Jadnanansing Raj, Dekker Jack, Etwaroo Kajal, Dwarkasing Rudi, Lumsden Vincent, Bipat Robbert, Blankers Matthijs
Psychiatrisch Centrum Suriname, Paramaribo, Suriname.
Faculty of Social Science, Anton de Kom University of Suriname, Paramaribo, Suriname.
JMIR Form Res. 2022 Jun 9;6(6):e33793. doi: 10.2196/33793.
Digital health applications have been shown to be an accepted means to provide mental health information and advice in various high- and middle-income countries. Started in 2015, ehealth.sr was the first website to offer preventive information, self-tests, and unguided digital self-help for depression, anxiety symptoms, and problematic alcohol use in Suriname, an upper middle-income country in South America.
This study aimed to assess the general demographics and behavioral patterns of the visitors of ehealth.sr, as well as to evaluate different promotional channels to attract the target audience to the website.
Data collection for this study took place between August 2015 and December 2020. Conventional promotion channels such as newspaper and radio advertisements as well as social media advertisements were used to attract users to the website. The number of visits and activity on the website was registered using Google analytics and the website's internal activity log.
On average, about 115 unique visitors accessed the website per month. The average number of visits to the website increased notably when social media advertisement campaigns were conducted (266 per month in 2018) compared to when traditional advertisements campaigns through papers, radio, and television were used (34 per month in 2019). Of the 1908 new visitors, 1418 (74.32%) were female. On average, visitors accessed 2 (SD 0.3) pages of the website and a session lasted 2.6 (SD 0.9) minutes. The most popular pages for intervention on the website were those for the mood or anxiety screening (731/942, 77.6%) as opposed to those for alcohol screening (211/942, 22.4%). People aged <45 years (on average, 2.2 pages per session for 3.2 minutes) made more use of the website than people aged ≥45 years (on average, 1.7 pages per session for 2 minutes).
Promotion via social media led to more visitors to the website than newspaper or radio advertisements. Younger age groups and females visited the website more often. The pages on preventive information and brief self-tests were visited more frequently than the self-help modules. In general, user adherence to the website in terms of the average session duration and number of viewed pages per session is low and is a key point of concern for the successful implementation of digital mental health websites.
在各个高收入和中等收入国家，数字健康应用已被证明是提供心理健康信息和建议的一种可接受的方式。ehealth.sr网站于2015年启动，是南美洲上中等收入国家苏里南第一个提供预防信息、自我测试以及针对抑郁症、焦虑症状和酒精使用问题的非指导性数字自助服务的网站。
本研究旨在评估ehealth.sr网站访问者的一般人口统计学特征和行为模式，并评估吸引目标受众访问该网站的不同推广渠道。
本研究的数据收集于2015年8月至2020年12月期间进行。使用报纸和广播广告以及社交媒体广告等传统推广渠道吸引用户访问该网站。通过谷歌分析和网站内部活动日志记录网站的访问量和活动情况。
平均每月约有115名独立访问者访问该网站。与通过报纸、广播和电视进行的传统广告活动（2019年每月34次）相比，开展社交媒体广告活动时网站的平均访问量显著增加（2018年每月266次）。在1908名新访问者中，1418名（74.32%）为女性。访问者平均访问该网站2（标准差0.3）个页面，一次会话持续2.6（标准差0.9）分钟。网站上最受欢迎的干预页面是情绪或焦虑筛查页面（731/942，77.6%），而非酒精筛查页面（211/942，22.4%）。年龄<45岁的人群（平均每次会话访问2.2个页面，持续3.2分钟）比年龄≥45岁的人群（平均每次会话访问1.7个页面，持续2分钟）更多地使用该网站。
与报纸或广播广告相比，通过社交媒体进行推广能吸引更多访问者访问该网站。较年轻的年龄组和女性更频繁地访问该网站。预防信息和简短自我测试页面的访问频率高于自助模块页面。总体而言，就平均会话时长和每次会话查看页面数量而言，用户对该网站的粘性较低，这是数字心理健康网站成功实施的一个关键关注点。
