Journal
WESTERN JOURNAL OF NURSING RESEARCH
Volume 36, Issue 9, Pages 1183-1198Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0193945913520414
Keywords
diabetes; adolescence; social media; Internet; social learning; problem solving
Categories
Funding
- National Institutes of Health [DK097706]
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The aim of this exploratory study was to examine diabetes online health communities (OHCs) available to adolescents with type 1 diabetes (T1D). We sought to identify and classify site features and relate them to evidence-based processes for improving self-management. We reviewed 18 OHCs and identified the following five feature categories: social learning and networking, information, guidance, engagement, and personal health data sharing. While features that have been associated with improved self-management were present, such as social learning, results suggest that more guidance or structure would be helpful to ensure that those processes were focused on promoting positive beliefs and behaviors. Enhancing guidance-related features and structure to existing OHCs could provide greater opportunity for effective diabetes self-management support. To support clinical recommendations, more research is needed to quantitatively relate features and participation in OHCs to patient outcomes.
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