Harding Claire, Chung Henry
Big White Wall, 16 Upper Woburn Place, London, UK.
Big White Wall, 16 Upper Woburn Place, London, UK;; Albert Einstein College of Medicine, New York, NY, USA.
Mhealth. 2016 Nov 23;2:43. doi: 10.21037/mhealth.2016.10.04. eCollection 2016.
Online peer support communities play an important part in many people's experience of healthcare. They can be particularly significant in behavioral health/mental health due to the difficulties that people may experience in accessing face to face care for these conditions. There is considerable diversity of practice in service management, target group, and moderation practices of online peer support communities. People using the communities also appear to have diverse aims and experiences. This heterogeneity contributes to a relative lack of data about the value and effectiveness of online peer support in behavioral health, although there is significant research into some aspects of these communities. The digital behavioral health service Big White Wall was launched in the UK in 2007, and in the US in 2015, and is focused on delivering moderated peer support. There are considerable differences in health systems between the two countries, and this has been reflected in different experiences of implementation. The value of online peer support could be maximized if systemic challenges to implementation and adoption were addressed more effectively.
在线同伴支持社区在许多人的医疗保健体验中发挥着重要作用。由于人们在获得这些疾病的面对面护理时可能遇到困难，它们在行为健康/心理健康方面可能尤为重要。在线同伴支持社区在服务管理、目标群体和管理实践方面存在相当大的差异。使用这些社区的人似乎也有不同的目标和体验。尽管对这些社区的某些方面进行了大量研究，但这种异质性导致了关于在线同伴支持在行为健康中的价值和有效性的数据相对缺乏。数字行为健康服务“大白墙”于2007年在英国推出，2015年在美国推出，专注于提供有管理的同伴支持。两国的卫生系统存在相当大的差异，这反映在不同的实施经验中。如果能更有效地应对实施和采用方面的系统性挑战，在线同伴支持的价值将得到最大化。
