Paradigm Shift or Annoying Distraction

Summary

Web 2.0 technologies, known as social media, social technologies or Web 2.0, have emerged into the mainstream. As they grow, these new technologies have the opportunity to influence the methods and procedures of many fields. This paper focuses on the clinical implications of the growing Web 2.0 technologies. Five developing trends are explored: information channels, augmented reality, location-based mobile social computing, virtual worlds and serious gaming, and collaborative research networks. Each trend is discussed based on their utilization and pattern of use by healthcare providers or healthcare organizations. In addition to explorative research for each trend, a vignette is presented which provides a future example of adoption. Lastly each trend lists several research challenge questions for applied clinical informatics.

Citation: Spallek H, O’Donnell J, Clayton M, Anderson P, Krueger A. Paradigm shift or annoying distraction – emerging implications of Web 2.0 for clinical practice. Appl Clin Inf 2010; 1: 96–115 http://dx.doi.org/10.4338/ACI-2010-01-CR-0003

Keywords

Internet - healthcare - social networks - medical informatics applications - computer simulation

• References

• 1 Kim GR, Lehmann CU. In search of dialogue and discourse in applied clinical informatics. Applied Clinical Informatics 2009; 0: 1-7. doi: 10.4338/ACI09-10-0002
• 2 Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA. et al. Why don‘t physicians follow clinical practice guidelines? A framework for improvement?. JAMA 1999; 282 (Suppl. 15) 1458-1465.
• 3 Carlsen B, Glenton C, Pope C. Thou shalt versus thou shalt not: a meta-synthesis of GPs’ attitudes to clinical practice guidelines?. Br J Gen Pract 2007; 57 (Suppl. 545) 971-978.
• 4 Sharma P. Core characteristics of web 2.0 services. [Online]. 2008 November 28 [cited 2009 Nov 24]; URL: http://www.techpluto.com/web-20-services Archived at: http://www.webcitation.org/5mZSTfYr8
• 5 Web 2.0. 2009 November 14 [cited 2009 Nov 24]; URL: http://en.wikipedia.org/wiki/Web_2.0 Archived at: http://www.webcitation.org/5mZSmGwpo
• 6 Kaplan AM, Haenlein M. Users of the world, unite! The challenges and opportunities of social media?. Business Horizons 2010; 53 (Suppl. 01) 59-68.
• 7 Anderson PF, Blumenthal J, Bruell D, Rosenzweig M, Conte M, Song J. An online and social media training curricula to facilitate bench-to-bedside information transfer. Positioning the Profession: the Tenth International Congress on Medical Librarianship; 2009 Aug 31; Brisbane Australia: 2009 p. 1-11.
• 8 Cummings JN, Sproull L, Kiesler SB. Beyond hearing: where real-world and online support meet?. Group Dyn-Theor Res 2002; 6 (Suppl. 01) 78-88.
• 9 Committee on Quality of Health Care in America, Institute of Medicine.. Crossing the quality chasm: a new health system for the 21st century. Washington, D. C.: National Academy Press; 2001
• 10 Rindal DB, Rush WA, Boyle RG. Clinical inertia in dentistry: a review of the phenomenon?. J Contemp Dent Pract 2008; 9 (Suppl. 01) 113-121.
• 11 Casebeer L, Bennett N, Kristofco R, Carillo A, Centor R. Physician Internet medical information seeking and online continuing education use patterns?. J Contin Educ Health Prof 2002; 22 (Suppl. 01) 33-42.
• 12 King DW, Tenopir C, Montgomery CH. Patterns of journal use by faculty at three universities. D-Lib Magazine 2003 9. 10
• 13 Tenopir C, King DW, Bush A. Medical faculty’s use of print and electronic journals: changes over time and in comparison with scientists. Journal of the Medical Library Association 2004; 92: 233-241.
• 14 Tenopir C, King DW. Reading behaviour and electronic journals. Learn Publ 2002; 15: 259-265.
• 15 Warren C. Average internet user now spends 68 hours per month online. [Online]. 2009 October 14 [cited 2009 Nov 24]; URL: http://mashable.com/2009/10/14/net-usage-nielsen Archived at: http://www.webcitation.org/5mZSoIfnC
• 16 Nelson Wire.. Social networking and blog sites capture more Internet time and advertising. [Online]. 2009 September 24 [cited 2009 Sep 29]; URL: http://blog.nielsen.com/nielsenwire/online_mobile/social-networking-and-blog-sites-capture-more-internet-time-and-advertisinga Archived at: http://www.webcitation.org/5k9SKkT3P
• 17 Heymans M. Introducing Google Social Search: I finally found my friend’s New York blog!. [Online]. 2009 October 26 [cited 2009 Nov 24]; URL: http://googleblog.blogspot.com/2009/10/introducing-google-social-search-i.html Archived at: http://www.webcitation.org/5mZSrGkkj
• 18 Moulding NT, Silagy CA, Weller DP. A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines?. Qual Health Care 1999; 8 (Suppl. 03) 177-183.
• 19 Coumou HC, Meijman FJ. How do primary care physicians seek answers to clinical questions? A literature review?. J Med Libr Assoc 2006; 94 (Suppl. 01) 55-60.
• 20 Murray BP. Dentists’ preferred sources of new drug information and their attitudes toward the use of drugs by patients?. Soc Sci Med A 1981; 15 (Suppl. 06) 781-788.
• 21 Selvi F, Ozerkan AG. Information-seeking patterns of dentists in Istanbul, Turkey. J Dent Educ 2002; 66: 977-980.
• 22 Landry CF. Work roles, tasks, and the information behavior of dentists?. J Am Soc Inf Sci Tec 2006; 57 (Suppl. 14) 1896-908.
• 23 Lutz M. The social pulpit: Barack Obama’s social media toolkit. [Online]. 2009 [cited 2009 Nov 24]; URL: http://www.edelman.com/image/insights/content/Social%20Pulpit%20-%20Barack%20Obamas%20Social%20Media%20Toolkit%201.09.pdf Archived at: http://www.webcitation.org/5mZStZQ43
• 24 Owyang J. Who do people trust? (It ain‘t bloggers). [Online]. 2009 April 29 [cited 2009 Nov 24]; URL: http://www.web-strategist.com/blog/2008/04/29/who-do-people-trust-it-aint-bloggers Archived at: http://www.webcitation.org/5mZSuZ8Z8
• 25 The structure of scientific revolutions. 2009 December 9 [cited 2009 Dec 17]; URL: http://en.wikipedia.org/wiki/The_Structure_of_Scientific_Revolutions Archived at: http://www.webcitation.org/5mZSwOzVD
• 26 Casebeer L, Allison J, Spettell CM. Designing tailored web-based instruction to improve practicing physicians’ chlamydial screening rates. Acad Med 2002; 77 (Suppl. 09) 929.
• 27 Curran VR, Fleet L. A review of evaluation outcomes of web-based continuing medical education?. Med Educ 2005; 39 (Suppl. 06) 561-567.
• 28 Wiecha J, Barrie N. Collaborative online learning: a new approach to distance CME?. Acad Med 2002; 77 (Suppl. 09) 928-929.
• 29 Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM. The effectiveness of web-based vs. non-web-based interventions: a meta-analysis of behavioral change outcomes. J Med Internet Res 2004; 6 (Suppl. 04) e40.
• 30 Grassley JS, Bartoletti R. Wikis and blogs: tools for online interaction?. Nurse Educ 2009; 34 (Suppl. 05) 209-213.
• 31 Nordqvist C, Hanberger L, Timpka T, Nordfeldt S. Health professionals’ attitudes towards using a web 2.0 portal for child and adolescent diabetes care: qualitative study. J Med Internet Res 2009; 11 (Suppl. 02) e12.
• 32 Cobus L. Using blogs and wikis in a graduate public health course?. Med Ref Serv Q 2009; 28 (Suppl. 01) 22-32.
• 33 Roach PB, Roggin KK, Selkov Jr E, Posner MC, Silverstein JC. Use of a novel, web-based educational platform facilitates intraoperative training in a surgical oncology fellowship program?. Ann Surg Oncol 2009; 16 (Suppl. 05) 1100-1107.
• 34 Lemley T, Burnham JF. Web 2.0 tools in medical and nursing school curricula?. J Med Libr Assoc 2009; 97 (Suppl. 01) 50-52.
• 35 Mattheos N, Stefanovic N, Apse P, Attstrom R, Buchanan J, Brown P. et al. Potential of information technology in dental education. Eur J Dent Educ 2008; 12 (Suppl. 01) 85-92.
• 36 King S, Greidanus E, Carbonaro M, Drummond J, Patterson S. Merging social networking environments and formal learning environments to support and facilitate interprofessional instruction. Med Educ Online 2009 14. 05
• 37 Hughes B, Joshi I, Lemonde H, Wareham J. Junior physician’s use of web 2.0 for information seeking and medical education: a qualitative study?. Int J Med Inform 2009; 78 (Suppl. 10) 645-655.
• 38 Sandars J, Homer M, Pell G, Croker T. Web 2.0 and social software: the medical student way of e-learning. Med Teach 2008; 1-5.
• 39 Feeney L, Reynolds PA, Eaton KA, Harper J. A description of the new technologies used in transforming dental education?. Br Dent J 2008; 204 (Suppl. 01) 19-28.
• 40 Bouldin AS, Holmes ER, Fortenberry ML. "Blogging" about course concepts: using technology for reflective journaling in a communications class. Am J Pharm Educ 2006; 70 (Suppl. 04) 84.
• 41 Kamel Boulos MN, Wheeler S. The emerging web 2.0 social software: an enabling suite of sociable technologies in health and health care education?. Health Info Libr J 2007; 24 (Suppl. 01) 2-23.
• 42 Parboosingh J. Continuing education and professional development for hospital doctors and dentists?. Med Educ 2000; 34 (Suppl. 06) 421-423.
• 43 Margolis P, Halfon N. Innovation networks: a strategy to transform primary health care. JAMA 2009; 302 (Suppl. 13) 1461-1462.
• 44 Clark T, Kinoshita J. Alzforum and SWAN: the present and future of scientific web communitites. Brief Bioinform 2007; 8 (Suppl. 03) 163-71. http://bib.oxfordjournals.org/cgi/content/full/8/3/163 Archived at: http://www.webcitation.org/5mZSy1htd
• 45 Kinoshita J, Clark T. Alzoforum. Methods Mol Biol 2007; 401: 365-381.
• 46 Frost JH, Massagli MP. Social uses of personal health information within PatientsLikeMe, an online patient community: what can happen when patients have access to one another’s data. Journal of Medical Internet Research 2008; 10 (Suppl. 03) e15. http://www.jmir.org/2008/3/e15 Archived at: http://www.webcitation.org/5mZSzwbbA
• 47 O’Reilly T, Battelle J. Web squared: web 2.0 five years on. [Online]. 2009 [cited 2009 Dec 17]; URL: http://www.web2summit.com/web2009/public/schedule/detail/10194 Archived at: http://www.webcitation.org/5mZT1e3WW
• 48 Lau A, Coiera EW. Impact of web searching and social feedback on consumer decision making: a prospective online experiment. Journal of Medical Internet Research 2008; 10 (Suppl. 01) e2. http://www.jmir.org/2008/1/e2 Archived at: http://www.webcitation.org/5mZT35NWd
• 49 Broom A. Virtually he@lthy: the impact of internet use on disease experience and the doctor-patient relationship. Qual Health Res 2005; 15 (Suppl. 03) 325-345.
• 50 Giveon S, Yaphe J, Hekselman I, Mahamid S, Hermoni D. The e-patient: a survey of israeli primary care physicians’ responses to patients’ use of online information during the consultation. Isr Med Assoc J 2009; 11 (Suppl. 09) 537-541.
• 51 Hart A, Henwood F, Wyatt S. The role of the Internet in patient-practitioner relationships: findings from a qualitative research study. J Med Internet Res 2004; 6 (Suppl. 03) e36.
• 52 Stevenson F, Kerr C, Murray E, Nazareth I. Information from the Internet and the doctor-patient relationship: the patient perspective –a qualitative study. BMC Fam Pract 2007; 8: 47.
• 53 Hersh WR, Greenes RA. SAPHIRE: an information retrieval system featuring concept matching, automatic indexing, probabilistic retrieval, and hierarchical relationships. Computers and Biomedical Research 1990; 23: 410-425.
• 54 Hersh WR, Greenes RA. Information retrieval in medicine: state of the art. M D Computing 1990; 7: 302-307.
• 55 Karahasanovic A, Brandtzaeg PB, Vanattenhoven J, Lievens B, Nielsen KT, Pierson J. Ensuring trust, privacy, and etiquette in web 2.0 applications. Computer 2009; 42 (Suppl. 06) 42-49.
• 56 McLean R, Richards BH, Wardman JI. The effect of web 2.0 on the future of medical practice and education: Darwikinian evolution or folksonomic revolution?. Med J Aust 2007; 187 (Suppl. 03) 174-177.
• 57 Boulos MN, Maramba I, Wheeler S. Wikis, blogs and podcasts: a new generation of Web-based tools for virtual collaborative clinical practice and education. BMC Med Educ 2006; 6: 41.
• 58 Vinge V. Rainbows end. New York, New York: Tor Science Fiction; 2006
• 59 Vinge V. Synthetic serendipity. IEEE Spectrum 2004; 41 (Suppl. 07) 35-44.
• 60 Birkfellner W, Figl M, Huber K, Watzinger F, Wanschitz F, Hummel J. et al. A head-mounted operating binocular for augmented reality visualization in medicine = design and initial evaluation. IEEE Transactions on Medical Imaging 2002; Aug 21 (Suppl. 08) 991-7. http://ieeexplore.ieee.org/search/wrapper.jsp?arnumber=1076043 Archived at: http://www.webcitation.org/5mZT4XroE
• 61 Greene K. How to build a bionic eye. [Online]. 2008 January 25 [cited 2009 Nov 24]; URL: http://www.technologyreview.com/computing/20113/?a=f Archived at: http://www.webcitation.org/5mZT5kyys
• 62 Cascio J. How an emerging technology could threaten civility. [Online]. 2009 [cited 2009 Nov 24]; URL: http://www.theatlantic.com/doc/200911/augmented-reality Archived at: http://www.webcitation.org/5mZT7rSVb
• 63 Underground: London Tube iPhone and iPod touch application: your new eye. 2009 [cited 2009 Nov 24]; URL: http://www.presselite.com/iphone/londontube Archived at: http://www.webcitation.org/5mZT93zXF
• 64 Phillips J, Berge ZL. Second Life for dental education. Journal of Dental Education 2009; 73 (Suppl. 11) 1260-1264. http://www.jdentaled.org/cgi/content/abstract/73/11/1260 Archived at: http://www.webcitation.org/5mZTC0tBG
• 65 Vaughan-Nichols SJ. Augmented reality: no longer a novelty?. IEEE Computer 2009; 42 (Suppl. 12) 19-22. http://doi.ieeecomputersociety.org/10.1109/MC.2009.380 Archived at: http://www.webcitation.org/5mZTCzmSq
• 66 Khamene A, Wacker F, Vogt S, Azar F, Wendt M, Sauer F. et al. An augmented reality system for MRI-guided needle biopsies. Stud Health Technol Inform 2003; 94: 151-157.
• 67 MRI-guided needle placement with augmented reality guidance. 2007 April 3 [cited 2009 Nov 24]; URL: http://showcase.erc-assoc.org/accomplishments/bioengineering/jhu-07-10-guidedneedle.htm Archived at: http://www.webcitation.org/5mZTEjBXp
• 68 Grimson WEL. Medical applications of image understanding. IEEE Expert-Intelligent Systems & Their Applications 1995; 10 (Suppl. 05) 18-28.
• 69 Honan M. I am here: one man’s experiment with the location-aware lifestyle. Wired 17. 02 1-19-2009. 11-24-0009.
• 70 Parr B. Mobile web is taking over the world (and other internet trends). [Online]. 2009 October 20 [cited 2009 Nov 24]; URL: http://mashable.com/2009/10/20/mobile-web-presentation Archived at: http://www.webcitation.org/5mZTIQJIE
• 71 Geotagging. 2009 October 28 [cited 2009 Nov 24]; URL: http://en.wikipedia.org/wiki/Geotagging Archived at: http://www.webcitation.org/5mZTKmvm2
• 72 Goldstein J. Social media explored as tool for health experts. [Online]. 2009 November 8 [cited 2009 Nov 24]; URL: http://www.philly.com/inquirer/local/20091108_Social_media_explored_as_tool_for_health_experts.html Archived at: http://www.webcitation.org/5mZTOWFF7
• 73 Brownstein JS, Freifeld CC, Madoff LC. Influenza A (H1N1) virus, 2009--online monitoring. New England Journal of Medicine 2009; 360 (Suppl. 21) 2153-2157. http://content.nejm.org/cgi/content/full/NEJMp0904012 Archived at: http://www.webcitation.org/5mZTQ17yk
• 74 Lee G, Tsai C, Griswold WG, Raab F, Patrick K. PmEB: a mobile phone application for monitoring caloric balance. CHI ‘06 extended abstracts on Human factors in computing systems; ACM; 2006; 1013-1018.
• 75 Ali-Hasan N, Gavales D, Peterson A, Raw M. Fitster: social fitness information visualizer. CHI ‘06 extended abstracts on Human factors in computing systems; ACM; 2006; 1795-1800.
• 76 Consolvo S, Everitt K, Smith I, Landay JA. Design requirements for technologies that encourage physical activity. Proceedings of the SIGCHI conference on Human Factors in computing systems; ACM; 2006; 457-466.
• 77 Mamykina L, Mynatt E, Davidson P, Greenblatt D. MAHI: investigation of social scaffolding for reflective thinking in diabetes management. Proceeding of the twenty-sixth annual SIGCHI conference on Human factors in computing systems; ACM; 2008; 477-486.
• 78 Bosworth HB, Olsen MK, Grubber JM, Neary AM, Orr MM, Powers BJ. et al. Two self-management interventions to improve hypertension control: a randomized trial. Annals of Internal Medicine 2009; 151 (Suppl. 10) 687-695.
• 79 Gawande A. Getting there from here: How should Obama reform health care?. [Online]. 2009 January 26 [cited 2009 Dec 17]; URL: http://www.newyorker.com/reporting/2009/01/26/090126fa_fact_gawande Archived at: http://www.webcitation.org/5mZTRqyuh
• 80 Tsui F-C, Espino JU, Dato VM, Gesteland PH, Hutman J, Wagner MM. Technical description of RODS: a real-time public health surveillance system. Journal of the American Medical Informatics Association 2008; 10 (Suppl. 05) 399-408.
• 81 Chapman WW, Dowling JN, Wagner MM. Fever detection from free-text clinical records for biosurveil-lance. Journal of Biomedical Informatics 2004; 37: 120-127.
• 82 Essential facts about the computer and video game industry. Washington DC: 2009
• 83 Survey: ‘disabled gamers’ comprise 20% of casual video games audience. 2008 June 11 [cited 2009 Dec 22]; URL: http://www2.prnewswire.com/cgi-bin/stories.pl?ACCT=104&STORY=/www/story/06-11-2008/0004830408&EDATE Archived at: http://www.webcitation.org/5mZTTQJl2
• 84 Lanningham-Foster L, Foster RC, McCrady SK, Jensen TB, Mitre N, Levine JA. Activity-promoting video games and increased energy expenditure. Journal of Pediatrics 2009; 154 (Suppl. 06) 819-823.
• 85 Nitz JC, Kuys S, Isles R, Fu S. Is the Wii Fit a new-generation tool for improving balance, health and well-being?. A pilot study. Climacteric. 2009 Nov 12.
• 86 Parker FS. Nursing home technology: Wii video game (video 58 secs.). [Online]. 2007 June 6 [cited 2009 Dec 22]; URL: http://hospiceandnursinghomes.blogspot.com/2007/06/nursing-home-technology-wii-video-games_06.html Archived at: http://www.webcitation.org/5mZTUTcIA
• 87 Stephenson N. Snow Crash. New York: Bantam Dell; 1992
• 88 Freitas Sd.. Serious virtual worlds: a scoping study. [Online]. 2009 [cited 2009 Nov 24]; URL: http://www.jisc.ac.uk/publications/documents/seriousvirtualworldsreport.aspx Archived at: http://www.webcitation.org/5mZTW3GNS
• 89 Linden P. The first statewide rollout of a virtual world learning environment: the University of Texas System in Second Life. [Online]. 2009 September 15 [cited 2009 Sep 28]; URL: https://blogs.secondlife.com/community/learninginworld/blog/tags/education Archived at: http://www.webcitation.org/5k88ojrph
• 90 Warren C. LinkedIn surpasses 50 million users. [Online]. 2009 October 14 [cited 2009 Nov 24]; URL: http://mashable.com/2009/10/14/linkedin-50-millon Archived at: http://www.webcitation.org/5mZTXO0SU
• 91 Infographic: social networking. 2009 October 8 [cited 2009 Nov 24]; URL: http://www.pewinternet.org/Infographics/Growth-in-Adult-SNS-Use-20052009.aspx Archived at: http://www.webcitation.org/5mZTZKyr3
• 92 Quek F. Socialnomics: how social media transforms the way we live and do business. Hoboken, New Jersey: John Wiley & Sons, Inc.; 2009
• 93 Grottman JM, Murray JD, Swanson C, Tyson R, Swanson KR. The mathematics of marriage: dynamic nonlinear models. MIT Press; 2002
• 94 Gladwell M. Blink. New York, New York: Black Bay Books; 2005
• 95 Schleyer T, Spallek H, Butler BS, Subramanian S, Weiss D, Poythress ML. et al. Facebook for scientists: requirements and services for optimizing how scientific collaborations are established. J Med Internet Res 2008; 10 (Suppl. 03) e24.
• 96 Schleyer T, Spallek H, Butler BS, Subramanian S, Weiss D, Poythress ML. et al. Requirements for expertise location systems in biomedical science and the Semantic Web. Mochol M, Zhdanova AV, Nixon L, Breslin J, Polleres A editors. Proceedings of the 3rd Expert Finder Workshop on Personal Identification and Collaboration: Knowledge Mediation and Extraction PICKME 2008; 2008 Oct 27 Karlsruhe, Germany. Tilburg University, The Netherlands: http://CEUR-WS.org 2008: 31-41.
• 97 Spallek H, Schleyer T, Butler BS. Good partners are hard to find: the search for and selection of collaborators in the health sciences. Project Management and User Engagement. Fourth IEEE International Conference on eSciene (eScience 2008); 2008 Dec 7-12; Indianapolis, IN. Los Alamitos: IEEE Computer Society; 2008: 462-467.
• 98 Casciaro T, Lobo MS. Competent jerks lovable fools, and the formation of social networks. Harvard Bus Rev 2005; 83 (Suppl. 06) 92-99.
• 99 Casciaro T, Lobo MS. When competence is irrelevant: the role of interpersonal affect in task-related ties. Admin Sci Quart 2008; 53 (Suppl. 04) 655-684.
• 100 Katz JS, Martin BR. What is research collaboration?. Res Policy 1997; 26 (Suppl. 01) 1-18.
• 101 Bosker B. Google CEO on privacy (video): ‘If you have something you don‘t want anyone to know, maybe you shouldn‘t be doing it’. [Online]. 2009 December 7 [cited 2010 Mar 16]; URL: http://www.huffingtonpost.com/2009/12/07/google-ceo-on-privacy-if_n_383105.html Archived at: http://www.webcitation.org/5oHt6dgg0
• 102 Schreier G, Messmer J, Rauchegger G, Modre-Osprian R, Ladenstein R. A web-based platform for interdisciplinary biomedical research. Front Biosci 2009; 14: 2738-2746.
• 103 Keator D, Grethe J, Marcus D, Ozyurt B, Gadde S, Murphy S. et al. A national human neuroimaging collaboratory enabled by the biomedical informatics research network (BIRN). IEEE Trans Inf Technol Biomed 2008; 12 (Suppl. 02) 162-172.
• 104 Wang SS, Rockoff JD, Martinez B. Group Issues Clarification on Mammography Advice [Online]. 2009 November 20 [cited 2009 Dec 29]; URL: http://online.wsj.com/article/SB125867464145956577.html Archived at: http://www.webcitation.org/5mZTarXan