Holmberg Christopher, Berg Christina, Hillman Thomas, Lissner Lauren, Chaplin John Eric
Department of Food and Nutrition, and Sport Science, University of Gothenburg, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, Sweden.
Digit Health. 2018 Oct 16;4:2055207618807603. doi: 10.1177/2055207618807603. eCollection 2018 Jan-Dec.
Emerging research suggests that social media has the potential in clinical settings to enhance interaction with and between pediatric patients with various conditions. However, appearance norms and weight stigmatization can make adolescents with obesity uncomfortable about using these visual-based media. It is therefore important to explore these adolescents' perspectives to identify the implications and concerns regarding the use of social media in clinical settings.
To explore the experiences of adolescents in treatment for obesity in terms of how they present themselves on social media, their rationale behind their presentations, and their feelings related to self-presentation.
Interviews were conducted with 20 adolescents enrolled in a pediatric outpatient obesity clinic, then transcribed and categorized using qualitative content analysis and Goffman's dramaturgical model. Participants used a screen-recorded laptop to demonstrate their online self-presentation practices. Adolescent girls and boys undergoing treatment for obesity used visual-based social media, but girls in particular experienced weight stigma online and undertook self-presentation strategies to conceal weight-related content such as avoiding showing close-up photos of their bodies and not posting images of unhealthy "fattening" foods. Participants perceived the potential use of social media in clinical settings as being too risky and private.
Given the complexity of general visual-based social media use by adolescents, and not wanting their patient status to be visible to peers, healthcare should primarily focus on working with more restricted instant messaging when engaging with adolescents with obesity.
新兴研究表明，社交媒体在临床环境中具有增强与患有各种疾病的儿科患者互动以及患者之间互动的潜力。然而，外貌标准和体重歧视可能会让肥胖青少年对使用这些基于视觉的媒体感到不适。因此，探索这些青少年的观点以确定在临床环境中使用社交媒体的影响和担忧非常重要。
探讨肥胖青少年在治疗过程中在社交媒体上展示自己的方式、展示背后的理由以及与自我展示相关的感受。
对20名在儿科门诊肥胖诊所就诊的青少年进行了访谈，然后使用定性内容分析和戈夫曼的戏剧化模型进行转录和分类。参与者使用屏幕录制的笔记本电脑展示他们的在线自我展示行为。接受肥胖治疗的青少年男女都使用基于视觉的社交媒体，但女孩尤其在网上经历了体重歧视，并采取自我展示策略来隐藏与体重相关的内容，比如避免展示自己身体的特写照片，不发布不健康“增肥”食品的图片。参与者认为在临床环境中使用社交媒体风险太大且涉及隐私。
鉴于青少年使用一般基于视觉的社交媒体的复杂性，且不想让同龄人看到自己的患者身份，医疗保健机构在与肥胖青少年互动时应主要专注于使用限制更多的即时通讯工具。
