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首页> 外文期刊>JMIR Mental Health >Considerations in Designing Digital Peer Support for Mental Health: Interview Study Among Users of a Digital Support System (Buddy Project)
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Considerations in Designing Digital Peer Support for Mental Health: Interview Study Among Users of a Digital Support System (Buddy Project)

机译：设计用于心理健康的数字对等体支持的思考：数字支持系统用户的面试学习（伙伴项目）

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Background Peer support is an approach to cope with mental illness, and technology provides a way to facilitate peer support. However, there are barriers to seeking support in offline and technology-mediated contexts. Objective This study aims to uncover potential ways to design digital mental health peer support systems and to outline a set of principles for future designers to consider as they embark on designing these systems. By learning how existing systems are used by people in daily life and by centering their experiences, we can better understand how to design mental health peer support technologies that foreground people’s needs. One existing digital peer support system is Buddy Project, the case study in this paper. Methods This paper reports on an interview study with Buddy Project users (N=13). Data were analyzed using the constant comparative approach. Results Individuals matched through Buddy Project developed supportive friendships with one another, leading them to become each other’s peer supporters in their respective journeys. It was not only the mental health peer support that was important to participants but also being able to connect over other parts of their lives and identities. The design of Buddy Project provided a sense of anonymity and separation from pre-existing ties, making it easier for participants to disclose struggles; moreover, the pairs appreciated being able to browse each other’s social media pages before connecting. Buddy Project has an explicit mission to prevent suicide and demonstrates this mission across its online platforms, which helps reduce the stigma around mental health within the peer support space. Pairs were matched based on shared interests and identities. This choice aided the pairs in developing meaningful, compatible, and supportive relationships with each other, where they felt seen and understood. However, the pairs were concerned that matching based on a shared mental health diagnosis may lead to sharing unhealthy coping mechanisms or comparing themselves and the severity of their experiences with their peers. Conclusions The results of this study shed light on desirable features of a digital mental health peer support system: matching peers based on interests and identities that they self-identify with; having an explicit mental health–related mission coupled with social media and other web-based presences to signal that discussing mental health is safe within the peer support ecosystem; and not matching peers based on a broad mental health diagnosis. However, if the diagnosis is important, this matching should account for illness severity and educate peers on how to provide support while avoiding suggesting unhelpful coping mechanisms; allowing for some degree of anonymity and control over how peers present themselves to each other; and providing relevant information and tools to potential peers to help them decide if they would like to embark on a relationship with their matched peer before connecting with them.
机译：背景技术同行支持是一种应对精神疾病的方法，技术提供了一种促进同伴支持的方法。但是，在离线和技术介导的环境中寻求支持存在障碍。目的本研究旨在揭示设计数字心理健康同行支持系统的潜在方式，并概述一系列原则，以便将来设计师们推动设计这些系统。通过学习日常生活中人们使用的现有系统以及以经验为中心，我们可以更好地了解如何设计精神健康的同行支持技术，前景人们的需求。一个现有的数字对等支持系统是伙伴项目，案例研究本文。方法对伙伴项目用户的面试研究报告本文报告（n = 13）。使用恒定的比较方法分析数据。结果通过伙伴项目匹配的个体彼此开发了支持性友谊，导致他们在各自的旅程中成为彼此的同行支持者。这不仅是与参与者很重要的心理健康同行支持，也能够与他们的生活和身份的其他部分联系起来。 Buddy项目的设计提供了透露姓名和与预先存在的关系的分离感，使参与者更容易披露斗争;此外，该对能够在连接之前浏览彼此的社交媒体页面。伙伴项目有明确的任务，以防止自杀，并在其在线平台上展示了​​这一使命，这有助于减少对等支持空间内心理健康周围的耻辱。基于共享利益和身份匹配对。这种选择辅助彼此开发有意义，兼容和支持性关系的对，他们觉得和理解。然而，对基于共享心理健康诊断的匹配可能导致分享不健康的应对机制或与同龄人相比，他们的经验的严重程度。结论本研究的结果揭示了数字心理健康同行支持系统的理想特征：基于自我认同的基于兴趣和身份匹配同行;具有明确的心理健康相关的任务，与社交媒体和其他基于网络的意见，以讨论讨论心理健康的信号在同行支持生态系统内是安全的;并不匹配基于广泛心理健康诊断的同行。但是，如果诊断是重要的，这种匹配应该考虑到疾病严重程度，并教育同行对如何提供支持的同时，同时避免建议无益的应对机制;允许某种程度的匿名性，并控制同龄人如何彼此出现;并为潜在的同行提供相关信息和工具，以帮助他们决定他们是否希望在与他们联系之前与他们的匹配同行建立关系。

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