From: A systematic review of the use and effectiveness of social media in child health
Author, Year (Country) | Study design, target population, and quality assessment | Objectives (Length of intervention) | Social media intervention | Comparator | Primary outcome measure (Tool) |
---|---|---|---|---|---|
Acute | |||||
Braner, 2004 (USA) [11] | Cross-sectional. | To describe an experience with a Web-based communications program for the patients, families, and referring physicians of patients admitted to the PICU. (Access to website during PICU stay) | Social networking site in which PICU nurses and family posted notes and messages, respectively. (n = 78) | NA | Satisfaction (survey). |
PICU patients, their families, and referring physicians. | |||||
NA | |||||
Lim Fat, 2011 (Canada) [12] | Content analysis. | To assess YouTube videos on infantile spasms for quality and efficacy as an educational tool for parents and medical staff. (NA) | YouTube (n = 54 videos) | NA | Technical quality (Medical Video Rating System, designed by authors). |
Parents of infants experiencing infantile spasms. | |||||
NA | |||||
Chronic | |||||
Cancer | |||||
Ewing, 2009 (USA) [13] | Mixed methods. | To develop a Web-based resource for families of children newly diagnosed with cancer. (Access to website for 6 months) | Discussion forum as part of a multimedia website including information on coping strategies, ask-an-expert and FAQ sections, and additional resources. (n = 21 families) | NA | Website usage (usage statistics, Website Evaluation Instrument). |
Families with a child (8–17 years) diagnosed with cancer in the past 6 weeks. | |||||
NA | |||||
Nicholas, 2012 (Canada) [14] | Mixed methods. | To evaluate the effectiveness of the online peer support network. (Access to forum for 3 months) | Discussion forum monitored by social worker. (n = 19) | NA | Paternal coping, social support and meaning of illness (Coping Health Inventory for Parents, Multi-Dimensional Support Scale, Meaning of Illness Questionnaire). |
Fathers of children (4–17 years) with brain tumors. | |||||
NA | |||||
Juvenile Idiopathic Arthritis | |||||
Stinson, 2010 (Canada) [15] | Content analysis. | To explore the usability of a self-management program for youth with JIA and their parents to refine the health portal prototype. (NR) | Discussion forum as part of 12 modules containing content, graphics, video clips, interactive components, and animations. (n = 19) | NA | Ease of use (qualitative usability testing approach with semi-structured interviews and observation by a trained observer). |
Adolescents (mean 15.7 ± 1.5 years) with JIA. | |||||
NA | |||||
Renal Disease | |||||
Bers, 2001 (USA) [16] | Ethnography. | To determine if Zora is safe and satisfying for children with end-stage renal disease on hemodialysis. (NR) | Zora, a virtual world in which avatars can build a virtual city, chat with each other in real-time or through message boards, create virtual places and characters and write interactive stories. (n = 12) | NA | Satisfaction (survey and interview). |
Children (7–21 years) receiving dialysis for end-stage renal disease. | |||||
NA | |||||
Transplant | |||||
Bers, 2009 (USA) [17] | Content analysis. | To facilitate peer network-building amongst same-age pediatric post-transplant patients. (8 months) | Zora, a virtual world in which avatars can build a virtual city, chat with each other in real-time or through message boards, create virtual places and characters and write interactive stories. (n = 22) | NA | Description of pilot study (home visits, interviews, notes from parents and medical staff, and analysis of the participant chat log). |
Post-transplant children (11–15 years). | |||||
NA | |||||
Type 1 Diabetes | |||||
Merkel, 2012 (USA) [18] | Before-after. | To determine parents’ self-reported self-efficacy scores related to diabetes care management pre- and post-implementation of a Web-based social support platform. (6 weeks) | Discussion threads with area/national community resources and links, and diabetes camp information. (n = 14) | NA | Parental self-efficacy (Self-Efficacy for Diabetes Scale-Parent Modified; Diabetes Empowerment Scale-Short Form-Parent Modified). |
Parents of a child diagnosed with type 1 diabetes. | |||||
7/13 points (BAQA) | |||||
Moderate quality | |||||
Nordfeldt, 2010 (Sweden) [19] | Content analysis. | Explore patients' and parents' attitudes toward a local Web 2.0 portal tailored to young patients with type 1 diabetes and their parents. (Accessed between 2006–2008) | Portal containing blogs, discussion forums and specific diabetes-related information. (n = 24) | NA | Attitudes toward the functionality of the web portal (interviews). |
Parents and pediatric patients (11–18 years) treated by diabetes teams, and their practitioners. | |||||
NA | |||||
Whittemore, 2010 (USA) [20] | RCT | To develop an Internet coping skills training program. (4–5 weeks) | Discussion forum moderated by a health professional, along with information sessions presented through graphic novel models, and profile creation. (n = 6) | Four weekly sessions on glucose control, nutrition, exercise and sick days, and new technology. (n = 6) | HbA1C (blood test,%). |
Adolescents (13–16 years) with type 1 diabetes. | |||||
Unclear RoB | |||||
Moderate quality | |||||
Other | |||||
Baum, 2004 (USA) [21] | Cross-sectional. | To determine how primary caregivers of a child with special health care needs rate and describe their reasons for participating in an Internet parent support group in terms of problem-focused and emotion-focused coping. (NR) | Discussion forum for a peer support group. (n = 114) | NA | How problem-focused and emotion-focused coping are associated with reasons for participating in Internet parent support groups (survey). |
Parents of children (mean: males 6.5 years, females 8.7 years) with special health care needs. | |||||
NA | |||||
Nicholas, 2007 (Canada) [22] | Ethnography. | To examine perceptions and experiences of children who use an online pediatric support network. (NR) | Discussion forum as part of an interactive network with other features including information, entertaining activities, chat rooms and videoconferencing. (n = 21) | NA | Perceived outcomes following hospitalized children’s participation in a pediatric online support network (“long interview”, based on semi-structured approach). |
Hospitalized children and adolescents (4–17 years), their parents/caregivers, and healthcare professionals. | |||||
NA | |||||
Health Promotion | |||||
Healthy Diet & Exercise | |||||
Cordeira, 2012 (USA) [23] | Before-after. | To determine if the Young Leaders for Healthy Change Fall 2011 program had a significant effect on nutrition and physical activity behaviors; and known determinants of behavior, including: knowledge, beliefs, attitudes (self-efficacy and social support) in the domains of nutrition, physical activity, and advocacy. (12 weeks) | Facebook page plus 12 online education-based lessons, 2 online training programs, 12 peer/family weekly challenges, and a community service project. (n = 238) | NA | Participation in 60 minutes of physical activity every 5–7 days of the week (2008 Physical Activity Guidelines for Americans survey). |
High school students in grades 9–12. | |||||
4/13 points (BAQA) | |||||
Weak quality | |||||
DeBar, 2009 (USA) [24] | RCT. | To test the efficacy of a health plan-based lifestyle intervention to increase bone mineral density in adolescent girls. | Youth Talk discussion board, online scrapbook page, psycho-educational information, diet and exercise goal and achievement records, “I Need” and “Ask a Health Question” forums, all available through a web-based study site; group and individual meetings; attendance at a retreat; and coaching telephone calls. (n = 113) | Social activities with discussions focused on general health issues rather than bone health specifically; no personalized feedback about behavioral goal attainment. (n = 115) | Bone mineral density (Dual Energy X-ray Absorptiometry). |
Girls aged 14–16 years with a body mass index below the national average. | |||||
High RoB | |||||
Weak quality | |||||
Lao, 2011 (USA) [25] | RCT. | To evaluate the impact and feasibility of the Individual Nutrition Health Plans, a nutrition and exercise pilot curriculum focused on improving beverage choice, physical activity, fruit and vegetable consumption, and fast food consumption behaviors. (8 weeks) | Individual Nutritional Health Plan administered through text, Facebook, and Twitter. (n = 106) | Wait list control. (n = 86) | Frequency of sweetened beverage consumption (survey). |
Hispanics or low-income high school students aged 14–17 years receiving health plans. | |||||
High RoB | |||||
Weak quality | |||||
Rydell, 2005 (USA) [26] | RCT. | To promote bone mass gains among girls through increased intake of calcium-rich foods and weight-bearing physical activity. (2 years) | Discussion forum, girl scout troop meetings, home activities and summer camp. (n = 194) | Regular girl scout troop meetings. (NR) | Change in bone mineral content (Dual Energy X-ray Absorptiometry). |
Preadolescent girls aged 10–12 years. | |||||
High RoB | |||||
Weak quality | |||||
Savige, 2005 (Australia) [27] | Cross-sectional. | To examine how one model of e-learning can be used to support the food and nutrition education of future learners. (NR) | Discussion forum along with information about food and nutrition, quizzes, story writing, interactive food activities, positive role model profiles, and games with food and nutrition themes. (n = 1349) | NA | Self-reported intake of food and drink (online survey including a 24-hour recall checklist). |
Primary school students in grade 4 and associated composite grades. | |||||
NA | |||||
Sexual Health | |||||
Cox, 2009 (USA) [28] | RCT. | To describe the development of a Web-based program to help mothers talk to their children about sex (CASE), and to pilot test the feasibility and efficacy of CASE. | Free access to monitored discussion board postings and discussion, professional advice, and e-mail. (n = 20) | Same information as the mothers in the intervention group, in notebook form. (n = 20) | Self-efficacy (Self-Efficacy of Parents to Discuss Sexual Health Issues with their Adolescents Scale). |
Rural, low-income mothers of children in grades 5–10. | |||||
High RoB | |||||
Weak quality | |||||
Jones, 2012 (USA) [29] | Cross-sectional. | To evaluate an evidence-based social-networking intervention aimed at reducing the incidence of chlamydia among youth. (NR) | Facebook page including educational information, and links to videos and resources. (n = 70) | NA | Intention to engage in risky sexual behavior (survey). |
Youth aged 15–24 years. | |||||
NA | |||||
Lou, 2006 (China) [30] | NRCT. | To evaluate the effectiveness of the website in increasing adolescents' and young people's knowledge and in changing their attitudes and behaviors regarding sex. (10 months) | Website including a discussion forum, information, videos and expert mailbox. (n = 624) | No sex education. (n = 713) | Knowledge score (survey). |
Adolescents and unmarried youth in China. | |||||
High RoB | |||||
Weak quality | |||||
Yager, 2012 (USA) [31] | Cross-sectional. | To develop and evaluate a Facebook site, Teen Sexual Health Information; and to empower sexually active adolescents who viewed the site with confidential information to help them remain sexually healthy. (NR) | Facebook page with videos, photographs, fact sheets about sexually transmitted infections, free and reduced-cost clinic locations for testing and treatment, and links to other online resources. (n = 39) | NA | Website evaluation (survey). |
Adolescents aged 13–20 years. | |||||
NA | |||||
Smoking Cessation | |||||
NRCT. | To develop an Internet-assisted smoking cessation program accompanied with auricular acupressure, and compare the quit rate and self-efficacy of youth smokers receiving auricular acupressure with and without the Internet-assisted smoking cessation program. (4 weeks) | Website with eight components: impact of smoking, auricular acupuncture for smoking cessation, critical issues in smoking cessation, online questionnaire, professional counseling, discussion forum, hot topics, and hyperlinked websites. (n = 38) | Auricular acupressure only. (n = 39) | Mean serum cotinine levels (cotinine direct ELISA kit and reader). | |
High school seniors who smoke. | |||||
High RoB | |||||
Weak quality | |||||
Patten, 2006 (USA) [34] | RCT. | To evaluate a novel treatment delivery method for smoking cessation. (24 weeks) | Discussion forum along with a gallery to post artwork, information services, videos of personal stories, private journaling, quizzes, quit plan and quit notes. (n = 70) | Four brief sessions with research counselors and homework assignments. (n = 69) | Point-prevalence smoking abstinence (Cigarette Timeline Followback interview, verified by expired breath carbon monoxide levels ≤8 parts per million). |
Adolescent smokers aged 11–18 years | |||||
High RoB | |||||
Weak quality | |||||
Other | |||||
Baggett, 2010 (USA) [35] | RCT. | To determine if parents would engage in an Internet-delivered intervention to support their infant’s social-emotional development. (NR) | Information sharing via a discussion board, with multimedia presentation of concepts, behaviours, and skills; check-in questions; summary of key concepts; daily homework; video of mother-infant interactions for review by coach and parent; and a weekly telephone call from a coach to review content and provide personalized support. (n = 20) | Provision of computer and Internet connection, with links to infant development and parenting resources on the Internet. (n = 20) | Mother-infant interaction (Landry Parent–child Interaction Scales, free-play observation). |
Mothers of infants (3–8 months) at risk for poor social-emotional outcomes. | |||||
Unclear RoB | |||||
Moderate quality | |||||
Hudson, 2012 (USA) [36] | RCT. | To test the effects of the New Mothers Network on single, low-income, adolescent, African American mothers’ psychological, parenting, and health care utilization outcomes. (6 months) | Discussion forum involving research nurse and peers, along with online educational information and e-mail access. (n = 21) | Usual care. (n = 21) | Depressive symptoms (20-item Center for Epidemiologic Studies Depression Scale). |
Single, low-income, adolescent (16–22 years), African American new mothers. | |||||
High RoB | |||||
Weak quality |