Southwick Lauren, Suh Rebecca, Kranzler Elissa, Bradley Megan, Merchant Raina M
University of Pennsylvania, Philadelphia, PA, United States.
Fors Marsh Group, Washington DC, DC, United States.
JMIR Form Res. 2022 Jul 7;6(7):e32103. doi: 10.2196/32103.
Incorporating insights from social media into the patient-provider encounter is increasingly being explored in health care settings. Less is known about the utility of these data in mental health therapy.
This study aims to prospectively investigate and characterize how social media and digital data are used in mental health therapy from both the patient and mental health therapist perspective.
Patients enrolled in mental health therapy and mental health therapists were interviewed using a semistructured interview guide. All interviews were transcribed and coded using a deductive framework analysis. Themes and subthemes were identified. Participants completed a sociodemographic survey, while mental health therapists also completed a behavioral norms and elicitation survey.
Seventeen participants, that is, 8 (48%) mental health therapists and 9 (52%) patients were interviewed. Overall, participants identified 4 themes and 9 subthemes. Themes were current data collection practices, social media and digital data in therapy, advantages of social media and digital data in therapy, and disadvantages of social media and digital data in therapy. Most subthemes were related to the advantages and disadvantages of incorporating digital data in mental health therapy. Advantage subthemes included convenience, objective, builds rapport, and user-friendliness while disadvantage subthemes were nonreflective, ethically ambiguous, and nongeneralizable. The mental health therapists' behavioral norms and elicitation survey found that injunctive and descriptive normative beliefs mapped onto 2 advantage subthemes: convenience and objectivity.
This qualitative pilot study established the advantages and disadvantages of social media and digital data use in mental health therapy. Patients and therapists highlighted similar concerns and uses. This study indicated that overall, both patients and therapists are interested in and are comfortable to use and discuss social media and digital data in mental health therapy.
在医疗环境中，越来越多地探索将社交媒体的见解融入医患互动中。关于这些数据在心理治疗中的效用，人们了解得较少。
本研究旨在从患者和心理治疗师的角度，前瞻性地调查和描述社交媒体和数字数据在心理治疗中的使用方式及特点。
使用半结构化访谈指南对参加心理治疗的患者和心理治疗师进行访谈。所有访谈均进行转录，并使用演绎框架分析进行编码。确定主题和子主题。参与者完成了社会人口学调查，而心理治疗师还完成了行为规范和诱导调查。
共访谈了17名参与者，即8名（48%）心理治疗师和9名（52%）患者。总体而言，参与者确定了4个主题和9个子主题。主题包括当前的数据收集实践、治疗中的社交媒体和数字数据、社交媒体和数字数据在治疗中的优势以及社交媒体和数字数据在治疗中的劣势。大多数子主题与在心理治疗中纳入数字数据的优势和劣势有关。优势子主题包括便利性、客观性、建立融洽关系和用户友好性，而劣势子主题是非反思性、伦理模糊性和不可推广性。心理治疗师的行为规范和诱导调查发现，禁令性和描述性规范信念映射到2个优势子主题：便利性和客观性。
这项定性试点研究确定了在心理治疗中使用社交媒体和数字数据的优势和劣势。患者和治疗师强调了类似的关注点和用途。这项研究表明，总体而言，患者和治疗师都对在心理治疗中使用和讨论社交媒体和数字数据感兴趣且感到自在。
