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儿童居家:针对1型神经纤维瘤病青少年患者家长的专用社交媒体评估试点研究

Children's at Home: Pilot Study Assessing Dedicated Social Media for Parents of Adolescents with Neurofibromatosis Type 1.

作者信息

Akre Christina, Polvinen Julie, Ullrich Nicole J, Rich Michael

机构信息

Institute of Social and Preventive Medicine (IUMSP), Lausanne University Hospital, Biopôle 2, Route de la Corniche 10, 1010, Lausanne, Switzerland.

Division of Adolescent/Young Adult Medicine, Center on Media and Child Health, Boston Children's Hospital, Boston, MA, USA.

出版信息

J Genet Couns. 2018 Apr;27(2):505-517. doi: 10.1007/s10897-018-0213-0. Epub 2018 Jan 30.

Abstract

The aim of this pilot study was to evaluate Children's at Home (C@H), a dedicated social media website for parents of adolescents with neurofibromatosis type 1 (NF1). The interventional study included two phases: (1) creating video intervention/prevention assessment (VIA) visual narratives about having an adolescent with NF1 and (2) interacting on C@H, a secure, medically moderated social media website. C@H was evaluated qualitatively at three time points. At enrollment (T0, N = 17), participants reported needing C@H to break their isolation, connect with other families, and receive accurate information, advice, and support from others facing similar challenges. At T1, after creating VIA during 6 months (N = 13, 145 videos), participants mostly valued the opportunity to speak about the challenges they face with NF1 and their journey since diagnosis. At T2, after interacting on C@H for 7 weeks (N = 10, two sign-ins/week/parent), participants reported connecting with other parents of children with NF1 for the first time, valuing the "real faces" and emotions of other parents with shared experiences providing a sense of normalcy. Qualitative analysis suggested that C@H decreased feelings of isolation, provided relief to talk about NF1 without having to explain it, provided new knowledge about NF1 and the opportunity to address non-medical issues of NF1 never discussed in clinic, and helped participants with putting their lives into perspective. C@H allowed parents of adolescents with NF1 to overcome previous isolation and connect for the first time. Innovative applications of social media dedicated to those who care for children with chronic conditions can provide peer-to-peer support, shared experience, and reliable medical information.

摘要

这项试点研究的目的是评估“儿童在家”(C@H),这是一个专为1型神经纤维瘤病(NF1)青少年的家长打造的社交媒体网站。干预性研究包括两个阶段:(1)创建关于家中有NF1青少年的视频干预/预防评估(VIA)视觉叙事;(2)在C@H上进行互动,C@H是一个经过医学审核的安全社交媒体网站。在三个时间点对C@H进行了定性评估。在入组时(T0,N = 17),参与者表示需要C@H来打破他们的孤立状态,与其他家庭建立联系,并从面临类似挑战的其他人那里获得准确的信息、建议和支持。在T1,即在6个月内创建VIA之后(N = 13,145个视频),参与者大多珍视有机会谈论他们面对NF1所面临的挑战以及自诊断以来的经历。在T2,即在C@H上互动7周之后(N = 10,每位家长每周登录两次),参与者报告说首次与其他NF1患儿的家长建立了联系,重视有相同经历的其他家长的“真实面孔”和情感,这给人一种正常的感觉。定性分析表明,C@H减少了孤立感,让人在无需解释的情况下谈论NF1从而感到宽慰,提供了关于NF1的新知识以及解决在诊所从未讨论过的NF1非医疗问题的机会,并帮助参与者正确看待自己的生活。C@H让NF1青少年的家长克服了以往的孤立状态并首次建立了联系。专门为照顾慢性病患儿的人设计的社交媒体创新应用可以提供 peer-to-peer支持、共享经验和可靠的医学信息。 (注:“peer-to-peer”直译为“对等的、点对点的”,这里结合语境意译为“同伴间的”)

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