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A chatbot-delivered intervention for optimizing social media use and reducing perceived isolation among rural-living LGBTQ+ youth: Development, acceptability, usability, satisfaction, and utility.

作者信息

Escobar-Viera César G, Porta Giovanna, Coulter Robert W S, Martina Jamie, Goldbach Jeremy, Rollman Bruce L

机构信息

Department of Psychiatry, School of Medicine, University of Pittsburgh, United States.

The Enhancing Triage and Utilization for Depression and Emergent Suicidality (ETUDES) Center, School of Medicine, University of Pittsburgh, United States.

出版信息

Internet Interv. 2023 Sep 9;34:100668. doi: 10.1016/j.invent.2023.100668. eCollection 2023 Dec.


DOI:10.1016/j.invent.2023.100668
PMID:37746640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10511780/
Abstract

BACKGROUND: Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth are at higher risk of isolation and depression than their heterosexual peers. Having access to tailored mental health resources is a documented concern for rural living LGBTQ+ youth. Social media provides access to connections to a broader and like-minded community of peers, but it also is a vehicle for negative interactions. We developed REALbot, an automated, social media-based educational intervention to improve social media efficacy, reduce perceived isolation, and bolster connections for rural living LGBTQ+ youth. This report presents data on the acceptability, feasibility, and utility of REALbot among its target audience of rural living LGBTQ+ youth. METHODS: We conducted a week-long exploratory study with a single non-comparison group of 20 rural-living LGBTQ+ youth aged 14-19 recruited from social media to test our Facebook- and Instagram-delivered chatbot. We assessed pre- and post-test scores of social media self-efficacy, social isolation (4-item Patient-Reported Outcomes Measurement System - PROMIS), and depressive symptoms (Patient Health Questionnaire, Adolescent Version - PHQ-A). At post-test, we assessed acceptability (User Experience Questionnaire - UEQ-S), usability (Chatbot Usability Questionnaire -CUQ and Post-Study Satisfaction and Usability Questionnaire -PSSUQ), and satisfaction with the chatbot (Client Satisfaction Questionnaire - CSQ), along with two open-ended questions on 'likes' and 'dislikes' about the intervention. We compared pre- and post-test scores with standard univariate statistics. Means and standard deviations were calculated for usability, acceptability, and satisfaction. To analyze the responses to post-test open-end questions, we used a content analysis approach. RESULTS: Acceptability of REALbot was high with UEQ-S 5.3 out of 7 (SD = 1.1) and received high usability scores with CUQ and PSSUQ (mean score (M) = 78.0, SD = 14.5 and M = 86.9, SD = 25.2, respectively), as well as high user satisfaction with CSQ (M = 24.9, SD = 5.4). Themes related to user 'likes' and 'dislikes' were organized in two main categories: usability and content provided. Participants were engaged with the chatbot, sending an average of 49.3 messages (SD = 43.6, median = 30). Pre-/post- changes in scores of perceived isolation, depressive symptoms and social media self-efficacy were not significant (p's > 0.08). CONCLUSION: REALbot deployment was found to be feasible and acceptable, with good usability and user satisfaction scores. Participants reported changes from pre- to post-test in most outcomes of interest and effect sizes were small to medium. Additional development and a formal evaluation of feasibility and engagement with behavioral targets is warranted.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/f9f05999d00f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/9d5fd27e29a4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/199a500d761e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/f2ca77712392/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/f9f05999d00f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/9d5fd27e29a4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/199a500d761e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/f2ca77712392/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f92/10511780/f9f05999d00f/gr4.jpg

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[6]
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本文引用的文献

[1]
Artificial Intelligence-Based Chatbots for Promoting Health Behavioral Changes: Systematic Review.

J Med Internet Res. 2023-2-24

[2]
Vickybot, a Chatbot for Anxiety-Depressive Symptoms and Work-Related Burnout in Primary Care and Health Care Professionals: Development, Feasibility, and Potential Effectiveness Studies.

J Med Internet Res. 2023-4-3

[3]
Support over Social Media among Socially Isolated Sexual and Gender Minority Youth in Rural U.S. during the COVID-19 Pandemic: Opportunities for Intervention Research.

Int J Environ Res Public Health. 2022-11-24

[4]
Mental Health Chatbot for Young Adults With Depressive Symptoms During the COVID-19 Pandemic: Single-Blind, Three-Arm Randomized Controlled Trial.

J Med Internet Res. 2022-11-21

[5]
Efficacy, Usability, and Acceptability of a Chatbot for Promoting COVID-19 Vaccination in Unvaccinated or Booster-Hesitant Young Adults: Pre-Post Pilot Study.

J Med Internet Res. 2022-10-4

[6]
Examining Social Media Experiences and Attitudes Toward Technology-Based Interventions for Reducing Social Isolation Among LGBTQ Youth Living in Rural United States: An Online Qualitative Study.

Front Digit Health. 2022-6-27

[7]
Usability Testing of a Social Media Chatbot for Increasing Physical Activity Behavior.

J Pers Med. 2022-5-20

[8]
Q Chat Space: Assessing the Feasibility and Acceptability of an Internet-Based Support Program for LGBTQ Youth.

Prev Sci. 2022-1

[9]
A systematic review of the engagement with social media-delivered interventions for improving health outcomes among sexual and gender minorities.

Internet Interv. 2021-7-7

[10]
Diverse community contexts and community resources for sexual and gender minority youth: A mixed methods study.

J Community Appl Soc Psychol. 2019

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