Leveraging Latinx Adolescents, Photovoice, and Longitudinal Data to Disentangle the Bidirectional Effects of Social Media and Mental Health

利用拉丁裔青少年、照片语音和纵向数据来理清社交媒体和心理健康的双向影响

• 批准号: 10815147
• 负责人: Melissa Juliana DuPont
• 金额: $ 30.93万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-04 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10815147
• 关键词: Accountability; Address; Adolescence; Adolescent; Age; Anxiety Disorders; Archives; Asian; Attention; Awareness; Behavior; Belief; Black race; COVID-19; Clip; Communities; Cross-Sectional Studies; Culture Media; Data; Databases; Depressed mood; Diffusion; Eating Disorders; Ensure; Equity; Ethnic Population; Evaluation; Exposure disparity; Exposure to; Family; Feeling hopeless; Gender; Glean; Goals; Hate; Health Status; Heterogeneity; Individual; Instagram; Internet; Intervention; Interview; Knowledge; Label; Language; Latino; Latino Population; Latinx; Longterm Follow-up; Measurement; Measures; Mediation; Mediator; Mental Depression; Mental Health; Mental disorders; Mental health promotion; Methodology; Methods; Modeling; Mood Disorders; Outcome; Participant; Pathway interactions; Patient Recruitments; Policies; Population; Privatization; Prospective cohort; Prospective, cohort study; Qualitative Methods; Race; Randomized; Recommendation; Reporting; Research; Role; Safety; Sampling; Sampling Studies; Scanning; Self Perception; Shapes; Social Network; Social support; Source; Specific qualifier value; Speech; Stigmatization; Students; Surgeon; Surveillance Methods; Survey Methodology; Surveys; Symptoms; Target Populations; Technology; Testing; TikTok; Time; Twitter; United States; Youth; age group; cohesion; cohort; community based participatory research; critical period; cultural competence; cyberbullying; design; experience; experimental study; health equity; help-seeking behavior; improved; innovation; insight; intervention mapping; new technology; novel strategies; peer; preference; programs; racial population; reduce symptoms; social culture; social group; social influence; social media; social stigma; success; suicidal; symptom management; theories; trend

PROJECT SUMMARY/ABSTRACT We propose a two-part integrated mixed-methods project to help improve our understanding of the social media landscape for adolescents, especially those with mental illnesses, and further accountability of new technology. Research has documented a concurrent adolescent mental health crisis with mixed effects of the potential role of social media: social media has become an important source of mental health information for the public yet unsafe content is also prevalent such as stigma, cyber-bullying, and hate speech. Efforts designed to study social media have produced only limited success owing to how social media data is dynamic and unique for each user and privately owned/managed in the tech sector; no national/public archive exists. Further, web-scraping methods (e.g., Twitter API) do not yield representative or random samples for study, and web-scraping and survey methods are not yet available for the most popular apps among adolescents of Instagram, Snapchat, and TikTok, or for capturing content in Spanish, limiting both internal and external validity. Extant efforts are thus incongruent with how Latino adolescents use social media more than all other race/ethnic and age groups in the U.S. New approaches are needed that address these methodological problems in a comprehensive fashion that is informed by research and suited to the ecological context surrounding diverse adolescent populations. Responding to this critical need, the proposed project seeks a rigorous test, with long term follow-up, participatory approaches, and both quantitative and qualitative methods. Also, to gain new causal insights and further mental health equity goals, this project focuses on Latinos ages 13-20 to leverage natural counterfactual contexts across their diverse language/cultural social media exposure. Specifically, we will examine the effects of exposure to mental health promoting (Aim 1) and pejorative (Aim 2) content encountered on social media on mental health status, and how this relationship operates via proposed mediators of mental illness stigma, self-perceptions, and help-seeking. Moderation by individual (e.g., age, gender, race), family (e.g., cohesion), and peer (e.g., social support) factors will be assessed, and by mental health status to identify directionality (Aim 3). Achieved in two parts, Part 1 is a prospective cohort design (N=1200) of three biweekly assessments of social media use and its mental health content, potential mediators, modifiers/covariates, and mental health status. Part 2 involves Youth Participatory Action Research (N=50) with SocialsVoice, an adaptation of PhotoVoice, to glean a culturally relevant social media database for community-based analysis. The generated knowledge from the evaluation of data in Parts 1-2 will together inform recommendations for intervention by identifying specific problems and target populations with respect to social media and mental health, cuing how to best leverage the strengths of adolescent ecological contexts to innovatively promote mental health. The proposed project and team to implement it will provide public mental health with critical new knowledge it sorely needs to inform programs, policies, and practices concerning the safety and utility of social media as it relates to population mental health.

项目摘要/摘要 我们提出了一个两部分的综合混合方法项目，以帮助提高我们对社会媒体的理解 该报告还强调了为青少年，特别是患有精神疾病的青少年提供健康和安全环境的重要性，以及新技术的进一步问责。 研究记录了一个并发的青少年心理健康危机的潜在作用的混合影响 社交媒体：社交媒体已成为公众心理健康信息的重要来源， 不安全的内容也很普遍，如污名化、网络欺凌和仇恨言论。旨在研究 社交媒体只取得了有限的成功，这是因为社交媒体数据是动态的，对每个人来说都是独一无二的。 用户和私人拥有/管理的技术部门;不存在国家/公共档案。此外，网页抓取 方法（例如，Twitter API）不产生代表性或随机样本用于研究， 调查方法尚未提供最流行的应用程序之间的青少年Instagram，Snapchat，和 TikTok，或用于捕获西班牙语内容，限制内部和外部有效性。现有的努力， 与拉丁裔青少年使用社交媒体的方式不一致，而不是所有其他种族/民族和年龄组 美国需要采取新的办法，全面解决这些方法问题， 通过研究获得信息，并适合不同青少年群体周围的生态环境。 为了满足这一关键需求，拟议的项目寻求进行严格的测试，长期跟踪，参与性 方法，以及定量和定性方法。此外，为了获得新的因果见解和进一步的心理 健康公平的目标，该项目的重点是拉丁美洲人年龄13-20利用自然反事实的背景下， 他们的多元语言/文化社交媒体曝光。具体来说，我们将检查接触以下物质的影响 社交媒体上关于心理健康的促进（目标1）和贬低（目标2）内容 状态，以及这种关系如何通过拟议的精神疾病污名，自我认知， 寻求帮助由个人进行调节（例如，年龄、性别、种族），家庭（例如，内聚性），以及对等体（例如，社会 支持）因素进行评估，并根据精神健康状况确定方向性（目标3）。实现在两个 第1部分是一项前瞻性队列设计（N=1200），对社交媒体使用及其 心理健康内容、潜在介体、修饰符/协变量和心理健康状况。第二部分涉及青年 与SocialsVoice（一种改编的PhotoVoice）进行的前瞻性行动研究（N=50）， 相关的社会媒体数据库，用于社区分析。从评估中产生的知识 第1-2部分的数据将通过确定具体问题和目标，为干预建议提供信息。 在社交媒体和心理健康方面，提示如何最好地利用 青少年生态环境，以创新的方式促进心理健康。拟议的项目和团队， 实施它将为公众心理健康提供急需的重要新知识， 有关社会媒体的安全和效用的政策和做法，因为它与人口心理健康有关。