The Contribution of Instagram Influencers to Medication Literacy: A Digital Communication Perspective 44 26
DOI:
https://doi.org/10.26623/themessenger.v18i2.12780Keywords:
Health Education, Digital Communication, the 4C Concepts of Social Media CommunicationAbstract
Purpose: This study investigates the role of pharmacist-influencer Rinaldi Nur Ibrahim (@rinaldi_ni) in promoting medication literacy among Indonesian society through digital communication on Instagram. The increasing prevalence of self-medication and difficulties in interpreting medication-use instructions highlight the need for accessible and credible medication information.
Methods: This study employed a qualitative approach using a descriptive case study method. Data were collected through in-depth interviews with Rinaldi, the communicator and account owner, and non-participant observation of his Instagram activities and content.
Findings: The findings indicate that Rinaldi applies the 4C concepts of social media communication: Context, Communication, Collaboration, and Connection. His content addresses current health issues using accessible language and communication styles that resonate with Generation Z. In contrast, collaborations with health institutions and other influencers strengthen credibility and audience reach. Although audience interaction remains largely one-way, particularly in comment sections, direct messages and broadcast channels support closer relationships with followers.
Originality: This study offers a novel communication perspective by examining pharmacist-influencer communication for medication literacy and safe self-medication through Instagram using the 4C framework. Unlike previous studies focusing on consumer behavior, beauty products, general health literacy, or disease-specific campaigns, this study connects professional pharmaceutical expertise with digital influencer communication in the Indonesian context. It demonstrates how the 4C framework supports accessible, credible, and engaging medication information for younger audiences.
Downloads
References
Abdoh, E. (2022). Online health information seeking and digital health literacy among information and learning resources undergraduate students. Journal of Academic Librarianship, 48(6), 102603. https://doi.org/10.1016/j.acalib.2022.102603
Abrol, A., Neely, S., & Viswanath, K. (2023). Communicating health literacy on prescription medications on social media. Journal of Medical Internet Research, 25(2), 46817. https://doi.org/10.2196/10131845
Aichner, T., Grünfelder, M., Maurer, O., & Jegeni, D. (2021). Twenty-Five Years of Social Media: A Review of Social Media Applications and Definitions from 1994 to 2019. Cyberpsychology, Behavior, and Social Networking, 24(4), 215–222. https://doi.org/10.1089/cyber.2020.0134
Alonzo, D., & Popescu, M. (2021). Utilizing social media platforms to promote mental health awareness and help seeking in underserved communities during the COVID-19 pandemic. Journal of Education and Health Promotion, 10(1), 1–6. https://doi.org/10.4103/jehp.jehp_21_21
Anisah, N., Sartika, M., & Kurniawan, H. (2021). Penggunaan media sosial instagram dalam meningkatkan literasi kesehatan pada mahasiswa. Jurnal Peurawi: Media Kajian Komunikasi Islam, 4(2), 94. https://doi.org/10.22373/jp.v4i2.11080
Bautista, J. R., Zhang, Y., & Gwizdka, J. (2021). Healthcare professionals’ acts of correcting health misinformation on social media. International Journal of Medical Informatics, 148(November 2020). https://doi.org/10.1016/j.ijmedinf.2021.104375
Bernardes, J. R., Mattoso, C. L. de Q., Bouzada, M. A. C., & Araujo, C. A. S. (2021). Vulnerability of poorly literate adult consumers regarding over-the-counter drugs. International Journal of Pharmaceutical and Healthcare Marketing, 15(2), 212–234. https://doi.org/10.1108/IJPHM-09-2019-0062
Bhandari, A., & Bimo, S. (2022). Why’s Everyone on TikTok Now? The Algorithmized Self and the Future of Self-Making on Social Media. Social Media and Society, 8(1). https://doi.org/10.1177/20563051221086241
Bílková, R., Horák, O., & Kopáčková, H. (2023). Multimedia content in online advertising: Insight into generation Z preferences. 2023 18th Iberian Conference on Information Systems and Technologies (CISTI), 1–6. https://doi.org/10.23919/CISTI58278.2023.10211583
Bishop, L. D., Drakes, D. H., Donnan, J. R., Rowe, E. C., & Najafizada, M. (2025). Exploring Youths’ Cannabis Health Literacy Post Legalization: A Qualitative Study. Journal of Adolescent Research, 40(1), 130–160. https://doi.org/10.1177/07435584221118380
Bonnevie, E., Rosenberg, S. D., Kummeth, C., Goldbarg, J., Wartella, E., & Smyser, J. (2020). Using social media influencers to increase knowledge and positive attitudes toward the flu vaccine. PLoS ONE, 15(10 October), 1–14. https://doi.org/10.1371/journal.pone.0240828
Brockhaus, J., Buhmann, A., & Zerfass, A. (2023). Digitalization in corporate communications: Understanding the emergence and consequences of CommTech and digital infrastructure. Corporate Communications: An International Journal, 28(2), 274–292. https://doi.org/10.1108/CCIJ-03-2022-0035
Brooks, G., Drenten, J., & Piskorski, M. J. (2021). Influencer Celebrification: How Social Media Influencers Acquire Celebrity Capital. Journal of Advertising, 50(5), 528–547. https://doi.org/10.1080/00913367.2021.1977737
Christanti, J., Setiadi, A., Setiawan, E., Presley, B., Halim, S., Wardhani, S., Sunderland, B., & Wibowo, Y. (2024). Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres. Community Health Equity Research & Policy, 44(3), 281–293. https://doi.org/10.1177/2752535X231184029
Crane, L. A., Asdigian, N. L., & Fitzgerald, M. D. (2023). Looking Cool, Doing Tricks, Managing Stress, and Nicotine Addiction: Youth Perspectives on Nicotine Vaping and Implications for Prevention. American Journal of Health Promotion, 37(7), 964–974. https://doi.org/10.1177/08901171231189560
Dib, F., Mayaud, P., Chauvin, P., & Launay, O. (2022). Online mis/disinformation and vaccine hesitancy in the era of COVID-19: Why we need an eHealth literacy revolution. Human Vaccines and Immunotherapeutics, 18(1), 1–3. https://doi.org/10.1080/21645515.2021.1874218
Enke, N., & Borchers., N. S. (2021). Social media influencers in strategic communication: A conceptual framework for strategic social media influencer communication. Routledge, 7–23. https://doi.org/10.4324/9781003181286-2
Fisher, C., Flew, T., Park, S., Lee, J. Y., & Dulleck, U. (2021). Improving Trust in News: Audience Solutions. Journalism Practice, 15(10), 1497–1515. https://doi.org/10.1080/17512786.2020.1787859
Fitzpatrick, P. J. (2023). Improving health literacy using the power of digital communications to achieve better health outcomes for patients and practitioners. Frontiers in Digital Health, 5(November), 1–13. https://doi.org/10.3389/fdgth.2023.1264780
George, Gabriel. (2023). Understanding your target audience by profiling a typical member (Teaching s). Cham: Springer International Publishing.
Gupta, S., Dash, S. B., & Mahajan, R. (2022). The role of social influencers for effective public health communication. Online Information Review, 46(5), 974–992. https://doi.org/10.1108/OIR-01-2021-0012
Hernowo, B., & Wibowo, F. W. (2025). Digital literacy in health education management for safe self-medication in the elderly. East Asian Journal of Multidisciplinary Research, 4(2), 943–952. https://doi.org/10.55927/eajmr.v4i2.48
Idelia, R. T., & Putranto, A. (2025). Dramaturgi Personal Branding Andika-Hendrar dalam Membangun Citra Politik Melalui Instagram (Studi Kasus Kontestasi Calon Pilgub Jateng 2024). Jurnal Indonesia : Manajemen Informatika Dan Komunikasi, 6(1), 750–759. https://doi.org/10.35870/jimik.v6i1.1315
Jacobson, K. L., Faughnan, J., Myers, L., Dubost, A., Courtade, L., von Lutcken, S., McCrary Sisk, C., Gregory, S., Cunningham, A., Gunther, C., & Wolf, M. S. (2021). An Innovative Health Literacy Approach Designed to Improve Patient Understanding of Medication Labeling. Therapeutic Innovation and Regulatory Science, 55(6), 1180–1192. https://doi.org/10.1007/s43441-021-00325-5
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). https://doi.org/10.1186/s12889-024-21095-3
Kaňková, J., Binder, A., & Matthes, J. (2025). Health-Related Communication of Social Media Influencers: A Scoping Review. Health Communication, 40(7), 1300–1313. https://doi.org/10.1080/10410236.2024.2397268
Kapitan, S., van Esch, P., Soma, V., & Kietzmann, J. (2022). Influencer Marketing and Authenticity in Content Creation. Australasian Marketing Journal, 30(4), 342–351. https://doi.org/10.1177/18393349211011171
Katz, M. N., & Nandi, N. (2020). Social Media in Medical Education Before and After The COVID-19 Pandemic: Scoping Review Table of Contents.
Khamis, R. M., & Geng, Y. (2020). Social Media Usage in Health Communication and Its Implications on Public Health Security: A Case Study of COVID-19 in Zanzibar. American Communication Journal, 22(2), 1–13. https://doi.org/10.30935/ojcmt/9575
Kim, H. (2022a). Keeping up with influencers: Exploring the impact of social presence and parasocial interactions on Instagram. International Journal of Advertising, 41(3), 414–434. https://doi.org/10.1080/02650487.2021.1886477
Kim, H. (2022b). Patient influencers’ promotion of prescription drugs on Instagram: Effects of illness disclosure on persuasion knowledge through narrative transportation. International Journal of Advertising, 41(8), 1541–1566. https://doi.org/10.1080/02650487.2022.2054614
Lauren, S., Saputri, H., & Magda, S. (2022). Analysis of the Use of Instagram as a Publication Media in Building a Brand Image of @Kurve.official. Budapest International Research and Critics Institute-Journal, 5(1), 1687–1696. https://doi.org/10.33258/birci.v5i1.3770
López, M. del P. A., Ong, B. A., Frigola, X. B., Fernández, A. L., Hicklent, R. S., Obeles, A. J. T., Rocimo, A. M., & Celi, L. A. (2023). Digital literacy as a new determinant of health: A scoping review. PLOS Digital Health, 2(10), 1–21. https://doi.org/10.1371/journal.pdig.0000279
Mackay, M., Colangeli, T., Gillis, D., McWhirter, J., & Papadopoulos, A. (2021). Examining social media crisis communication during early covid-19 from public health and news media for quality, content and corresponding public sentiment. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/ijerph18157986
Mahmoudi, A., Jemielniak, D., & Ciechanowski, L. (2024). Echo Chambers in Online Social Networks: A Systematic Literature Review. IEEE Access, 12, 9594–9620. https://doi.org/10.1109/ACCESS.2024.3353054
Miles, M. B., Huberman, A. M., & Saldaña, J. (2018). Qualitative data analysis: A methods sourcebook (4th ed.). SAGE Publications.
Mohammed, F., Al-Kumaim, N. H., Alzahrani, A. I., & Fazea, Y. (2023). The Impact of Social Media Shared Health Content on Protective Behavior against COVID-19. International Journal of Environmental Research and Public Health, 20(3). https://doi.org/10.3390/ijerph20031775
Mujianto, H., Nurhadi, Z. F., & Kharismawati, K. (2021). Instagram Sebagai Media Pembentuk Personal Branding. Commed : Jurnal Komunikasi Dan Media, 5(2), 154–169. https://doi.org/10.33884/commed.v5i2.3138
Mulitawati, I. M., & Retnasary, M. (2020). Strategi Komunikasi Pemasaran dalam Membangun Brand Image Melalui Sosial Media Instagram (Studi kasus deskriptif komunikasi pemasaran prodak polycrol forte melalui akun instagram @ahlinyaobatmaag). Komunikologi: Jurnal Pengembangan Ilmu Komunikasi Dan Sosial, 4(1), 23. https://doi.org/10.30829/komunikologi.v4i1.7616
Mustaqimah, N., & Rahmah, A. H. (2022). Peran Digital Influencer dalam Memberikan Edukasi Pemilihan Produk Kecantikan pada Akun Instagram @dr.richard_lee. Journal of Communication and Society, 1(01), 1–13. https://doi.org/10.55985/jocs.v1i01.10
Nascimento, I. J. B. Do, Pizarro, A. B., Almeida, J. M., Azzopardi-Muscat, N., Gonçalves, M. A., Björklund, M., & Novillo-Ortiz, D. (2022). Infodemics and health misinformation: A systematic review of reviews. Bulletin of the World Health Organization, 100(9), 544–561. https://doi.org/10.2471/BLT.21.287654
Oncioiu, I., Căpușneanu, S., Topor, D. I., Tamaș, A. S., Solomon, A. G., & Dănescu, T. (2021). Fundamental power of social media interactions for building a brand and customer relations. Journal of Theoretical and Applied Electronic Commerce Research, 16(5), 1702–1717. https://doi.org/10.3390/jtaer16050096
Pöyry, E., Pelkonen, M., Naumanen, E., & Laaksonen, S.-M. (2021). A call for authenticity: Audience responses to social media influencer endorsements in strategic communication. Social Media Influencers in Strategic Communication, 103–118. https://doi.org/10.1080/1553118X.2019.1609965
Pramestiningrum, A. R., & Sadono, T. P. (2022). Komunikasi visual: feeds instagram @yurezalina dalam membangun self-image. Relasi: Jurnal Penelitian Komunikasi, 02(03), 167–186. https://doi.org/10.69957/relasi.v2i03.461
Qureshi, M. A., Khaskheli, A., Qureshi, J. A., Raza, S. A., & Yousufi, S. Q. (2023). Factors affecting students’ learning performance through collaborative learning and engagement. Interactive Learning Environments, 31(4), 2371–2391. https://doi.org/10.1080/10494820.2021.1884886
Robinson, S., Jensen, K., & Dávalos, C. (2021). “Listening Literacies” as Keys to Rebuilding Trust in Journalism: A Typology for a Changing News Audience. Journalism Studies, 22(9), 1219–1237. https://doi.org/10.1080/1461670X.2021.1937677
Rozak, H. A., Adhiatma, A., Fachrunnisa, O., & Rahayu, T. (2023). Social Media Engagement, Organizational Agility and Digitalization Strategic Plan to Improve SMEs’ Performance. IEEE Transactions on Engineering Management, 70(11), 3766–3775. https://doi.org/10.1109/TEM.2021.3085977
Sadio, A. J., Gbeasor-Komlanvi, F. A., Konu, R. Y., Bakoubayi, A. W., Tchankoni, M. K., Bitty-Anderson, A. M., Gomez, I. M., Denadou, C. P., Anani, J., Kouanfack, H. R., Kpeto, I. K., Salou, M., & Ekouevi, D. K. (2021). Assessment of self-medication practices in the context of the COVID-19 outbreak in Togo. BMC Public Health, 21(1), 1–9. https://doi.org/10.1186/s12889-020-10145-1
Saputra, M. H., & Luthfi, M. (2023). Analysis of the Use of Social Media in Cyber Public Relations Activities of Pondok Darul Hijrah. Jurnal Komunikasi, 17(2), 128–137. https://doi.org/10.21107/ilkom.v17i2.21095
Sercu, L. (2024). Social Media Influencers, Health Literacy, and Food Literacy: A Correlational Study Among Adolescents. International Journal of Environmental Research and Public Health, 21(12). https://doi.org/10.3390/ijerph21121629
Setiadi, A. P., Wibowo, Y., Brata, C., Halim, S. V., Wardhani, S. A., & Sunderland, B. (2020). The role of pharmacists in community education to promote responsible self-medication in Indonesia: An application of the spiral educational model. International Journal of Clinical Pharmacy, 42(4), 1088–1096. https://doi.org/10.1007/s11096-020-01055-8
Sibbald, S. L., Paciocco, S., Fournie, M., Van Asseldonk, R., & Scurr, T. (2021). Continuing to enhance the quality of case study methodology in health services research. Healthcare Management Forum, 34(5), 291–296. https://doi.org/10.1177/08404704211028857
Siraj, E. A., Yayehrad, A. T., Kassaw, A. T., Kassahun, D., Solomon, E., Abdela, H., Gizachew, G., & Awoke, E. (2022). Self-Medication Prevalence and Factors Associated with Knowledge and Attitude Towards Self-Medication Among Undergraduate Health Science Students at GAMBY Medical and Business College, Bahir Dar, Ethiopia. Patient Preference and Adherence, Volume 16, 3157–3172. https://doi.org/10.2147/PPA.S390058
Susilo, A., Tresnawati, Y., Kresnowiati, W., & Listiani, E. (2022). Social Media and Government: The Effectiveness of Instagram as Socialization Media for Merdeka Belajar Kampus Merdeka (MBKM) Program by Ministry of Education and Culture, Republic of Indonesia. Asian Journal of Research in Education and Social Sciences, 4(2), 197–208. https://doi.org/10.55057/ajress.2022.4.2.17
Thapa, D. K., Visentin, D. C., Kornhaber, R., West, S., & Cleary, M. (2021). The influence of online health information on health decisions: A systematic review. In Patient Education and Counseling (Vol. 104, Issue 4). Elsevier Ireland Ltd. https://doi.org/10.1016/j.pec.2020.11.016
Volkow, N. D., & Blanco., C. (2023). Substance use disorders: A comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention. World Psychiatry, 22(2), 203–229. https://doi.org/10.1002/wps.21073
Walter, N., Brooks, J. J., Saucier, C. J., & Suresh, S. (2021). Evaluating the Impact of Attempts to Correct Health Misinformation on Social Media: A Meta-Analysis. Health Communication, 36(13), 1776–1784. https://doi.org/10.1080/10410236.2020.1794553
Wibowo, Y., Parsons, R., & Sunderland, B. (2020). The role of pharmacists in community education to promote responsible self-medication in Indonesia. International Journal of Clinical Pharmacy, 42(3), 807–815. https://doi.org/10.1007/s11096-020-01055-8
Wibowo, Y., Setiadi, A. P., Halim, S. V., Saputra, R. D., Oktavia, R., Irianti, R., Lestari, P. I., Puspitasari, C. R., & Sunderland, B. (2021). A pilot study of cadre training to promote responsible self‐medication in Indonesia: Which is better specific or general modules? Health & Social Care in the Community, 29(2), 554–563. https://doi.org/10.1111/hsc.13118
Willis, E., Friedel, K., Heisten, M., Pickett, M., & Bhowmick, A. (2023). Communicating Health Literacy on Prescription Medications on Social Media: In-depth Interviews With 'Patient Influencers.' Journal of Medical Internet Research, 25. https://doi.org/10.2196/41867
Yang, K., Hu, Y., & Qi, H. (2021). Digital Health Literacy: A Bibliometric Analysis Table of Contents.
Yonathan, A. (2025). Indonesia Jadi Negara Pengguna Instagram Tertinggi Ke-4 di Dunia. https://goodstats.id/article/indonesia-jadi-negara-pengguna-instagram-tertinggi-ke-4-di-dunia-lmY9h
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Fathiyyah Azizah, Reni Nuraeni

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright Notice
We declare that:
1. This paper has not been published in the same form elsewhere.
2. It will not be submitted anywhere else for publication prior to acceptance/rejection by this Journal.
3. A copyright permission is obtained for materials published elsewhere and which require this permission for reproduction.
The corresponding author signs for and accepts responsibility for releasing this material on behalf of any and all co-authors. This agreement is to be signed by at least one of the authors who have obtained the assent of the co-author(s) where applicable.
Retained Rights/Terms and Conditions
1. Authors retain all proprietary rights in any process, procedure, or article of manufacture described in the Work.
2. Authors may reproduce or authorize others to reproduce the work or derivative works for the authors personal use or for company use.
3. Although authors are permitted to re-use all or portions of the Work in other works, this does not include granting third-party requests for reprinting, republishing, or other types of re-use.



