Understanding the Impacts of Online Mental Health Peer Support Forums: Realist Synthesis.

BACKGROUND: Online forums are widely used for mental health peer support. However, evidence of their safety and effectiveness is mixed. Further research focused on articulating the contexts in which positive and negative impacts emerge from forum use is required to inform innovations in implementation. OBJECTIVE: This study aimed to develop a realist program theory to explain the impacts of online mental health peer support forums on users. METHODS: We conducted a realist synthesis of literature published between 2019 and 2023 and 18 stakeholder interviews with forum staff. RESULTS: Synthesis of 102 evidence sources and 18 interviews produced an overarching program theory comprising 22 context-mechanism-outcome configurations. Findings indicate that users' perceptions of psychological safety and the personal relevance of forum content are foundational to ongoing engagement. Safe and active forums that provide convenient access to information and advice can lead to improvements in mental health self-efficacy. Within the context of welcoming and nonjudgmental communities, users may benefit from the opportunity to explore personal difficulties with peers, experience reduced isolation and normalization of mental health experiences, and engage in mutual encouragement. The program theory highlights the vital role of moderators in creating facilitative online spaces, stimulating community engagement, and limiting access to distressing content. A key challenge for organizations that host mental health forums lies in balancing forum openness and anonymity with the need to enforce rules, such as restrictions on what users can discuss, to promote community safety. CONCLUSIONS: This is the first realist synthesis of online mental health peer support forums. The novel program theory highlights how successful implementation depends on establishing protocols for enhancing safety and strategies for maintaining user engagement to promote forum sustainability. TRIAL REGISTRATION: PROSPERO CRD42022352528; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=352528.

Online searches to evaluate misinformation can increase its perceived veracity.

Considerable scholarly attention has been paid to understanding belief in online misinformation1,2, with a particular focus on social networks. However, the dominant role of search engines in the information environment remains underexplored, even though the use of online search to evaluate the veracity of information is a central component of media literacy interventions3-5. Although conventional wisdom suggests that searching online when evaluating misinformation would reduce belief in it, there is little empirical evidence to evaluate this claim. Here, across five experiments, we present consistent evidence that online search to evaluate the truthfulness of false news articles actually increases the probability of believing them. To shed light on this relationship, we combine survey data with digital trace data collected using a custom browser extension. We find that the search effect is concentrated among individuals for whom search engines return lower-quality information. Our results indicate that those who search online to evaluate misinformation risk falling into data voids, or informational spaces in which there is corroborating evidence from low-quality sources. We also find consistent evidence that searching online to evaluate news increases belief in true news from low-quality sources, but inconsistent evidence that it increases belief in true news from mainstream sources. Our findings highlight the need for media literacy programmes to ground their recommendations in empirically tested strategies and for search engines to invest in solutions to the challenges identified here.

Understanding Mental Health Issues in Different Subdomains of Social Networking Services: Computational Analysis of Text-Based Reddit Posts.

BACKGROUND: Users increasingly use social networking services (SNSs) to share their feelings and emotions. For those with mental disorders, SNSs can also be used to seek advice on mental health issues. One available SNS is Reddit, in which users can freely discuss such matters on relevant health diagnostic subreddits. OBJECTIVE: In this study, we analyzed the distinctive linguistic characteristics in users' posts on specific mental disorder subreddits (depression, anxiety, bipolar disorder, borderline personality disorder, schizophrenia, autism, and mental health) and further validated their distinctiveness externally by comparing them with posts of subreddits not related to mental illness. We also confirmed that these differences in linguistic formulations can be learned through a machine learning process. METHODS: Reddit posts uploaded by users were collected for our research. We used various statistical analysis methods in Linguistic Inquiry and Word Count (LIWC) software, including 1-way ANOVA and subsequent post hoc tests, to see sentiment differences in various lexical features within mental health-related subreddits and against unrelated ones. We also applied 3 supervised and unsupervised clustering methods for both cases after extracting textual features from posts on each subreddit using bidirectional encoder representations from transformers (BERT) to ensure that our data set is suitable for further machine learning or deep learning tasks. RESULTS: We collected 3,133,509 posts of 919,722 Reddit users. The results using the data indicated that there are notable linguistic differences among the subreddits, consistent with the findings of prior research. The findings from LIWC analyses revealed that patients with each mental health issue show significantly different lexical and semantic patterns, such as word count or emotion, throughout their online social networking activities, with P<.001 for all cases. Furthermore, distinctive features of each subreddit group were successfully identified through supervised and unsupervised clustering methods, using the BERT embeddings extracted from textual posts. This distinctiveness was reflected in the Davies-Bouldin scores ranging from 0.222 to 0.397 and the silhouette scores ranging from 0.639 to 0.803 in the former case, with scores of 1.638 and 0.729, respectively, in the latter case. CONCLUSIONS: By taking a multifaceted approach, analyzing textual posts related to mental health issues using statistical, natural language processing, and machine learning techniques, our approach provides insights into aspects of recent lexical usage and information about the linguistic characteristics of patients with specific mental health issues, which can inform clinicians about patients' mental health in diagnostic terms to aid online intervention. Our findings can further promote research areas involving linguistic analysis and machine learning approaches for patients with mental health issues by identifying and detecting mentally vulnerable groups of people online.

Comentários nas mídias sociais e a banalização da violência psicológica contra as mulheres / Comments on social media and the trivialization of psychological violence against women / Comentarios en las redes sociales y la banalización de la violencia psicológica contra las mujeres

A violência psicológica é frequente, porém, de difícil detecção, muitas vezes presente em relacionamentos abusivos e confundida com ciúmes e cuidado. Nas mídias sociais isso pode ser incentivado através de postagens, assim como pode servir de espaço de suporte e compartilhamento de experiências. Objetivou-se analisar comentários publicados em mídias sociais relacionados à violência contra a mulher e sua associação à violência psicológica. Utilizou--se o método da netnografia, através de análise textual dos comentários de um vídeo publicado na rede social Facebook chamado: "Não confunda amor com abuso". Foram transcritos 571 comentários da publicação, sendo o corpus analisado pelo software Iramuteq. Os comentários analisados mostram que questões culturais contribuem para a banalização da violência contra a mulher, principalmente da violência psicológica, pois geralmente só é considerado como violência quando há agressão física. Percebe-se a importância de um trabalho de psicoeducação, como por exemplo através de vídeos orientativos, visando a conscientização da população e possível redução da violência. (AU)

Psychological violence is frequently encountered but often difficult to detect, as it is commonly present in abusive relationships and can be mistaken for jealousy and care. In the realm of social media, it can either be encouraged through posts or serve as a space for support and the sharing of experiences. The objective of this study was to analyze comments posted on social media platforms related to violence against women and its association with psychological violence. The netnography method was employed, involving textual analysis of comments on a video posted on the social media platform Facebook, titled "Não confunda amor com abuso" (Do Not Confuse Love with Abuse). A total of 571 comments from the post were transcribed and analyzed using the Iramuteq software. The analyzed comments reveal that cultural factors contribute to the trivialization of violence against women, particularly psychological violence, since the term violence is often only recognized when it escalates to physical aggression. The significance of psychoeducational efforts, such as informative videos, becomes apparent in raising awareness among the population and potentially reducing instances of violence. (AU)

La violencia psicológica es frecuente, sin embargo, difícil de detectar, a menudo presente en relaciones abusivas y confundida con celos y cuidados. En las redes sociales, esto se puede fomentar a través de publicaciones, así como un espacio de apoyo e intercambio de experiencias. El objetivo fue analizar los comen-tarios publicados en las redes sociales relacionados con la violencia contra las mujeres y su asociación con la violencia psicológica. Se utilizó el método de la netnografía, mediante el análisis textual de los comentarios de un video publicado en la red social Facebook denominado: "Não confunda amor com abuso". Se transcribieron 571 comentarios de la publicación, siendo analizado el corpus por el software Iramuteq. Los comentarios analizados muestran que las cuestiones culturales contribuyen a la banalización de la violencia contra a mujer, especialmente la psicológica, ya que generalmente solo se considera violencia cuando hay agresión física. Uno se da cuenta de la importancia del trabajo psicoeducativo, por ejemplo, a través de videos de orientación, desti-nados a sensibilizar a la población y posible reducción de la violencia. (AU)

Mídias sociais como ferramentas para a extensão remota: um relato de experiência de uma liga acadêmica de enfermagem / Social media as tools for remote extension: an experience reportof an academic nursing league / Las redes sociales como herramientas de extensión a distancia: relato de experiencia de uma liga académica de enfermería

O Coronavírus da Síndrome Respiratória Aguda Grave 2 (SARS-CoV-2), causador da pandemia de COVID-19, tem causado problemas mundiais para além da doença, como na Educação, que, na impossibilidade da promoção de encontros presenciais, precisou encontrar formas de oportunizar a continuidade dos processos de ensino-aprendizagem. Desse modo, a Liga de Enfermagem em Saúde da Família, considerando o cenário pandêmico e a necessidade de seguir com as atividades, teve que se adequar ao formato remoto e usar da sua criatividade para transpor as barreiras físicas da sala de aula.Objetivo:Relatar as ações extensionistas desenvolvidas virtualmente pela Liga de Enfermagem em Saúde da Família, demonstrando sua importância para a formação acadêmica em Enfermagem.Metodologia:Trata-se de um estudo descritivo, do tipo relato de experiência,sobre atividades desenvolvidas por acadêmicos de Enfermagem na Liga de Enfermagem em Saúde da Família vinculada ao Curso de Enfermagem da Universidade Estadual Vale do Acaraú, Sobral, Ceará.Resultados:A extensão foi desempenhada de forma onlinepor meio do Instagrame Youtube, com a criação de vídeos, imagens educativas e eventos com temas atuais e relevantes para a promoção da saúde, considerando a realidade sanitária, divididos em eixos: cooperação social, integração interprofissional, acadêmica e comunitária, politização acadêmica, datas comemorativas e vacinação.Conclusões:Esse relato reforça a interação universidade-sociedade frente a momentos de reestruturação, e a relevância das Ligas como estratégias extracurriculares de ensino, integrando-se à pesquisa e à extensão (AU).

The Coronavirus (SARS-CoV-2) of Severe Acute Respiratory Syndrome, which caused the COVID-19 pandemic, has been causing worldwide problems beyond the disease itself, for instance in Education, which became unable to provide face-to-face meetings, it had tofind ways to make possible to continue the teaching-learning processes. Considering the pandemic scenario and the need to continue their activities, the members of Academic Nursing League in Family Healthhad to adapt to a remote format and use their creativity to bridge the physical barriers of a classroom. Objective:To report academic extension actions developed virtually by members of the Nursing League in Family Health, demonstrating its importance for college education in nursing.Methodology:This is a descriptive study, an experience report developed from the activities performed by members of theAcademic Nursing League in Family Health, bounded to the Nursing College of Vale do Acaraú State University, in Sobral city, Ceará state.Results:Extension actions were performed using Instagramand Youtubeplatforms, by creating videos, educational images, and events approaching current and relevant topics for health promotion. Taking into consideration the sanitary reality of the population, topics werecategorized in the following groups: social cooperation; professional, academic, and community integration; academic politization; special dates; and vaccination.Conclusions:This report reinforces the university-society interaction facing restructuring moments and the relevance of academic leagues as an extracurricular strategy of teaching, integrating it to research and extension actions (AU).

El Síndrome Respiratorio Agudo Severo Coronavirus 2 (SARSCoV-2), provocador de la pandemia del COVID-19, ha ocasionado a nivel mundial problemas más allá de la enfermedad, como por ejemplo en la Educación, que, ante la imposibilidad de ofrecer citas presenciales, ha necesitado encontrar formas de generar oportunidades para la continuidad de los procesos de enseñanza-aprendizaje. De esa forma, la Liga de Enfermería en Salud de la Familia, considerando el escenario de la pandemia y la necesidadde seguir con las actividades, ha tenido que adaptarse al formato remoto y a echar creatividad para rebasar las barreras físicas del aula. Objetivo:Informar las acciones de extensión desarrolladas virtualmente por la Liga de Enfermería en Salud de la Familia, demostrando su relevancia para la formación académica en el curso de Enfermería. Metodología: Se trata de un estudio descriptivo, del tipo relato de experiencia, desarrollado a partir de las actividades de los estudiantes de Enfermería de la Liga de Enfermería en Salud de la Familia vinculada al Curso de Enfermería de la Universidad Estatal Vale do Acaraú, Sobral, Ceará. Resultados: Se ha realizado la extensión en línea a través de Instagramy Youtube, con la creación de videos, imágenes educativas y eventos con temas actuales y relevantes para la promoción de la salud, considerando la realidad de la salud, divididos en ejes: cooperación social, interprofesional, académica e integración comunitaria, politización académica, fechas conmemorativas y vacunación.Conclusiones: Este informe refuerza la interacción universidad-sociedad frente a momentos de reestructuración, y la relevancia de lasLigas como estrategias de enseñanza extracurricular, integrándose con la investigación y la extensión (AU).

Trabalho remoto e uso de redes sociais como instrumentos de extensão e aprendizagem durante a pandemia de COVID-19 / Remote work and the use of social networks as extension and learning tools during the COVID-19 pandemic

Objetivo: Descrever a experiência do uso de redes sociais como instrumentos em ações de educação em saúde, promoção e prevenção durante a pandemia de COVID-19. Metodologia: Trata-se de um estudo descritivo realizado no projeto de extensão "Sustentabilidade do PET-SAÚDE Interprofissionalidade" dando continuidade às ações interventivas do curso de Odontologia da Universidade Federal de Juiz de Fora, campus Governador Valadares-MG, que realizou ações de promoção de saúde em atenção primária entre abril de 2020 e junho de 2021. O projeto teve a participação de 4 discentes e 2 docentes do curso de Odontologia da UFJF/GV com parceria da Secretaria Municipal de Saúde de Governador Valadares-MG. As ações foram desenvolvidas pelos discentes, os quais dividiram o processo em nove etapas. As atividades foram veiculadas pelas redes sociais sob o título "Vida Saudável e Autocuidado: PET-Saúde Interprofissionalidade UFJF/GV". Resultados: Foram realizadas 37 postagens com abordagem de 33 assuntos, alguns temas foram divididos entre partes 1 e 2, para melhor enfoque das comunicações. Obtivemos na rede social Instagram um total de 175 seguidores que acompanhavam as publicações feitas semanalmente. Os materiais produzidos também foram postados em formato de vídeo no Youtube e compartilhados no Facebook, visando aumentar a interação com os seguidores, somando 642 visualizações. As postagens atingiram o total de 1510 curtidas nas páginas do projeto. Conclusão: As redes sociais demostraram ser inovadoras na disseminação de informação para a população, alcançando a troca de saberes, no processo ensino-aprendizagem em tempos de pandemia, possibilitando o desenvolvimento de competências necessárias para a formação profissional.(AU)

Objective: To describe the experience of using social networks as instruments in health education, promotion and prevention actions during the COVID-19 pandemic. Methodology: This is a descriptive study carried out in the extension project "Sustainability of PET-SAÚDE Interprofissionalidade", continuing the interventional actions of the Dentistry course at the Federal University of Juiz de Fora, Governador Valadares-MG campus, which carried out actions to promote health in primary care between April 2020 and June 2021. The project had the participation of 4 students and 2 professors from the UFJF/GV Dentistry course in partnership with the Municipal Health Department of Governador Valadares-MG. The actions were developed by the students, who divided the process into nine stages. The activities were broadcast on social networks under the title "Healthy Life and Self-Care: PET-Saúde Interprofissionalidade UFJF/GV". Results: 37 posts were made covering 33 subjects, some themes were divided into parts 1 and 2, for a better focus on communications. We obtained a total of 175 followers on the Instagram social network that followed the publications made weekly. The materials produced were also posted in video format on Youtube and shared on Facebook, aiming to increase interaction with followers, totaling 642 views. Posts reached a total of 1510 likes on the project pages. Conclusion: Social networks proved to be innovative in disseminating information to the population, achieving the exchange of knowledge in the teaching-learning process in times of pandemic, enabling the development of skills necessary for professional training. (AU)

Odontologia hospitalar no ambiente digital: o que se pública sobre esta habilitação? / Hospital dentistry in the digital environment: what is published about this qualification?

Objetivo: O objetivo deste trabalho foi caracterizar as publicações sobre odontologia hospitalar disponíveis em páginas da internet e em páginas do Instagram, além de avaliar a qualidade dos conteúdos disponíveis do ponto de vista da evidência científica e do uso de referências. Métodos: Foi realizado um estudo transversal e exploratório. A partir da pesquisa da chave de busca "odontologia hospitalar" foram localizadas páginas do Instagram e da Internet via Google. Resultados: No Instagram foram localizadas 15 páginas que atendiam aos critérios de inclusão, e as últimas 5 publicações foram analisadas (n=75). Para o Google foram avaliados conteúdos que correspondessem à projeto de lei, entre os primeiros 25 resultados da pesquisa, já que se trata dos mais relevantes a partir da marcação do algoritmo. Percebeu-se que o uso de referências não é frequente nem nas publicações do Instagram, tampouco nos conteúdos da Internet. Tal fato é tão importante, que os resultados deste trabalho demonstram essa urgência na mudança de cenário dos conteúdos publicados na rede mundial de computadores. Conclusão: Nesse sentido, os professores e os próprios conselhos podem atuar como bússolas, na orientação da divulgação e consumo de conteúdo aos estudantes e aos profissionais de saúde.(AU)

Aim: The objective of this study was to characterize the publications on hospital dentistry available on websites and Instagram pages, in addition to evaluating the quality of the available content from the point of view of scientific evidence and the use of references. Methods: A cross-sectional and exploratory study was carried out. From the research of the search key "hospital dentistry", Instagram and Internet pages were located via Google. Results: On Instagram, 15 pages that met the inclusion criteria were located, and the last 5 publications were analyzed (n=75). For Google, content that corresponded to the bill was evaluated, among the first 25 search results, since these are the most relevant based on the algorithm's marking. It was noticed that the use of references is not frequent either in Instagram publications or in Internet content. This fact is so important that the results of this work demonstrate this urgency in changing the scenario of content published on the World Wide Web. Conclusion: In this sense, professors and the councils themselves can act as compasses, guiding the dissemination and consumption of content to students and health professionals. (AU)

Online social networks for prevention and promotion of oral health: a systematic review.

Aim: To evaluate the impact of online social networks (OSN) as resources for promoting behaviour changes related to the prevention and promotion of oral health. Methods: This was a systematic review with meta-analysis of randomized clinical trials identified in databases (MEDLINE/Embase/Lilacs), published up until May 2022, and prepared according to Cochrane recommendations. Studies that used OSN (WhatsApp®, Telegram®, TikTok®, Facebook®, Twitter®, YouTube®, Instagram®, Soundcloud®, Flickr®, LinkedIn®, and Webradio®) were included. The protocol was registered in the International Prospective Register of Systematic Reviews (CRD42021248045). Results: In total, 3171 studies were evaluated, of which 12 studies met the inclusion criteria for the review and contained data on 1669 participants. The most frequently investigated OSN were WhatsApp®, followed by Telegram®, and YouTube®. All studies included were at high risk of bias. Data extraction allowed the meta-analysis of gingival index (GI) and oral health knowledge (OHK) outcomes for young people. Findings revealed that young people exposed to digital interventions via OSN showed a reduction in GI when compared with traditional educational interventions. This reduction occurred in all young people (standardized mean difference, -0.48; 95% CI, -0.75 to -0.21; p = 0.0006, I2 = 0%; very low certainty), including those who were undergoing orthodontic treatment (standardized mean difference, -0.58; 95% CI, -0.92 to -0.24; p = 0.0008, I2 = 0%; very low certainty). Furthermore, young people undergoing orthodontic treatment and exposed to OSN showed an increase in OHK when compared with participation in traditional educational interventions (standardized mean difference, +0.86; 95% CI, +0.46 to +1.26; p < 0.0001, I2 = 0%; very low certainty). Conclusion: OSN could be effective tools for improving oral health outcomes in young people.

Objet: Évaluer l'incidence des réseaux sociaux comme ressources pour promouvoir les changements de comportement liés à la prévention et à la promotion de la santé buccodentaire. Méthodes: Il s'agit d'un examen systématique avec méta-analyse d'essais cliniques randomisés répertoriés dans des bases de données (MEDLINE/Embase/Lilacs) publiés jusqu'en mai 2022 et préparés selon les recommandations de Cochrane. Les études utilisant les réseaux sociaux (WhatsApp®, Telegram®, TikTok®, Facebook®, Twitter®, YouTube®, Instagram®, SoundCloud®, Flickr®, LinkedIn®, et Webradio®) ont été incluses. Le protocole a été enregistré dans le PROSPERO (International Prospective Register of Systematic Reviews, numéro CRD42021248045). Résultats: Au total, 3 171 études ont été évaluées. De celles-ci, 12 répondaient aux critères d'inclusion de l'examen et comportaient des données sur 1 669 participants. Les réseaux sociaux qui ont le plus fréquemment fait l'objet d'une enquête sont WhatsApp®, suivi de Telegram® et YouTube®. Toutes les études incluses présentaient un risque élevé de biais. L'extraction des données a permis la méta-analyse des résultats de l'indice gingival (IG) et des connaissances en santé buccodentaire chez les jeunes. Les résultats ont révélé que les jeunes exposés aux interventions numériques par l'intermédiaire des réseaux sociaux présentaient un IG réduit par rapport à ceux exposés aux interventions éducatives traditionnelles. Cette réduction était présente chez tous les jeunes (différence moyenne standardisée, ­0,48; IC à 95 %, ­0,75 à ­0,21; p = 0,0006, I2 = 0 %; certitude très faible), y compris ceux qui suivaient un traitement orthodontique (différence moyenne standardisée, ­0,58; IC à 95 %, ­0,92 à ­0,24; p = 0,0008, I2 = 0 %; certitude très faible). De plus, les jeunes recevant un traitement orthodontique exposés aux réseaux sociaux ont montré une plus grande connaissance en santé buccodentaire que ceux participant aux interventions éducatives traditionnelles (différence moyenne standardisée, +0,86; IC à 95 %, +0,46 à +1,26; p < 0,0001, I2 = 0 %; certitude très faible). Conclusion: Les réseaux sociaux pourraient être des outils efficaces pour améliorer les résultats en matière de santé buccodentaire chez les jeunes.

Using a Geosocial Networking App to Investigate New HIV Infections and Related Risk Factors Among Student and Nonstudent Men Who Have Sex With Men in Chengdu, China: Open Cohort Study.

BACKGROUND: In China, condomless sex among men who have sex with men (MSM) is the primary route of HIV infection in young people. Chengdu is a hotspot for reported HIV cases among young people nationwide. Extensive use of geosocial networking (GSN) smartphone apps has dramatically changed the pattern of sexual behavior among young MSM (YMSM). However, data on HIV incidence and the risk behavior of YMSM using the GSN app are still obscure. OBJECTIVE: This study aims to analyze and understand the HIV incidence and its risk factors among YMSM using GSN apps in Chengdu, China. METHODS: An open cohort study was conducted among YMSM aged 18-24 years through a gay GSN smartphone app in Chengdu, China, from July 2018 to December 2020. Every participant completed a web-based questionnaire on sociodemographic characteristics, sexual behaviors, and other related statuses; made a reservation for a web-based HIV testing; and then voluntarily got tested at the designated testing site. At least one additional HIV test was taken via the app during the study period, and participants were evaluated at the end of the study or at the time of HIV seroconversion. By dividing the sum of the observed HIV seroconversions by the observed person-years, HIV incidence was calculated and compared between the student and nonstudent MSM. Univariate and multivariate (Cox proportional hazards regression) analyses were used to discuss the risk factors for new HIV infections. RESULTS: In the study cohort, 24 seroconversions occurred among 625 YMSM who took at least two HIV tests through the app during the study period, contributing to 505 observed person-years. The HIV incidence rate per 100 person-years was 4.75 (95% CI 2.89-6.61) among all MSM, 3.60 (95% CI 1.27-5.93) among student MSM, and 5.88 (95% CI 2.97-8.79) among nonstudent MSM. In addition, the HIV incidence per 100 person-years was 11.11 (95% CI 4.49-17.73) among those who had resided in the area for 6 months or less and 7.14 (95% CI 1.52-12.77) among those with senior high school or less education. Two or more sexual partners (adjusted hazards ratio [HR] 3.63, 95% CI 1.08-12.23) in the preceding 6 months was a risk factor for new HIV infections. Consistent condom use for anal sex (adjusted HR 0.38, 95% CI 0.16-0.88) and insertive anal sex only (adjusted HR 0.10, 95% CI 0.01-0.75) in the preceding 6 months were protective factors for new HIV infections. CONCLUSIONS: The rate of new HIV infections among YMSM who actively used GSN smartphone apps was high, especially among migrant nonstudent MSM. Targeted interventions on GSN smartphone apps should be implemented to provide demand-adapted prevention and services to reduce the threat of HIV.

Longitudinal multiplexity and structural constraints of online emergency collaborative networks: A tale of two Chinese societies.

Drawing upon the concept of longitudinal multiplexity and the Institutional Collection Action (ICA) framework, this article conducts a longitudinal observation of online emergency collaborative networks (ECNs) built and sustained among organizational actors within Shenzhen and Hong Kong in response to Typhoon Mangkhut. In addition to investigating the multiplex relationships among three types of online ECNs (i.e., preparedness networks, response networks, recovery networks), this article takes a comparative approach to examining how the structural constraints imposed by distinct emergency management systems (EMSs) influence the network formation and evolution as the disaster evolves over time. Findings obtained from a series of inferential network analyses reveal that preexisting online collaborative ties formed at the disaster preparedness stage are important for increasing organizations' tendency to build and sustain online collaborations during disaster response and recovery. Moreover, the decentralized EMS in Hong Kong exhibits more effectiveness in facilitating online network changes during both transitional periods. These findings demonstrate a pressing need for emergency researchers and frontline communication managers to understand the dynamic relationships among online ECNs across different disaster phases and further explore potential opportunities to facilitate online emergency collaboration on a broader scale.

Analyzing Twitter-Based Social Networks of Support Communities for Hispanic and African American Family Caregivers of Persons with Dementia.

We applied social network analysis to compare Hispanic and Black dementia caregiving networks on Twitter that were established as part of a clinical trial from January 12, 2022, to October 31, 2022. We extracted Twitter data from our caregiver support communities (N=1980 followers, 811 enrollees) via the Twitter API and used social network analysis software to compare friend/follower interactions within each Hispanic and Black caregiving network. Analysis of the social networks revealed that enrolled family caregivers without prior social media competency had overall low connectedness compared to both enrolled and non-enrolled caregivers with social media competency, who were more integrated into the communities that developed through the clinical trial, partly due to their ties to external dementia caregiving groups. These observed dynamics will help to guide further social media-based interventions and also support the observation that our recruitment strategies effectively enrolled family caregivers with various levels of social media competency.

Patrimônio e memória de interesse público em tempos de pandemia: um estudo sobre a comunicação de memórias e histórias da covid-19 em narrativas digitais / Heritage and memory of public interest in times of pandemic: a study on the communication of memories and stories about covid-19 through digital narratives / Patrimonio y memoria de interés público en tiempos de pandemia: un estudio sobre la comunicación de memorias e historias sobre covid-19 en narrativas digitales

A pandemia da covid-19 gerou aumento de repositórios de dados digitais que registram a memória das pessoas sobre a pandemia, originando diversas comunidades virtuais que promovem a produção de memórias por meio do envio de relatos de histórias de vida em diversas mídias. Com base num estudo exploratório de natureza documental, este trabalho apresenta um levantamento amplo e significativo de plataformas digitais provenientes de diversas ações e instituições universitárias, culturais e de meios de comunicação e associações da sociedade civil que lançaram repositórios digitais para coletar e compartilhar relatos sobre as experiências das pessoas durante a pandemia de covid-19. A análise e a comparação dos registros memoriais existentes em tais repositórios indicam a importância de relatos de histórias de vida integrados às narrativas visuais compostas por fotografias e vídeos para a construção de uma rede de memórias mais inclusiva da pandemia de covid-19, ou seja, uma rede pautada nas vivências de diversos públicos e/ou comunidades, constituindo-se como memória de interesse público e contribuindo para a construção de um patrimônio cultural desse contexto. Os resultados também indicam a importância das novas tecnologias como meios de comunicação e informação desses dados de interesse público, com destaque para as narrativas transmídia, presentes em algumas das plataformas analisadas, como formas narrativas contemporâneas que possibilitam a participação ativa e o engajamento de públicos diversos

The covid-19 pandemic has generated an increase in digital data repositories that record people's memories of the pandemic, giving rise to several virtual communities that promote the production of memories by sending life stories in different media. Based on an exploratory and documental study, this work presents a survey of digital platforms from different actions and university, cultural and media institutions, and civil society associations that have launched digital repositories to collect and share reports about people's experiences about the covid-19 pandemic. The analysis and the comparison of the memorial records of the repositories indicate the importance of life stories integrated with visual narratives composed of photographs and videos to build a more inclusive network of memories of the covid-19 pandemic, that is, a network based on the experiences of different publics and/or communities, constituting itself as a memory of public interest for the construction of a cultural heritage of this context. The results indicate the importance of new technologies as means of communication and information on this data of public interest, with emphasis on transmedia narratives ­ that are present in some of the platforms analyzed ­ as contemporary narrative forms that enable the active participation and engagement of different audiences

La pandemia de covid-19 generó un aumento de los repositorios de datos digitales que registran los recuerdos de las personas sobre la pandemia, dando lugar a varias comunidades virtuales que promueven la producción de memorias a través del envío de historias de vida en diferentes medios. A partir de un estudio exploratorio de carácter documental, este trabajo presenta una amplia y significativa relación de plataformas digitales de diferentes acciones y asociaciones universitarias, culturales, de medios de comunicación y de la sociedad civil que han puesto en marcha repositorios digitales para recopilar y compartir relatos sobre las experiencias de las personas sobre la pandemia de covid-19. El análisis y la comparación de los registros memoriales existentes en dichos repositorios indican la importancia de las historias de vida integradas con narrativas visuales compuestas de fotografías y videos para la construcción de una red de memorias más inclusiva de la pandemia del covid-19, es decir, un red a partir de las experiencias de diferentes públicos y/o comunidades, constituyéndose como una memoria de interés público para la construcción de un patrimonio cultural. Los resultados también indican la importancia de las nuevas tecnologías como medios de comunicación e información sobre estos datos de interés público, con énfasis en las narrativas transmedia, presentes en algunos de los analizados, como formas narrativas contemporáneas, que posibilitan la participación activa y el compromiso de diferentes audiencias

"Lá onde Isso era, [eu] devo devir": comentário sobre a Lição 21 do Seminário 6, de Lacan / Là où C'était, [je] dois devenir": commentaire de la leçon 21 du Séminaire 6 de Lacan / "Where Id was, [I] must become": commentary on Lesson 21 of Lacan's Seminar 6

O presente trabalho é um comentário da Lição 21 do Seminário sobre O desejo e sua Interpretação de Jacques Lacan. Nessa lição, intitulada. A forma do corte, Lacan percorre a ideia de que a psicanálise se interessa pelo efeito-sujeito, indicando-a a partir da expressão freudiana " Wo Es war, soll Ich werden" e de seus desenvolvimentos a propósito da noção de fantasia, o que inclui o objeto a. O texto percorre essas noções para pensar o trabalho que se realiza numa análise

Cet article est un commentaire de la leçon 21 du séminaire de Jacques Lacan sur Le désir et son interprétation. Dans cette leçon, intitulée La forme de la coupure, Lacan développe l'idée que la psychanalyse s'intéresse à l'effet-sujet, en l'indiquant à partir de l'expression freudienne " Wo Es war, soll Ich werden" et de ses développements sur la notion de fantasme, qui inclut l'objet a. Le texte passe en revue ces notions afin de réfléchir au travail qui s'opère dans une analyse

This paper is a commentary on Lesson 21 of Jacques Lacan's Seminar on "Desire and its Interpretation". In this lesson, entitled "The form of the cut", Lacan goes through the idea that psychoanalysis is interested in the subject-effect, indicating this from the Freudian expression "Wo Es war, soll Ich werden" and its developments with regard to the notion of fantasy, which includes the object a. The text goes through these notions in order to think about the work that takes place in an analysis

Online Health Communities: an alternative feasible data registry tool for developing countries.

Given the many challenges facing healthcare access in many developing countries and the added limitations observed in emergencies like COVID-19 pandemic, the authors here discuss an alternative and feasible approach to overcome all these limitations.

Impact of Social Support and Reciprocity on Consumer Well-Being in Virtual Medical Communities.

This study pursues a better understanding of consumer well-being in online medical cosmetics communities by investigating the antecedents of well-being and moderating influence of community norms. A total valid sample of 484 respondents was collected from 2 popular medical cosmetics discussion platforms. A partial least squares analysis was used to validate the research model. Emotional support, informational support, and sense of belonging were important predictors of well-being. Among these 3 antecedents, emotional support showed the strongest influence on consumer well-being. Sense of belonging was significantly and positively influenced by emotional support and reciprocity, and hence plays a pivotal role in mediating the effects of emotional support and reciprocity on well-being. However, informational support does not appear to significantly influence sense of belonging. Members' compliance with community norms positively moderates the influence of sense of belonging on well-being. This study contributes to the literature on realizing members' social behaviors specifically in virtual medical cosmetics communities and provides insights for the management of online communities.

Infodemia e (des)informação na pandemia da covid-19: tecnossocialidade na atenção primária à saúde / Infodemia y (des)información en la pandemia de COVID-19: tecnosocialidad en la atención primaria de salud / Infodemic and (dis)information in the COVID-19 pandemic: Social technology in primary health care

Objetivo: compreender as potências e limites da tecnossocialidade, bem como as estratégias de boa comunicação e prevenção da circulação de fake news no cotidiano dos profissionais da atenção primária na pandemia da covid-19. Materiais e método: estudo de casos múltiplos integrado-qualitativo, fundamentado na sociologia compreensiva do cotidiano, com inclusão de 47 profissionais de saúde de um município de Santa Catarina e de dois municípios de Minas Gerais, Brasil. A coleta de dados foi realizada entre abril e outubro de 2021, e teve como fontes de evidência a entrevista individual aberta e as notas de campo. Resultados: constituem-se potências a continuidade de cuidados à saúde em meio à pandemia, o estreitamento da comunicação entre profissionais e usuários, e o recebimento de resultados de exames por usuários pelo WhatsApp. Contudo, limites ainda precisam ser superados, como a infodemia e a desinformação pela disseminação das fake news nas redes sociais, e a inacessibilidade à internet, principalmente em classes sociais baixas. Conclusões: a aceleração do uso da tecnossocialidade na pandemia proporcionou avanços no campo da saúde, porém ocasionou a infodemia e o aumento da circulação de notícias falsas. Uma parte da população ainda enfrenta dificuldade de acesso e uso da internet, principalmente em classes sociais baixas. Dessa forma, os profissionais de saúde apresentam o importante papel educativo, ao compartilhar informações verídicas à população com uso de ferramentas virtuais.

Objetivo: comprender las fortalezas y los límites de la tecnosocialidad y las estrategias para una buena comunicación y prevención de la circulación de noticias falsas en el cotidiano de los profesionales de atención primaria durante la pandemia de COVID-19. Materiales y método: estudio de caso múltiple integrado-cualitativo, basado en la sociología integral de la vida cotidiana, con la inclusión de 47 profesionales de la salud de un municipio de Santa Catarina y dos municipios de Minas Gerais, Brasil. La recolección de datos se realizó entre abril y octubre de 2021 y tuvo como fuentes de información una entrevista individual abierta y las notas de campo recopiladas. Resultados: la continuidad de la atención en salud en medio de la pandemia, el fortalecimiento de la comunicación entre profesionales y usuarios y la recepción de los resultados de las pruebas por parte de los usuarios a través de WhatsApp se constituyen como elementos clave de la prestación de los servicios de salud. Sin embargo, existen límites aún por superar, como la infodemia y la desinformación generadas por la difusión de noticias falsas en redes sociales y la accesibilidad a internet, especialmente en las clases sociales más bajas. Conclusiones: la aceleración del uso de tecnosocialidad en la pandemia generó avances en el campo de la salud, pero también infodemia y un aumento de la circulación de noticias falsas. Una parte de la población todavía tiene dificultades para acceder y utilizar Internet, especialmente las clases sociales más bajas. De esta forma, los profesionales de la salud juegan un importante papel educativo al compartir información veraz con la población a través de herramientas virtuales.

Objective: To understand the strengths and limits of technosociality and the role of good communication strategies aimed at preventing the spread of fake news in the daily life of primary care professionals during the covid-19 pandemic. Materials and method: Integrated and qualitative multiple case study based on the integral sociology of daily life, with the participation of 47 health professionals from one municipality in Santa Catarina and two municipalities in Minas Gerais, Brazil. Data collection was carried out between April and October 2021 through individual interviews and field notes. Results: The continuity of health care in the midst of a pandemic, the strengthening of communication between professionals and users, and the reception of test results by users through WhatsApp are identified as key elements. However, there are still limits to be overcome, such as the infodemic and misinformation due to the spread of fake news on social networks or barriers to internet accessibility, especially in the lower social classes. Conclusions: The increased use of technosociality during the pandemic favored certain advances in health care. However, this situation also caused an infodemic and the growth of fake news circulation. Currently, part of the population is still facing difficulties in internet access and usage, especially those from lower social classes. Therefore, health professionals could play an important educational role by sharing accurate information through virtual tools.

Potencial de comunidades virtuais como espaço de comunicação de enfermeira(o)s sobre câncer infantil: estudo qualitativo / The potential of virtual communities as a nurse's communication space on child cancer: qualitative study

OBJETIVO: analisar as potencialidades de comunidades virtuais de familiares de crianças com câncer como espaço de comunicação, na perspectiva de enfermeira(o)s. MÉTODO: pesquisa qualitativa desenvolvida com o Método Criativo Sensível e um diário de campo virtual. Participaram três a quatro pessoas, em cada grupo, totalizando nove enfermeira(o)s com especialização em pediatria e oncologia. Os dados foram tratados com a análise temática. RESULTADOS: na ressignificação se reconhecem as comunidades virtuais como potentes espaços de diálogo com familiares de crianças com câncer, no compartilhamento de experiências pelas relações interpessoais de confiança e criação de vínculo. Essas comunidades são mais frequentadas por mulheres do que homens, que buscam informação, acolhimento, apoio e motivação para enfrentar o adoecimento da criança. CONCLUSÃO: as comunidades virtuais representam novos espaços de educação em saúde, onde enfermeira(o)s educadora(e)s podem advogar em favor do melhor interesse de crianças, provendo a família com informações qualificadas e eticamente responsáveis.

OBJECTIVE: to analyze the potential of virtual communities of relatives of children with cancer as a communication space from the nurse's perspective. METHOD: qualitative research developed with the Creative Sensitive Method and a virtual field Journal. Three to four people participated in each group, totaling nine nurses specializing in pediatrics and oncology. The data were treated with thematic analysis. RESULTS: in the resignification, virtual communities are recognized as powerful spaces for dialog with relatives of children with cancer, sharing experiences through interpersonal relationships of trust and bond creation. These communities are more frequented by women than men, who seek information, acceptance, support, and motivation to face the child's illness. CONCLUSION: virtual communities represent new areas of health education where nurse(s) educator(s) can advocate for the best interest of children by providing the family with qualified and ethically responsible information.

Salud Latina: feasibility of a synchronous online chat for latinos at risk for type 2 diabetes.

This study examined the feasibility of Salud Latina, a weekly synchronous online chat intervention, aimed at engaging Latinos in diabetes prevention conversations. Participants were Latino English- and Spanish-speaking individuals. Salud Latina comprised of six synchronous weekly online chats moderated by bilingual Latina moderators trained in diabetes and online engagement. Online chats used open-ended questions. We assessed feasibility, acceptability, and satisfaction of the intervention and qualitatively analyzed the chats to identify barriers and facilitators to healthy behaviors and identify types of support exchanged. Participants (N = 20) were mostly female and English/Spanish bilingual and 80% completed at least four chats. Salud Latina was acceptable, feasible and highly satisfactory. Four themes were identified: (1) barriers to engaging in healthy behaviors, (2) facilitators of healthy behaviors, (3) Salud Latina provides a community of support, and (4) the need to build a Latino culture of health. Participants recognized the importance of engaging in healthy behaviors to prevent or delay T2D. Findings provide insight in how a synchronous online chat intervention could be used to build a social media community within a Latino population to support healthy behaviors. Future research could explore combining synchronous online chats with in-person community or family-level interventions.

Cognitive functions among healthy older adults using online social networking.

Online social network sites provide possibilities to enhance social relationships and engage in cognitive activities for older adults. The present study aimed to investigate the relationship between the use of one social network site, Facebook, and cognitive functions in older adults considering different dimensions of Facebook use together with different cognitive functions. Seventy healthy older adults completed the use of Facebook form, Multidimensional Scale of Perceived Social Support, and Social Network Index. Their cognitive functions were measured with Digit Span Tasks, Free and Cued Selective Reminding Test, Letter and Category Fluency Tests, Stroop Test, Digit Symbol Substitution Test, and Trail Making Test (TMT-A and TMT-B). After controlling for age, gender, education level, we found that Facebook users performed better on TMT-A compared to non-users. Among Facebook users, the length of having an account, the network size, the daily duration of use, and the frequency of active and passive use correlated with cognitive performance after controlling offline sociality. These findings, which need confirmation by experimental and longitudinal studies, suggested that being connected to a larger network via more prolonged and active use of social media might be associated with higher cognitive functioning.

O que dizem os pais sobre o uso de internet por parte de seus filhos adolescentes? / What do parents say about their adolescent child's internet use? / ¿Qué dicen los padres sobre el uso de Internet por sus hijos adolescentes? / Que disent les parents de l'utilisation d'Internet par leurs adolescents?

Este estudo teve por objetivo compreender quais são as percepções e experiências de pais e mães de adolescentes brasileiros acerca do uso da internet por parte dos seus filhos. Trata-se de um estudo qualitativo do qual participaram 12 genitores com idades entre 29 e 49 anos, sendo de 14 anos a média de idade dos seus filhos. Foram empregados dois roteiros de entrevista. Detectaram-se cinco modalidades de mediação parental: regras, restrição, observação, monitoramento e comunicação aberta. Esta última foi considerada a mais positiva pelos pais. Uma das maiores preocupações foi a facilidade com que a internet tem influenciado os adolescentes, demandando a necessidade de revisão das orientações parentais. Os pais se sentem angustiados e sem referências quanto ao manejo adequado do uso de internet pelos filhos, demonstrando dificuldade de ruptura com os padrões tanto de parentalidade quanto de mediação anteriormente aprendidos

This study reports on the perceptions and experiences of Brazilian parents regarding their adolescent children's internet use. A total of 12 parents aged 29 to 49, with children around 14 years old, participated in this qualitative study by answering two interview scripts. We identified five modalities of parental mediation: rules, restriction, observation, monitoring and open communication, with the latter being considered the most positive by the parents. A main concern was the ease with which the Internet has influenced their children, leading to revised parental guidelines. Parents feel distressed and lack references as to how to adequately manage children's internet use, demonstrating difficulty in breaking with previous patterns of both parenting and mediation

Este estudio tuvo como objetivo comprender las percepciones y experiencias de padres y madres brasileños sobre el uso de Internet por parte de sus hijos adolescentes. Se trata de un estudio cualitativo en el que participaron 12 padres de entre 29 y 49 años, siendo 14 años la edad media de sus hijos. Se utilizaron dos guiones de entrevistas. Se detectaron cinco tipos de mediación parental: reglas, restricción, observación, seguimiento y comunicación abierta. Esta última fue considerada la más positiva por los padres. Una de las mayores preocupaciones fue la facilidad con la que la Internet ha influido en los adolescentes, exigiendo la necesidad de revisar las pautas de los padres. Los padres se sienten angustiados y sin referencias en cuanto al manejo adecuado del uso de Internet por sus hijos, lo que muestra dificultad de romper con los patrones tanto de crianza como de mediación aprendidos previamente

Cette étude visait à comprendre les perceptions et les expériences des pères et des mères d'adolescents brésiliens sur l'utilisation d'Internet par leurs enfants. Il s'agit d'une étude qualitative à laquelle ont participé 12 parents âgés entre 29 et 49 ans, l'âge moyen de leurs enfants étant de 14 ans. Deux scripts d'entrevue ont été utilisés. Cinq types de médiation parentale ont été détectés: règles, restriction, observation, surveillance et communication ouverte. Ce dernier était considéré comme le plus positif par les parents. L'une des plus grandes préoccupations était la facilité avec laquelle l'Internet a influencé les adolescents, exigeant la nécessité de revoir les directives parentales. Les parents se sentent en détresse et sans références quant à la bonne gestion de l'utilisation d'Internet de leurs enfants, montrant des difficultés à rompre avec les schémas de parentalité et de médiation appris précédemment