Are digital social media campaigns the key to raise stroke awareness in low-and middle-income countries? A study of feasibility and cost-effectiveness in Nepal.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 25 01 2023
accepted: 26 08 2023
medline: 11 9 2023
pubmed: 8 9 2023
entrez: 8 9 2023
Statut: epublish

Résumé

Stroke is a major global health problem and was the second leading cause of death worldwide in 2020. However, the lack of public stroke awareness especially in low- and middle-income countries (LMICs) such as Nepal severely hinders the effective provision of stroke care. Efficient and cost-effective strategies to raise stroke awareness in LMICs are still lacking. This study aims to (a) explore the feasibility of a social media-based stroke awareness campaign in Nepal using a cost-benefit analysis and (b) identify best practices for social media health education campaigns. We performed a stroke awareness campaign over a period of 6 months as part of a Stroke Project in Nepal on four social media platforms (Facebook, Instagram, Twitter, TikTok) with organic traffic and paid advertisements. Adapted material based on the World Stroke Day Campaign and specifically created videos for TikTok were used. Performance of the campaign was analyzed with established quantitative social media metrics (impressions, reach, engagement, costs). Campaign posts were displayed 7.5 million times to users in Nepal. 2.5 million individual social media users in Nepal were exposed to the campaign on average three times, which equals 8.6% of Nepal's total population. Of those, 250,000 users actively engaged with the posts. Paid advertisement on Facebook and Instagram proved to be more effective in terms of reach and cost than organic traffic. The total campaign cost was low with a "Cost to reach 1,000 users" of 0.24 EUR and a "Cost Per Click" of 0.01 EUR. Social media-based campaigns using paid advertisement provide a feasible and, compared to classical mass medias, a very cost-effective approach to inform large parts of the population about stroke awareness in LMICs. Future research needs to further analyze the impact of social media campaigns on stroke knowledge.

Sections du résumé

BACKGROUND
Stroke is a major global health problem and was the second leading cause of death worldwide in 2020. However, the lack of public stroke awareness especially in low- and middle-income countries (LMICs) such as Nepal severely hinders the effective provision of stroke care. Efficient and cost-effective strategies to raise stroke awareness in LMICs are still lacking. This study aims to (a) explore the feasibility of a social media-based stroke awareness campaign in Nepal using a cost-benefit analysis and (b) identify best practices for social media health education campaigns.
METHODS
We performed a stroke awareness campaign over a period of 6 months as part of a Stroke Project in Nepal on four social media platforms (Facebook, Instagram, Twitter, TikTok) with organic traffic and paid advertisements. Adapted material based on the World Stroke Day Campaign and specifically created videos for TikTok were used. Performance of the campaign was analyzed with established quantitative social media metrics (impressions, reach, engagement, costs).
RESULTS
Campaign posts were displayed 7.5 million times to users in Nepal. 2.5 million individual social media users in Nepal were exposed to the campaign on average three times, which equals 8.6% of Nepal's total population. Of those, 250,000 users actively engaged with the posts. Paid advertisement on Facebook and Instagram proved to be more effective in terms of reach and cost than organic traffic. The total campaign cost was low with a "Cost to reach 1,000 users" of 0.24 EUR and a "Cost Per Click" of 0.01 EUR.
DISCUSSION
Social media-based campaigns using paid advertisement provide a feasible and, compared to classical mass medias, a very cost-effective approach to inform large parts of the population about stroke awareness in LMICs. Future research needs to further analyze the impact of social media campaigns on stroke knowledge.

Identifiants

pubmed: 37682967
doi: 10.1371/journal.pone.0291392
pii: PONE-D-23-01201
pmc: PMC10490866
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0291392

Informations de copyright

Copyright: © 2023 Tunkl et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Christine Tunkl (C)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

Raju Paudel (R)

Grande International Hospital, Kathmandu, Nepal.

Lekhjung Thapa (L)

National Neuro Center, Kathmandu, Nepal.

Patrick Tunkl (P)

Tunkl Consulting, Heidelberg, Germany.

Pankaj Jalan (P)

Norvic International Hospital, Kathmandu, Nepal.

Avinash Chandra (A)

Annapurna Neurological Institute, Kathmandu, Nepal.

Sarah Belson (S)

World Stroke Organization, Geneva, Switzerland.

Bikram Prasad Gajurel (B)

Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Nima Haji-Begli (N)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

Sunanjay Bajaj (S)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

Jessica Golenia (J)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

Wolfgang Wick (W)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
German Cancer Research Center, Heidelberg, Germany.

Werner Hacke (W)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

Christoph Gumbinger (C)

Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.

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