Main Article Content
Abstract
Purpose: This systematic review examined how social media-based health-promotion interventions are associated with health-related behavioral outcomes across diverse populations and contexts.
Research Method: Following PRISMA 2020, Scopus, PubMed, Web of Science, and ScienceDirect were searched for eligible studies published from January 2020 to May 2026. Forty studies met the inclusion criteria. Risk of bias and methodological quality were evaluated using RoB 2 and appropriate JBI critical appraisal checklists, and findings were synthesized narratively by outcome category.
Results and Discussion: The evidence indicated favorable associations with health literacy, vaccination-related outcomes, physical activity, dietary practices, smoking cessation, mental health awareness, and preventive practices. Interactive communication, peer support, online communities, credible influencers, and tailored messages supported engagement. However, heterogeneous designs and measures prevented causal conclusions, while misinformation, privacy risks, digital inequality, and limited long-term evidence constrained interpretation.
Implications: Health organizations should combine audience-appropriate content with professional oversight, privacy safeguards, misinformation management, and inclusive access. Longitudinal and experimental studies using validated behavioral measures are needed.
Originality: This review distinguishes engagement, knowledge, and intention from self-reported, objectively measured, and sustained behavioral change.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
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- Aljarrah, A. A., Wallace, D. C., Hayajneh, A., Bacon, C., & Pickett, S. (2025). The Effect of Using of Social Media on Smoking Cessation Stages and Processes Among Health Care Providers. Journal of Evaluation in Clinical Practice, 31(4), e70158. https://doi.org/10.1111/jep.70158
- Aromataris, E., & Munn, Z. (2020). JBI manual for evidence synthesis. Jbi.
- Bandura, A. (2004). Health Education & Behavior. Health Education & Behavior, 31(143). https://doi.org/10.1177/1090198104263660
- Budd, J., Miller, B. S., Manning, E. M., Lampos, V., Zhuang, M., Edelstein, M., Rees, G., Emery, V. C., Stevens, M. M., Keegan, N., Short, M. J., Pillay, D., Manley, E., Cox, I. J., Heymann, D., Johnson, A. M., & McKendry, R. A. (2020). Digital technologies in the public-health response to COVID-19. Nature Medicine, 26(8), 1183–1192. https://doi.org/10.1038/s41591-020-1011-4
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- Che, S., & Kim, J. H. (2024). Sentiment Impact of Public Health Agency communication Strategies on TikTok under COVID-19 Normalization: Deep Learning Exploration. Journal of Public Health, 32(8), 1559–1570. https://doi.org/10.1007/s10389-023-01921-5
- Draganidis, A., Fernando, A. N., West, M. L., & Sharp, G. (2024). Social media delivered mental health campaigns and public service announcements: A systematic literature review of public engagement and help-seeking behaviours. Social Science & Medicine, 359, 117231. https://doi.org/https://doi.org/10.1016/j.socscimed.2024.117231
- Duffett, R. G., & Thomas, S. (2024). Health nonprofit organizations use of social media communication and marketing during COVID-19: A qualitative Technology Acceptance Model viewpoint. Social Sciences & Humanities Open, 10, 101042. https://doi.org/https://doi.org/10.1016/j.ssaho.2024.101042
- Engel, E., Gell, S., Heiss, R., & Karsay, K. (2024). Social media influencers and adolescents’ health: A scoping review of the research field. Social Science & Medicine, 340, 116387. https://doi.org/https://doi.org/10.1016/j.socscimed.2023.116387
- Eppes, E. V, Augustyn, M., Gross, S. M., Vernon, P., Caulfield, L. E., & Paige, D. M. (2023). Engagement with and acceptability of digital media platforms for use in improving health behaviors among vulnerable families: systematic review. Journal of Medical Internet Research, 25, e40934. https://doi.org/10.2196/40934
- Ernawati, E. (2024). The Impact of Midwifery-Led Care on Birth Outcomes in Low-Risk Pregnancies. Advances in Healthcare Research, 2(2), 66–76.
- Freeman, J. L., Caldwell, P. H. Y., & Scott, K. M. (2023). How Adolescents Trust Health Information on Social Media: A Systematic Review. Academic Pediatrics, 23(4), 703–719. https://doi.org/https://doi.org/10.1016/j.acap.2022.12.011
- Ghahramani, A., de Courten, M., & Prokofieva, M. (2022). “The potential of social media in health promotion beyond creating awareness: an integrative review.” BMC Public Health, 22(1), 2402. https://doi.org/10.1186/s12889-022-14885-0
- Ghahramani, A., Prokofieva, M., & de Courten, M. P. (2025). Health promotion campaigns using social media: association rules mining and co-occurrence network analysis of Twitter hashtags. BMC Public Health, 25(1), 67. https://doi.org/10.1186/s12889-024-21255-5
- Grady, A., Pearson, N., Lamont, H., Leigh, L., Wolfenden, L., Barnes, C., Wyse, R., Finch, M., Mclaughlin, M., & Delaney, T. (2023). The effectiveness of strategies to improve user engagement with digital health interventions targeting nutrition, physical activity, and overweight and obesity: systematic review and meta-analysis. Journal of Medical Internet Research, 25, e47987. https://doi.org/10.1038/s41591-020-1011-4
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- Higgins, J. P. T. (2019). Cochrane handbook for systematic reviews of interventions version 6.0 (updated July 2019). Cochrane.
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- Keen, F., Bhukya, B., & Evans, L. M. (2024). Social Media in the Management of Obesity and Diabetes: An Underutilised Population Educational Tool. Diabetes Therapy, 15(6), 1255–1260. https://doi.org/10.1007/s13300-024-01597-4
- Kickbusch, I., Piselli, D., Agrawal, A., Balicer, R., Banner, O., Adelhardt, M., Capobianco, E., Fabian, C., Gill, A. S., & Lupton, D. (2021). The Lancet and Financial Times Commission on governing health futures 2030: growing up in a digital world. The Lancet, 398(10312), 1727–1776. https://doi.org/10.1016/S0140-6736(21)01824-9
- Knock, M., Carpenter, D. M., Thomas, K. C., Lee, C., Adjei, A., Lowery, J., Coyne, I., Garcia, N., & Sleath, B. (2024). Disseminating a health information website to teens using a three-pronged approach with social media outreach. PEC Innovation, 4, 100288. https://doi.org/https://doi.org/10.1016/j.pecinn.2024.100288
- König, L., & Suhr, R. (2023). The effectiveness of publicly available web-based interventions in promoting health app use, digital health literacy, and media literacy: pre-post evaluation study. Journal of Medical Internet Research, 25, e46336. https://doi.org/10.2196/46336
- Kreps, G. L. (2017). The relevance of health literacy to mHealth. Information Services and Use, 37(2), 123–130. https://doi.org/10.3233/ISU-170828
- Luo, Y., Maafs‐Rodríguez, A. G., & Hatfield, D. P. (2024). The individual‐level effects of social media campaigns related to healthy eating, physical activity, and healthy weight: A narrative review. Obesity Science & Practice, 10(1), e731. https://doi.org/10.1002/osp4.731
- Maas, V. Y. F., Blanchette, L. M. G., van Amstel, W., Franx, A., Poels, M., & Koster, M. P. H. (2022). A social marketing strategy to promote preconception care: development of the Woke Women strategy. Journal of Social Marketing, 12(2), 154–173. https://doi.org/10.1108/JSOCM-07-2021-0151
- Mesko, B. (2022). The Digital Health Revolution. Webicina Publishing.
- Morley, J., Machado, C. C. V, Burr, C., Cowls, J., Joshi, I., Taddeo, M., & Floridi, L. (2021). The Ethics of AI in Health Care: A Mapping Review BT - Ethics, Governance, and Policies in Artificial Intelligence (L. Floridi (ed.); pp. 313–346). Springer International Publishing. https://doi.org/10.1007/978-3-030-81907-1_18
- Nazari, A., Ataei, R., Heydarifard, Z., & Mousavi, A. (2026). Social media-based interventions for improving vaccine uptake, reducing hesitancy, and combating misinformation: a comprehensive systematic review and meta-analysis of RCT. BMC Public Health, 26(1), 1484. https://doi.org/10.1186/s12889-026-27159-w
- Paakkari, L., & Okan, O. (2020). COVID-19: health literacy is an underestimated problem. The Lancet Public Health, 5(5), e249–e250. https://doi.org/10.1016/S2468-2667(20)30086-4
- Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Implementation, 19(1), 3–10. https://doi.org/10.1097/XEB.0000000000000277
- Powell, J., & Pring, T. (2024). The impact of social media influencers on health outcomes: Systematic review. Social Science & Medicine, 340, 116472. https://doi.org/https://doi.org/10.1016/j.socscimed.2023.116472
- Raeside, R., Jia, S. S., Todd, A., Hyun, K., Singleton, A., Gardner, L. A., Champion, K. E., Redfern, J., & Partridge, S. R. (2024). Are Digital Health Interventions That Target Lifestyle Risk Behaviors Effective for Improving Mental Health and Wellbeing in Adolescents? A Systematic Review with Meta-analyses. Adolescent Research Review, 9(2), 193–226. https://doi.org/10.1007/s40894-023-00224-w
- Raharjo, A., Januar Ariyanto, & Farahul Jannah. (2025). Essential Competencies of Public Health Professionals in Disaster Management: A Scoping Review. Advances in Healthcare Research, 3(2 SE-Articles), 80–102. https://doi.org/10.60079/ahr.v3i2.505
- Rahelić, V., Perković, T., Romić, L., Perković, P., Klobučar, S., Pavić, E., & Rahelić, D. (2024). The role of behavioral factors on chronic diseases—Practice and knowledge gaps. Healthcare, 12(24), 2520. https://doi.org/10.3390/healthcare12242520
- So, B., & Kwon, K. H. (2024). Combined benefits of active and passive social media during the COVID-19 pandemic: a health perspective. Global Knowledge, Memory and Communication, 74(9–10), 3292–3317. https://doi.org/10.1108/GKMC-05-2023-0158
- Sun, M., & Dong, X. (2024). Factors influencing correction upon exposure to health misinformation on social media: the moderating role of active social media use. Online Information Review, 48(7), 1313–1330. https://doi.org/10.1108/OIR-09-2023-0505
- Wishart, T. E., DeMars, D., & McKinley, G. P. (2022). The self appreciation project: An exploratory study of social media for youth mental health promotion. Mental Health & Prevention, 28, 200248. https://doi.org/https://doi.org/10.1016/j.mhp.2022.200248
- World Bank. (2024). Digital Development Overview Report.
- Xiao, X., Wong, R. M., & Yang, W. (2024). Effectiveness of video-based health promotion: A systematic review and meta-analysis. Patient Education and Counseling, 119, 108095. https://doi.org/https://doi.org/10.1016/j.pec.2023.108095
- Xie, W., Kang, C., Xu, L., Cheng, H., & Dai, P. (2024). Study on the quality evaluation of mobile social media health information and the relationship with health information dissemination. Information & Management, 61(3), 103927. https://doi.org/https://doi.org/10.1016/j.im.2024.103927
- Xue, X., Ma, H., Zhao, Y. (Chris), Zhu, Q., & Song, S. (2024). Mitigating the influence of message features on health misinformation sharing intention in social media: Experimental evidence for accuracy-nudge intervention. Social Science & Medicine, 356, 117136. https://doi.org/https://doi.org/10.1016/j.socscimed.2024.117136
- Zimmermann, E., & Tomczyk, S. (2025). Using Social Media to Promote Life Skills Among Adolescents: A Debate on Opportunities, Challenges, and Implications for Health and Education. Journal of Prevention, 46(2), 201–211. https://doi.org/10.1007/s10935-025-00826-1
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://reedjoe.com/wp-content/uploads/2018/04/ajzen1991_teori-perilaku-yang-direncanakan_theory-of-planned-behavior.pdf
Aljarrah, A. A., Wallace, D. C., Hayajneh, A., Bacon, C., & Pickett, S. (2025). The Effect of Using of Social Media on Smoking Cessation Stages and Processes Among Health Care Providers. Journal of Evaluation in Clinical Practice, 31(4), e70158. https://doi.org/10.1111/jep.70158
Aromataris, E., & Munn, Z. (2020). JBI manual for evidence synthesis. Jbi.
Bandura, A. (2004). Health Education & Behavior. Health Education & Behavior, 31(143). https://doi.org/10.1177/1090198104263660
Budd, J., Miller, B. S., Manning, E. M., Lampos, V., Zhuang, M., Edelstein, M., Rees, G., Emery, V. C., Stevens, M. M., Keegan, N., Short, M. J., Pillay, D., Manley, E., Cox, I. J., Heymann, D., Johnson, A. M., & McKendry, R. A. (2020). Digital technologies in the public-health response to COVID-19. Nature Medicine, 26(8), 1183–1192. https://doi.org/10.1038/s41591-020-1011-4
Cattaneo, C., Pani, P., Palermo, V., Maurel, E., Knowles, A., Carletti, C., Buoncristiano, M., De Mei, B., Dittami, A., Donati, S., Fantozzi, L., Luzi, I., Luzi, P., Nardone, P., Sampaolo, L., Scardetta, P., Ronfani, L., Caputo, M., Cardetti, S., … group, the B. (2025). Promoting healthy lifestyles in childhood: can a social media campaign targeting parents and carers be a valuable tool? BMC Public Health, 26(1), 412. https://doi.org/10.1186/s12889-025-26054-0
Che, S., & Kim, J. H. (2024). Sentiment Impact of Public Health Agency communication Strategies on TikTok under COVID-19 Normalization: Deep Learning Exploration. Journal of Public Health, 32(8), 1559–1570. https://doi.org/10.1007/s10389-023-01921-5
Draganidis, A., Fernando, A. N., West, M. L., & Sharp, G. (2024). Social media delivered mental health campaigns and public service announcements: A systematic literature review of public engagement and help-seeking behaviours. Social Science & Medicine, 359, 117231. https://doi.org/https://doi.org/10.1016/j.socscimed.2024.117231
Duffett, R. G., & Thomas, S. (2024). Health nonprofit organizations use of social media communication and marketing during COVID-19: A qualitative Technology Acceptance Model viewpoint. Social Sciences & Humanities Open, 10, 101042. https://doi.org/https://doi.org/10.1016/j.ssaho.2024.101042
Engel, E., Gell, S., Heiss, R., & Karsay, K. (2024). Social media influencers and adolescents’ health: A scoping review of the research field. Social Science & Medicine, 340, 116387. https://doi.org/https://doi.org/10.1016/j.socscimed.2023.116387
Eppes, E. V, Augustyn, M., Gross, S. M., Vernon, P., Caulfield, L. E., & Paige, D. M. (2023). Engagement with and acceptability of digital media platforms for use in improving health behaviors among vulnerable families: systematic review. Journal of Medical Internet Research, 25, e40934. https://doi.org/10.2196/40934
Ernawati, E. (2024). The Impact of Midwifery-Led Care on Birth Outcomes in Low-Risk Pregnancies. Advances in Healthcare Research, 2(2), 66–76.
Freeman, J. L., Caldwell, P. H. Y., & Scott, K. M. (2023). How Adolescents Trust Health Information on Social Media: A Systematic Review. Academic Pediatrics, 23(4), 703–719. https://doi.org/https://doi.org/10.1016/j.acap.2022.12.011
Ghahramani, A., de Courten, M., & Prokofieva, M. (2022). “The potential of social media in health promotion beyond creating awareness: an integrative review.” BMC Public Health, 22(1), 2402. https://doi.org/10.1186/s12889-022-14885-0
Ghahramani, A., Prokofieva, M., & de Courten, M. P. (2025). Health promotion campaigns using social media: association rules mining and co-occurrence network analysis of Twitter hashtags. BMC Public Health, 25(1), 67. https://doi.org/10.1186/s12889-024-21255-5
Grady, A., Pearson, N., Lamont, H., Leigh, L., Wolfenden, L., Barnes, C., Wyse, R., Finch, M., Mclaughlin, M., & Delaney, T. (2023). The effectiveness of strategies to improve user engagement with digital health interventions targeting nutrition, physical activity, and overweight and obesity: systematic review and meta-analysis. Journal of Medical Internet Research, 25, e47987. https://doi.org/10.1038/s41591-020-1011-4
Hamilton, J. L., Torous, J., Szlyk, H. S., Biernesser, C., Kruzan, K. P., Jensen, M., Reyes-Portillo, J., Primack, B. A., Zelazny, J., & Weigle, P. (2024). Leveraging Digital Media to Promote Youth Mental Health: Flipping the Script on Social Media-Related Risk. Current Treatment Options in Psychiatry, 11(2), 67–75. https://doi.org/10.1007/s40501-024-00315-y
Higgins, J. P. T. (2019). Cochrane handbook for systematic reviews of interventions version 6.0 (updated July 2019). Cochrane.
Kaňková, J., Binder, A., & Matthes, J. (2024). Helpful or harmful? Navigating the impact of social media influencers’ health advice: insights from health expert content creators. BMC Public Health, 24(1), 3511. https://doi.org/10.1186/s12889-024-21095-3
Keen, F., Bhukya, B., & Evans, L. M. (2024). Social Media in the Management of Obesity and Diabetes: An Underutilised Population Educational Tool. Diabetes Therapy, 15(6), 1255–1260. https://doi.org/10.1007/s13300-024-01597-4
Kickbusch, I., Piselli, D., Agrawal, A., Balicer, R., Banner, O., Adelhardt, M., Capobianco, E., Fabian, C., Gill, A. S., & Lupton, D. (2021). The Lancet and Financial Times Commission on governing health futures 2030: growing up in a digital world. The Lancet, 398(10312), 1727–1776. https://doi.org/10.1016/S0140-6736(21)01824-9
Knock, M., Carpenter, D. M., Thomas, K. C., Lee, C., Adjei, A., Lowery, J., Coyne, I., Garcia, N., & Sleath, B. (2024). Disseminating a health information website to teens using a three-pronged approach with social media outreach. PEC Innovation, 4, 100288. https://doi.org/https://doi.org/10.1016/j.pecinn.2024.100288
König, L., & Suhr, R. (2023). The effectiveness of publicly available web-based interventions in promoting health app use, digital health literacy, and media literacy: pre-post evaluation study. Journal of Medical Internet Research, 25, e46336. https://doi.org/10.2196/46336
Kreps, G. L. (2017). The relevance of health literacy to mHealth. Information Services and Use, 37(2), 123–130. https://doi.org/10.3233/ISU-170828
Luo, Y., Maafs‐Rodríguez, A. G., & Hatfield, D. P. (2024). The individual‐level effects of social media campaigns related to healthy eating, physical activity, and healthy weight: A narrative review. Obesity Science & Practice, 10(1), e731. https://doi.org/10.1002/osp4.731
Maas, V. Y. F., Blanchette, L. M. G., van Amstel, W., Franx, A., Poels, M., & Koster, M. P. H. (2022). A social marketing strategy to promote preconception care: development of the Woke Women strategy. Journal of Social Marketing, 12(2), 154–173. https://doi.org/10.1108/JSOCM-07-2021-0151
Mesko, B. (2022). The Digital Health Revolution. Webicina Publishing.
Morley, J., Machado, C. C. V, Burr, C., Cowls, J., Joshi, I., Taddeo, M., & Floridi, L. (2021). The Ethics of AI in Health Care: A Mapping Review BT - Ethics, Governance, and Policies in Artificial Intelligence (L. Floridi (ed.); pp. 313–346). Springer International Publishing. https://doi.org/10.1007/978-3-030-81907-1_18
Nazari, A., Ataei, R., Heydarifard, Z., & Mousavi, A. (2026). Social media-based interventions for improving vaccine uptake, reducing hesitancy, and combating misinformation: a comprehensive systematic review and meta-analysis of RCT. BMC Public Health, 26(1), 1484. https://doi.org/10.1186/s12889-026-27159-w
Paakkari, L., & Okan, O. (2020). COVID-19: health literacy is an underestimated problem. The Lancet Public Health, 5(5), e249–e250. https://doi.org/10.1016/S2468-2667(20)30086-4
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Implementation, 19(1), 3–10. https://doi.org/10.1097/XEB.0000000000000277
Powell, J., & Pring, T. (2024). The impact of social media influencers on health outcomes: Systematic review. Social Science & Medicine, 340, 116472. https://doi.org/https://doi.org/10.1016/j.socscimed.2023.116472
Raeside, R., Jia, S. S., Todd, A., Hyun, K., Singleton, A., Gardner, L. A., Champion, K. E., Redfern, J., & Partridge, S. R. (2024). Are Digital Health Interventions That Target Lifestyle Risk Behaviors Effective for Improving Mental Health and Wellbeing in Adolescents? A Systematic Review with Meta-analyses. Adolescent Research Review, 9(2), 193–226. https://doi.org/10.1007/s40894-023-00224-w
Raharjo, A., Januar Ariyanto, & Farahul Jannah. (2025). Essential Competencies of Public Health Professionals in Disaster Management: A Scoping Review. Advances in Healthcare Research, 3(2 SE-Articles), 80–102. https://doi.org/10.60079/ahr.v3i2.505
Rahelić, V., Perković, T., Romić, L., Perković, P., Klobučar, S., Pavić, E., & Rahelić, D. (2024). The role of behavioral factors on chronic diseases—Practice and knowledge gaps. Healthcare, 12(24), 2520. https://doi.org/10.3390/healthcare12242520
So, B., & Kwon, K. H. (2024). Combined benefits of active and passive social media during the COVID-19 pandemic: a health perspective. Global Knowledge, Memory and Communication, 74(9–10), 3292–3317. https://doi.org/10.1108/GKMC-05-2023-0158
Sun, M., & Dong, X. (2024). Factors influencing correction upon exposure to health misinformation on social media: the moderating role of active social media use. Online Information Review, 48(7), 1313–1330. https://doi.org/10.1108/OIR-09-2023-0505
Wishart, T. E., DeMars, D., & McKinley, G. P. (2022). The self appreciation project: An exploratory study of social media for youth mental health promotion. Mental Health & Prevention, 28, 200248. https://doi.org/https://doi.org/10.1016/j.mhp.2022.200248
World Bank. (2024). Digital Development Overview Report.
Xiao, X., Wong, R. M., & Yang, W. (2024). Effectiveness of video-based health promotion: A systematic review and meta-analysis. Patient Education and Counseling, 119, 108095. https://doi.org/https://doi.org/10.1016/j.pec.2023.108095
Xie, W., Kang, C., Xu, L., Cheng, H., & Dai, P. (2024). Study on the quality evaluation of mobile social media health information and the relationship with health information dissemination. Information & Management, 61(3), 103927. https://doi.org/https://doi.org/10.1016/j.im.2024.103927
Xue, X., Ma, H., Zhao, Y. (Chris), Zhu, Q., & Song, S. (2024). Mitigating the influence of message features on health misinformation sharing intention in social media: Experimental evidence for accuracy-nudge intervention. Social Science & Medicine, 356, 117136. https://doi.org/https://doi.org/10.1016/j.socscimed.2024.117136
Zimmermann, E., & Tomczyk, S. (2025). Using Social Media to Promote Life Skills Among Adolescents: A Debate on Opportunities, Challenges, and Implications for Health and Education. Journal of Prevention, 46(2), 201–211. https://doi.org/10.1007/s10935-025-00826-1