Archive for the ‘ Guest Post ’ Category

Guest post – Elders in the #hcsm community

This is the third in a series of regular guest posts from the fabulous members of the #hcsm community. Interested in writing a post for #hcsm? Email me. This week, Meredith Gould discusses the idea of elders in community – and challenges elders in #hcsm specifically.


I did not initially join the healthcare social media (#hcsm) community as a social scientist. At first, I simply viewed myself as a marketing communications  professional committed to enhancing health literacy.  This, by the way, is my cleaned-up version of saying I’m committed to slashing ridiculously confusing medical jargon out of healthcare materials.

But old habits of education and training run deep.  I’m a sociologist and within weeks of participating in #hcsm chats, I could see a social world emerging in real time.  Enthralling!

Soon, I was tweeting more about the social construction of healthcare than anything else, although a content analysis of cached data would reveal my enthusiasm for proper spelling, grammar, and syntax. Within months, I realized online communities generate social structure and then develop just like  communities do in real life (IRL).  One significant difference: community development  happens more quickly when it’s happening online via social media.

And so does the potential for community destruction from either outside or within, which is why I’m currently fixated on the role of elders. IRL elders are vested with and take on key responsibilities that are essential for community survival.

Everything I’ve observed so far persuades me this is also true for the #hcsm chat community.  While it may not be immediately obvious, I believe our growth and survival will depend, to some extent,  on the positive participation of community elders.

If you’re a long-time participant in #hcsm chats, I suggest that these are your three (interconnected) responsibilities:

  • Holding collective memory: Elders are those around long enough to remember the beginning. They can recall – often because they’ve recorded them – the events and conversations shaping community.  Effective elders reference this information about social structure to build community.   Ineffective elders stifle community development by referencing this information to insist, “we’ve always done it this way” when facing change.
  • Providing continuity: Because they remember the beginning, elders provide the continuity needed to continue conversations and develop new ones.  In social media terms, elders curate as well as create content.  Effective elders participate during hashtag chats by offering links to new information that enhances the conversations.  Ineffective elders shut down conversations by insisting, “we’ve already discussed that” when facing inevitable redundancies.
  • Guiding newcomers: Elders are those not only able but willing to be generous with newcomers.  Elders recognize that each new generation will go through the same, or very similar,  stages as the ones before it. Effective elders are welcoming, patient and good humored with new visitors. Ineffective elders quit participating, although I suppose you could argue that by removing opting out, cranky elders are, in fact, serving the greater good.

So, now let me ask you this: Are you an elder in the #hcsm community?  If so, how are you helping the community survive and thrive?


Meredith Gould is a sociologist by training and activist by temperament with a wide range of editorial and marketing experience. Since 1990, she has focused on health and wellness issues, especially how health is socially-constructed.  A passionate advocate for using technology to build communities, Meredith participates in healthcare social media (#hcsm), healthcare marketing (#hcmktg) and hospice/palliative medicine (#hpm) conversations on Twitter.  She is the author of seven books, blogs about daily errata at More Meredith Gould and serves in an elected leadership position for the Virtual Abbey.


Guest Post: Envisioning a More Social Future for Public Health

This is the first in a series of (hopefully) weekly guest posts from the fabulous members of the #hcsm community. Interested in writing a post for #hcsm? Email me. This week, my good friend Andrew Wilson tackles the complex topic of social media and public health.


Times have changed and there really is no going back. The only question now is how to best move forward. I cannot think of a better way to solve the challenges that we face than a transparent, open discussion where all parties can contribute their perspective and insight. That being the case, I am throwing the three questions below out to community to get input, ideas and, yes, help.

1. What should collaboration (in social media) between public health agencies and the broader public health community look like?

To date, social media has been largely used by public health agencies as a one-way channel to push public health messages. Real, two-way engagement is still largely the exception rather than the rule. However, the new digitally-powered social landscape that we live in demands that we make the conversations more inclusive. Everyone with valuable input needs to have the opportunity to add their voice and their value. However, I personally still struggle with how to best systematize this information and idea sharing so that it is considered an integral and irreplaceable part of the process. For me, #hcsm represents a perfect case study of the unrealized potential of better collaboration. For example, imagine how much better and, potentially more effective, social media campaigns could be if public health agencies could bring their ideas to #hcsm for feedback PRIOR to launch. Is this realistic, what would this look like?

2. How do you envision the federal government being most effective in its use of social media?

This is really not an either/ or question. There are many potential answers depending on the mission of the agency, the circumstances and the platforms. However, it is certainly a question worth asking. Being successful in social media takes time and resources (and arguably a not insignificant degree of passion). If we accept these premises, then the federal government should naturally focus on those areas where it adds the most value and where its unique position can be leveraged to its maximum impact. Effectiveness, however, is mostly in the eye of the beholder and input from state and local agencies, public health professionals and the public at large must be taken into account if we want to make this work. So, where do you see the federal government’s role in the co-evolution of social media and public health?

3. How can we collectively address and document the role of social media in behavior change?

Moving people’s opinion of social media from a tool for “awareness raising” to an accepted mechanism for influence behavioral is something I have been thinking about very seriously about since Alexandra Bornkessel wrote a very thoughtful post on this issue more than 6 months ago. Undoubtedly, there are some very smart people researching and presenting evidence for how social media can influence behavior – B.J. Fogg and Jen S. McCabe jump to mind here. On the other hand, when I asked James Fowler, during his talk at SXSW last year, about how social media could be used as a tool to help address public health concerns such as childhood obesity and smoking cessation, his response seemed to leave room for doubt. Making a rock solid, persuasive case to leadership about the value of better integration of social media into the work of the federal government demands a portfolio of well documented and well presented evidence. This discussion, about the utility and value of social media, is going on across public health (see Social Media Grows Up – Red Cross Emergency Social Data Summit) but I would argue that we need a more systematic approach to building the case. Where and how do you see this happening? Is there a real need for this? Who should take the lead in this?

These questions are some of the issues I try to work through every day – and I have no chance of solving any of them on my own. Not only are they complex and difficult but they cannot be solved by any one party. They need consensus understanding and action. Most importantly, however, these are some of the questions that must be addressed as we try to build a more social future for public health. Please join the conversation and let’s work on these questions together.


Andrew Wilson, along with Read Holman and others, was formerly part of the HHS Center for New Media where most of his work focused on the web and new media response to H1N1. Currently, Andrew works for the Substance Abuse and Mental Health Service Administration, one of the agencies within Department of Health and Human Services.

Note: the views and opinions expressed in this post are Andrew’s alone and do not represent official opinions of HHS or SAMHSA.

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