Computer-Mediated Communication in Adults With and Without Moderate-to-Severe Traumatic Brain Injury: Survey of Social Media Use.
Computer-Mediated Communication in Adults With and Without Moderate-to-Severe Traumatic Brain Injury: Survey of Social Media Use.
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DOI：
10.2196/26586
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发表时间：
2021-08-27
影响因子：
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通讯作者：
Duff MC
中科院分区：
文献类型：
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作者：
Morrow EL;Zhao F;Turkstra L;Toma C;Mutlu B;Duff MC
有创伤性脑损伤（TBI）史的人报告说，与未受伤的同龄人相比，他们的社会接触更少，社会参与更少，社会隔离更严重。认知沟通障碍可能会阻止TBI患者获得计算机介导的沟通所提供的社交联系机会，因为TBI患者报告社交媒体的整体使用率低于未受伤的同龄人，并且在可访问性和可用性方面存在重大挑战。虽然存在针对运动和感觉障碍的个人的适应性以支持社交媒体的使用，但没有类似的进步来支持认知障碍的个人，例如一些TBI患者所表现出的那些。在这项研究中，我们采取了初步的步骤，在发展过程中，通过学习更多关于社交媒体的使用模式在个人TBI以及他们的投入和优先发展社交媒体的适应。本研究旨在描述TBI成年人如何以及为什么使用社交媒体和计算机介导的沟通平台，评估脑损伤后计算机介导的沟通变化，并从TBI患者中征求建议，以改善受伤后对社交媒体的访问。我们对53名有中重度TBI慢性史的个体和一组人口统计学匹配的51名未受伤的对照同龄人进行了一项基于网络的调查。两组中超过90%的参与者在至少一个计算机媒介通信平台上拥有账户，Facebook和Facebook Messenger是两组中最受欢迎的平台。有和没有TBI病史的参与者报告说，他们使用Facebook的方式比积极，他们最经常与亲密的朋友和家人保持基于网络的关系。然而，TBI的参与者报告说，他们使用同步视频会议平台，与网络上的熟人联系，或使用社交媒体作为离线社交联系的网关（例如，查找事件）的频率低于未受伤的对照参与者。在TBI的参与者中，23%（12/53）报告了由脑损伤引起的社交媒体使用模式的变化，并将可访问性，安全性和可用性列为主要障碍。虽然TBI患者在健康比较的情况下保持社交媒体账户，但有些人可能不会以促进社交联系的方式使用它们。因此，重要的是要设计社交媒体适应性，以满足TBI患者的需求和优先事项，这样他们也可以从这些平台提供的社交联系中获益。通过将以计算机为媒介的交流视为个人更广泛的社会健康的一部分，我们可以以一种有意义、积极和有益于更广泛社会生活的方式增加基于网络的参与。
Individuals with a history of traumatic brain injury (TBI) report fewer social contacts, less social participation, and more social isolation than noninjured peers. Cognitive-communication disabilities may prevent individuals with TBI from accessing the opportunities for social connection afforded by computer-mediated communication, as individuals with TBI report lower overall usage of social media than noninjured peers and substantial challenges with accessibility and usability. Although adaptations for individuals with motor and sensory impairments exist to support social media use, there have been no parallel advances to support individuals with cognitive disabilities, such as those exhibited by some people with TBI. In this study, we take a preliminary step in the development process by learning more about patterns of social media use in individuals with TBI as well as their input and priorities for developing social media adaptations. This study aims to characterize how and why adults with TBI use social media and computer-mediated communication platforms, to evaluate changes in computer-mediated communication after brain injury, and to elicit suggestions from individuals with TBI to improve access to social media after injury. We conducted a web-based survey of 53 individuals with a chronic history of moderate-to-severe TBI and a demographically matched group of 51 noninjured comparison peers. More than 90% of participants in both groups had an account on at least one computer-mediated communication platform, with Facebook and Facebook Messenger being the most popular platforms in both groups. Participants with and without a history of TBI reported that they use Facebook more passively than actively and reported that they most frequently maintain web-based relationships with close friends and family members. However, participants with TBI reported less frequently than noninjured comparison participants that they use synchronous videoconferencing platforms, are connected with acquaintances on the web, or use social media as a gateway for offline social connection (eg, to find events). Of the participants with TBI, 23% (12/53) reported a change in their patterns of social media use caused by brain injury and listed concerns about accessibility, safety, and usability as major barriers. Although individuals with TBI maintain social media accounts to the same extent as healthy comparisons, some may not use them in a way that promotes social connection. Thus, it is important to design social media adaptations that address the needs and priorities of individuals with TBI, so they can also reap the benefits of social connectedness offered by these platforms. By considering computer-mediated communication as part of individuals’ broader social health, we may be able to increase web-based participation in a way that is meaningful, positive, and beneficial to broader social life.