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Lorelei Woody*, Gillian Mayman±, Nathan Hill¤, Kate Saylor*
                                                         Being Where the People Are:                                                                                                                University of Michigan, Ann Arbor, MI
                                                                                                                                                                                                                        Health Sciences Library, ±Center for Managing Chronic
                                              Facebook Use Among US Public Health Organizations                                                                                               *Taubman

                                                                                                                                                                                                                              Disease, ¤School of Information


Objective                                                                Data Collection (June 2010)                                                                                                                                     Is Anyone Listening?
                                                                         216 Facebook pages were identified*
To better understand how US public health departments are using                                                                                                                                                                          Of 207 pages analyzed…
                                                                         207 were eligible for inclusion**
Facebook.                                                                                                                                                                                                                                  Average # of fans: 124.4
                                                                         72 responded to our survey
                                                                                                                                                                                                                                           Most frequent # of fans (mode) 0.0
                                                                         27 sent page data
Methods                                                                                                                                                                                                                                    Middle reported # of fans (median) 54.0
                                                                         *focused on pages only, not profiles or groups.
                                                                         **tried to omit pages for specific programs or units within                                                                                                     96 have fewer than 50 fans (46%)
This study used a variety of methods to obtain a full picture of         larger departments. Pages were located through search                                                                                                           34 have more than 200 fans (16%)
Facebook use by public health organizations. First, unobtrusive          option within Facebook, as well as advanced Google
                                                                         search in “site: www.facebook.com/pages”
observation was employed as we searched for and visited the                                                                                                                                                                              Highest Number of Fans / Likes…
Facebook pages of health departments and public health                   Status Update                                                                                                                                                   1,295 Michigan Department of Community Health
organizations in the United States. Data visualization tools were                                                                                                                                                                        1,197 Alabama Department of Public Health
used to perform basic content analysis to identify common themes              …in May 2011, search retrieved                                                                                                                             1,087 Saint Louis County Department of Health
in the topics and postings on each organizations’ “Wall.” Next, we            total of 293 pages, suggesting
contacted each page administrator via email and Facebook                      Facebook use by public health
                                                                                                                                         Who’s using it?                                                                                  Learning From Others
messages to request completion of a questionnaire. This                       departments continue to rise                               Geographic distribution of Public Health Department Facebook Pages
descriptive survey provided more information about the goals                                                                                                                                                                              Survey respondents commented on what
behind Facebook use and allowed us to learn more about how the                                                                                                                                                                            was going well, and what challenges they
Facebook presence was being maintained, by whom, and for what                                                                                                  Hot Topics?                                                                faced. Common topics expressed were:
purpose. Finally, we requested reports from the Facebook                                                                                                       Most public health departments used                                        Barriers
“Insights” analytic tools to describe the demographics and level of                                                                                            their Facebook page to communicate                                         •Time (to keep content fresh)
activity of those interacting with the organizations’ Facebook pages.                                                                                          about new resources, community                                             •Promotion to clients; lack of awareness
                                                                                                                                                               events, or preventative health                                             •Limitations of “pages” instead of profiles
                                                                                                                                                                                                                                          •Training staff (high turnover of student
                             Phase Two:              Phase Three:                                                                                              information. When we compared wall
       Phase One:                                                                                                                                                                                                                         workers) and getting buy-in from supervisors
       Collect Page
                                Survey
                          Organizations about
                                                         Page
                                                    Administrators’
                                                                                                                                                               posting content with level of                                              •Technical/access related (firewall or policy
           Data
        (207 pages)
                            Facebook Use           “Insights” reports                                                                                          interaction or number of fans, no                                          prohibits social media access)
                             (72 responses)           (27 received)
                                                                                                                                                               strong themes emerged.
                                                                         What are they talking about?                                                                                                                                     Strengths
                                                                         Word cloud from ten most recent wall posts from all pages combined                                                                                              • Saw increased traffic to the departments’
                                                                                                                                                                                                                                           main websites
Results                                                                                                                                                                                 Perceived Effectiveness of
                                                                         Perceptions of Success                                                                                                                                          • Improved communication across staff groups
                                                                                                                                                                                             Facebook Page                                 within a health department
Many US public health organizations are using Facebook to                We asked Facebook Page administrators to describe the perceived                                                                                                 • Low cost; ease of use
connect with the populations they serve. Pages are maintained by         effectiveness of their Facebook effort in meeting the organizations’ goals.
                                                                                                                                                                                                              2
                                                                                                                                                                                                          3 (3%)
                                                                                                                                                                                                        (4%)
                                                                                                                                                                                                                   5
                                                                                                                                                                                                                 (7%)           3        • Informal advertising for smaller events (reach
staff from a variety of positions, with most requiring less than 1       We found no relationship between perceived effectiveness and number                                                  12
                                                                                                                                                                                                                              (4%)
                                                                                                                                                                                                                                           different audience than PSAs)
hour per week or 1-2 hours per week to maintain. Midwestern              of fans or interactions on Facebook. This criteria was entirely subjective.
                                                                                                                                                                                            (17%)
                                                                                                                                                                                                                                   9

states appear to have adopted Facebook more widely than other                                                                                                                                                                    (13%)
                                                                                                                                                                                                                                          Limitations & Future Directions
regions. Common themes in organizations' Facebook posts include
preventive care and announcements of new programs. Few topics            What’s Working? What’s Not Working Well?                                                                                                                        Our study focused only on Facebook
or types of posts seem to engender community responses. Most
                                                                                                                                                                                                             38
                                                                                                                                                                                                           (53%)                         Pages. By neglecting profiles, groups, or
                                                                         Of those who perceived their Facebook effort to be Very Effective (3 of 72)                                                                                     other variations, we did miss out on some
organizations are targeting younger adults through their Facebook
presence. Over 70% of those surveyed believe their Facebook              • All have two people working on their page                                                                                Very Ineffective                     organizations’ use of this social media tool.
                                                                                                                                                                                                    Ineffective
                                                                         • 66% spent 1 hour or less per week; 34% spend 2-3 hours per week                                                          Somewhat Ineffective
                                                                                                                                                                                                                                         By using data from page administrators’
campaign is effective. A small amount of information was collected                                                                                                                                  Neither Effective nor Ineffective
                                                                         • All have some direct involvement from senior staff                                                                       Somewhat Effective
                                                                                                                                                                                                                                         Facebook “Insights” reports, we had hoped
about the organizations’ Facebook “fans” but data was insufficient                                                                                                                                  Effective
                                                                                                                                                                                                    Very Effective

to accurately describe the populations viewing public health                                                                                                                                                                             to triangulate our data and compare target
                                                                         Of those who perceived their Facebook effort to be Effective (12 of 72)                                                                                         demographic with actual audience
departments’ pages.
                                                                         • Most (46%) have one person working on the page (25% = 2 people; 17% = 3 people; 16% = 4+ people)                                                              reached. Data collected through this study
                                                                         • Most (50%) spent between 2 and 5 hours a week on their facebook page (33% = 1-2 hours; 8% = 5                                                                 was insufficient to perform this analysis.
Conclusions                                                                hours+; 8% “other”)

While most public health organizations using Facebook to connect                                                                                                                                                                              More Information
                                                                         Of those who perceived their Facebook effort to be Very Ineffective (2 of 72)
with their populations feel this activity is successful, more research   • Have one or two people (administrative assistant or supervisory staff) maintaining their page                                                                 LORELEIH@UMICH.EDU
is needed to determine return on investment or the impact of             • All spend less than one hour maintaining their page                                                                                                           KMACDOUG@UMICH.EDU
Facebook presence on effective outreach community health.                • All cited technical issues (firewall, policies, etc)                                                                                                          http://www.facebook.com/MlibraryHealthy

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POSTER: Being Where the People Are: Facebook Use Among US Public Health Organizations

  • 1. Lorelei Woody*, Gillian Mayman±, Nathan Hill¤, Kate Saylor* Being Where the People Are: University of Michigan, Ann Arbor, MI Health Sciences Library, ±Center for Managing Chronic Facebook Use Among US Public Health Organizations *Taubman Disease, ¤School of Information Objective Data Collection (June 2010) Is Anyone Listening? 216 Facebook pages were identified* To better understand how US public health departments are using Of 207 pages analyzed… 207 were eligible for inclusion** Facebook. Average # of fans: 124.4 72 responded to our survey Most frequent # of fans (mode) 0.0 27 sent page data Methods Middle reported # of fans (median) 54.0 *focused on pages only, not profiles or groups. **tried to omit pages for specific programs or units within 96 have fewer than 50 fans (46%) This study used a variety of methods to obtain a full picture of larger departments. Pages were located through search 34 have more than 200 fans (16%) Facebook use by public health organizations. First, unobtrusive option within Facebook, as well as advanced Google search in “site: www.facebook.com/pages” observation was employed as we searched for and visited the Highest Number of Fans / Likes… Facebook pages of health departments and public health Status Update 1,295 Michigan Department of Community Health organizations in the United States. Data visualization tools were 1,197 Alabama Department of Public Health used to perform basic content analysis to identify common themes …in May 2011, search retrieved 1,087 Saint Louis County Department of Health in the topics and postings on each organizations’ “Wall.” Next, we total of 293 pages, suggesting contacted each page administrator via email and Facebook Facebook use by public health Who’s using it? Learning From Others messages to request completion of a questionnaire. This departments continue to rise Geographic distribution of Public Health Department Facebook Pages descriptive survey provided more information about the goals Survey respondents commented on what behind Facebook use and allowed us to learn more about how the was going well, and what challenges they Facebook presence was being maintained, by whom, and for what Hot Topics? faced. Common topics expressed were: purpose. Finally, we requested reports from the Facebook Most public health departments used Barriers “Insights” analytic tools to describe the demographics and level of their Facebook page to communicate •Time (to keep content fresh) activity of those interacting with the organizations’ Facebook pages. about new resources, community •Promotion to clients; lack of awareness events, or preventative health •Limitations of “pages” instead of profiles •Training staff (high turnover of student Phase Two: Phase Three: information. When we compared wall Phase One: workers) and getting buy-in from supervisors Collect Page Survey Organizations about Page Administrators’ posting content with level of •Technical/access related (firewall or policy Data (207 pages) Facebook Use “Insights” reports interaction or number of fans, no prohibits social media access) (72 responses) (27 received) strong themes emerged. What are they talking about? Strengths Word cloud from ten most recent wall posts from all pages combined • Saw increased traffic to the departments’ main websites Results Perceived Effectiveness of Perceptions of Success • Improved communication across staff groups Facebook Page within a health department Many US public health organizations are using Facebook to We asked Facebook Page administrators to describe the perceived • Low cost; ease of use connect with the populations they serve. Pages are maintained by effectiveness of their Facebook effort in meeting the organizations’ goals. 2 3 (3%) (4%) 5 (7%) 3 • Informal advertising for smaller events (reach staff from a variety of positions, with most requiring less than 1 We found no relationship between perceived effectiveness and number 12 (4%) different audience than PSAs) hour per week or 1-2 hours per week to maintain. Midwestern of fans or interactions on Facebook. This criteria was entirely subjective. (17%) 9 states appear to have adopted Facebook more widely than other (13%) Limitations & Future Directions regions. Common themes in organizations' Facebook posts include preventive care and announcements of new programs. Few topics What’s Working? What’s Not Working Well? Our study focused only on Facebook or types of posts seem to engender community responses. Most 38 (53%) Pages. By neglecting profiles, groups, or Of those who perceived their Facebook effort to be Very Effective (3 of 72) other variations, we did miss out on some organizations are targeting younger adults through their Facebook presence. Over 70% of those surveyed believe their Facebook • All have two people working on their page Very Ineffective organizations’ use of this social media tool. Ineffective • 66% spent 1 hour or less per week; 34% spend 2-3 hours per week Somewhat Ineffective By using data from page administrators’ campaign is effective. A small amount of information was collected Neither Effective nor Ineffective • All have some direct involvement from senior staff Somewhat Effective Facebook “Insights” reports, we had hoped about the organizations’ Facebook “fans” but data was insufficient Effective Very Effective to accurately describe the populations viewing public health to triangulate our data and compare target Of those who perceived their Facebook effort to be Effective (12 of 72) demographic with actual audience departments’ pages. • Most (46%) have one person working on the page (25% = 2 people; 17% = 3 people; 16% = 4+ people) reached. Data collected through this study • Most (50%) spent between 2 and 5 hours a week on their facebook page (33% = 1-2 hours; 8% = 5 was insufficient to perform this analysis. Conclusions hours+; 8% “other”) While most public health organizations using Facebook to connect More Information Of those who perceived their Facebook effort to be Very Ineffective (2 of 72) with their populations feel this activity is successful, more research • Have one or two people (administrative assistant or supervisory staff) maintaining their page LORELEIH@UMICH.EDU is needed to determine return on investment or the impact of • All spend less than one hour maintaining their page KMACDOUG@UMICH.EDU Facebook presence on effective outreach community health. • All cited technical issues (firewall, policies, etc) http://www.facebook.com/MlibraryHealthy