Review 3: Community engagement for health via coalitions, collaborations and partnerships (on-line social media and social networks) – a systematic review and meta-analysis

BACKGROUND: This report describes the methods and findings of a systematic review on community engagement (CE) for health via online social media and social networks. It is the third and final review of a programme of work on the use and effectiveness of CE in interventions that target health outcomes. Social networks are one of many forms of CE. Our first two reviews suggested that the extent and particular processes of CE may be linked to effects on people’s health. The emergence of online, electronic peer-to-peer social network sites (e.g. Facebook) and online social media tools (e.g. Twitter) have increased exponentially in recent years, and existing evidence on their effectiveness is ambiguous. AIMS: We aim to evaluate the effectiveness of online social media/social networks on: the extent of CE across designs, delivery and evaluation; the types of health issues and populations that have been studied; their effectiveness in improving health and wellbeing and reducing health inequalities; and any particular features that account for heterogeneity in effect size estimates across studies. METHODS: Systematic review methods were applied to comprehensively locate and assess the available research evidence. The search strategy employed previously run searches used for Reviews 1 and 2 of this project (described elsewhere). The included studies were descriptively analysed and the findings were synthesised using three components: framework synthesis, meta-analysis and qualitative component analysis (QCA). RESULTS: A total of 11 studies were included in the review, none of which was set in the UK. The community was not explicitly involved in identifying the health need for any of the 11 studies. No studies demonstrated a high level of CE, where participants were involved in the three measured elements: design, delivery and evaluation. Framework analysis indicated that peer delivery of the intervention was the predominant type of CE. Two processes of CE were reported – bidirectional communication and the use of facilitators – but none of the studies evaluated these processes. Professional facilitators were used more often in healthy eating/physical activity studies. Peer facilitators were used more often in youth-focused interventions and professional facilitators were utilised more frequently for interventions targeting older populations. Studies focusing on women only may incorporate peer or professional facilitators to aid intervention delivery. Peer or professional facilitators were used slightly more consistently in interventions targeting minority ethnic groups. Meta-analyses and meta-regression showed no evidence of beneficial effects on any outcomes. There was moderate (I 2 = 25≤50) to high (I 2 = ≥50) heterogeneity between studies for primary outcomes, suggesting the existence of potential moderators. None of the tested study characteristics explained the variation in effect sizes. The QCA demonstrated that including a facilitator in online social media/social networking interventions showed higher effect sizes for studies that focused on topics other than healthy eating and physical activity. CONCLUSIONS: The results from this study suggest that CE is not utilised across the design or evaluation of health interventions, and the type of CE undertaken with intervention delivery focuses on peer interactions alone. This suggests that there is very little co-creation of knowledge or building of social capital occurring in evaluated health intervention studies using online social media/networking

Analysis of searching mechanisms in hierarchical p2p based overlay networks

Proceedings of: The 6th Annual Mediterranean Ad Hoc Networking Workshop (Med Hoc Net 2007. (Corfu, Greece), June 2007This work presents a study of searching mechanisms in Peer-to-Peer (p2p) networks. The aim of this research line is to analyse cross-searching mechanisms that will allow the hierarchical interconnection of p2p networks. A set of relevant metrics for interconnection scenarios are defined to evaluate scalability, robustness and routing latency.This work has been partially supported by the European Union under the IST Content (FP6-2006-IST-507295) project and by the Madrid regional government under the Biogridnet (CAM, S-0505/TIC-0101) project.Publicad

The association between family and community social capital and health risk behaviours in young people: an integrative review

Background: Health risk behaviours known to result in poorer outcomes in adulthood are generally established in late childhood and adolescence. These ‘risky’ behaviours include smoking, alcohol and illicit drug use and sexual risk taking. While the role of social capital in the establishment of health risk behaviours in young people has been explored, to date, no attempt has been made to consolidate the evidence in the form of a review. Thus, this integrative review was undertaken to identify and synthesise research findings on the role and impact of family and community social capital on health risk behaviours in young people and provide a consolidated evidence base to inform multi-sectorial policy and practice.<p></p> Methods: Key electronic databases were searched (i.e. ASSIA, CINAHL, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Embase, Medline, PsycINFO, Sociological Abstracts) for relevant studies and this was complemented by hand searching. Inclusion/exclusion criteria were applied and data was extracted from the included studies. Heterogeneity in study design and the outcomes assessed precluded meta-analysis/meta-synthesis; the results are therefore presented in narrative form.<p></p> Results: Thirty-four papers satisfied the review inclusion criteria; most were cross-sectional surveys. The majority of the studies were conducted in North America (n=25), with three being conducted in the UK. Sample sizes ranged from 61 to 98,340. The synthesised evidence demonstrates that social capital is an important construct for understanding the establishment of health risk behaviours in young people. The different elements of family and community social capital varied in terms of their saliency within each behavioural domain, with positive parent–child relations, parental monitoring, religiosity and school quality being particularly important in reducing risk.<p></p> Conclusions: This review is the first to systematically synthesise research findings about the association between social capital and health risk behaviours in young people. While providing evidence that may inform the development of interventions framed around social capital, the review also highlights key areas where further research is required to provide a fuller account of the nature and role of social capital in influencing the uptake of health risk behaviours.<p></p&gt

CHORUS Deliverable 2.1: State of the Art on Multimedia Search Engines

Based on the information provided by European projects and national initiatives related to multimedia search as well as domains experts that participated in the CHORUS Think-thanks and workshops, this document reports on the state of the art related to multimedia content search from, a technical, and socio-economic perspective. The technical perspective includes an up to date view on content based indexing and retrieval technologies, multimedia search in the context of mobile devices and peer-to-peer networks, and an overview of current evaluation and benchmark inititiatives to measure the performance of multimedia search engines. From a socio-economic perspective we inventorize the impact and legal consequences of these technical advances and point out future directions of research

Small-world networks, distributed hash tables and the e-resource discovery problem

Resource discovery is one of the most important underpinning problems behind producing a scalable, robust and efficient global infrastructure for e-Science. A number of approaches to the resource discovery and management problem have been made in various computational grid environments and prototypes over the last decade. Computational resources and services in modern grid and cloud environments can be modelled as an overlay network superposed on the physical network structure of the Internet and World Wide Web. We discuss some of the main approaches to resource discovery in the context of the general properties of such an overlay network. We present some performance data and predicted properties based on algorithmic approaches such as distributed hash table resource discovery and management. We describe a prototype system and use its model to explore some of the known key graph aspects of the global resource overlay network - including small-world and scale-free properties

Semantic Flooding: Semantic Search across Distributed Lightweight Ontologies

Lightweight ontologies are trees where links between nodes codify the fact that a node lower in the hierarchy describes a topic (and contains documents about this topic) which is more specific than the topic of the node one level above. In turn, multiple lightweight ontologies can be connected by semantic links which represent mappings among them and which can be computed, e.g., by ontology matching. In this paper we describe how these two types of links can be used to define a semantic overlay network which can cover any number of peers and which can be flooded to perform a semantic search on documents, i.e., to perform semantic flooding. We have evaluated our approach by simulating a network of 10,000 peers containing classifications which are fragments of the DMoz web directory. The results are promising and show that, in our approach, only a relatively small number of peers needs to be queried in order to achieve high accuracy

Protocol for an HTA report: Does therapeutic writing help people with long-term conditions? Systematic review, realist synthesis and economic modelling

This article is made available through the Brunel Open Access Publishing Fund. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/Introduction: Long-term medical conditions (LTCs) cause reduced health-related quality of life and considerable health service expenditure. Writing therapy has potential to improve physical and mental health in people with LTCs, but its effectiveness is not established. This project aims to establish the clinical and cost-effectiveness of therapeutic writing in LTCs by systematic review and economic evaluation, and to evaluate context and mechanisms by which it might work, through realist synthesis. Methods: Included are any comparative study of therapeutic writing compared with no writing, waiting list, attention control or placebo writing in patients with any diagnosed LTCs that report at least one of the following: relevant clinical outcomes; quality of life; health service use; psychological, behavioural or social functioning; adherence or adverse events. Searches will be conducted in the main medical databases including MEDLINE, EMBASE, PsycINFO, The Cochrane Library and Science Citation Index. For the realist review, further purposive and iterative searches through snowballing techniques will be undertaken. Inclusions, data extraction and quality assessment will be in duplicate with disagreements resolved through discussion. Quality assessment will include using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Data synthesis will be narrative and tabular with meta-analysis where appropriate. De novo economic modelling will be attempted in one clinical area if sufficient evidence is available and performed according to the National Institute for Health and Care Excellence (NICE) reference case.National Institute for Health Research Health Technology Assessment (NIHR HTA) Programm

Aiming for ultra-scalable ePortfolio distribution using peer-to-peer networks

In this paper the authors discuss how peer-to-peer technology offers a practical solution to building highly scalable Europe-wide and worldwide ePortfolio networks over existing network infrastructures.This solution also offers the effect of empowering individuals through moving the management and storage responsibilities onto the portfolio owners, decoupling users from any single institutional ePortfolio service provider The authors do not present this solution as the single way forward, but as an alternative to what is seen as a mainly client-server and Web-based approach to ePortfolio development, and to encourage developers to explore the possibilities for ePortfolio integration with emerging and relatively immature technologies. A prototype implementation is reported and future developments described