1
|
Kulandaivelu Y, Hamilton J, Banerjee A, Gruzd A, Patel B, Stinson J. Social Media Interventions for Nutrition Education Among Adolescents: Scoping Review. JMIR Pediatr Parent 2023; 6:e36132. [PMID: 37471119 PMCID: PMC10401194 DOI: 10.2196/36132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 01/27/2023] [Accepted: 06/08/2023] [Indexed: 07/21/2023] Open
Abstract
BACKGROUND Adolescence is a critical period for reinforcing healthy dietary behaviors and supporting the development of cooking skills. Social media may be an avenue for supporting these behaviors, as it is popular among adolescents and can improve access to nutrition education interventions. This study sought to understand the optimal implementation of effective social media-based nutrition education interventions to inform the implementation of future social media-based nutrition education interventions. OBJECTIVE A scoping review of the characteristics, feasibility, effectiveness, and factors influencing social media-based nutrition education interventions for adolescents was conducted. METHODS We searched MEDLINE, Embase, CINAHL, Web of Science, and PsycINFO databases using a predefined search strategy. Primary research articles were independently screened and included if they involved adolescent populations (10-18 years old) and delivered nutrition education through social media. The information on intervention characteristics, feasibility, effectiveness, and factors influencing social media-based nutrition education interventions was extracted. RESULTS A total of 28 publications out of 20,557 met the eligibility criteria. Twenty-five nutrition interventions were examined by 28 studies. Fourteen interventions used homegrown social media platforms, 8 used Facebook, and 2 used Instagram. Feasibility outcomes were infrequently reported, and the cost of intervention delivery was not reported. Engagement with interventions was variable; high engagement was not required to elicit significant improvements in dietary behaviors. Tailoring interventions, offering practical content, meaningful peer support, and involving families and communities facilitated successful interventions. Strategies to address engagement and technical issues were varied. CONCLUSIONS Emerging evidence demonstrates that social media interventions for adolescent nutrition are acceptable and improve nutrition outcomes. Future interventions should strengthen peer support components and tailor delivery to specific populations. Further research should examine engagement, adherence, and the impact of interventions on behavioral and physical outcomes. This review is the first to examine the use of social media as the primary medium for nutrition education for adolescent populations. The analysis used in this review argues the importance of peer support in social media-based nutrition interventions and the need for user-centered design of the interventions.
Collapse
Affiliation(s)
- Yalinie Kulandaivelu
- Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada
| | - Jill Hamilton
- Centre for Healthy Active Kids, The Hospital for Sick Children, Toronto, ON, Canada
| | - Ananya Banerjee
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Anatoliy Gruzd
- Information Technology Management, Toronto Metropolitan University, Toronto, ON, Canada
| | - Barkha Patel
- Centre for Healthy Active Kids, The Hospital for Sick Children, Toronto, ON, Canada
| | - Jennifer Stinson
- Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada
| |
Collapse
|
2
|
Watach AJ, Bishop-Gilyard CT, Ku H, Afolabi-Brown O, Parks EP, Xanthopoulos MS. A social media intervention for the families of young Black men with obstructive sleep apnoea. HEALTH EDUCATION JOURNAL 2022; 81:540-553. [PMID: 36059565 PMCID: PMC9435066 DOI: 10.1177/00178969221093924] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVE To address positive airway pressure (PAP) adherence in adolescents diagnosed with obstructive sleep apnoea (OSA) by pilot testing a novel, online, facilitated, peer-support and health education programme for families. DESIGN SETTING AND METHODS Families participated in separate Facebook peer-groups (adolescent [n=6] and parent [n=6]) for four weeks, followed by face-to-face interviews. Participants received OSA and PAP educational videos and posts, engaged with questions and polls, and viewed de-identified postings of peer PAP use data. RESULTS Adolescent participants were young Black males aged 13-17 years (n=6) with obesity (n=5), severe sleep apnoea (100%) and 4-15 months of prior PAP use. Parent participants were mothers (n=4) and fathers (n=2). Four of six young males increased their mean PAP use during the intervention period. Overall, parents were more engaged with the Facebook group page than adolescents, but interviews revealed the online group/peer-support and education provided was highly regarded and appreciated by families. Parents were particularly appreciative of being involved in care and diagnosis in this way. CONCLUSION Results of this pilot trial provide important data regarding intervention design, content, and delivery approaches to be considered in the development of future interventions aiming to engage families and improve adolescent PAP adherence.
Collapse
Affiliation(s)
- Alexa J. Watach
- Division of Sleep Medicine, University of Pennsylvania, USA
- School of Nursing, University of Pennsylvania, USA
| | - Chanelle T. Bishop-Gilyard
- Center for Weight and Eating Disorders, University of Pennsylvania, USA
- The Healthy Weight Program, Children’s Hospital of Philadelphia, USA
- Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, USA
| | - Helen Ku
- Division of Pulmonary and Sleep Medicine, Children’s Hospital of Philadelphia, USA
| | | | - Elizabeth Prout Parks
- The Healthy Weight Program, Children’s Hospital of Philadelphia, USA
- Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, USA
- Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Philadelphia, USA
| | - Melissa S. Xanthopoulos
- The Healthy Weight Program, Children’s Hospital of Philadelphia, USA
- Division of Pulmonary and Sleep Medicine, Children’s Hospital of Philadelphia, USA
| |
Collapse
|
3
|
Berkanish P, Pan S, Viola A, Rademaker Q, Devine KA. Technology-Based Peer Support Interventions for Adolescents with Chronic Illness: A Systematic Review. J Clin Psychol Med Settings 2022; 29:911-942. [PMID: 35147830 PMCID: PMC8853345 DOI: 10.1007/s10880-022-09853-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2022] [Indexed: 01/11/2023]
Abstract
Technology may help adolescents with chronic illnesses overcome barriers to accessing peer support, which has been associated with better quality of life and health outcomes. This review aimed to describe technology-based peer support interventions for adolescents with chronic illness following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of 3781 articles identified, 32 met inclusion criteria. The most common technologies were websites with discussion forums (n = 18), chat messaging (n = 9), and video conferencing (n = 7). Most studies (69%) focused on feasibility and had small sample sizes. Results support the feasibility and acceptability of these interventions. Results suggested positive effects on social support, but were mixed on isolation, quality of life, and disease self-management. There were too few adequately powered randomized controlled trials to determine efficacy of these interventions at this time. Future work should use rigorous methods to evaluate efficacy and account for rapid shifts in technology for adolescent communication.
Collapse
Affiliation(s)
| | - Samuel Pan
- Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA
| | - Adrienne Viola
- Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA
| | | | - Katie A Devine
- Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA. .,Rutgers Cancer Institute of New Jersey and Rutgers, The State University of New Jersey, 195 Little Albany Street, New Brunswick, NJ, 08903, USA.
| |
Collapse
|
4
|
Lozano-Chacon B, Suarez-Lledo V, Alvarez-Galvez J. Use and Effectiveness of Social-Media-Delivered Weight Loss Interventions among Teenagers and Young Adults: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18168493. [PMID: 34444239 PMCID: PMC8393626 DOI: 10.3390/ijerph18168493] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 08/04/2021] [Accepted: 08/09/2021] [Indexed: 12/05/2022]
Abstract
Obesity is a risk factor that exponentially increases morbidity and mortality in the world. Today, new health strategies are being implemented based on the use of social media but the use and effectiveness for these interventions needs to be assessed. The objective of this systematic review is to assess the impact of social-media-delivered weight loss interventions among teenagers and young adults. We searched PubMed, Scopus, Google Scholar, PsycINFO, and OVID to identify articles that focused on this topic. Fourteen studies were included in the final review. The commitment of the participants was found to be fundamental factor when assessing the impact of social-media-delivered weight loss interventions, but also the social context in which the interventions were carried out. Our study highlights the potential of social media platforms to address weight loss interventions among younger groups. The works evaluated showed the usefulness of social media for the adequate monitoring and control in these groups. Finally, the current variety of study designs in this field highlights the need for greater homogeneity in their methodology and applications, which is a fundamental step before these tools could be considered a suitable tool for overweight management in clinical practice.
Collapse
Affiliation(s)
- Blanca Lozano-Chacon
- Computational Social Science DataLab (CS2 DataLab), University Institute for Social Sustainable Development (INDESS), University of Cadiz, 11003 Cádiz, Spain; (B.L.-C.); (V.S.-L.)
| | - Victor Suarez-Lledo
- Computational Social Science DataLab (CS2 DataLab), University Institute for Social Sustainable Development (INDESS), University of Cadiz, 11003 Cádiz, Spain; (B.L.-C.); (V.S.-L.)
- Department of Biomedicine, Biotechnology, and Public Health, University of Cadiz, Avda. Ana de Viya, 52, 11009 Cádiz, Spain
| | - Javier Alvarez-Galvez
- Computational Social Science DataLab (CS2 DataLab), University Institute for Social Sustainable Development (INDESS), University of Cadiz, 11003 Cádiz, Spain; (B.L.-C.); (V.S.-L.)
- Department of Biomedicine, Biotechnology, and Public Health, University of Cadiz, Avda. Ana de Viya, 52, 11009 Cádiz, Spain
- Institute of Research and Innovation in Biomedical Research of Cadiz (INIBICA), University of Cadiz, 11405 Jerez de la Frontera, Spain
- Correspondence: ; Tel.: +34-956-019-080
| |
Collapse
|
5
|
Wyatt TH, Bayless AK, Krauskopf P, Gaylord N. Using mHealth Applications to Promote Self-Managed Health Behaviors Among Teens. J Pediatr Nurs 2021; 59:164-172. [PMID: 33932646 DOI: 10.1016/j.pedn.2021.04.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2020] [Revised: 04/21/2021] [Accepted: 04/21/2021] [Indexed: 11/30/2022]
Abstract
THEORETICAL PRINCIPLES As technology use increasingly expands, the opportunity to capitalize on it for healthcare education, monitoring, and assessment has grown rapidly, especially among adolescent patients. As apps are developed, consideration should be given to self-management theory concepts. PHENOMENA ADDRESSED The proliferation of mobile health (mHealth) applications allows adolescents to access healthcare information in new, innovative ways. Many health applications focus on health promotion, fitness, and nutrition and others help persons with chronic disease. This article offers a compelling case for incorporating mHealth into teen healthcare by reviewing current data on teens' technology use, showing how mHealth aligns with self-management theory concepts, and offering a case scenario on mHealth-enhanced self-management care. RESEARCH LINKAGES The ability to combine accurate and immediate healthcare information with continual social support could radically improve teen's self-management behaviors, especially when mHealth apps use connectivity, a feedback loop, and concepts known to enhance self-management behaviors.
Collapse
Affiliation(s)
- Tami H Wyatt
- University of Tennessee, Knoxville College of Nursing, Knoxville, TN, United States of America.
| | - Adaya Kirk Bayless
- University of Tennessee, Knoxville College of Nursing, Knoxville, TN, United States of America
| | - Patti Krauskopf
- Shenandoah University Health & Life Sciences, University Drive, Winchester, VA, United States of America.
| | - Nan Gaylord
- The University of Tennessee-Knoxville College of Nursing, Knoxville, TN, United States of America.
| |
Collapse
|
6
|
Key KV, Adegboyega A, Bush H, Aleshire ME, Contreras OA, Hatcher J. #CRCFREE: Using Social Media to Reduce Colorectal Cancer Risk in Rural Adults. Am J Health Behav 2020; 44:353-363. [PMID: 32295683 DOI: 10.5993/ajhb.44.3.8] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Objectives: In this study, we pilot-tested #CRCFree, a Facebook-based intervention aimed at reducing colorectal cancer (CRC) risk in rural Appalachian adults at risk for CRC. Methods: Participants were 56 rural Appalachian adults aged > 50 years. Daily #CRCFree Facebook posts addressed diet, physical activity, and CRC screening. Participants' sociodemographics, diet, body mass index, physical activity, and CRC screening status were measured pre- and post-intervention. The Healthy Eating Index (HEI) and the Dietary Inflammatory Index (DII) assessed dietary patterns. Facebook engagement was measured throughout the intervention. A post-intervention focus group evaluated intervention acceptability. Results: Participants were Caucasian, aged 58 ± 6 years, and predominantly female (66%). Post-intervention, HEI scores increased (49.9 ± 9.9 vs 58.6 ± 12.1, p = <.001), and DII scores decreased from baseline (2.8 ± 1.1 vs 1.6 ± 1.7, p = .002). There was no change in physical activity, BMI, or CRC screening status. Focus group participants found the intervention to be educational and motivating. Conclusions: These results provide preliminary evidence to support using Facebook to address CRC risk in this population. Participants were responsive to this intervention, and Facebook is a novel and accessible modality for health promotion.
Collapse
Affiliation(s)
- Kaitlin Voigts Key
- Kaitlin Voigts Key, Doctoral Candidate, University of Kentucky College of Nursing, Lexington, KY;,
| | - Adebola Adegboyega
- Adebola Adegboyega, Assistant Professor, University of Kentucky College of Nursing, Lexington, KY
| | - Heather Bush
- Heather Bush, Kate Spade & Co. Foundation Endowed Professor, Department of Biostatistics, University of Kentucky College of Public Health
| | - Mollie E. Aleshire
- Mollie E. Aleshire, DNP Program Director/Associate Professor, University of North Carolina at Greensboro School of Nursing, Greensboro, NC
| | - Omar A. Contreras
- Omar A. Contreras, Program Director of Policy and Translational Research, Office of Community Outreach and Engagement, The University of Arizona Cancer Center
| | - Jennifer Hatcher
- Jennifer Hatcher, Professor, Mel & Enid Zuckerman College of Public Health, Associate Director for Community Outreach & Engagement, The University of Arizona Cancer Center
| |
Collapse
|
7
|
Parks EP, Finnerty DD, Panganiban J, Frasso R, Bishop-Gilyard C, Tewksbury CM, Williams NN, Dumon KR, Cordero G, Hill DL, Sarwer DB. Perspectives of adolescents with severe obesity on social Media in Preparation for weight-loss surgery: a qualitative study. BMC Pediatr 2020; 20:96. [PMID: 32122314 PMCID: PMC7050129 DOI: 10.1186/s12887-020-1992-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 02/20/2020] [Indexed: 01/01/2023] Open
Abstract
Background Currently the most effective treatment for severe obesity in adolescents is weight-loss surgery coupled with lifestyle behavior change. In preparation for weight-loss surgery, adolescents are required to make changes to eating and activity habits (lifestyle changes) to promote long term success. Social media support groups, which are popular among adolescents, have the potential to augment preoperative lifestyle changes. The purpose of this study was to qualitatively assess the perceived role of social media as a support tool for weight-loss, and to identify motivators and constraints to lifestyle changes and social media use in adolescents preparing for weight-loss surgery. Methods Thematic analysis of social media comments from 13 (3 male, 10 female) adolescents aged 16 ± 1.3 years with a body mass index (BMI) 45 ± 7.3 kg/m2 enrolled in a weight-management program preparing for bariatric surgery and who participated in a 12-week pilot social media intervention was performed. Participants commented on moderator posts and videos of nutrition, physical activity, and motivation that were shared three to four times per week. Social media comments were coded using NVivo 11.0 to identify recurrent themes and subthemes. Results 1) Social media provided accountability, emotional support, and shared behavioral strategies. 2) Motivators for lifestyle changes included family support, personal goals, and non-scale victories. 3) Challenges included negative peers, challenges with planning and tracking, and time constraints. Conclusion Adolescents considering bariatric surgery identified social media as a tool for social support and reinforcement of strategies for successful behavior change. Important motivators and challenges to lifestyle changes were identified.
Collapse
Affiliation(s)
- Elizabeth Prout Parks
- Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA. .,The Healthy Weight Program, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA. .,Perelman School of Medicine at the University of Pennsylvania, 423 Guardian Drive, 1139 Blockley Hall, Philadelphia, PA, 19104, USA. .,Children's Hospital of Philadelphia, 2716 South Street, Room 14361, Philadelphia, PA, 19146, USA.
| | - Darra D Finnerty
- Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA.,Perelman School of Medicine at the University of Pennsylvania, 423 Guardian Drive, 1139 Blockley Hall, Philadelphia, PA, 19104, USA
| | - Jennifer Panganiban
- Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA
| | - Rosemary Frasso
- Center for Public Health Initiatives at the University of Pennsylvania, 144 Anatomy Chemistry Building, 3620 Hamilton Walk, Philadelphia, PA, 19104, USA
| | - Chanelle Bishop-Gilyard
- The Healthy Weight Program, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA.,Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Colleen M Tewksbury
- Penn Metabolic Bariatric Surgery Program, Department of Surgery, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Noel N Williams
- Penn Metabolic Bariatric Surgery Program, Department of Surgery, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Kristoffel R Dumon
- Penn Metabolic Bariatric Surgery Program, Department of Surgery, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Gaby Cordero
- Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA, 19104-4399, USA
| | - Douglas L Hill
- Pediatrics Advanced Care Team, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA
| | - David B Sarwer
- College of Public Health, Center for Obesity Research and Education, Temple University, 3223 N. Broad St., Suite 175, Philadelphia, PA, 19140, USA
| |
Collapse
|
8
|
Windler C, Clair M, Long C, Boyle L, Radovic A. Role of Moderators on Engagement of Adolescents With Depression or Anxiety in a Social Media Intervention: Content Analysis of Web-Based Interactions. JMIR Ment Health 2019; 6:e13467. [PMID: 31573923 PMCID: PMC6787534 DOI: 10.2196/13467] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Revised: 05/12/2019] [Accepted: 08/06/2019] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The Supporting Our Valued Adolescents (SOVA) intervention aims to use a moderated social media website to encourage peer discussion about negative health beliefs, which may prevent treatment uptake. Web moderators with a background in behavioral health are used to facilitate peer conversation to promote a sense of community, provide social support, and ensure safety. OBJECTIVE Although moderation is a core component of this intervention, little is known on best practices for moderators to ensure safety while encouraging engagement. This study sought to describe interactions between moderators and peer users and understand moderator experiences through individual interviews. METHODS Adolescents and young adults aged 14 to 26 years with depression or anxiety history were recruited for a usability study of the SOVA intervention. During this study, 14 moderators were trained to regularly review comments to blog posts for safety, facilitate conversation, and correct misinformation. A total of 110 blog posts and their associated comments were extracted and coded using a codebook based on items from the supportive accountability model and a peer social support analysis. Closing interviews with 12 moderators assessing their experience of moderating were conducted, recorded, and transcribed. Blog post text and comments as well as transcripts of moderator interviews were assessed using a thematic analysis approach, and blog posts were examined for trends in content of moderator comments comparing blog posts with differences in comment contributor order. RESULTS There were no safety concerns during the study, and moderators only intervened to remove identifiable information. Web moderators exhibited elements of supportive accountability (such as being perceived as experts and using verbal rewards as well as offering informational and emotional support). When the moderators provided the last comment under a blog post, thereby potentially ending contribution by users, they were at times found to be commenting about their own experiences. Moderators interviewed after completing their role expressed challenges in engaging users. A cohort of moderators who received more extensive training on supportive accountability and peer social support felt their ability to engage users improved because of the training. CONCLUSIONS Moderators of a Web-based support site for adolescents with depression or anxiety were able to ensure safety while promoting user engagement. Moderators can elicit user engagement by offering gratitude and encouragement to users, asking users follow-up questions, and limiting their own opinions and experiences when responding to comments.
Collapse
Affiliation(s)
- Carolyn Windler
- University of Pittsburgh School of Medicine, Pittsburgh, PA, United States
| | - Maeve Clair
- University of Pittsburgh, Pittsburgh, PA, United States.,UPMC Children's Hospital, Pittsburgh, PA, United States
| | | | - Leah Boyle
- Chatham University, Pittsburgh, PA, United States
| | - Ana Radovic
- Division of Adolescent and Young Adult Medicine, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, United States
| |
Collapse
|
9
|
Curtis BL, Ashford RD, Magnuson KI, Ryan-Pettes SR. Comparison of Smartphone Ownership, Social Media Use, and Willingness to Use Digital Interventions Between Generation Z and Millennials in the Treatment of Substance Use: Cross-Sectional Questionnaire Study. J Med Internet Res 2019; 21:e13050. [PMID: 30994464 PMCID: PMC6492066 DOI: 10.2196/13050] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 02/11/2019] [Accepted: 02/17/2019] [Indexed: 01/05/2023] Open
Abstract
Background Problematic substance use in adolescence and emerging adulthood is a significant public health concern in the United States due to high recurrence of use rates and unmet treatment needs coupled with increased use. Consequently, there is a need for both improved service utilization and availability of recovery supports. Given the ubiquitous use of the internet and social media via smartphones, a viable option is to design digital treatments and recovery support services to include internet and social media platforms. Objective Although digital treatments delivered through social media and the internet are a possibility, it is unclear how interventions using these tools should be tailored for groups with problematic substance use. There is limited research comparing consumer trends of use of social media platforms, use of platform features, and vulnerability of exposure to drug cues online. The goal of this study was to compare digital platforms used among adolescents (Generation Zs, age 13-17) and emerging adults (Millennials, age 18-35) attending outpatient substance use treatment and to examine receptiveness toward these platforms in order to support substance use treatment and recovery. Methods Generation Zs and Millennials enrolled in outpatient substance use treatment (n=164) completed a survey examining social media use, digital intervention acceptability, frequency of substance exposure, and substance use experiences. Generation Zs (n=53) completed the survey in July 2018. Millennials (n=111) completed the survey in May 2016. Results Generation Zs had an average age of 15.66 (SD 1.18) years and primarily identified as male (50.9%). Millennials had an average age of 27.66 (SD 5.12) years and also primarily identified as male (75.7%). Most participants owned a social media account (Millennials: 82.0%, Generation Zs: 94.3%) and used it daily (Millennials: 67.6%, Generation Zs: 79.2%); however, Generation Zs were more likely to use Instagram and Snapchat, whereas Millennials were more likely to use Facebook. Further, Generation Zs were more likely to use the features within social media platforms (eg, instant messaging: Millennials: 55.0%, Generation Zs: 79.2%; watching videos: Millennials: 56.8%, Generation Zs: 81.1%). Many participants observed drug cues on social media (Millennials: 67.5%, Generation Zs: 71.7%). However, fewer observed recovery information on social media (Millennials: 30.6%, Generation Zs: 34.0%). Participants felt that social media (Millennials: 55.0%, Generation Zs: 49.1%), a mobile phone app (Millennials: 36.9%, Generation Zs: 45.3%), texting (Millennials: 28.8%, Generation Zs: 45.3%), or a website (Millennials: 39.6%, Generation Zs: 32.1%) would be useful in delivering recovery support. Conclusions Given the high rates of exposure to drug cues on social media, disseminating recovery support within a social media platform may be the ideal just-in-time intervention needed to decrease the rates of recurrent drug use. However, our results suggest that cross-platform solutions capable of transcending generational preferences are necessary and one-size-fits-all digital interventions should be avoided.
Collapse
Affiliation(s)
- Brenda L Curtis
- Psychology-Addictions Treatment Research Center, University of Pennsylvania, Philadelphia, PA, United States
| | - Robert D Ashford
- Psychology-Addictions Treatment Research Center, University of Pennsylvania, Philadelphia, PA, United States.,Substance Use Disorders Institute, University of the Sciences, Pennsylvania, PA, United States
| | - Katherine I Magnuson
- Department of Psychology and Neuroscience, Baylor University, Waco, TX, United States
| | - Stacy R Ryan-Pettes
- Department of Psychology and Neuroscience, Baylor University, Waco, TX, United States
| |
Collapse
|
10
|
Dumas AA, Desroches S. Women's Use of Social Media: What Is the Evidence About Their Impact on Weight Management and Body Image? Curr Obes Rep 2019; 8:18-32. [PMID: 30666619 DOI: 10.1007/s13679-019-0324-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
PURPOSE OF THE REVIEW This review aims to summarize recent research on the effects of social media-delivered weight management interventions on weight loss and the impact of social media use on body image concerns in women and adolescent girls. RECENT FINDINGS Evidence supports the feasibility, but not the efficacy, of studies using single-component social media-delivered weight management interventions (i.e., including no other modes of intervention delivery) in women. Studies conducted in adolescent girls and women suggest that the impact of social media on body image outcomes is mostly detrimental, but is dependent on the context (e.g., exposure to idealized social media appearance images), peers' feedback, and constructs, such as appearance comparison tendency. More research is needed to conclude on the efficacy of social media-delivered interventions on both weight and body image outcomes and to understand how and when exposure to social media could promote effective weight management and also advocate positive body image in women.
Collapse
Affiliation(s)
- Audrée-Anne Dumas
- Institute of Nutrition and Functional Foods, School of Nutrition, Faculty of Agriculture and Food Sciences, Université Laval, Quebec City, Quebec, Canada
| | - Sophie Desroches
- Institute of Nutrition and Functional Foods, School of Nutrition, Faculty of Agriculture and Food Sciences, Université Laval, Quebec City, Quebec, Canada.
- Université Laval, Pavillon des services, Office 2729-P, 2440 Hochelaga Boulevard, Quebec City, Quebec, G1V 0A6, Canada.
| |
Collapse
|