杂志文章@ 1438- 8871% I JMIR出版公司V 18% N卡塔尔世界杯8强波胆分析 4% P 88% T参与失眠数字认知行为治疗中嵌入的在线社交社区的利与弊:用户调查:科尔森、尼尔·斯梅德利、理查德·博斯托克、索菲·凯尔、西蒙·戈兰茨、罗西·卢克、安妮玛丽·哈梅斯、彼得·埃斯皮、科林·康复与衰老部，诺丁汉大学医学院，诺丁汉大学女王医学中心，诺丁汉，NG7 2UH，英国，44 1158466642，neil.coulson@nottingham.ac.uk %K参与%K睡眠%K在线社区%K讨论论坛%K失眠%K认知行为治疗%D 2016 %7 25.04.2016 %9原始论文%J J医学互联网Res %G英文%X背景:Sleepio是一个经过验证的基于认知行为治疗技术的数字睡眠改善计划。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。此外，我们还向970名曾经或正在参与Sleepio项目的人发出了电子邮件邀请，邀请他们参与这项研究。结果:总共有100名受访者(70/100,70%女性;平均年龄51岁，范围26-82岁)完成了在线调查。大多数受访者开始Sleepio时都有慢性睡眠问题(59/100,59%长达10年; 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. %M 27113540 %R 10.2196/jmir.5654 %U //www.mybigtv.com/2016/4/e88/ %U https://doi.org/10.2196/jmir.5654 %U http://www.ncbi.nlm.nih.gov/pubmed/27113540