Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA.
Recovery Research Institute, Massachusetts General Hospital and Harvard Medical School Boston, MA, USA.
Drug Alcohol Depend. 2021 Dec 1;229(Pt A):109147. doi: 10.1016/j.drugalcdep.2021.109147. Epub 2021 Oct 29.
There are many effective treatment options for substance use disorder (SUD), yet most individuals with SUD do not seek formal treatment services. Given the rising popularity of TikTok and need to foster innovative means through which to attract and engage individuals with SUD with treatment, we sought to characterize how TikTok users in SUD recovery are using this platform to bolster their recovery support and/or give hope to others who are struggling with substance use.
Our sample consisted of 82 of the most liked TikTok videos related to attempts to cut down on or abstain from substances and/or strengthen SUD recovery. We employed an iterative process to codebook development resulting in codes for demographics, user-sentiment, video type, and mechanisms of recovery-related behavior change. Videos were independently double-coded and evaluated for inter-rater reliability.
Video in this sample were heavily viewed, accounting for over 2 million views per video and 325,000 likes on average. Most common video themes were sharing a journey from active SUD to recovery (40.2%) and sharing/celebrating a recovery milestone (37.8%), followed by recurrence of substance use (12.2%). Commonly exemplified mechanisms of recovery-related behavior change included embracing a strong social identity as a person in recovery (81.7%), social support (45.1%), and participation in rewarding alternative activities (39.0%).
TikTok SUD recovery-focused videos can potentially reach millions with portrayed themes similar to established therapeutic mobilizers and mechanisms. More research is needed to better understand whether digital recovery narratives can effectively normalize experiences of addiction and help-seeking behaviors.
物质使用障碍（SUD）有许多有效的治疗选择，但大多数 SUD 患者并不寻求正规的治疗服务。鉴于 TikTok 的日益普及，以及需要通过创新手段吸引和吸引 SUD 患者接受治疗，我们试图描述 SUD 康复者如何利用这个平台来增强他们的康复支持，或为那些正在与物质使用作斗争的人带来希望。
我们的样本由 82 个与试图减少或戒除物质和/或加强 SUD 康复相关的最受欢迎的 TikTok 视频组成。我们采用迭代过程来开发编码手册，产生针对人口统计学、用户情绪、视频类型和与康复相关的行为改变机制的编码。视频由独立的双编码并评估内部评估者的可靠性。
本样本中的视频观看量很大，每个视频的观看量超过 200 万次，平均点赞数为 32.5 万次。最常见的视频主题是分享从活跃的 SUD 到康复的旅程（40.2%）和分享/庆祝康复里程碑（37.8%），其次是物质使用的复发（12.2%）。常见的与康复相关的行为改变机制包括：将自己作为康复者的强烈社会身份（81.7%）、社会支持（45.1%）和参与有回报的替代活动（39.0%）。
以 SUD 康复为重点的 TikTok 视频可能会接触到数以百万计的人，其主题与既定的治疗动员和机制相似。需要进一步研究，以更好地了解数字康复叙事是否能有效地使成瘾经历和寻求帮助的行为正常化。
