J. Med. Internet Res. - Interaction patterns of nurturant support exchanged in online health social networking.

Tópicos

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{ use(1733) differ(960) four(931) }
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Resumo

CKGROUND: Expressing emotion in online support communities is an important aspect of enabling e-patients to connect with each other and expand their social resources. Indirectly it increases the amount of support for coping with health issues. Exploring the supportive interaction patterns in online health social networking would help us better understand how technology features impacts user behavior in this context.OBJECTIVE: To build on previous research that identified different types of social support in online support communities by delving into patterns of supportive behavior across multiple computer-mediated communication formats. Each format combines different architectural elements, affecting the resulting social spaces. Our research question compared communication across different formats of text-based computer-mediated communication provided on the MedHelp.org health social networking environment.METHODS: We identified messages with nurturant support (emotional, esteem, and network) across three different computer-mediated communication formats (forums, journals, and notes) of an online support community for alcoholism using content analysis. Our sample consisted of 493 forum messages, 423 journal messages, and 1180 notes.RESULTS: Nurturant support types occurred frequently among messages offering support (forum comments: 276/412 messages, 67.0%; journal posts: 65/88 messages, 74%; journal comments: 275/335 messages, 82.1%; and notes: 1002/1180 messages, 84.92%), but less often among messages requesting support. Of all the nurturing supports, emotional (ie, encouragement) appeared most frequently, with network and esteem support appearing in patterns of varying combinations. Members of the Alcoholism Community appeared to adapt some traditional face-to-face forms of support to their needs in becoming sober, such as provision of encouragement, understanding, and empathy to one another.CONCLUSIONS: The computer-mediated communication format may have the greatest influence on the supportive interactions because of characteristics such as audience reach and access. Other factors include perception of community versus personal space or purpose of communication. These results lead to a need for further research.

Resumo Limpo

ckground express emot onlin support communiti import aspect enabl epati connect expand social resourc indirect increas amount support cope health issu explor support interact pattern onlin health social network help us better understand technolog featur impact user behavior contextobject build previous research identifi differ type social support onlin support communiti delv pattern support behavior across multipl computermedi communic format format combin differ architectur element affect result social space research question compar communic across differ format textbas computermedi communic provid medhelporg health social network environmentmethod identifi messag nurtur support emot esteem network across three differ computermedi communic format forum journal note onlin support communiti alcohol use content analysi sampl consist forum messag journal messag notesresult nurtur support type occur frequent among messag offer support forum comment messag journal post messag journal comment messag note messag less often among messag request support nurtur support emot ie encourag appear frequent network esteem support appear pattern vari combin member alcohol communiti appear adapt tradit facetofac form support need becom sober provis encourag understand empathi one anotherconclus computermedi communic format may greatest influenc support interact characterist audienc reach access factor includ percept communiti versus person space purpos communic result lead need research

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