Stapleton Jerod L, Manne Sharon L, Day Ashley K, Levonyan-Radloff Kristine, Pagoto Sherry L
Rutgers Cancer Institute of New Jersey, Department of Medicine, Rutgers University, New Brunswick, NJ, United States.
Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, United States.
JMIR Res Protoc. 2018 Feb 20;7(2):e54. doi: 10.2196/resprot.9429.
There is increasing interest in using social media sites such as Facebook to deliver health interventions so as to expose people to content while they are engaging in their usual social media habit. This formative intervention development study is novel in describing a preliminary test of using the secret group feature of Facebook to deliver a behavioral intervention targeting users of indoor tanning beds to reduce their risk of skin cancer. Intervention content was designed to challenge body image-related constructs associated with indoor tanning through the use of dissonance-inducing content.
To evaluate engagement with and acceptability of using a secret Facebook group to deliver a healthy body image intervention to young women engaged in indoor tanning.
Seventeen young women completed a baseline survey and joined a secret Facebook group with intervention content delivered via daily posts for 4 weeks. Engagement data was extracted and acceptability was measured via a follow-up survey.
The study had a high retention rate (94%, [16/17]). On average, posts were viewed by 91% of participants, liked by 35%, and commented on by 26%. The average comment rate was highest (65%) for posts that elicited comments by directly posing questions or discussion topics to the group. Average intervention acceptability ratings were highly positive and participants reported feeling connected to the group and its topic. Average rates of past 1-month indoor tanning reported following the intervention were lower than the baseline rate (P=.08, Cohen d=0.47).
This study is novel in demonstrating participant engagement with and acceptability of using Facebook secret groups to deliver a dissonance-inducing intervention approach that utilizes group-based discussions related to body image. The study is also unique within the field of skin cancer prevention by demonstrating the potential value of delivering an indoor tanning intervention within an interactive social media format. The findings suggest that Facebook metrics of intervention post engagement (ie, likes and comments) may vary based on post types and that designing specifically labeled discussion posts may be helpful for soliciting engagement as well as challenging beliefs.
人们越来越有兴趣利用诸如脸书这样的社交媒体网站来提供健康干预措施，以便人们在保持日常社交媒体使用习惯的同时接触到相关内容。这项形成性干预开发研究具有创新性，它描述了一项初步测试，即利用脸书的私密群组功能来提供一项行为干预措施，目标是室内晒黑床使用者，以降低他们患皮肤癌的风险。干预内容旨在通过使用引发认知失调的内容来挑战与室内晒黑相关的身体形象观念。
评估使用脸书私密群组向进行室内晒黑的年轻女性提供健康身体形象干预措施时的参与度和可接受性。
17名年轻女性完成了基线调查，并加入了一个脸书私密群组，通过每日帖子提供干预内容，为期4周。提取参与度数据，并通过后续调查测量可接受性。
该研究的保留率很高（94%，[16/17]）。平均而言，91%的参与者查看了帖子，35%的参与者点赞，26%的参与者发表了评论。对于那些通过直接向群组提出问题或讨论话题而引发评论的帖子，平均评论率最高（65%）。平均干预可接受性评分非常积极，参与者报告感觉与群组及其话题有联系。干预后报告的过去1个月内室内晒黑的平均发生率低于基线发生率（P = 0.08，科恩d = 0.47）。
这项研究具有创新性，证明了参与者对使用脸书私密群组来提供一种利用与身体形象相关的群组讨论的引发认知失调的干预方法的参与度和可接受性。该研究在皮肤癌预防领域也很独特，它展示了在互动社交媒体形式内提供室内晒黑干预措施的潜在价值。研究结果表明，干预帖子的脸书参与度指标（即点赞和评论）可能因帖子类型而异，设计带有特定标签的讨论帖子可能有助于吸引参与度并挑战观念。
