@Article{info:doi/10.2196/17570，作者=“Valentine, Lee and McEnery, Carla and O'Sullivan, Shaunagh and Gleeson, John and Bendall, Sarah and Alvarez-Jimenez, Mario”，标题=“青少年对长期社交媒体的体验——基于首发精神病的干预:定性分析”，期刊=“J Med Internet Res”，年=“2020”，月=“6”，日=“26”，卷=“22”，数=“6”，页=“e17570”，关键词=“社交媒体;社交网络;青春;年轻的成年人;精神疾病;移动健康;定性研究"，摘要="背景:数字心理健康干预为解决首发精神病(FEP)年轻人缺乏社会联系和孤独感提供了独特的机会。然而，第一代数字干预与高流失率有关。社交媒体提供了一个针对这一问题的机会。新一代数字干预利用社交媒体的普及，在青少年心理健康干预中促进参与和促进社会联系。 Despite their potential, little is known about how young people engage with, and experience, social media--based interventions as well as the optimal design, implementation, and management needed to ensure young people with psychosis receive benefit. Objective: This study aimed to explore how young people engage with, and experience, a long-term social media--based mental health intervention designed to address social functioning in individuals with FEP. Methods: This qualitative study was based on 12 interviews with young people who used Horyzons, a long-term social media--based mental health intervention, as part of a previous randomized controlled trial. A semistructured phenomenological interview guide with open-ended questions was used to explore young people's subjective experience of the intervention. All interviews were recorded and transcribed verbatim. Data were analyzed using interpretative phenomenological analysis. Results: A total of 4 superordinate themes emerged during the analysis including (1) shared experience as the catalyst for a cocreated social space, (2) the power of peer support, (3) an upbeat environment, and (4) experiences that interrupt being in Horyzons. Conclusions: We found that Horyzon's therapeutic social network fostered a connection and an understanding among young people. It also aided in the creation of an embodied experience that afforded young people with FEP a sense of self-recognition and belonging over the long term. However, although we found that most young people had strong positive experiences of a social connection on Horyzons, we also found that they experienced significant barriers that could substantively interrupt their ability to use the platform. We found that social anxiety, paranoia, internalized stigma, lack of autonomy, and social protocol confusion interfered with young people's usage of the platform. From a design perspective, digital interventions are flexible and thus equipped to begin addressing these implications by providing customizable and personalized treatment options that account for varying levels of social connection and psychological need that could otherwise interrupt young people's usage of social media--based interventions. ", issn="1438-8871", doi="10.2196/17570", url="//www.mybigtv.com/2020/6/e17570", url="https://doi.org/10.2196/17570", url="http://www.ncbi.nlm.nih.gov/pubmed/32384056" }