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

利用拉丁裔青少年、照片语音和纵向数据来理清社交媒体和心理健康的双向影响

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

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

项目摘要/摘要 我们提出了一个由两部分组成的集成混合方法项目，以帮助提高我们对社交媒体的理解 青少年，尤其是患有精神疾病的景观，以及对新技术的进一步责任。 研究记录了同时发生的精神健康危机，具有潜在角色的混合影响 社交媒体：社交媒体已成为公众心理健康信息的重要来源 不安全的内容也很普遍，例如污名，网络欺凌和仇恨言论。旨在学习的努力 由于社交媒体数据如何动态和独特，社交媒体仅取得了有限的成功 在技​​术领域的用户和私人拥有/管理；不存在国家/公共档案馆。此外，网络搭配 方法（例如，Twitter API）不会产生代表性或随机样本进行研究，以及网络crap的和 在Instagram，Snapchat和 tiktok，或用于捕获西班牙语的内容，限制内部和外部有效性。因此，现有的努力是 与拉丁裔青少年如何使用社交媒体相比，与所有其他种族/种族和年龄段相比 需要美国的新方法，以全面解决这些方法论问题 由研究得知，适合围绕各种青少年人群的生态环境。 拟议的项目应对这种批判性需求，寻求严格的测试，并进行长期随访，参与 方法，以及定量和定性方法。此外，要获得新的因果见解和进一步的精神 卫生公平目标，该项目着重于13-20岁的拉丁美洲人，以利用跨越自然的反事实背景 他们多样化的语言/文化社交媒体曝光。具体而言，我们将研究暴露的影响 心理健康促进（AIM 1）和贬值（AIM 2）在社交媒体上遇到的有关心理健康的内容 地位，以及这种关系如何通过提出的精神疾病污名，自我认知和 寻求帮助。个人（例如，年龄，性别，种族），家庭（例如凝聚力）和同伴（例如社交 支持）将评估因素，并通过心理健康状况来识别方向性（AIM 3）。在一分为二 零件，第1部分是对社交媒体使用及其的三周评估的前瞻性队列设计（n = 1200） 心理健康内容，潜在的介体，修饰符/协变量和心理健康状况。第2部分涉及青年 参与式行动研究（n = 50），具有社交证明（适应光载），以在文化上收集一个 相关的社交媒体数据库，用于基于社区的分析。从评估中产生的知识 第1-2部分中的数据将通过确定特定问题和目标来共同为干预建议提供信息 人口在社交媒体和心理健康方面，表明如何最好地利用 青少年生态环境，以创新促进心理健康。拟议的项目和团队 实施它将为公共心理健康提供至关重要的新知识，非常需要为计划提供信息 与人口心理健康有关的社交媒体安全性和实用性的政策以及实践。