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首页> 外文期刊>International journal of medical informatics >Attraction, selection, and attrition in online health communities: Initial conversations and their association with subsequent activity levels
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Attraction, selection, and attrition in online health communities: Initial conversations and their association with subsequent activity levels

机译:在线健康社区的吸引力,选择和消磨:初始对话及其与后续活动水平的关联

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Background: The effectiveness of online health communities (OHCs) for improving outcomes for health care consumers, health professionals, and health services has already been well investigated. However, research on determinants of OHC users' activity levels, what is associated with attrition or attraction to these communities, and the impacts of initial posts is limited.Objectives: We sought to explore topic exchanges in OHCs and determine how users' initial posts and community reactions to them are associated with their subsequent activity levels. We also aimed to extend the theory of Attraction-Selection-Attrition for Online Communities (OCASA) to this area.Methods: We examined exchanges in a major Australian OHC for cancer patients, analyzing about 2500 messages posted over 2009-18. We developed a novel annotation scheme to examine new members' initial posts and the community's reactions to them.Results: The annotation scheme includes five themes: informational support provision, emotional support provision, requests for help, self-reflection & disclosures, and conversational cues. Initial conversations were associated with future activity levels in terms of active posting versus non-active engagement in the community. We found that most OHC members disclosed personal reflections to bond with the community, and many actively posted to the community solely to provide informational and emotional support to others.Conclusion: Our work extends OCASA theory to bond-based contexts, presents a new annotation scheme for OHC support topics, and makes an important contribution to knowledge about the relationship between users' activity levels and their initial posts. The findings help managers and owners understand how members use OHCs and how to encourage active participation. They also suggest how to attract new members and minimize attrition among existing members.
机译:背景:在线卫生社区(OCCS)改善医疗保健消费者,卫生专业人士和卫生服务的成果的有效性已经得到很好地调查。然而,研究人权使用者的活动水平的决定因素,与这些社区的磨损或吸引力相关,以及初始帖子的影响是有限的。目的:我们试图探索OHCS中的主题交流,并确定用户的初始职位和如何确定用户的初始帖子社区对他们的反应与他们随后的活动水平有关。我们还旨在将在线社区(OCASA)的吸引力选择理论扩展到这一领域。方法:我们在澳大利亚主要澳大利亚癌症患者中审查了交流,分析了2009年至18份发布的约2500条消息。我们开发了一种新的注释计划,以检查新成员的初始职位和社区对他们的反应。结果:注释计划包括五个主题:信息支持提供,情感支持条款,帮助,自我反思和披露请求,以及对话提示。在积极发布与社区中的非主动参与方面,初始对话与未来的活动水平相关联。我们发现,大多数人权OCC成员披露了与社区债券的个人思考,许多人只是为了为他人提供信息和情感支持。结论:我们的工作将ocasa理论扩展到基于债券的背景,提出了一种新的注释计划对于OHC支持主题,并对知识了解用户活动级别与其初始职位之间的重要贡献。调查结果帮助经理和业主了解成员如何使用OHC以及如何鼓励积极参与。他们还建议如何吸引新成员并尽量减少现有成员之间的磨损。

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