Abstract

BackgroundOnline social networking platforms such as Facebook and Twitter have grown rapidly in popularity, with opportunities for interaction enhancing their health promotion potential. Such platforms are being used for sexual health promotion but with varying success in reaching and engaging users. We aimed to identify Facebook and Twitter profiles that were able to engage large numbers of users, and to identify strategies used to successfully attract and engage users in sexual health promotion on these platforms.MethodsWe identified active Facebook (n = 60) and Twitter (n = 40) profiles undertaking sexual health promotion through a previous systematic review, and assessed profile activity over a one-month period. Quantitative measures of numbers of friends and followers (reach) and social media interactions were assessed, and composite scores used to give profiles an ‘engagement success’ ranking. Associations between host activity, reach and interaction metrics were explored. Content of the top ten ranked Facebook and Twitter profiles was analysed using a thematic framework and compared with five poorly performing profiles to identify strategies for successful user engagement.ResultsProfiles that were able to successfully engage large numbers of users were more active and had higher levels of interaction per user than lower-ranked profiles. Strategies used by the top ten ranked profiles included: making regular posts/tweets (median 46 posts or 124 tweets/month for top-ranked profiles versus six posts or six tweets for poorly-performing profiles); individualised interaction with users (85% of top-ranked profiles versus 0% for poorly-performing profiles); and encouraging interaction and conversation by posing questions (100% versus 40%). Uploading multimedia material (80% versus 30%) and highlighting celebrity involvement (70% versus 10%) were also key strategies.ConclusionSuccessful online engagement on social networking platforms can be measured through quantitative (user numbers and interactions) and basic qualitative content analysis. We identified the amount and type of host activity as key strategies for success, and in particular, regular individualised interaction with users, encouraging conversation, uploading multimedia and relevant links, and highlighting celebrity involvement. These findings provide valuable insight for achieving a high level of online engagement through social networking platforms to support successful health promotion initiatives.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1396-z) contains supplementary material, which is available to authorized users.

Highlights

  • Online social networking platforms such as Facebook and Twitter have grown rapidly in popularity, with opportunities for interaction enhancing their health promotion potential

  • From the original sample of social networking platforms (SNP) involved in sexual health promotion [23], we identified 84 Facebook and 44 Twitter profiles

  • Sixty Facebook profiles and 40 Twitter profiles were included in the analyses; of the other 28, nine were no longer available online and 19 were inactive (Figure 1)

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Summary

Introduction

Online social networking platforms such as Facebook and Twitter have grown rapidly in popularity, with opportunities for interaction enhancing their health promotion potential. Such platforms are being used for sexual health promotion but with varying success in reaching and engaging users. Online social networking platforms (SNP) such as Facebook and Twitter have grown rapidly in popularity since the birth of Web 2.0 applications. The two-way information flow means users can engage and be content creators, rather than passive recipients of information as with Web 1.0 technology [7] This online social engagement enables individuals to build online communities through shared interests and identities. The extensive reach of sites such as Facebook and Twitter, along with their interactive functions, offers huge potential in terms of delivery of health promotion messages [7,8,9]

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