Examining Social Media Experiences and Attitudes Toward Technology-Based Interventions for Reducing Social Isolation Among LGBTQ Youth Living in Rural United States: An Online Qualitative Study.
Examining Social Media Experiences and Attitudes Toward Technology-Based Interventions for Reducing Social Isolation Among LGBTQ Youth Living in Rural United States: An Online Qualitative Study.
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DOI：
10.3389/fdgth.2022.900695
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发表时间：
2022
影响因子：
--
通讯作者：
Rollman, Bruce L.
中科院分区：
文献类型：
--
作者：
Escobar-Viera, Cesar G.;Choukas-Bradley, Sophia;Sidani, Jaime;Maheux, Anne J.;Roberts, Savannah R.;Rollman, Bruce L.
生活在农村地区的女同性恋、男同性恋、双性恋、变性人和酷儿（LGBTQ）青年感到孤立，他们患抑郁症和自杀的风险很高。由于缺乏线下社区的支持，许多生活在农村的LGBTQ青年转向社交媒体寻求社会支持。在这项定性研究中，我们研究了农村LGBTQ青年的社交媒体体验和对基于技术的干预措施的态度，以减少感知的孤立。在2020年春季，我们对生活在美国农村地区的14-19岁LGBTQ青年进行了在线访谈，他们对社会孤立感进行了积极的筛选（n = 20; 11名顺性别性少数群体，9名跨性别者）。访谈检查了（1）支持性社交媒体体验，（2）改善社交媒体体验的个人策略，以及（3）对潜在数字干预提供模式的看法。采用专题分析法对数据进行分析。与支持性内容和互动相关的主题包括：（1）社交媒体上LGBTQ群体的积极代表性和与LGBTQ群体的联系很重要;（2）来自有共同经历的人的内容让人感到支持，（3）缺乏对自己经历的反馈是孤立的。关于改善社交媒体体验的个人策略，主题是（1）选择与不同受众联系的平台有助于获得更愉快的社交媒体体验，以及（2）一些社交媒体平台功能可以帮助获得更安全的社交媒体体验。青少年讨论了通过移动的应用程序、社交媒体页面或群组、对话代理（聊天机器人）和专用网站进行干预的优点和缺点。查看LGBTQ群体的积极代表性和与LGBTQ群体的联系，来自人们分享经验的内容，以及利用各种平台功能来增加积极联系的可能性，是这个群体积极的社交媒体体验的关键。结合交付模式是让农村LGBTQ青年参与数字交付支持干预措施以减少孤立感的关键。我们的研究结果为未来的干预研究和关于提供者和农村LGBTQ患者之间健康的社会决定因素的对话提供了信息。
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth living in rural areas who feel isolated are at high risk of depression and suicidality. Given the lack of support in their offline communities, many rural-living LGBTQ youth turn to social media for social support. In this qualitative study, we examined rural LGBTQ youth's social media experiences and attitudes toward technology-based interventions for reducing perceived isolation. In Spring 2020, we conducted online interviews with LGBTQ youth aged 14-19, living in rural areas of the United States, who screened positive for perceived social isolation (n = 20; 11 cisgender sexual minority, 9 transgender). Interviews examined (1) supportive social media experiences, (2) personal strategies to improve social media experiences, and (3) perspective on potential digital intervention delivery modalities. Data were analyzed using thematic analysis. Related to supportive content and interactions, themes included (1) positive representation of and connecting with LGBTQ groups on social media are important; (2) content from people with shared experience feels supportive, and (3) lack of feedback to one's experiences is isolating. Regarding personal strategies to improve social media experiences, themes were (1) selecting platforms to connect with different audiences helps make for a more enjoyable social media experience, and (2) several social media platform features can help make for a safer social media experience. Youth discussed advantages and disadvantages of intervention delivery via a mobile app, social media pages or groups, conversational agents (chatbots), and a dedicated website. Viewing positive representation of and connecting with LGBTQ groups, content from people shared experiences, and utilizing a wide array of platform features to increase the likelihood of positive connections are key to a positive social media experience among this group. Combining delivery modalities is key to engaging rural-living LGBTQ youth in digitally delivered support interventions to reduce perceived isolation. Our results inform future intervention research and conversations about social determinants of health between providers and rural LGBTQ patients.
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影响因子：
5.2
作者：
Charmaraman L;Hodes R;Richer AM
通讯作者：
Richer AM
影响因子：
5.2
作者：
Batterham, Philip J.;Calear, Alison L.
通讯作者：
Calear, Alison L.
DOI：
10.1016/j.invent.2021.100428
发表时间：
2021-09
期刊：
Internet interventions
影响因子：
--
作者：
Escobar-Viera CG;Melcher EM;Miller RS;Whitfield DL;Jacobson-López D;Gordon JD;Ballard AJ;Rollman BL;Pagoto S
通讯作者：
Pagoto S
影响因子：
4.9
作者：
Curtis, Alexa C.;Waters, Catherine M.;Brindis, Claire
通讯作者：
Brindis, Claire
影响因子：
3.5
作者：
Hahn, Elizabeth A.;DeVellis, Robert F.;Cella, David
通讯作者：
Cella, David