DIGITAL STRATEGIES FOR THE MICHAEL J. FOX FOUNDATION FOR PARKINSON’S RESEARCH HCOM 512 Digital Strategies for Health Communication Summer 2014 Jacob M. Ehrlich 1 EXECUTIVE SUMMARY This report examines the digital strategies used by the Michael J. Fox Foundation for Parkinson’s Research (MJFF). This report will first provide the rationale for using a digital strategy, followed by a description of MJFF which will include its goals, values and vision. Next, it will analyze and discuss MJFF’s – and its competitors’ – digital strategy through a competitive analysis. The report concludes with decisions and recommendations about MJFF’s design, content, and technology, and a revised digital strategy. Here, the goal is to identify areas for MJFF to improve its current digital strategy and become more competitive organization. RATIONALE The Michael J. Fox Foundation for Parkinson’s Research requires a digital presence to not only be effective, but to survive. This is because millions of people are diagnosed with Parkinson’s disease all over the world, and many cannot be reached using traditional means (e.g., paper newsletter or fundraising event). A recent survey conducted by the Pew Research Center’s Internet & American Life Project (Pew) provided that 72% of internet users looked online for health information within the past year, and 77% of those people began their last online session using a search engine (e.g., Google, Bing, Yahoo, etc.).1, 2 It would be an oversight to ignore utilizing the Internet to reach these people in the face of these statistics. Further, 87% of U.S. adults use the Internet, and 58% of U.S. adults own a smartphone (January 2014 survey).3 52% of smartphone owners, have used their phone to look up health or medical information, and 19% of smartphone owners have downloaded an app specifically to track or manage health.4 Additionally, half of online health information research performed by a proxy.5 It is important to consider 65+ demographic here because Parkinson’s disease affects older adults. Pew found that 75% of adults age 65+ are living with at least one chronic health condition, and that 54% of these adults use the Internet.6 Additionally, 12% of adults age 65+ own a smartphone, and 30% of adults age 65+ have looked online for health information in the past year.7 Before moving on, it is important to mention that there is difference between having an online presence and having a strategy. A strategy is a set of specific, attainable, measurable goals that support a vision and mission, and puts those goals into a plan to achieve them. A strategy requires strategic thinking – typically performed by a leadership team – used to assess plans in 1 Aron Smith Maeve Duggan, Social Media Update 2013, Pew Research Center's Internet & American Life Project(2013), available at http://www.pewinternet.org/2013/12/30/social-mediaupdate-2013/. The remaining 13% began their search with a specialized health information website. 2 Pew Research Center's Internet & American Life Project, Health Fact Sheet, Pew Research Center's Internet & American Life Project(2014), available at http://www.pewinternet.org/factsheets/health-fact-sheet/. 3 Id. at. 4 Id. at. 5 See, id. at. providing that a proxy is someone researching on behalf of another. 6 Id. at. 7 Id. at. 2 the context of the environment, strengths, weaknesses, opportunities, threats, and anything else which may be a factor in achieving a goal. ORGANIZATION OVERVIEW Introduction: The Michael J. Fox Foundation for Parkinson’s Research (MJFF) was established in 2000 with the sole purpose of finding a cure for Parkinson’s disease.8 Many know the foundation simply because of its celebrity namesake, Michael J. Fox who was diagnosed with Parkinson’s in 1991.9 MJFF has aggressively and strategically positioned itself to be a leader in funding Parkinson’s research through their use of celebrity and Internet presence.10 The foundation has grown to be the largest nonprofit funder of Parkinson's disease research in the world,11 and is considered "the most credible voice on Parkinson's research in the world.”12_ MJFF uses leaders and experts in science and business to strategically move their mission forward by awarding grants to promising research that will produce a potential cures for Parkinson’s Disease.13 In addition to MJFF’s research initiates, the organization has developed Four resources to help with their mission: Fox Trial Finder: A web-based matching tool – not optimized for mobile – that connects patients to clinical trials for Parkinson’s disease. Team Fox: Team Fox was launched in 2006 as The Michael J. Fox Foundation's grassroots community initiative, which helps raise funds and awareness for Parkinson's research.14 Additionally, MJFF drives an education and awareness initiative through its biannual print newsletter, The Fox Focus, and bimonthly e-newsletter, Fox Flash.15 Additionally, they launched a podcast in 2010.16 MJFF also has an online resource for patients with Parkinson’s disease called “Living with Parkinson’s,” which includes 8 Michael J. Fox Foundation for Parkinson's Research, The Michael J. Fox Foundation for Parkinson's Resarch, The Michael J. Fox Foundation for Parkinson's Resarch(2014), available at https://www.michaeljfox.org. 9 Id. at. 10 Id. at. 11 Id. at. stating MJFF has invested over $350 million in Parkinson’s research._ 12 Id. at. 13 Id. at. 14 Id. at. providing that team Fox activities include marathons, community events, etc. 15 Id. at. 16 Id. at. 3 educational information for newly diagnosed patients, caregivers, stories from people living with the disease, and much more.17_ Fox Shop, which is the foundation’s online store which contains products for sale, and the profits go to support MJFF.18 Mission: A mission statement defines an organization's purpose and primary objectives in a concise, clear, and unique statement. This statement explains why the organization exists. The Michael J. Fox Foundation for Parkinson’s research has a clear mission: “The Michael J. Fox Foundation is dedicated to finding a cure for Parkinson’s disease through an aggressively funded research agenda and to ensuring the development of improved therapies for those living with Parkinson’s today.”19 Vision: A vision statement – like a mission statement – defines an organization's purpose. It differs from a mission statement in that it focuses on the organizations aspirations and goals. This is typically manifested in a brief written statement that is both compelling and inspiring. The Michael J. Fox Foundation’s mission meets this criteria: “[A] world in which Parkinson's disease is no more.”20 Values: An organization’s values refer to the shared beliefs within the organization. The Michael J. Fox Foundation’s values are extensive and stated on the organizations webpage. Their values are strategically written, focusing on patients first, then followed by business efficiency related values: “We are 100% patient-focused. Our team works tirelessly every day with one urgent goal in mind: Accelerating breakthroughs patients can feel in their everyday lives. We strive to make progress in the following key areas by evaluating risk, opportunities, and challenges through a patient-focused lens: o Speed treatments that can slow, stop or reverse the progression of Parkinson’s disease. o Speed better treatments for the currently unaddressed or under-addressed symptoms of Parkinson’s disease. o Speed treatments to address or avoid the debilitating side effects of current Parkinson’s disease drugs. We are obsessed with efficiency. We operate with a focused sense of optimistic urgency to find a cure for Parkinson's and to ensure the development of improved therapies for people living with Parkinson's today. We won't stop until a cure is found. We're on it. We won’t stop until a cure is found. We take pride in all our accomplishments so far. But ultimately we have only one definition of success: Scientific solutions that 17 Id. at. Id. at. 19 Annual Report 2012 – Progress. pt. 47 (2012). 20 J/P HRO, We Are J/P HRO – Saving Lives and Bringing Sustainable Programs to the Haitian People(2014), available at http://jphro.org. 18 4 produce tangible improvements in patients’ lives. We are risk-takers and problem-solvers. From inception, MJFF has invested in highrisk, high-reward research targets; an approach that in 10 short years has transformed the broader approach in the PD research field. Our model is different. It is accepted practice among private disease research funders that the most important decisions — how to allocate donor-raised dollars — are made by external scientific advisors and boards. We bucked this model from day one in favor of building an in-house team of formally trained PhDs and businesstrained project managers.”21 Target Audience: Patients, Donors/Investors, Pharmaceuticals. Current Online Presence: MJFF has a robust internet presence, which is likely due to their dedicated Digital Strategy Department. The Digital Strategy department “oversees the Foundation’s Web properties and social media strategy. The team also works to drive forward technology-enabled solutions to increase patient engagement in Parkinson’s research and make data and knowledge sharing more efficient for scientists at work in the field.”22 The organization’s main webpage https://www.michaeljfox.org features up to date news and information regarding Parkinson’s research. The page provides users with three options when they arrive. A user can either donate to advance research, fundraise, or participate in a fundraising event. However, there is no information available on the main webpage to get users to the Fox Trial Finder webpage. https://foxtrialfinder.michaeljfox.org. The first image below is the organization’s main webpage which is optimized for desktop and mobile platforms. The second image is for the Fox Trial Finder, which was created by MJFF as an as a resource to increase the number of patients in clinical trials (note, it is not optimized for mobile). 21 The Michael J. Fox Foundation, The Michael J. Fox Foundation's Promise to Parkinson's Patients(2014), available at https://www.michaeljfox.org/foundation/promise.html. 22 The Michael J. Fox Foundation, The Michael J. Fox Foundation for Prakinson's Research – Foundation Staff – Digital Strategy(2014), available at https://www.michaeljfox.org/foundation/leaders.html?digital-strategy. 5 6 Social Media: The organization has an extensive social media presence. All of their accounts are updated frequently with synopsis tailored to the specific platform. Blog: The blog is a simple resource providing short articles ranging from informative scientific information to fun quizzes for users. Other Social Media: MJFF tailors its content to meet the needs of the platform. Below are screenshots for Facebook, LinkdIn, Twitter, Instagram and Google+. 7 MJFF also has a active Pinterest and Flickr accounts. However, their Flickr account is poorly utilized, only containing five photos. Below are screenshots of both MJFF accounts: Additionally, MJFF has utilizes their YouTube page quite nicely, with clear images and easy navigation. 8 STRENGTHS, WEAKNESSES, OPPORTUNITIES, THREATS PRIMARY GOALS AND MEASURES OF SUCCESS Primary goals and measures of success pertaining to digital strategy achievable during planning horizon: Goal 1: Increase the number of patients connected to clinical trials through Fox Trial Finder by 20% within 7 months. Measure of success 1: Analytics and Survey Research. Goal 2: Increase the number of users who return to the site by 50%. Measure of success 2: Analytics and Survey Research. Goal 3: Increase the flow of users to MJFF’s webpage who seek partnership or funding opportunities. Measure of success 3: Website traffic, contracts, and analytics. Planning horizon (time frame): These goals and the following strategies are designed to be achieved within a one year time frame. 9 PERSONAS Introduction: Personas refer to the prototypical user who will interact with an organization (e.g., through a webpage, application, social media, etc.). They are created through a collaborative brainstorming process with the intent of (1) creating realistic models of the key user’s attributes and goals, and (2) avoiding two catastrophic design flaws: designing for oneself23 and designing for everyone. Here, four personas with triggering scenarios are outlined in the text below: Michael the patient, Allen the researcher, Britney the Investor, and Rebecca the daughter/attorney. Therefore, personas allow one to effectively and efficiently design for a specific audience, and understand that audience’s behaviors. Personas Defined: A persona is an extensive narrative of a single “person” who represents a targeted segment population. Often, personas are distilled from real life (i.e., observing real people, surveys, focus groups, etc.). Personas also include a description of a day in the life of that person, including events and triggers which lead the person to, in this instance, to a website. There are many benefits which result from the process of developing personas. A persona allows designers to empathize with/give a “face” to the end user, and understand the target audience/user and their specific needs (e.g., owns a smartphone but not a computer).By understanding the end user, personas can inspire the design process for specific audiences (i.e., making a webpage more appealing, useable, and/or effective). Additionally, they allow one to (1) prioritize what changes need to be made to effectively meet the audience’s needs, and (2) evaluate how well a proposed solution will meet the audiences needs. Process for Developing Personas: The process for creating persons is important. Step 1: Select characteristics for the personas to add realism and relevance (e.g., demographics). This also includes information about health literacy skills, conditions, and any disabilities that may impact the users ability to use the resource. It is important to consider the devices the end user owns and where they use them because we are working to develop a digital strategy. Step 2: Construct the personas. To do this, one should reference the characteristics defined population in the first step that represent the population’s health status, demographics, and environment. Step 3: Develop a scenario describing a day in the life of that persona by creating scenarios for each persona. This takes a narrative format which describes the persona’s daily habits and interactions. Step 4: Create a triggering event scenario in which an incident causes the user to initially interact with the organization. This takes the form of a timeline or “customer journey” which envisions key events during the day related to a health topic such as meals, fitness, pain, medication, stress, etc. A trigger or inciting incident is an one that catalyzes the persona to take an action. One should consider whether the trigger were external or internal (e.g., caused by another, or arose from persona’s 23 Also referred to as the egocentric intuition fallacy of designers. 10 own thoughts). One should also consider whether technology is important to the persona, and whether the persona had any expectations or needs. It should also consider repeat use by the persona (i.e., was the first experience positive or rewarding enough to return). Step 5: The fourth step is to evaluate the personas. This involves asking the following questions: 1. Are the personas realistic? 2. Are they comprehensive? 3. Are the characteristics distributed well? 4. Do you need to validate your personas and, if so, how will you do so? Step 6: Consider what was learned from developing the personas. This helps answer questions about how, why, and when digital resources would and should be used. It also allows the designer to address design, content, and technology issues which may interfere with the personas use. Persona 1 – Michael the Patient: Michael is a seventy-year-old widower who lives with his daughter in Boston, Massachusetts. Michael was born in Santa Barbra, California and moved to the East coast to attend Brown University. He had a love for education and had always dreamed of being a professor. Upon graduating from Brown, Michael attended a PhD program in classic literature at Harvard University. After earning his PhD., Michael accepted an adjunct faculty position at Harvard where he met his wife Emily. Michael and Emily decided to move out of the city and have a family after a few years of marriage. They had one daughter, Rebecca. Michael and Emily loved the feel, the smell, and the look of books and paper, and did not believe in exposing their child to the internet or television when she was growing up, and thus never became versed in digital world surrounding them. They only had a desktop computer at home for work and a television that they would use occasionally to watch movies. The years passed and Rebecca graduated from high school, went to college, and attended graduate school. She moved to Boston – because she did not want to be too far from her family – where she met her husband Mark. Michael and Emily were happy that their daughter had found her way in the world and started a family. They were also happy to have some extra space in their house. Michael and Emily were about to face hard times. Michael was diagnosed with Parkinson’s disease a few weeks after Rebecca moved to Boston. Neither Michael nor Emily knew too much how health, and the only resource they trusted was their doctor. Michael did not know much about his condition, except that his doctor told him it would severely impact his life, and that 11 some really promising research and clinical trials were being done. He was having a difficult time processing what was happening in his life. Emily took it upon herself to learn everything she could about his condition. Tragically, Emily died from a stroke while she was out walking their dog the morning of Michael’s follow-up appointment. Stricken with grief and unable to take care of himself, Michael moved into his daughter’s house in Beacon Hill. He has been living there for the past eight years, and his condition is worsening. He experiences sever tremors, and requires lots of care. He hopes for a cure for Parkinson’s disease, but feels doubtful because he is not educated about the disease. A day in the life of Michael: Every day Michael wakes up at 5:30 AM and looks over at the space to his left. In his mind, the left side of the bed will always be Emily’s. Once out of bed, Michael gets up and starts his morning by brushing his teeth. This simple task has become a battle because of his tremors: it takes him three to five minutes to get the toothpaste onto the end of his toothbrush. Michael’s morning continues with walking down the stairs to have breakfast with his Rebecca and Mark, who are both “early risers” as well. After the usual morning conversation, Rebecca and Mark leave to drop off their daughter Ashley for school. Michael then begins to read the paper editions of the New York Times, Boston Globe, and the Washington Post. He still has a love for reading. However, this proves difficult because he cannot get the paper to stay still due to his tremors. Eventually he frustrated and resorts to watching television, typically the news or a PBS documentary. This takes up most of his day until Ashley returns from school at around 3:30 PM. This is Michaels favorite part of the day because he gets to spend time with his granddaughter and help her with her homework. At around 6:00 PM Rebecca and Mark return from work, and Rebecca starts to cook dinner. Michael wants to help, but he cannot do much because his hands shake too much. He sits at the table and watches the television that is on in the kitchen until dinner is served. After dinner, Michael sits on the couch for an hour or so, and then heads to bed at around 10:00 PM. Scenario: Michael has just sat down to read his morning news paper. After about twenty minutes, he begins to get frustrated and turns on the television to watch CNN or a documentary PBS. He turns on the television and beings watching a Ken Burns documentary on baseball. After a few minutes he remembers that while he enjoys Ken Burns’ work, he really does not like baseball. Michael changes the channel to CNN and catches the end of a segment on dementia and degenerative disorders. The lead correspondent is interviewing Michael J. Fox about Parkinson’s disease, who mentions their work with clinical trials and funding research. Michael J. Fox says that viewers should visit their website for more information. However, Michael could not remember the name of the website once the program ended. Michael goes to the family computer to find more information. Not being computer savvy, he just types in “Michael J. Fox” and only looks at the first three results without scrolling down. He sees the Michael J. Fox foundation, Wikipedia, and IMDB webpages. He clicks on the foundation link, and three phrases displayed across the center of the page stand out: (1) donate to advance research, (2) fundraise with team fox, and (3) participate in your area. When Michael sees the word participate he thinks this means that this is an option to participate in a clinical trial. He was intrigued by the idea that he could get help with his condition after he heard Michael J. Fox speak. He clicked the word participate and was taken to a webpage to find fundraising events to participate in. This was not what he was looking for and becomes overwhelmed with trying to look for the information he wanted. He gets up from the computer and walks back to watch more television. 12 Takeaway: A persona like Michael is difficult to reach because of his preferences and experiences. Michael was a professor and has a fondness for words written on paper. He holds paper documents to be more reliable and truthful than digital information. This becomes difficult when trying to reach him over the Internet because it is not his go to resource. Persona 2 – Allen the Researcher: Allen is a forty-five year old researcher at a small biotechnology firm in Seattle, Washington. Education, science and technology, and the outdoors fascinate him. Allen had always been interested in science and technology, but it was not until he was in high school did he know what his wanted to do in life: cure Parkinson’s disease. The thing is, Allen was raised in Washington, D.C. by a single mother who had Parkinson’s. She cared for him as a child, but when Allen reached high school their roles reversed: Allen became his mother’s caretaker. He would come home during his lunch periods and after school to take care of her because they did not have the finances to afford daytime care. He saw his mother go from a capable woman to someone who needed around the clock care in just few years. At the end of high school her condition had progress to the point that she had to live in an assisted living facility. When Allen left for college, he knew what future he wanted, which meant he needed a lot of education. He earned a B.S. from Amherst College. Allen then went to Northwestern University where he earned an M.S. in developmental psychology, followed by a PhD in Neuroscience from the Massachusetts Institute of Technology. During his PhD program, he met his future wife Laura at a supermarket, and they have been married for nearly five years. Armed with his impressive education, Allen was able to leverage a lucrative position as the Director of Research at a promising new biotechnology company in Seattle, Washington. He was attracted to the company because it was created with one mission in mind: to cure Parkinson’s disease. He knew that this was the job for him and could not ignore this opportunity. His deep clinical knowledge and person experience is instrumental in his career. As the director of research, he has to find funding for new research, communicate with other departments internally, and collaborate with external organizations. A Day in the Life of Allen: Allen wakes up at 6:00 AM and heads down to the kitchen. He opens the fridge and begins to make what he refers to as his “morning cocktail,” which is a freshly juiced vegetable juice. Next, he calls his mother in Washington, D.C. to catch up before he heads to work. At 7:15 AM Allen helps get his kids ready for school and heads to work. He usually arrives at work a few minutes before 8:00 AM. Once there, his day usually begins with an employee meeting, followed by reviewing daily progress reports and back-to-back morning meetings. Allen goes for a run after his last morning meeting instead of taking a typical lunch break to clear his mind. He returns to work after his run and has lunch while reviewing ideas for 13 new research proposals. From 3:00 PM until 5:00 PM he meets with his employees and helps with research projects. He believes that a director of research needs to be in the trenches with the employees to fully understand their projects. At 5:00 PM, Allen heads home and has dinner with his children. After putting his daughters to sleep, He spends the rest of his night on the sofa or front porch relaxing with his wife. Scenario: Allen heads to work at around 7:15 AM and gets to the office a few minutes before 8:00 AM. Once there, he checks in with his employees and starts reviewing his department’s progress. He sees that some of their projects are coming to an end and that the company needs more funding for future research. Allen turns on his office computer and begins his search for new funding. His company traditionally received funds from the Government and private investors. Allen felt that these resources were a bit painful to deal with, so he went online and typed “Parkinson’s research grant.” The first result he gets is for the Michael J. Fox foundation, and he clicks on the link. He is taken to the foundation’s “Funding Opportunities” page, which he finds easy to navigate. The application process makes sense, but he has questions about the maximum amount of funding they provide in their grants. He is curious about this because his company usually requests large grants. He clicks the “FAQ For Applying For A Grant,” but is unable to find the answer he is looking for. He gets lost in an expansive list of questions and answers. He returns to the previous page to contact their research team. However, Allen is redirected to the general contact information page for the foundation where he can either call their toll-free number, or fill out a generic contact form. He calls the number, but no one picks up and he has to leave a message. A few minutes later he submits an inquiry through the form, but feels that he might not get a response. Takeaway: Allen presents an interesting problem: how to reach someone that is already plugged in? He is educated, and versed in the topic. Additionally, he searches for this information daily. So why is he difficult to reach? The problem is that because he understands the problem so well and has such limited time, he is looking for very specific information very quickly. If Allen does not see what he is looking for instantaneously, then he moves on to another resource. Persona 3 – Britney the Investor: Britney is a thirtyfour year old investor working for a life-sciences private equity firm in Boston, MA. Her friends would tell you she is one of the most driven women they know. Britney went Mount Holyoke College in Northampton, MA, and then attended the Wharton School of the University of Pennsylvania where she earned an MBA and graduated at the top of her class. She is an athletic and healthy young woman who is really into health and exercise. Britney is most proud of herself for completing the Boston Marathon this past spring. Britney was born in Vail, Colorado and moved to Phoenix, Arizona when she was seven years old. She moved around a lot as a child because her parents were in the military, but for some reason always returned to Phoenix every few years. Britney was adventurous and fun from a young age. 14 Britney’s interest in health is nothing new. She had always been interested in science and health. After graduating from her MBA program, Britney realized that she could maybe find a job in working on the business side of operations of a company concerned wit health, from either a business management or investing position. After some networking, Britney used her business acumen to leverage a career in investing at a small Boston-based life-sciences private equity firm. Her job is highly stressful, and she is often traveling across the country. This requires her to be connected to everything from her work email to social media. Whether it's a short drive into work or a flight to California, Britney never leaves home without her phone and tablet. Her primary job duty is finding new opportunities her company to partner with nonprofit foundations to fund clinical research and development, or supply seed money to small startup biotechnology companies. A Day in the life of Britney: Britney’s day is planned from the moment she wakes up to the time she falls asleep. She wakes up at 5:00 AM and goes on a five mile run along the Charles River. After her run she has breakfast, reads the news on her tablet, and then gets ready for work. She takes the subway into work and listens to music on her phone while checking her Facebook. Britney arrives at the office at 8:45 AM, about fifteen minutes before her coworkers arrive. From the time she arrives at work until noon, Britney is on the phone and reading financial documents. This is the only time she is unplugged from the Internet. From 12:15 PM until 1:00 PM Britney has lunch with her coworkers at a local restaurant. She begins searching for new partnership opportunities immediately after she returns from lunch. This takes up the remainder of her day until 6:00 PM when she leaves work. Before heading home, she goes to the gym for an hour and then heads home and has dinner and falls asleep. Scenario: After lunch, Britney comes back to her office and begins to search for partnership opportunities on the Internet. She visits her usual websites, but does not see anything promising. She types into Google “disease foundations funding research” and scrolls down the page to review the results. At the bottom of the page Britney sees the Michael J. Fox Foundation For Parkinson’s Research and clicks the link. Once on the website she has an instant feeling of comfort. This is because the website’s design appeals to her. Looking at the top of the page, she sees the words “Get Involved.” Britney places her cursor over the words and a menu appears with different ways to be involved. None of these apply to her firm though. She loos under the “For Researchers” to see if she can find information about partnering with MJFF and sees two options: (1) Novel Partnerships, and (2) Partnering Program. She looks at both of them and clicks the “contact us” link which brings her to a generic submission form page. She fears that they will not get back to her soon enough and gives them a call, however she does not get through to their office. She looks at the webpage some more to see if she can find additional information. However, she does not find what she is looking for, gives up on MJFF. She starts looking at another website. Takeaway: Britney is very different from the other personas. She has a business mentality and is focused on the mechanics of the business, rather than the specific disease. Britney is looking for partnership opportunities and no knowledge concerning Parkinson’s disease. This means that “Parkinson’s disease” is not a search term or condition she thinks to search for. She performs generic searches. Therefore, Britney is quite hard to reach. 15 Persona 4 – The Daughter: Rebecca is a thirty-seven years old attorney in Boston, Massachusetts. She grew up in a home were education was the priority, and the Internet and television were of little importance. The years passed and Rebecca graduated from high school, and went to college and graduate school. She moved to Boston – because she did not want to be too far from her family – where she met her husband Mark. Rebecca has always had a passion for learning. Perhaps it was inherited from her parents. She loves to go on the Internet and learn a about new topics when she has a free moment. Whether its reading the news on her tablet, listening to a podcast on her phone, or event researching on he desktop computer, Rebecca will search absorb new information like a sponge. The only thing is that she has very little time to do this because of her hectic work schedule. Lately her work has been taking up more time and her ability to take time to learn something new has diminished greatly. A few weeks after Rebecca and Mark moved into their home with their daughter Ashley, Rebecca’s mother died from a stroke. Stricken with grief, and worried about her father, she asked him to move into her house in Beacon Hill. He has been living with her for the past eight years. His condition is worsening and she is worry about him. A day in the life of Rebecca: Rebecca wakes up at 5:00 AM to start her day. Once she is up, she walks down to the kitchen for breakfast where she typically eats with her father and husband. They are usually joined by their daughter a few minutes later. At 7:15 AM Rebecca and Mark leave to drop off their daughter off for school and head to work. They both work at the John Hancock building in Copley Square, so they get to spend their commute together. Their main topic of conversation during their commute is Rebecca’s father who is really declining. Upon arriving they go to their respective offices for the remainder of the morning. Rebecca spends her morning replying to emails, meeting with clients, and taking the occasional break to walk around the office. At noon she meets her husband downstairs for lunch. They usually go to a salad restaurant across the street from their work for about an hour, then return to work at 1:00 PM. Rebecca afternoons are very busy, so she spends the rest of her work day meeting with clients, drafting documents, and making phone calls. At 6:00 PM Rebecca and Mark meet at the entrance to their building and walk home. They talk about their days and arrive home at 6:30 PM. Once home, Rebecca begins cooking dinner. Her father who is sitting at the table with Ashley wants to help prepare dinner. Rebecca wishes that he could, but is afraid he will drop something or hurt himself and urges him to sit at the table and relax while she prepares dinner. She helps him with his dinner, cutting his food and sometimes feeding it to him. Rebecca watches a movie with Mark in the same rom where her father sometimes comes to sit with them. After her father goes to sleep at around 10:00 PM, Rebecca and Mark clean up the kitchen and head to bed. 16 Scenario: After returning home from work, Rebecca turns on the family computer to check some personal emails. She sees that her father was the last person to use the computer and had been searching for information on clinical trials for Parkinson’s disease. Rebecca is interested and searches a bit more. She reads about MJFF and finds a link to learn more about clinical trials under “Get Involved” on MJFF’s main webpage. Rebecca reads through the information and clicks “Find a Trial” and then “Register Today.” At this point she is redirected to another website: https://foxtrialfinder.michaeljfox.org which makes her a little confused because it looks different. Because her time is limited, she logs out of the computer to start cooking dinner. After dinner she mentions to her father after that she found some information about clinical trials for Parkinson’s and would like to talk to him more about it. However, he does not want to talk about, and says “I looked earlier and couldn’t find anything helpful. Maybe another time.” She wished that he was able to find the same information she found. Takeaway: Rebecca is an interesting character. She represents a secondary audience. A secondary audience is one that influences the primary audience (that would be Michael in her situation). Rebecca presents the unique challenge of dealing with family dynamics and generational gaps. Designing for someone like Rebecca who has very limited time means that a digital materials must be well designed and easy to use, allowing the user to get what they want right away. COMPETATIVE ANALYSIS Introduction: In this section three organizations will be compared to the Michael J. Fox Foundation for Parkinson’s Research. These organizations are: (PRODUCT)(RED), J/P HRO, and Joan Lunden’s website. While these organizations are not concerned with Parkinson’s Disease research, they are all primarily focused on seeking funding, donations, or product purchases to drive an initiative, and they do it effectively. The goal of this section is to conduct a competitive analysis. At the end of the analysis, the goal is to take away information and strategies which may be beneficial to an organization with constructing a strategy. Competitive Analysis Defined: A competitive analysis helps an organization identify competitors’ strategies, and determine what should be borrowed, avoided, and distinguished to have a successful online presence. Borrowed refers to borrowing an effective strategy from the competitor. Avoiding refers to what the competition does poorly. Distinguishing refers to taking that information and determining an organization stands out from the competition based on its strengths. The process for conducing a competitive analysis can be broken down into three steps. First, identify the organization’s competitors. These may already be known. It is possible to identify additional competitors based on the target users/personas consider their behaviors (e.g., tasks they would try to accomplish, search terms they would use, information they read that would lead them there, the conduits or secondary audiences that would direct them there, etc.). The Competition: (PRODUCT)(RED) is the 2006 product of U2 singer Bono and journalist/activist/attorney 17 Bobby Sriver.24 The idea behind the initiative was to inspire individuals and businesses to be involved in the fight against AIDS.25 The organization’s strategy is to license (PRODUCT)(RED) as a brand to partner companies which have included Apple Inc., Converse, Armani, Microsoft, American Express, Nike, and many others.26 The organization requires 100% of the funds generated by (PRODUCT)(RED)’s partners and events is deposited in the Global Fund’s programs which provide medical and support services for individuals living with HIV/AIDS in Africa.27 Joan Lunden’s website’s main mission to educate people about breast cancer.28 She is also the face of many smaller initiatives, which include caregiving, ageing, and general health. Joan became famous as the host of Good Morning America, and has continued the capitalize on her fame by founding life changing ventures women (e.g., Camp Reveille women’s retreat, caregiving serves for seniors, and much more).29 She has also built strong industry alliances with for profit and nonprofit organizations and has a strong social media presence.30 24 RED, (PRODUCT)(RED), RED, available at http://www.red.org/en/. Id. at. 26 Id. at. 27 Id. at. stating the organization has generated over $150 million for HIV/AIDS programs in Africa 28 Joan Lunden, Joan Lunden, Creating a Health Lifestyle for a Better Tomorrow, available at http://www.joanlunden.com. 29 Id. at. 30 Id. at. 25 18 J/P Haitian Relief Organization (J/P HRO) is a non-profit organization founded Sean Penn in response to the 2010 Haiti earthquake.31 J/P HRO focuses its programs on supporting J/P HRO-managed camp residents transition from homeless life to community living after the earthquake.32 The foundation strives to build sustainable and prosperous communities. J/P HRO collaborates with government leaders, communities, donors, NGO’s and many other agencies.33 Additionally, the organization has an extensive internet and social media presence.34 HRO, We Are J/P HRO – Saving Lives and Bringing Sustainable Programs to the Haitian People. 2014. 32 Id. at. 33 Id. at. 34 Id. at. 31 19 The Michael J Fox Foundation Joan Lunden Purpose: How clear are the purpose and goals of the site at a glance from name, tagline, logo, and imagery? Very clear purpose. The logo explains what they do and uses nice imagery. However, the tagline is not effective. Hard to tell whether it is: “Our challenges don’t define us, actions do.” Or if it is “think/able” Not clear quite clear from the splash page. The slogan does not convey a sense of what website is all about. There does not seem to be a logo. While there is a section for breast cancer, it is only part of a scrolling screen image. (PRODUCT)(RED) J/P HRO Not clear from the site’s main page. There is not tag line or description. There are just three words at the top of the page: Shop, Act, Learn. Very clear what the organization is about from the main webpage. However, the name J/P HRO is confusion. The user does not get what the J/P stands for simply by reading the name and about page. Users: Is the target audience clear through text, images, stories, or testimonials? The target audience is very clear from The target audience the use of images, seems to be women. and text. It is clear From the main that they are splash page and all attracting the imagery it seems individuals who to be older women either want to (no one under 30 donate, fundraise, or years old). get involved in some manner. The target audience seems to be consumers and businesses. It’s hard to tell from the webpage. Seems like they are targeting all users. Organizational branding: Are the organization and site purpose clearly portrayed through name, tagline, logo, imagery, or text? Is Their branding is consistent across the all platforms. There is a mission statement. Very clear banding. Red parenthesis throughout. Very consistent and well designed. There is a mission statement. Consistent branding throughout website and social media. There is a mission statement. Their branding is consistent across the all platforms. There is no mission statement. 20 there a mission statement or an “about us”? External affiliations: Is there branding from other organizations, accreditation (such as HONcode), sponsorship, or advertising? Are there celebrity sponsors? The only external affiliations seem to be at the bottom of the page. There are no advertisements on the main page. Lots of external affiliations and advertisements below the fold. Design: How professional is the design? Characterize the design (modern, dated, simple, busy, etc.) and if the design seems effective for the site purpose and users. Very professional and effective design. It is clear that a lot of time and consideration went into executing the website design. Professionally designed. It does not have a unique look though. It is very commercial and generic. Users will get the feeling that it is a lifestyle blog rather than a professional’s website. Section organization: Is information segmented by content type, user roles, or user needs? Layout and navigation: How organized are the layout and navigation? Are options apparent It is organized by user type and needs, and then content type. Extremely well organized. Seems to be organized by content type, rather than the potential user’s role or needs. Well laid out and easy to navigate. Some of the main content is buried within menus. Lots of external affiliations: Beats, Apple, CocaCola, Bank of America, Starbucks, etc. Uses celebrity sponsors. Not on the main page, but lots of external affiliation on “About” page. Very professional and effective design. It is clear that a lot of time and consideration went into executing the website design. Professional and effective design. While professional, it comes across feeling corporate, rather than an organization dedicated to helping people due to the Haiti earthquake. Comes across as a consulting firm. The information is segmented by user and type. Very easy to navigate. There is only three options to scroll down the page, click one of the By content type. Well laid out and easy to navigate. Some of the main content is buried within menus. 21 and clearly labeled? Does content seem easily accessible or buried? Expert content: What are the expertgenerated components (including text, graphics, audio, video, blogs, directions, ask an expert, and quizzes)? Are there supporting titles, synopses, links, and imagery? option in the banner, or look at social media. Very simple and intuitive. All of the information on the site is expert generated (text, images, blogs, etc.). All of the information on the site is expert generated (text, images, blogs, etc.). Authorship and oversight: Are authors listed and, if so, are their credentials available? Is there an advisory board or clinician involvement? Is there a review process? Authors are listed for nearly everything written on the website. The author’s name is highlighted in orange and listed at the top of the page. Names are clickable and take the user to a different page with a synopsis of the author. It seems that everything is written by Joan Lunden. Currency: Does information seem timely and recent? Are dates included for when content was Frequently updated with publication dates. Frequently updated with publication dates. All of the information on the site is expert generated (text, images, blogs, etc.). All of the information on the site is expert generated (text, images, blogs, etc.). None Listed Authorship is not provided. Only the posting date is provided. Frequently updated, but no publication dates. Not frequently updated. Last update was in November 2013. 22 published and reviewed? Health literacy and readability: Is the content easy to understand? Is there any confusing language, jargon, or abbreviations? Are the reading and health literacy levels appropriate? Language: Which languages are available? User-generated content: What are the user-generated components (including stories, blogs, discussion forums, videos, likes, comments, ratings, and reviews)? Can content be shared? Is “most read” or “most emailed” content listed? Is usergenerated content delineated from expert The content is very easy to understand and clearly written with little jargon. English only but can be translated into other languages using Google translate. None, except for some comments. The content is very easy to understand and clearly written with little jargon. The content is very easy to understand and clearly written with little jargon. The content is very easy to understand and clearly written with little jargon. English only but can be translated into other languages using Google translate. English only but can be translated into other languages using Google translate. English only but can be translated into other languages using Google translate. There seems to be a fair mix of expert and user generated content. Users can contribute through a “share your story” popup window. None None 23 content? Policies: Are there explicit privacy policies or ones for how user-generated components are managed, organized, or moderated? Registration: Can users register or create profiles to personalize content or appearance? Can users login and, if so, what are their benefits? Notifications: Can users subscribe to newsletters or new content alerts? Transactions: Can users make donations or purchases? Yes, located at the bottom of every page. Yes, located at the bottom of every page. Yes, located at the bottom of every page. Yes, located at the bottom of every page. No registration option to build a profile on main webpage, but can build one if user joins a fundraising event. No registration option to build a profile. No registration option to build a profile. No registration option to build a profile. Users can sign up for email updates. Users can sign up for email updates. Users can sign up for email updates. Users can sign up for email updates. Yes, Users can shop directly from the webpage. Yes, Users can shop directly from the webpage. Users can make donations and purchases through the website. There is a mobile version of the main website which is designed to mimic the main webpage. Active social Social media: Which media: social media technologies are used? Facebook Are they integrated into Twitter Mobile: Is there an app or a mobile website? Is responsive design used? Users can buy her books or book her for speaking events directly through the website. There is a mobile version of the main website which is designed to mimic the main webpage. Active social media: Facebook Twitter There is a mobile version of the main website which is designed to mimic the main webpage. Active social media: Facebook Twitter Pinterest There is no mobile opitmization Active social media: Facebook Twitter 24 the site or a set of icons? Overall assessment: What are the best and worst features of the site? Pinterest Instigram YouTube Google+ Best aspect: its eye catching professional design. Worst aspect: With all of the design, there are places where users may get lost. Pinterest Instigram Google+ Best aspect: Branding of Joan. Her face appears at the top of every page and her name is mentioned at least three times before a user scrolls down the page. ADD IN WHAT I DISLIKE ABOUT IT Instigram Google+ Best aspect: Great design that is modern and appeal to most users. Worst aspect: Too professional/commercial. Feels like a store’s website and not an organization tying to make a difference. Does not feel personalized to the user. Pinterest Instigram Whosay Google+ Best aspect: Clear and well designed. Worst Aspect: Uses a grey font on black background. Makes it hard to read. 25 What have you learned from the analysis that you can: Borrow: a. Joan Lunden: Consistent name placement and banner across website. b. (RED): Simple design. c. J/H HRO: Clear organized links which take the user to exactly what they say. Avoid: a. Joan Lunden: The generic feel and lifestyle feel of the website. b. (RED): Lack of transparency and “e-store” design. c. J/H HRO: The corporate design. Distinguish yourselves: a. Use consistent design and color scheme. b. Unique status of being a powerful organization funding disease. c. Professional tone that is still inviting to patients. DECISIONS [Design, Content, Technology, and Strategy] Design Overview: The first question to ask is whether the visual design characteristics help the user understand the information and use the site/app? This involves answering the following questions: Can I read/use it?35 Can I skim and get the gist to help me decide if I want to read? Are there images or video that help explain the content? Can I tell what will happen if I click? Do the design of controls indicate what will happen? Can I see feedback from what I did The second question to ask is whether the design is helpful: Does it make sense? This involves answer questions like: Can I see where I am? Can I see where to click? Are the actions and links clear? Can I tell what will happen if I click? Do the design of controls indicate what will happen? Can I tell what changed? Can I see feedback from what I did? The idea here is that the site should appeal to the target audience, and thus be easily understood, trusted and useable by the target audience from the moment it is viewed. Decisions About Design: 1. Color is Key: The current design is inconsistent between the MichaelJFox.org and FoxTrialFinder.MichaelJFox.org. The use of imagery and color is inconsistent: 35 I.e., is the font and color scheme appropriate? 26 MichaelJFox.org uses blue, orange, and white throughout the website, while FoxTrialFinder.MichaelJFox.org only uses orange, white, and grey. This may not seem like a big difference, but they appear as being only tangentially connected, rather than fully integrated. By correcting the color issues, it may make a user like Rebecca or Michael more likely to continue searching on the webpage because it makes it feel like the user does not have to become acquainted with another resource. 2. Consistency is key: First glance the Michael J. Fox foundation seems to have an 27 impressive and well designed internet presence. However, the organization falls short in one area: platform consistency. There is a lack of consistent and reliable linking and imagery across the website, which may be due to two different versions of the same page. Main Webpage Secondary “Main” Webpage 28 The secondary webpage provides more detail about what the organization does, and makes a clear distinction between participate in a clinical trial and participate with a fundraising team. The main webpage does not make this distinction. Participation on the main site mean participating in a fundraising, compared to the second site which refers to participating in a clinical trial. This would make it easier for users like Allen, Britney and Michael to find the information they require. 3. Create a Tagline: MJFF does not have an apparent tagline. If the organization is trying to brand “think/able” it is not doing so effectively. They should come up with a consistent phrase and put it on nearly every image of Michael J. Fox. They have effectively branded them, but now the organization needs to do something to tie his image with a tagline. Content Overview: Every element of a website is considered content from it’s layout and images, to the text and color scheme. Content should be crafted to reach the target user. It is important to consider how people use content on the Internet. This is important because users typically like brevity: they like to skim and scan, read summaries, spend as little time as they can to get the most information. A user wants a to view something that easy on their eyes and brain. With regard to text, it should be eye catching/conversational while still answering the user’s questions. The writing should entice the user to stay on the website longer and make them want to return. Additionally, A great use of text is a story. A story is personal and allows the organization to convey a message that will hopefully resonate with the user (e.g., a story about having Parkinson’s Disease). Decisions about Content: 1. Replace ambiguous words: The text in the banner that runs across the middle of the main webpage should be replaced with the text from the banner that divides the 29 secondary main webpage: Do Not This Text Use This Text By replacing the text, it will allow users like Michael, Rebecca, and Ashley find the information they need quickly and efficiently the first time, which in turn will create a positive association with visiting the website. 2. Contacting MJFF: MJFF only provides limited contact information through either a general inquiry phone number or website submission form. This information is very important for individuals like Allen and Ashley who need to speak with a representative directly. If MJFF could provide a more robust directory, it would be very helpful to those potential end users. 3. Intergradation: This would require MJFF to terminate the Fox Finder webpage and integrate it into their homepage as a search box on the right side of the window. This would make finding clinical trials readily available to users like Michael and would thus work to achieve MJFF’s goal of improving the number of clinical trial volunteers. Decisions about Technology: Which web, social media, and mobile technologies should be used? For each, how will they be used and what is needed for their effective use and management? 1. Discard poorly used social media accounts: Currently, MJFF does not manage its Flickr account well: they have only posted five photos which are all of their logo. It is redundant because the organization provides photos and messages across many of their social networks. Additionally, Flickr would likely not impact these personas because it would not provide the information they would be looking for (i.e., funding, clinical trials, and partnerships). 2. YouTube: MJFF has an active YouTube account that is not featured on the main webpage. Video is frequently uploaded to it, and they may be able to engage users like Michael and Rebecca so that they return to use the site. These forms of media are engaging to viewers and make them more likely to return. 3. Utilize Applications: Mobile applications are one place where MJFF falls short. They do not have any applications for mobile. While their site is optimized for mobile, there could be some benefits to a dedicated application. For instance someone like Britney 30 who spends her mornings communing on the train and looking at her smart phone may see the application in the App Store or Google Play. This would provide more chances for interaction and exposure, and thus more traffic to MJFF’s site for individuals seeking partnerships, funding, donations, etc. REVISED DIGITAL STRATEGY Recommended Initiatives: 1. Live Google Hangout: MJFF could organize a live group conversation with Michael J. Fox and other experts in the medicine (e.g., Dr. Besser). By doing this, they would engage a greater audience, and perhaps engage an older audience who is looking for a sense of authority and realism, rather than just reading information from a webpage. These talks could be promoted on the main webpage, email newsletters, and advertised on specialized websites like WebMD. 2. Website Redesign: MJFF should provide consistent linking and imagery across all webpages. As noted above, some of the imagery and links are not effective. While redesigning the website, The organization could integrate the MJFF dedicated YouTube channel into a playlist that could be accessed at the top of the screen. This would provide users with a more robust experience and entice them to come back to view new videos. 3. Create an Application for Fox Trial Finder: This would be achieved through an Indiegogo or Kickstarter campaign for a Parkinson’s research. Crowd-funding is a growing resource with websites like Indiegogo and Kickstarter. MJFF could create a campaign to develop a mobile application that seamlessly links individuals with Parkinson’s to the Fox Trial Finder. Additionally, MJFF could use this application to create a social networking platform connecting these individuals to one another, and with Team Fox members to organize and recruit people for support events. Wild Initiative – A Day with Michael: This initiative would be unlike MJFF’s efforts. Here, Michael J. Fox would be followed around the country with a camera crew as he met with people diagnosed with Parkinson’s disease. He would hear their stories and share his and build personal connections. Footage would be uploaded to YouTube as he traveled so that viewers would get a real time experience. It would also allow those he spends time with to view the videos at a later date. Additionally, the footage could then be circulated to news stations, television shows, and featured at live events to promote the foundation’s mission and educate everyone about their progress and clinical trials. CONCLUSION MJFF has a clear strategy but may be trying to do too much at one time by trying to appeal to multiple audiences. The foundation needs to redesign its Fox Trial Finder website and integrate it with the organization’s main webpage to expose more individuals to that resource. Additionally, MJFF needs to fix the ambiguous word choice and layout on its main page to provide users with a more effective and enjoyable experience. MJFF is doing many things right and has very little direct competition. If the organization can continue to keep its content up to 31 date and consistent across all platforms, MJFF will be unstoppable. REFERENCES Annual Report 2012 – Progress. pt. 47 (2012). The Michael J. Fox Foundation, The Michael J. Fox Foundation's Promise to Parkinson's Patients(2014), available at https://http://www.michaeljfox.org/foundation/promise.html. Aron Smith Maeve Duggan, Social Media Update 2013, Pew Research Center's Internet & American Life Project(2013), available at http://www.pewinternet.org/2013/12/30/social-media-update-2013/. Pew Research Center's Internet & American Life Project, Health Fact Sheet, Pew Research Center's Internet & American Life Project(2014), available at http://www.pewinternet.org/fact-sheets/health-fact-sheet/. Michael J. Fox Foundation for Parkinson's Research, The Michael J. Fox Foundation for Parkinson's Resarch, The Michael J. Fox Foundation for Parkinson's Resarch(2014), available at https://http://www.michaeljfox.org. Annual Report 2012 – Progress. pt. 47 (2012). J/P HRO, We Are J/P HRO – Saving Lives and Bringing Sustainable Programs to the Haitian People(2014), available at http://jphro.org. The Michael J. Fox Foundation, The Michael J. Fox Foundation's Promise to Parkinson's Patients(2014), available at https://http://www.michaeljfox.org/foundation/promise.html. The Michael J. Fox Foundation, The Michael J. Fox Foundation for Prakinson's Research – Foundation Staff – Digital Strategy(2014), available at https://http://www.michaeljfox.org/foundation/leaders.html?digital-strategy. RED, (PRODUCT)(RED), RED, available at http://www.red.org/en/. Joan Lunden, Joan Lunden, Creating a Health Lifestyle for a Better Tomorrow, available at http://www.joanlunden.com. APPENDIX A: WHAT DID YOU LEARN IN THE PROCESS OF DOING THIS RESEARCH? There is one main lesson I learned from this process: developing a digital strategy is a full time job. Each part of this process needs to be done in a collaborative manner. For instance, when creating a persona there are so many different facets to a human character and multiple 32 perspectives are necessary to create a lively, well-balanced prototypical user. I used many life experiences to create these personas. However, they still seem to lack the life that they would if this was a collaborative endeavor. I found challenges at every corner, whether it was coming up with the name of a persona, or determining what to avoid, borrow, or distinguish from another organization. This project opened my eyes to a whole new exciting and complex world of communication. APPENDIX B: ABOUT THE AUTHOR: Jacob Ehrlich is finishing up a Master of Public Health at Tufts University School of Medicine and will be graduating this August. Before pursuing an M.P.H., Jacob earned his B.A. from Hampshire College, and a J.D. from Stetson University College of Law. He is interested in the legal issues surrounding drug development. Jacob’s prior work experience includes lobbying for an aquaponic farming organization, legal work, and some pharmaceutical R&D consulting work. In his free time, Jacob cannot resist a bad science fiction movie, food, exercise, and good adventure. 33