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The Power of Collective Endorsements Credibility Factors in Medical Crowdfunding Campaigns Jennifer G. Kim, Ha Kyung Kong, Karrie Karahalios, Wai-Tat Fu University of Illinois at Urbana-Champaign Hwajung Hong Ulsan National Institute of Science and Technology

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Page 1: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

The Power of Collective Endorsements!Credibility Factors in Medical Crowdfunding Campaigns!

Jennifer G. Kim, Ha Kyung Kong, Karrie Karahalios, Wai-Tat Fu University of Illinois at Urbana-Champaign

Hwajung Hong Ulsan National Institute of Science and Technology

Page 2: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

62% of bankruptcies in the U.S. were a result of medical expenses.

- Himmelstein et al. 2009!

Page 3: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Julia Hellions Mariah’s family and friends are uniting to raise money to help her with her medical battles from her accident.!On 5/29/14 my daughter Mariah was struck by a car while she walking from home after taking her year end Biology test. She was brought to the hospital with internal bleeding,!

Page 4: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Julia Hellions Mariah’s family and friends are uniting to raise money to help her with her medical battles from her accident.!On 5/29/14 my daughter Mariah was struck by a car while she walking from home after taking her year end Biology test. She was brought to the hospital with internal bleeding,!

Medical crowdfunding campaigns helped prevent 3.9 percent of medical

bankruptcies across the U.S. - Burtch et al. 2014!

Page 5: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Julia Hellions Mariah’s family and friends are uniting to raise money to help her with her medical battles from her accident.!On 5/29/14 my daughter Mariah was struck by a car while she walking from home after taking her year end Biology test. She was brought to the hospital with internal bleeding,!

Goal

Fundraising Pitch

Sharing

Page 6: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Donor’s name, Donation amount, & Personal comment

Page 7: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Donor’s name, Donation amount, & Personal comment

Page 8: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!
Page 9: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

17 year-old Magic player, Mariah was struck by a car and sustained spinal injuries rendering her unable to walk. Here’s the story and how you can help.

(giveforward.com)

Some of the things that are largely out-of-pocket are: making the home wheelchair accessible and a wheelchair accessible vehicle. […] Take a look at your policy and see how many days you’re allowed to be in the ICU before they stop paying.

I wish the site had more information on why this is going to cost $75,000 out of pocket. As someone who’s 17, she should be covered under her parent’s medical insurances, at very least. […] It feels sketchy just pouring money into this fund.

Let me find the news link that explains what witnesses saw. KIRO Tv article She was on the sidewalk, walking in the same direction as the car. […]

Was it a hit and run? Was she attempting to jay-walk and hit?

Page 10: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!
Page 11: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Investigate credibility factors determining how people judge the authenticity of medical crowdfunding campaigns

Goal

Page 12: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Charitable Organizations

Online Information

Related Work

Credibility

Page 13: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Charitable Organizations

Related Work

Morris et al. CSCW 12 !

Du et al. ACIS 15!

Credibility

Kittur et al. CSCW 08 Pirolli et al. CHI 09!

Fogg et al. CHI 01!

Page 14: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Charitable Organizations

Related Work

CSCW 12 !

CSCW 08 & CHI 09!

CHI 01!The fundraiser’s expertise is not relevant to the

trustworthiness of the campaign.

Credibility

Page 15: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Related Work

CSCW 12 !

CSCW 08 & CHI 09!

CHI 01!The fundraiser’s expertise is not relevant to the

trustworthiness of the campaign.

Credibility

Charity watch dog!

Celebrity endorsements!

Beneficiary’s correspondence!

Page 16: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Related Work

CSCW 12 !

CSCW 08 & CHI 09!

CHI 01!Personal online fundraising can

NO longer rely on an organization’s

credibility.

The fundraiser’s expertise is not relevant to the

trustworthiness of the campaign.

Credibility

Page 17: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Research Question What are the factors that influence perceived credibility in online medical crowdfunding campaigns?

Potential donors who personally do not know the beneficiary

Page 18: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Publicly Shared Medical Crowdfunding Campaigns

My friend was fired for being with his son in the ICU instead of at work. They are asking for help.

Help my friend with his fight against his brain tumor. Please show your support! https://www.youcaring.com/joab-cancer-fight-fund

I'm raising money for Mike cancer treatment. Click to Donate: https://t.co/OD0kMw

(giveforward.com)

This looks very much like a scam. FMLA should cover this.

All 2 comments

Is there a solidarity network down there that can start making a stink about this?

Page 19: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Mixed-methods Study

1,830 comments 20 participants

Semi-structured interviews

Reddit comment analysis

NOT associated with reddit comments

Credibility Factors

Page 20: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

149 comments criticizing credibility

Reddit Comment Analysis

Credibility Factors

A family friend was in a car accident without insurance, anything you can give helps.

1,830 comments

Medical keywords

1542 reddit threads crowdfunding sites

618 reddit threads medical campaigns

I was going to donate but got thrown off by the 50,000 goal. It seems suspicious. How do we know this is a legitimate fundraiser? This link lacks information.

Page 21: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

20 participants (10 females, mean age = 28)

Semi-structured Interviews

Credibility evaluation using medical crowdfunding campaigns

Cancer Cancer Leukemia

Familiar with medical crowdfunding campaigns

Car Accident

Car Accident

Car Accident

Page 22: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Results

Page 23: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

External financial support Offsite verification details Realistic funding goals Redundancy Beneficiary merit Identity verification

Updates Personal comments Lower expectations in professionalism

Appropriate emotion

Credibility Factors

Reasoning Factors

Communicative Factors

Emotional Factor

Detail information

Personal and authentic relationships

Page 24: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Reasoning Factors

External financial support

Realistic funding goals

Redundancy in campaign

Beneficiary merit Fundraiser and beneficiary

Online Information Credibility Factors

Comprehensiveness

Plausibility of information

External links to reputable sites

Author qualification & identification

description, multimedia, & external resources

identity verification

Offsite verification details

Page 25: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

“Can you post more details? This looks very

much like a scam. FMLA should cover this: http://www.dol.gov/compliance/laws/comp-fmla.htm”

Off-Site Verification Details (Reddit: 21%, Interview: 55%)

Reasoning

Communicative

Emotional

Page 26: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Fundraiser and Beneficiary Identity Verification (Reddit: 19%, Interview 85%)

“It’s only about her aunt. No word

from [the beneficiary] herself.” (P11)

Reasoning

Communicative

Emotional

Page 27: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Redundancy in Campaign Description, Multimedia, & External Resources (Reddit: 17%, Interview: 90%)

Campaign webpage

Reasoning

Communicative

Emotional

Links to a news article Links to Facebook photo

Injured cyclist talks about crash that cost him his leg

Page 28: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Redundancy in Campaign Description, Multimedia, & External Resources (Reddit: 17%, Interview: 90%)

Reasoning

Communicative

Emotional

External Links

Consistency

Multimedia

Fundraising Pitch

Page 29: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Reasoning Factors

Communicative Factors

Emotional Factor

Page 30: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Updates (Interview: 75%)

Communicative

Emotional

Reasoning

Page 31: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

“Johnny is a total inspiration to my son whom he instructed

with Master Fatima. My family

and I went to all his fights in

Chicago to support him.”

Personal Comments from Close Friends (Interview: 70%)

Communicative

Emotional

Reasoning

Page 32: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Lower Expectations in Professionalism (Interview: 70%)

My daughter was struck by car while she walking from home

after taking her year and biology test. She was brought to the

hospital with internal bleeding, multiple frectures, and needed

immediate surgery.

a was

fractures

end

“Your level of education and your ability to write has no bearing on

the right to your medical care and

need for financial assistance.” (P1)

Communicative

Emotional

Reasoning

an

Page 33: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

“If you are so emotional and in a sad situation,

how can you have time to make such a good video?

A high quality video seems sketchy.” (P15)

Communicative

Emotional

Reasoning

Lower Expectations in Professionalism (Interview: 70%)

Page 34: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Appropriate Level of Emotions (Interview: 45%)

Too much emotion Lack of emotion

Communicative

Emotional

Reasoning

Page 35: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Too much emotion

Lack of emotion

“inappropriate”

Communicative

Emotional

Reasoning

Appropriate Level of Emotions (Interview: 45%)

Page 36: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Too much emotion

Lack of emotion

“a template for scam”

Communicative

Emotional

Reasoning

Appropriate Level of Emotions (Interview: 45%)

Page 37: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Too much emotion Lack of emotion “a template for scam” “inappropriate”

Communicative

Emotional

Reasoning

Appropriate Level of Emotions (Interview: 45%)

Page 38: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

How can we signal credibility in medical crowdfunding campaigns?

Page 39: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Collective Endorsements Personal messages + online community discussion

Help Alistair!

become an online watchdog

Fundraising Instagram photos

online community discussion

Team Alistair’s Community

David Blumer

Mary Kathleen

A cyclist lost his leg after uninsured pickup truck turned into him. Let’s help him out! all 29 comments

Twitter photo

Alistair continues to astound with his positive attitude!

$100 David Blumer Glad to have been your customer for almost 20 years. You treat everyone like family!

Page 40: The Power of Collective Endorsements - Illinoissocial.cs.uiuc.edu/papers/endorsements-chi16.pdfThe Power of Collective Endorsements! Credibility Factors in Medical Crowdfunding Campaigns!

Thank you!

Jennifer G. Kim ([email protected]) Ha Kyung Kong Karrie Karahalios Wai-tat Fu Hwajung Hong