@Article{信息:doi 10.2196 / / jmir。5654，作者=“Coulson, Neil S和Smedley, Richard和Bostock, Sophie和Kyle, Simon D和Gollancz, Rosie和Luik, Annemarie I和Hames, Peter和Espie, Colin A”，标题=“参与失眠数字认知行为治疗中嵌入在线社交社区的利与弊:对用户的调查”，期刊=“J Med Internet Res”，年=“2016”，月=“Apr”，日=“25”，卷=“18”，数=“4”，页=“e88”，关键词=“参与;睡眠;网络社区;论坛;失眠;背景:Sleepio是一种基于认知行为治疗技术的数字睡眠改善程序。用户可以选择加入一个在线社区，其中包括每周的专家讨论、点对点讨论论坛和个人信息墙。目的:本研究的目的是进行在线调查，以(1)探索决定参与Sleepio在线社区的原因，(2)探索参与在线社区的潜在好处，以及(3)识别和描述与使用在线社区有关的任何问题。方法:我们开发了一项在线调查，并向社区论坛发出邀请，邀请用户参与。 In addition, we sent an email invitation to 970 individuals who had previously or were currently working through the Sleepio program to participate in this study. Results: In total, 100 respondents (70/100, 70{\%} female; mean age 51 years, range 26--82 years) completed the online survey. Most respondents had started Sleepio with chronic sleep problems (59/100, 59{\%} up to 10 years; 35/100, 35{\%} >10 years) and had actively engaged with the online community (85/100, 85{\%}) had made a discussion or wall post). At the time of the survey, respondents had used Sleepio for a median of 12 weeks (range from 3 weeks to 2 years). We analyzed responses to the open-ended questions using thematic analysis. This analysis revealed 5 initial drivers for engagement: (1) the desire to connect with people facing similar issues, (2) seeking personalized advice, (3) curiosity, (4) being invited by other members, and (5) wanting to use all available sleep improvement tools. Advantages of engagement included access to continuous support, a reduced sense of isolation, being part of a nonjudgmental community, personalized advice, positive comparisons with others, encouragement to keep going, and altruism. We found 5 potential disadvantages: design and navigation issues, uncertain quality of user-generated content, negative comparisons with others, excessive time commitments, and data privacy concerns. Participants related their community experiences to engagement with the Sleepio program, with many stating it had supported their efforts to improve their sleep, as well as helping with adherence and commitment to the program. Despite some concerns, members regarded the Sleepio community as a valuable resource. Conclusions: Online communities may be a useful means through which to support long-term engagement with Web-based therapy for insomnia. ", issn="1438-8871", doi="10.2196/jmir.5654", url="//www.mybigtv.com/2016/4/e88/", url="https://doi.org/10.2196/jmir.5654", url="http://www.ncbi.nlm.nih.gov/pubmed/27113540" }