short Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter
title_sort are social networks effective in promoting healthy behaviors a systematic review of evaluations of public health campaigns broadcast on twitter
topic public health
communication campaigns
social marketing
evaluation
Twitter
social media
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1045645/full
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