Communicating health advice on social media: A multimodal case study

Authors

  • Martin Engebretsen University of Agder, Norway

DOI:

https://doi.org/10.7146/mk.v39i74.134085

Keywords:

health communication, social media, trust, multimodality, case study

Abstract

Social media represent new arenas for health communication. Platforms such as YouTube, Instagram, Snapchat, and TikTok provide unique opportunities for health workers to build understanding, engagement, and trust among a broad and young audience. At the same time, such platforms demand of health workers a careful balance between social closeness and professional distance. The article is based on a case study in which the award-winning Norwegian psychologist Maria Abrahamsen’s practice of health communication on Instagram is studied through the lens of multimodal discourse analysis. Following a bottom-up method, the study starts with a close reading of a single Instagram post, where video and written verbal text interact closely. The entire account is then studied as a complex case of mediated health communication. Conclusively, after a discussion of genre implications, the article suggests possible solutions to key challenges concerning the followers’ engagement and trust.

References

Abrahamsen, M. [@psyktdeg]. (n.d.). Posts. [Instagram profile]. Instagram. Retrieved April 4, 2022, from https://www.instagram.com/psyktdeg/

Abrahamsen, M. [@psyktdeg]. (2021, July 18). «Compare Yourself To Who You Were Yesterday, Not To Who Someone Else Is Today» - Jordan B. Peterson Husker du hvor du en gang var? [Video]. Instagram. https://www.instagram.com/p/CRdb12uhmE3/

Aiello G. (2020). Inventorizing, situating, transforming: Social semiotics and data visualization. In M. Engebretsen, & H. Kennedy (Eds.), Data visualization in society. Amsterdam University Press. https://doi.org/10.2307/j.ctvzgb8c7.9

Basch, C. H., Fera, J., Pierce, I., & Basch, C. E. (2021). Promoting mask use on TikTok: Descriptive, cross-sectional study. JMIR public health and surveillance, 7(2), e26392. https://doi.org/10.2196/26392

Bauer, M. W. (2009). The evolution of public understanding of science: Discourse and comparative evidence. Science, Technology & Society, 14(2), 221–240. https://doi.org/10.1177/097172180901400202

Campbell, L., Evans, Y., Pumper, M., & Moreno, M. (2016). Social media use by physicians: A Qualitative study of the new frontier of medicine. BMC Medical Informatics and Decision Making, 16, 91. https://doi.org/10.1186/s12911-016-0327-y

Chen J., & Wang, Y. (2021). Social media use for health purposes: Systematic review. Journal of Medical Internet Research, 23(5), e17917. https://doi.org/10.2196/preprints.17917

Davies, S., & Hara, N. (2017). Public science in a wired world: How online media are shaping science communication. Science Communication, 39(5), 563–568. https://doi.org/10.1177/1075547017736892

Engebretsen, M. (2012). Balancing cohesion and tension in multimodal rhetoric: An interdisciplinary approach to the study of semiotic complexity. Learning, Media and Technology, 37(2), 145–162. https://doi.org/10.1080/17439884.2012.655745

Fairclough, N. (2010). Critical discourse analysis: The critical study of language (2nd ed.). Longman.

Ferrell, D., & Campos-Castillo, C. (2022). Factors affecting physicians’ credibility on Twitter when sharing health information: Online experimental study. JMIR Infodemiology, 2(1), e34525. https://doi.org/10.2196/34525

Flyvbjerg, B. (2006). Five misunderstandings about case-study research. Qualitative Inquiry, 2(2), 219–245. https://doi.org/10.1177/1077800405284363

Fontaine, G., Maheu-Cadotte, M., Lavallée, A., Mailhot,T., Rouleau, G., Bouix-Picasso, J., & Bourbonnais, A. (2019). Communicating science in the digital and social media ecosystem: Scoping review and typology of strategies used by health scientists. JMIR Public Health Surveillance, 5(3), e14447. https://doi.org/10.2196/14447

Gnach. A., Weber, W., Engebretsen, M., & Perrin, D. (2022). Digital communication and media linguistics. Cambridge University Press. https://doi.org/10.1017/9781108780445

Halliday, M. (1978). Language as a social semiotic: The social interpretation of language and meaning. Arnold.

Iser, W. (1974). The implied reader: Patterns of communication in prose from Bunyan to Beckett. Johns Hopkins University Press. https://doi.org/10.56021/9780801815690

Jenkins, E., Ilicic, J., Barklamb, A., & McCaffrey, T. (2020). Assessing the credibility and authenticity of social media content for applications in health communication: Scoping review. Journal of Medical Internet Research, 22(7), e17296. https://doi.org/10.2196/17296

Jewitt, C. (2009). Introduction: What is multimodality? In C. Jewitt (Ed.), The Routledge handbook of multimodal analysis (pp. 14–27). Routledge.

Kite J., Foley, B., Grunseit, A., & Freeman, B. (2016). Please like me: Facebook and public health communication. PLoS ONE, 11(9), e0162765. https://doi.org/10.1371/journal.pone.0162765

Kress, G., & van Leeuwen, T. (2001). Multimodal discourse: The modes and media of contemporary communication. Arnold.

Kress, G., & van Leeuwen, T. (2021). Reading images: The grammar of visual design (3rd ed.). Routledge. https://doi.org/10.4324/9781003099857

van Leeuwen, T. (2005). Introducing social semiotics. Routledge. https://doi.org/10.4324/9780203647028

Lunde, A. (2020, November 13). Jeg vil være noe nyttig innimellom alle silikonpuppane og Restylane-reklamene [I want to be something useful in between all the silicone nipples and restyle ads] [Interview with Maria Abrahamsen]. A-magasinet. https://www.aftenposten.no/amagasinet/i/x33OOp/jeg-vil-vaere-noe-nyttig-innimellom-alle-silikonpuppene-og-restylane-reklamene

Lüders, M., Prøitz, L., & Rasmussen, T. (2010). Emerging personal media genres. New Media & Society, 12(6), 947–963. https://doi.org/10.1177/1461444809352203

Martini, T., Czepielewski, L., Baldez, D., Gliddon, E., Kieling, C., Berk, L., Birk, M., & Kauer-Sant’Anna, M. (2018). Mental health information online: What we have learned from social media metrics in BuzzFeed’s mental health week. Trends in Psychiatry and Psychotherapy, 40(4), 326–336. http://dx.doi.org/10.1590/2237-6089-2018-0023

Miller, C. (1984). Genre as social action. Quarterly Journal of Speech, 70(2), 151–167. https://doi.org/10.1080/00335638409383686

Munson, S., Cavusoglu, H., Frisch, L., & Fels, S. (2013). Sociotechnical challenges and progress in using social media for health. Journal of Medical Internet Research, 15(10), e226. http://doi.org/10.2196/jmir.2792

Nes, R., Aarø, L., Vedaa, Ø., & Nilsen, T. (2020). Livskvalitet og psykisk helse under koronaepidemien november-desember 2020. Report from the Norwegian Institute of Public Health. https://www.fhi.no/div/helseundersokelser/fylkeshelseundersokelser/livskvalitet-og-psykisk-helse-under-koronaepidemien--nov-des-2020/

O'Dea, B., & Campbell, A. (2011). Healthy connections: Online social networks and their potential for peer support. Studies in Health Technology and Informatics, 168, 133–140. https://doi.org/10.3233/978-1-60750-791-8-133

Rauch, J. (2021). The constitution of knowledge: A defense of truth. Brookings Institution Press.

Steffens, M., Dunn, A., Leask, J., & Wiley, K. (2020). Using social media for vaccination promotion: Practices and challenges. Digital Health, 6, 1–9. https://doi.org/10.1177/2055207620970785

Torjesen, A. (2021). The genre repertoires of Norwegian beauty and lifestyle influencers on YouTube. Nordicom Review, 42(2), 168–184. https://doi.org/10.2478/nor-2021-0036

Unger, J., Wodak, R., & Khosravinik, M. (2016). Critical discourse studies and social media data. In D. Silverman (Ed.), Qualitative research (4th ed.) (pp. 277–293). Sage.

Vaa, A. (2021, May 14). Psykolog på sosiale medier. VG. https://www.vg.no/rampelys/i/pAz8vG/hatt-suksess-som-psykolog-paa-sosiale-medier

Vanini, P. (2007). Social semiotics and fieldwork: Method and analytics. Qualitative Inquiry, 13(1), 113–140. https://doi.org/10.1177/1077800406295625

Yonker L., Zan, S., Scirica, C., Jethwani, K., & Kinane, T. (2015). “Friending” teens: Systematic review of social media in adolescent and young adult health care. Journal of Medical Internet Research, 17(1), e4. https://doi.org/10.2196/jmir.3692

Zulli, D., & Zulli, D. J. (2020). Extending the internet meme: Conceptualizing technological mimesis and imitation publics on the TikTok platform. New Media & Society, 24(8), 1872–1890. https://doi.org/10.1177/1461444820983603

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Published

2023-05-24

How to Cite

Engebretsen, M. (2023). Communicating health advice on social media: A multimodal case study. MedieKultur: Journal of Media and Communication Research, 39(74), 164–184. https://doi.org/10.7146/mk.v39i74.134085