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.

项目概要/摘要 我们提出了一个由两部分组成的综合混合方法项目，以帮助提高我们对社交媒体的理解 青少年，特别是患有精神疾病的青少年的前景，以及新技术的进一步问责。 研究记录了同时发生的青少年心理健康危机，其潜在作用的混合影响 社交媒体的影响：社交媒体已成为公众心理健康信息的重要来源 不安全内容也很普遍，例如污名化、网络欺凌和仇恨言论。努力学习 由于社交媒体数据的动态性和独特性，社交媒体只取得了有限的成功。 科技行业的用户和私营企业拥有/管理；不存在国家/公共档案馆。此外，网络抓取 方法（例如 Twitter API）不会产生用于研究的代表性或随机样本，并且网络抓取和 目前还没有针对 Instagram、Snapchat 等最受青少年欢迎的应用程序的调查方法。 TikTok，或用于捕获西班牙语内容，限制了内部和外部有效性。因此，现有的努力是 这与拉丁裔青少年比该地区所有其他种族/族裔和年龄组更多地使用社交媒体的方式不一致 美国需要采取新的方法来全面解决这些方法论问题， 以研究为基础，适合不同青少年群体的生态环境。 为了满足这一迫切需求，拟议的项目寻求严格的测试，长期的后续行动，参与性的 方法，包括定量和定性方法。此外，为了获得新的因果见解和进一步的心理 为了实现健康公平目标，该项目重点关注 13-20 岁的拉丁裔，以利用自然反事实背景 他们多样化的语言/文化社交媒体曝光度。具体来说，我们将检查暴露于的影响 社交媒体上遇到的有关心理健康的促进心理健康（目标 1）和贬义（目标 2）内容 状态，以及这种关系如何通过精神疾病耻辱、自我认知和 寻求帮助。按个人（例如年龄、性别、种族）、家庭（例如凝聚力）和同伴（例如社交）进行调节 支持）因素将被评估，并通过心理健康状况来确定方向性（目标 3）。分两期实现 第 1 部分是一项前瞻性队列设计 (N=1200)，对社交媒体的使用及其影响进行了三项双周评估 心理健康内容、潜在中介因素、调节因素/协变量和心理健康状况。第 2 部分涉及青年 使用 SocialsVoice（PhotoVoice 的改编版本）进行参与式行动研究 (N=50)，以收集文化信息 用于基于社区的分析的相关社交媒体数据库。从评估中生成的知识 第 1-2 部分中的数据将通过确定具体问题和目标共同提供干预建议 人口在社交媒体和心理健康方面的影响，提示如何最好地利用社交媒体和心理健康的优势 青少年生态环境以创新方式促进心理健康。拟议的项目和团队 实施它将为公众心理健康提供其迫切需要的重要新知识，以告知计划， 有关社交媒体安全性和实用性的政策和实践，因为它与人口心理健康有关。