Second-level effects in health promotion
The articles for today cite Sproull and Kiesler's (1991) theory on two levels of consequence of new technologies. They state that the second-level effects (the unanticipated, unintended changes resulting from the efficiency effects of new technology), are usually more important than the first-level effect (efficiency). This certainly fits into much of the analysis we've done so far -- in communities and health care, for instance. I wonder though, as Brown, Maycock, and Burns investigate implications for sexual health promotion interventions, whether this theory also plays into how interventions are addressed. That is, if second-level effects are more important in how technology is used, are interventions taking this into consideration? Also, what second-level effects might the interventions themselves have, especially if they are employing new technology?