Cubism – Cube Blog

The internet is increasingly influencing our diet and attitudes towards food – from online advertising about the latest diet plan, to accessing nutritional information about what you’re eating, ordering take-away via a smartphone and mobile applications able to assist with developing a grocery list.

The recent media discussions regarding traffic light food labelling have made nutrition a hot national topic – even more so now information about any kind of food is available at the press of a button. We’ve also seen an explosion of apps designed to help us make considered decisions about food and avoid the danger of eating hidden fats and sugars.  One that was launched this week is ‘food switch’- positioned as a tool to empower Australian shoppers to make healthier food choices. The app allows users to scan the barcode of packaged foods using their iPhone camera and receive easy to understand nutritional advice.

New Year resolutions

January is typically the month to kick-start our healthy eating resolutions and the nation’s dietitians are encouraging Australians to take part in a healthy ‘pledge’ campaign in tangent with Australia’s Healthy Weight Week (22-29 January). This social-media based campaign encourages users to publish their pledges via a Facebook page and Twitter profile. Ten years ago, such a supportive and motivating digital platform would not have existed, but in today’s social media environment, we are able to benefit from immediate, interactive digital programs.

Online support

Weight management is also big business online, with the availability of personalised online tools for those who want to access support and information in the comfort of their homes. This is particularly helpful to those situated in remote areas of Australia and who don’t feel comfortable attending a face-to-face meeting. Weight Watchers Online enables people to remotely track what they are eating, monitor their weight and develop an interactive shopping list.

The Government has also launched a number of digital initiatives providing nutritional support. There is the Healthy kids: Eat well, get active website, positioned as a ‘one stop shop’ of information about healthy eating and physical activity for parents and carers, teachers and childcare workers, health and other professionals and kids and teens . There is also the Government’s digital Swap It, Don’t Stop It campaign encompassing a mobile app and website, helping users to make healthier choices.

Accredited practicing dietitian and infant nutritionist Kate di Prima says, “More often than not, patients I see are educated about food and what they’re feeding their families. A contributing factor is the plethora of information accessible via the internet. It’s important to use reputable sources – there is a lot of dialogue happening, which can sometimes seem overwhelming. The flip side is we’re inspired to cook more adventurously and use ingredients that we may not have previously considered.”

Fashionable nutrition

Indeed, examples such as the Create Nutrition blog and journalist/media commentator Sarah Wilson’s blog define modern, fashionable nutrition.

In this day and age, smartphones mean that every one of us is a potential food critic, having the ability to write immediate, online reviews, while seated in the restaurant. This in turn means that food standards need to be high.

It will be interesting to see what the future holds and if the shelf life of online nutrition tools expires before the groceries go off!

Back in 2009 when the US Airways flight crashed in New York’s Hudson river, it took a mere four minutes before a member of the public broke the story to the world via Twitter. Jim Hanrahan, wrote: “I just watched a plane crash into the hudson rive [sic] in manhattan”.

It wasn’t long before the story was spreading like wildfire in Twitterverse. Interestingly, it took news outlets longer and it was approximately 15 minutes later that they began reporting the incident.

Love it, or hate it, with the rise of social media channels like Twitter and Flickr, news stories can reach all corners of the world with an immediacy we’ve never seen before. We only need to look at more recent examples of the microblogging’s speedy ability to spread the word, including the death of Steve Jobs and Muammar Gaddafi. So what does this mean for qualified, modern-day journalists and how are they embracing Twitter?

We’re constantly reminded that we’re in the midst of a social media revolution. Twitter is a social networking phenomenon and Australians aren’t holding back! In fact, Australia accounts for 1.8% of Twitter’s traffic and the social networking site attracts 1.1 million unique Australian visitors per month.

So, what is Twitter? Twitter, in essence is a very simple tool. ‘Tweeters’ are limited to posting short, 140 character messages (the same length as a traditional SMS message) to their followers. So a Tweet can’t provide a lot of detailed information, but it can make a concise point, link to an image or webpage and most importantly publish content immediately.

Since it’s creation in 2006 however, Twitter has evolved. ‘Tweeters’ are now able to search the entire network in real-time for specific topics or breaking news, organise their streams with ‘hash tags’ – the # symbol, used to mark keywords or topics in a Tweet, and even add photos or videos to their posts.

These developments of the social media channel have translated to journalist engagement. Twitter has become a way for the media to keep up to date and engage with their audiences, locate sources and to report on news in real-time. The sheer speed of Twitter’s ability to spread breaking news has completely changed the way that journalists report and audiences receive news.

Many key Australian health journalists are opting to not only ‘follow’ the news on Twitter but also publish and promote their own stories. Take ABC medical health reporter Sophie Scott. Sophie’s an active Tweeter and uses the channel to broadcast her stories to the world.

Twitter itself, is also catching on to the growing trend of journalists engaging the networking site. This is reinforced by Twitter publishing a set of guidelines called Twitter for Newsrooms, which is designed to help journalists use the platform effectively. A Twitter spokesperson explains:

“We want to make our tools easier to use so you can focus on your job: finding sources, verifying facts, publishing stories, promoting your work and yourself and doing all of it faster and faster all the time.”

Twitter for Newsrooms was launched earlier this year and demonstrates to journalists how to “report”, “engage” and “publish” to their followers.

There are a plethora of other helpful tools that are assisting journalists with their mission to conquer the news digitally – be it, Tweetgrid, Twitscoop.com, Twhirl, Tweetdeck or Twellow, and the list goes on.

During a talk in Melbourne on the ‘Twitterisation of Journalism,’ University of Canberra Journalism lecturer and social media researcher/consultant Julie Posetti stated, “It’s fascinating as a citizen, as an academic and as a journalist to watch Twitter progress. Despite all the risks and pitfalls that have well and truly been identified along the way, I think Twitter is an important breakthrough in terms of making journalism more social and accessible to a broader public.”

Consumer interaction hasn’t changed. The consumer journey is the same as it always has been; people browse, buy and use. What is different in today’s digital environment is people start their research online and to influence this, offline and online marketing needs to work together.

Through blogs and social media channels your marketing content needs to facilitate two way dialogue. Previously, customer relationships worked via a one-way conversation – the company speaking to the consumer. Now discussions are collaborative and work both ways via channels such as Facebook, blogs and forums. To work with this, there has been a shift to ‘inbound’ marketing – marketing that focuses on getting found by customers.

Inbound marketing uses digital channels including:

Content: Blogs, videos, white papers, e-books

SEO: Search engine optimisation and keyword analysis

Social media: Twitter, Facebook, Google+, LinkedIn, YouTube, Flickr

The more materials and content you post online, the more chance people have of finding your content.

Here are some key components to consider when thinking about your digital marketing strategy if you haven’t already:

1)      Create a keyword strategy using Google AdWords

2)      Search engine optimise your website

3)      Develop a business blog

4)      Promote content and participate in social media

5)      Nurture engagement with email marketing, e.g. eDMs

6)      Consider online advertising

7)      Be mobile friendly

8)      Analyse and refine strategies

You may have heard it before, but the power of digital is growing rapidly and it is important you capitalise on the opportunity as part of your marketing strategy. Now the average time spent online (13.7 hours/week) tips television viewing time (13.3 hours/week). In just 20 minutes on Facebook over one million links are shared, two million friend requests are accepted and almost three million messages are sent. Every day 300,000 new users sign up to Twitter and 48 hours of video is uploaded to YouTube every minute! It is therefore necessary to promote content and participate in social media to open up the discussion and to encourage engagement for your business.

Ultimately when integrating digital into your marketing plans, you need to define your strategy and vision and understand how digital media interrelates with traditional media. With the evolving nature of digital, you also need to be flexible and engage your audience, which may mean reinventing your content to accommodate varying trends and discussions.

With more than 10 million users in Australia alone and 500 million global users, Facebook is one of the most influential websites in the world. Increasingly, patients are researching their condition and treatment approach online and Facebook is a very useful resource to share experiences with others and to gain further insights. Here are some simple ways that you can maximise engagement on your Facebook business page.

Focus on your audience and their needs

As with any marketing and communications messaging, it’s important to focus on the outcomes and your audience. Who are you talking to and engaging with on your Facebook page, and what would they value from you? If you have a range of insights that you deliver to clients as part of your services, consider seeding some of these into your Facebook page. Be clear about who you are talking to and be sure to offer them something of ‘value’ – whether that be expert advice, topical news or an offer.

Plan your posts

Publishing valuable content on your business Facebook page is crucial to maximise the audience’s engagement. Scheduling what you want to say and when you want to say it avoids repetition and ensures you integrate different aspects of your communications plan on the Facebook page. Planning content avoids any last minute panics and translates to higher quality posts and enables consistent messaging. The most effective way to do this is to create a content calendar and set aside time each week/month to plan what you are going to say.

Good content is crucial

It seems obvious, but if you publish good quality content, people will return to your Facebook page and will share links with their friends. Here are some top tips to encourage engagement:

1)      Include links to support your message

2)      Be personal – your page is the face of your organisation or your brand

3)      Be active and update your page frequently

4)      Engage with your audience. If someone asks a question ensure you answer it

5)      Have a social media framework in place in case anyone posts defamatory content

6)      When publishing health specific content, remember it must comply must with the ASMI, MA, TGA codes and other relevant industry regulations

7)      Monitor your page – if someone publishes spam, immediately delete it

8)      Think about what would add value to the audience, e.g. a tip of the day may demonstrate your expertise as well as be of use to the audience

9)      Upload varied content, this could include videos and podcasts

Frequency of posting

It is the quality of content, not the quantity that matters. Research shows that businesses who post weekly on their Facebook page get the same result as those who post daily. Always think about the time of day you post content and when your key audience is available.

So what does this mean for the pharma industry?

Pharmaceutical companies face the challenge to host a branded Facebook page which complies with industry regulations and also acts as a forum where patients can have a two way dialogue. The FDA, ASMI, TGA and MA is yet to determine official guidelines for pharmaceutical  brands operating in digital media, so understandably, pharmaceutical companies are cautious in their decision making about how to use Facebook pages as part of their marketing strategy.

Women’s Confidential Australian Facebook page

As a business, it is important to be within the digital space that your key audience is using. Many organisations are hosting successful unbranded Facebook pages – take a look at the Australian Women’s confidential page from makers of Canesten®. This site is positioned as the “modern girls survival guide offering advice fashion, beauty and health tips.”

The Can you feel my pain? page developed by Pfizer is an exemplary unbranded Facebook page raising awareness about chronic pain and working in collaboration with leading patient and citizen organisations across Europe.

Can you feel my pain? Facebook page

Evidently, there are strategies to host engaging Facebook pages that educate patients and do not contravene regulatory guidelines.

Our complex e-health infrastructure is revolutionising healthcare across the globe. Bupa Health Pulse conducted a survey in 2010 that comprised of over 12,000 people from 12 countries including the UK, Australia and Germany. The internet is increasingly being used as a tool for health-related purposes with people drawn in by highly sophisticated audio and visual content now offered through computers, mobile phones and tablets, as well as opportunities for interaction via social media such as Facebook and Twitter.

In Australia, 4 in 5 people have access to the internet and nearly 45% use Facebook – the largest social networking site in the world. Australians spend more time than any other country using Facebook, averaging at 7.5 hours per month. At least 4 in 5 Australian respondents in the Bupa survey were making some use of the internet to search for advice on health, medicines or medical conditions, including searching for information to make a self-diagnosis and seeking other patients’ experiences.

The internet has the potential to empower Australians to make better, more informed choices about their health and healthcare. It may facilitate economic efficiency for our healthcare system by reducing inappropriate consultations and decreasing the costs of communication between the patient and their healthcare professional.

Unfortunately, there are a huge number of websites that provide bogus information, lacking in evidence-base. This can have serious consequences, leading to needless worry, unnecessary consultations, delay in appropriate diagnosis and use of unproven, ineffective tests and treatments. How can we expect people to decipher through the thousands of results that come up within their Google or Yahoo searches? Also, most of the top 20 healthcare websites are geared towards scientific and academic communities in the US – certainly not the average Aussie.

Of the Bupa Health Pulse survey respondents, 18% are using social networking sites to find out about healthcare issues. Twitter is used by 5% for this purpose. The extent to which individuals who post comments or write blogs are representative of the broader health population is questionable, but of course this may not always be borne in mind by the individuals who take their advice.

The full potential of the internet will only be realised if there is sufficient investment in providing the tools and skills to help people discern high quality, credible content that is jargon-free and tailored to their current knowledge and skills level. Accreditation procedures might be used to ‘badge’ trustworthy websites, but support and advice on how to search for information in the first place is also a must.

Whilst on the topic of the health impact of the ‘digital age’, it is worthwhile exploring the power its most current and relevant offspring, social media, has in disseminating health messages and empowering the public.

While it is impossible to talk about all successful campaigns at once (and this is something Cube will be keeping an eye out for), below are two campaigns which have caught our attention:

1. Twitter Autism Day

In this simple and effective example, Twitter was used to create a channel for sufferers of autism and their carers to share their knowledge and experiences of life with autism. Communication and misunderstanding are some of the obstacles faced by people with autism. Twitter was an appropriate medium for this particular disease area, helping sufferers address these obstacles. It also allowed the community an opportunity to show their support by following and re-tweeting. A hashtag was created to help. Twitter Autism Day became a trending topic and this speaks volumes for the success of the campaign in raising awareness and public understanding of the condition (via Engaging Social Media).    

2. Digital Men’s Health Campaign

With last week marking YouTube’s 5^th birthday – it is impossible not to give the popular video sharing site a hat-tip. Particularly, as sharing video content online is becoming increasingly important (41% of Australians streamline or download videos).

Click here to view is a reel which encapsulates an interesting digital campaign, developed internationally by the industry, in the area of men’s health (via http://pharmadigital.wordpress.com/). Below is a snapshot of some of the digital content generated.

2010 marks 50 years since Medicines Australia first introduced the Code of Conduct. In five decades the Code has evolved dramatically. From a small booklet in the 1960s that could practically fit in a back pocket and scrutinised use of telegrams as a communications channel – to Edition 16 now two A4 manuscripts holding almost 300 pages with Facebook, Twitter and YouTube under the microscope!

Edition 16 now provides the pharmaceutical industry with even tighter and more specific standards for the marketing and promotion of prescription products and engagement with healthcare professionals, patients and the general public.

When it comes to communicating with the general public what was once quite ‘grey’ and open to interpretation, has become far more lucid.

New Code now in play

For the first time there is clarity on previously debated areas. When a company can issue a product-specific media release and what can and can’t be included is now qualified. How a company can respond to journalists requesting internationally released data on unregistered or ‘off-label’ products is also specified.

Edition 16 also features a sub-section on social media, recognising that while industry is still a little cautious with this new sphere of communication, it cannot be ignored.

At first glance Edition 16 may come across as more restrictive when it comes to industry’s relationship with the general public and media. And no doubt, it has prompted many a communications professional to consider how to convey a balanced, Code-compliant message that also piques the interest of one of its primary conduits of communication – the media.

However, on closer assessment, clarification of ‘grey’ areas and the setting of very clear parameters to work within can only be seen as a positive step. Greater alignment and consistency among each company’s approach to marketing and communications is important – and may assist in minimising the public scrutiny the industry has been forced to face in recent years.

Hands up who’s been on Twitter for more than 12 months? Be honest!

If, like most people, you can’t put up your hand then don’t worry, because it was only in 2009 that Twitter really hit the mainstream. Created back in 2006, the site provided a unique microblogging service that enabled users to send messages (tweets) of up to 140 characters to their network of followers across the globe. However, by 2008 there were still only a few hundred thousand users.

It wasn’t until the beginning of last year when big-name celebrities began using the service to connect with their fan base, and Governments and big corporations used the site to extend the reach of their campaigns, that Twitter hit the headlines and experienced serious exponential growth.

The exact number of users is hard to quantify, but by September last year the number of live Twitter accounts is said to have passed an incredible 50 million. One in five internet users employ Twitter or another service to send updates about themselves or to see other people’s updates.

Twitter and healthcare – could 2010 be the year they come together?

The early adopters of Twitter in the healthcare arena have been clinical groups, hospitals and healthcare organisations who are beginning to use Twitter to communicate timely information within the medical community, to patients and the public. Real-time tweets provide a fast and easy way to reach multiple people in a short space of time. This has advantages for sharing time-critical information such as drug safety warnings, tracking disease outbreaks and disseminating healthcare information.

Twitter applications are now available to help patients find out about clinical trials or to link brief news alerts from organisations like the Center for Disease Control and Prevention (CDC) to reliable websites that provide more detailed information. International congresses are now using tweet streams to update followers on the latest news and data announcements.

Twitter has become an integral part of communication in today’s society. In fact, for the first time, the updated Medicines Australia Code of Conduct includes reference to social media (section 12.9 for consumers, 2.4.2 for healthcare professionals) – removing the current ambiguity and providing definitive acceptance of this medium as a valid communication channel within the healthcare arena.

With major health issues like swine flu topping the charts as the second most tweeted about topic in 2009, it’s clear that health will continue to be discussed via social media. It’s time the Pharma industry began dipping its toe into the water and using this channel to openly interact with its target audiences.

If Pharma is not part of the conversation to begin with, how can we expect our voice to be heard?