Clinical trial NCT02396472: Mental Health Pathways in Internet Support Groups
Official title: Internet Support Groups: Identifying and Improving Pathways for Mental Health
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Depression
Stress
Anxiety
Keywords: social support
Lead sponsor: Carnegie Mellon University
Sponsor class: OTHER
Collaborators: name: University of Pittsburgh
name: National Institute of Mental Health (NIMH)
name: American Cancer Society, Inc.
First posted: 2015-03-24
Enrollment: 6500
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: People facing serious health threats increasingly use Internet health support communities to obtain informational support, emotional support and other resources. This study introduces software algorithms similar to those used by social media sites to put people in touch with helpful information and social interactions. Participants from the American Cancer Society's Cancer Support Network will have access to this online support group using the default interface that orders content by broad content category and date or with a new interface that highlights communication content and people that match users' interests and needs.

Detailed description: Internet support groups (ISGs) are online communities where people come together to exchange information, emotional support and other resources. They are an important resource for patients grappling with serious medical conditions. Although participation in health-related ISGs has been associated with significant reductions in participant-reported depression, anxiety and other indicators of psychological distress, many ISG members leave too soon to benefit. In a parallel study, we are using state-of-the art machine learning and automated language analysis techniques to assess the types of interactions that keep people participating in these groups and that lead to improved psychosocial well-being and health quality of life and how these interactions develop. The clinical trial described here uses these technologies and insights from our empirical research to build, deploy, and evaluate interventions that improve the interactions in Internet health support groups.

We will develop and pilot-test interventions to encourage effective communication processes identified in our empirical research. Participants from the American Cancer Society's Cancer Support Network will access this support group using either the default interface that orders content by disease diagnosis and date or with a new interface that sometimes highlights communication content and people who match their interests and needs. We will test whether mood, satisfaction with interactions and engagement in the group increase following interventions that (a) increase participants' receipt of individualized support from others; (b) provide participants with opportunities to offer support to others; (c) facilitate participants' expression of emotions; and (d) help participants form relationships with compatible peers. In a series of small, randomized experiments, we will examine how these interventions affect participants' communication behaviors as well as short-term engagement and satisfaction with their online interactions.

Eligibility criteria: Inclusion Criteria:

* Is an existing or new registrant to the American Cancer Society's Cancer Support Network.

Exclusion Criteria:

-

Primary outcomes:
measure: Read message (Does the user read the message they were exposed to?)
timeFrame: 1 day
Secondary outcomes:
measure: Interaction satisfaction (Self-report measure of satisfaction 3-item survey)
timeFrame: 1 day
measure: Reply to message (How long does it take the users to reply to a message they were exposed to, if they reply at all.)
timeFrame: 2 days
Other outcomes:
Locations:
city: Pittsburgh
country: United States
facility: Carnegie Mellon University
state: Pennsylvania
Study officials:
affiliation: Carnegie Mellon University
name: Robert E Kraut, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Wang YC, Kraut RE, Levine JM. Eliciting and receiving online support: using computer-aided content analysis to examine the dynamics of online social support. J Med Internet Res. 2015 Apr 20;17(4):e99. doi: 10.2196/jmir.3558.
citation: Vlahovic, T., Wang, Y.-C., Kraut, R. E., & Levine, J. M. (2014). Support matching and satisfaction in an online breast cancer support community. CHI'14: Proceedings of the ACM Conference on Human Factors in Computing Systems (pp. 1625-1634 ). NY: ACM.
citation: Wang, Y., Kraut, R., & Levine, J. (2012). To stay or leave? the relationship of emotional and informational support to commitment in online health support groups CSCW '12 Proceedings of the ACM 2012 conference on Computer Supported Cooperative Work (pp. 833-842). NY: ACM.
citation: Yang D, Kraut R, Smith T, Mayfield E, Jurafsky D. Seekers, Providers, Welcomers, and Storytellers: Modeling Social Roles in Online Health Communities. Proc SIGCHI Conf Hum Factor Comput Syst. 2019 May;2019:344. doi: 10.1145/3290605.3300574.
citation: Yang D, Yao Z, Seering J, Kraut R. The Channel Matters: Self-disclosure, Reciprocity and Social Support in Online Cancer Support Groups. Proc SIGCHI Conf Hum Factor Comput Syst. 2019 May;2019:31. doi: 10.1145/3290605.3300261.
citation: Yang D, Yao Z, Kraut R. Self-disclosure and Channel Difference in Online Health Support Groups. Proc Int AAAI Conf Weblogs Soc Media. 2017 May;2017:704-707.
citation: Yang D, Kraut R, Levine JM. Commitment of Newcomers and Old-timers to Online Health Support Communities. Proc SIGCHI Conf Hum Factor Comput Syst. 2017 May;2017:6363-6375. doi: 10.1145/3025453.3026008.