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The Many Faces of Facebook:
                                                             Utilizing Social Media Tools for Participant Recruitment in Clinical Research
                                                                                                                                                               Tracy Strickroth, Nariman Nasser
                                                                                            Clinical and Translational Science Institute, University of California, San Francisco, CA
                                                                                                                                                                                            Mark Pletcher                                                                                                     CTSI
                                                                                                             Epidemiology & Biostatistics, University of California, San Francisco, CA

                       Introduction                                                         Creating & Building Study Awareness                                                                                         Social networks on Public Health - Facebook Connect for Recruitment
                                                                                                                                                                          Public facing
The “Facebook Frontier” is how some bloggers                                                                                                                                                                          The Social Heart Study at UCSF takes a new
                                                                                                                                                                          community page
and marketing websites have referred to the                                                                                                                                                                           approach to the utilization of social media. This
potential of social media to build awareness of                                                                                                                                                                       online cardiovascular disease prevention study
                                                                                                                                                                          Users can “like” and
ideas, causes, products, or brands among online                                                                                                                                                                       employs Facebook to recruit & conduct survey
                                                                                                                                                                          “share” pages with
communities. With more than 800 million                                                                                                                                                                               based research, and to recruit participants for
                                                                                                                                                                          others “friends”
worldwide users and various features for linking                                                                                                                                                                      future heart studies via snowball sampling.
websites and sharing information, Facebook was                                                                                                                             Links to study
seen by many research managers as an exciting                                                                                                                              website & contact                          Using an online consent process Facebook
new prospect for clinical trial recruitment. However,                                                                                                                      information                                Connect is activated and their Social Heart
there are still challenges to overcome, including                                                                                                                                                                     profile is linked to their Facebook profile. This
                                                                                                                                                                           Links to other
learning how to use Facebook’s applications to                                                                                                                                                                        allows the study database to access publicly
                                                                                                                                                                           asthma related
build study awareness and meet recruitment goals.                                                                                                                                                                     available info about the participant & the
                                                                                                                                                                           groups & pages
Remember that FB users are able to share                                                                                                                                                                              participant’s network, such as list of friends—a
information with friends in their network, who in                                                                                                                                                                     presumed trusted source.
turn share with their friends, and so on. New skill
sets and training are needed to implement social                                                                                                                                                                      Social media motivates study participants and
media strategies, and maintaining an online                                                                                                                                                                           their friends to adopt new behaviors that will lower
presence requires time and resources. Despite                                                                                                                                                                         their risk for a heart attack.
these issues, social media, when applied
                                                                                                                                                                                                                                                Distinct Registered Users = 395
judiciously, can still be an effective recruitment
strategy for research participant recruitment. This
is overview of the different ways Facebook has                                                                                                                                                                         Pilot period of
                                                                                                                                                                                                                       recruitment           DID NOT CONSENT
been used for clinical trial recruitment.
                                                                                                                                                                                                                        2.5 months
                                                                                                                                                                                                                        ZERO dollars
                              Aims                                           Administrator Insight Snapshot features allow for real-time reporting:                                                                       spend on
                                                                                                                                                                                                                          advertising
                                                                                Likes & Share                  People Talking About This
 Creating & building study awareness                                                                                                                                                                                   395 distinct
                                                                                Social Reach                   Demographics & Location                                                                                  users registered
                                                                                                                                                                                                                                                               CONSENTED
 Insight real-time reporting                                                   Friends of Fans                Page views                                                                                             Snowball
 Targeting potential participants through online
                                                                                                                                                                                                                          sampling, friend
  advertising                                                                                            Targeted Online Advertising                                                                                      activity
 Exploring the effects on social networks on
  public health through Facebook Connect                                     Comparison of two types of targeted (pay per click) advertising - 2 month period
                                                                                                                                                                                                                                            Next Steps
  application                                                                                                                                                                                                          Development of personalized health feedback,
                                                                                                                     1        Paid Ad created from Facebook Page, links to
                Benefits                      Lessons Learned
                                                                                                                              study-specific FB community page                                                          contextualized within participants’ social
   Targeted demographic &           •   Get multiple ads IRB approved                                                                                                                                                  networks
    geographic                           ahead of time, test ads & adjust                                                                                                                                              Employ text messaging from smart phones as
   Stay on budget, daily max, pay   •   Link to easy online screener                                                          Paid Ad independent from Facebook Page, links
    per click options                •   Hard to measure ROI                                                         2                                                                                                  new form of CVD risk factor data collection
   Easy, real-time reports          •   Friend to Friend connection                                                           to external study-specific website for pre-                                             Recruitment of 20,000 participants – enhancing
   Flexibility                          increased clicks & reach                                                              screening
                                                                                                                                                                                                                        website, advertising & recruitment campaign,
                                                                            Campaign Impressions Clicks Social Impressions Social Clicks Actions Page likes                                                             Twitter fed, collaborate with other CVD groups
                Acknowledgments
                                                                                  1          942,112              313         1,923                           2                     152          128
This project was supported by the National Center                                 2          338,596              48          NA                              NA                    NA           NA                                                                               Summary
for Research Resources and the National Center                                                                                     Key Facebook Terms
                                                                            Actions- Data includes all people who have taken action within 24 hours of viewing an ad, or after 28 days of clicking on it. Clicks –    Social media is a useful clinical study recruitment tool but can be difficult to implement fully without
for Advancing Translational Sciences, National                              Number of clicks your ad has received. CTR (click thru rate) - Number of clicks your ad received, divided by the number of times the ad
                                                                            was shown on the site. Friends of Fans – Number of unique people who were friends with people who liked your page. Impressions-           adequate resources to constantly update with new disease/study related info. Social media is best utilized
Institutes of Health, through UCSF-CTSI Grant                               Total number of times the ad appeared on the site. Likes – Number of people who have liked you page. People talking about this –
                                                                                                                                                                                                                      as part of a broader recruitment campaign that drives traffic to always accessible web-based screening.
Number UL1 RR024131. Its contents are solely                                Number of unique people who have created a story- liked, commented, shared, posted on their wall, mentions, tags, recommend your page.
                                                                            Getting more people to talk about your page is one of the best ways to reach more people. Reach- Number of individual people who saw      Social media strategies need to be refined on a daily basis to identify and maintain interest with your
the responsibility of the authors and do not                                your ad during the selected dates. This is different than impressions, which includes people seeing the ad multiple times. Social

necessarily represent the official view of the NIH.
                                                                            Impressions- Impressions that were shown with the names of viewer’s friends who liked your page, event, app, etc. Social Reach-           patient population. In the meantime, there is hope that social media as a recruitment tool will be less
                                                                            People who saw your ad with the names of their friends that liked your page, event, or app. If you are not using a sponsored story or
                                                                            advertising a page you won’t have social reach.                                                                                           problematic once recruiters gain more experience with the many tools online networks offer.

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The Many Faces of Facebook “Utilizing Social Media Tools for Participant Recruitment in Clinical Research”

  • 1. The Many Faces of Facebook: Utilizing Social Media Tools for Participant Recruitment in Clinical Research Tracy Strickroth, Nariman Nasser Clinical and Translational Science Institute, University of California, San Francisco, CA Mark Pletcher CTSI Epidemiology & Biostatistics, University of California, San Francisco, CA Introduction Creating & Building Study Awareness Social networks on Public Health - Facebook Connect for Recruitment Public facing The “Facebook Frontier” is how some bloggers The Social Heart Study at UCSF takes a new community page and marketing websites have referred to the approach to the utilization of social media. This potential of social media to build awareness of online cardiovascular disease prevention study Users can “like” and ideas, causes, products, or brands among online employs Facebook to recruit & conduct survey “share” pages with communities. With more than 800 million based research, and to recruit participants for others “friends” worldwide users and various features for linking future heart studies via snowball sampling. websites and sharing information, Facebook was Links to study seen by many research managers as an exciting website & contact Using an online consent process Facebook new prospect for clinical trial recruitment. However, information Connect is activated and their Social Heart there are still challenges to overcome, including profile is linked to their Facebook profile. This Links to other learning how to use Facebook’s applications to allows the study database to access publicly asthma related build study awareness and meet recruitment goals. available info about the participant & the groups & pages Remember that FB users are able to share participant’s network, such as list of friends—a information with friends in their network, who in presumed trusted source. turn share with their friends, and so on. New skill sets and training are needed to implement social Social media motivates study participants and media strategies, and maintaining an online their friends to adopt new behaviors that will lower presence requires time and resources. Despite their risk for a heart attack. these issues, social media, when applied Distinct Registered Users = 395 judiciously, can still be an effective recruitment strategy for research participant recruitment. This is overview of the different ways Facebook has Pilot period of recruitment DID NOT CONSENT been used for clinical trial recruitment.  2.5 months  ZERO dollars Aims Administrator Insight Snapshot features allow for real-time reporting: spend on advertising  Likes & Share  People Talking About This  Creating & building study awareness  395 distinct  Social Reach  Demographics & Location users registered CONSENTED  Insight real-time reporting  Friends of Fans  Page views  Snowball  Targeting potential participants through online sampling, friend advertising Targeted Online Advertising activity  Exploring the effects on social networks on public health through Facebook Connect Comparison of two types of targeted (pay per click) advertising - 2 month period Next Steps application  Development of personalized health feedback, 1 Paid Ad created from Facebook Page, links to Benefits Lessons Learned study-specific FB community page contextualized within participants’ social  Targeted demographic & • Get multiple ads IRB approved networks geographic ahead of time, test ads & adjust  Employ text messaging from smart phones as  Stay on budget, daily max, pay • Link to easy online screener Paid Ad independent from Facebook Page, links per click options • Hard to measure ROI 2 new form of CVD risk factor data collection  Easy, real-time reports • Friend to Friend connection to external study-specific website for pre-  Recruitment of 20,000 participants – enhancing  Flexibility increased clicks & reach screening website, advertising & recruitment campaign, Campaign Impressions Clicks Social Impressions Social Clicks Actions Page likes Twitter fed, collaborate with other CVD groups Acknowledgments 1 942,112 313 1,923 2 152 128 This project was supported by the National Center 2 338,596 48 NA NA NA NA Summary for Research Resources and the National Center Key Facebook Terms Actions- Data includes all people who have taken action within 24 hours of viewing an ad, or after 28 days of clicking on it. Clicks – Social media is a useful clinical study recruitment tool but can be difficult to implement fully without for Advancing Translational Sciences, National Number of clicks your ad has received. CTR (click thru rate) - Number of clicks your ad received, divided by the number of times the ad was shown on the site. Friends of Fans – Number of unique people who were friends with people who liked your page. Impressions- adequate resources to constantly update with new disease/study related info. Social media is best utilized Institutes of Health, through UCSF-CTSI Grant Total number of times the ad appeared on the site. Likes – Number of people who have liked you page. People talking about this – as part of a broader recruitment campaign that drives traffic to always accessible web-based screening. Number UL1 RR024131. Its contents are solely Number of unique people who have created a story- liked, commented, shared, posted on their wall, mentions, tags, recommend your page. Getting more people to talk about your page is one of the best ways to reach more people. Reach- Number of individual people who saw Social media strategies need to be refined on a daily basis to identify and maintain interest with your the responsibility of the authors and do not your ad during the selected dates. This is different than impressions, which includes people seeing the ad multiple times. Social necessarily represent the official view of the NIH. Impressions- Impressions that were shown with the names of viewer’s friends who liked your page, event, app, etc. Social Reach- patient population. In the meantime, there is hope that social media as a recruitment tool will be less People who saw your ad with the names of their friends that liked your page, event, or app. If you are not using a sponsored story or advertising a page you won’t have social reach. problematic once recruiters gain more experience with the many tools online networks offer.