IP5: The influence of informal network contacts on the everyday life integration of digital media for chronic disease self-management

背景：慢性病患者的日常自我管理和新的健康技术的使用高度依赖于与同伴、家人和朋友之间不同形式的人际交流。因此，将数字媒体融入慢性病自我管理的日常生活高度植根于患者的非正式网络中。已建立的理论(例如创新扩散、技术接受模型、技术接受和使用统一理论、移动电话专有模型)和关于卫生技术的采用和日常生活整合的现有研究证实了这一点。然而，这些非正式网络中的元通信的结构、内容和影响很少被详细研究。目的：IP5：Peers旨在(1)通过识别相关联系人来系统化日常生活的非正式网络结构将数字媒体整合到慢性病自我管理中；(2)分析元传播内容中的评估和解决的因素；(3)研究元传播对健康相关数字媒体的使用和健康结果的感知效果，综合来自人际、组织和社会层面的影响。工作计划：IP5：Peers将进行三项相互关联的研究：(1)将进行范围界定的文献综述，以收集关于元通信的结构、内容和效果的结果；(2)将使用以自我为中心的网络地图进行量化调查，1)哮喘/COPD和2)糖尿病患者，以确定相关Alteri、他们的属性，并将属性联系起来，收集有关内容和感知效果的知识。为了更好地了解其内在机制，(3)以自我为中心的网络地图的定性访谈将对研究2的部分患者样本进行，以进一步丰富和探索定量研究的结果。研究单位内的协作：IP5：同行将主要与IP4：医疗保健、IP6：组织、IP7：报告和IP8：社交媒体协作，并参与CG：持续使用、CG：预期价值理论和CG：网络方法。预期结果/贡献：这些结果将使我们能够更好地整合采纳和融合理论中的人际决定因素，并通过将以自我为中心的网络分析与用户调查和访谈相结合，有条不紊地为数字应对慢性病的元通信的经验研究做出贡献。最后，确定与私人影响有关的战略，为慢性病的自我管理提供了更全面、更可持续的干预战略。

Background: Daily routines of patients’ chronic disease self-management and usage of new health technologies highly depend on different forms of interpersonal communication with peers, family members, and friends. Thus, the everyday life integration of digital media in chronic disease self-management is highly embedded in the informal networks of patients. This is confirmed by established theories (e.g., Diffusion of Innovations, Technology Acceptance Model, Unified Theory of Acceptance and Use of Technology, Mobile Phone Appropriation Model) and existing research on the adoption and everyday life integration of health technologies. However, the structure, content, and effects of metacommunication within these informal networks are seldom looked at in detail. Objective: IP5: peers aims to (1) systemize the structure of informal networks for everyday life integration of digital media in chronic disease self-management by identifying relevant contacts, (2) analyze the evaluations and addressed factors within the content of the metacommunication, and (3) study the perceived effects of metacommunication on the usage of health-related digital media and health outcomes, integrating influences from interpersonal, organizational, and societal levels. Work program: IP5: peers will conduct three interrelated studies: (1) A scoping literature review will be conducted to gather results on the structure, content, and effects of metacommunication, (2) a quantitative survey with ego-centered network maps will be conducted with 1) asthma/COPD and 2) diabetes patients to identify relevant alteri, their attributes, and tie attributes and gather knowledge about the content and perceived effects. To better understand the underlying mechanisms, (3) qualitative interviews with ego-centered network maps will be conducted with a part of the sample of patients from study 2 to further enrich and explore the results of the quantitative study. Collaborations within the Research Unit: IP5: peers will collaborate mainly with IP4: healthcare, IP6: organizations, IP7: reporting, and IP8: social media and participate in CG: continued use, CG: expectancy-value theories, and CG: network approach. Expected results/contributions: The results will allow us to better integrate the interpersonal determinants in the theories of adoption and integration and contribute methodically to the empirical inquiry of metacommunication for digital coping with chronic diseases by combining ego-centered network analysis with user surveys and interviews. Finally, the identification of relevant strategies concerning private influence provides more holistic and, thus, sustainable intervention strategies for the self-management of chronic diseases.