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Do Internet-Based Support Interventions Change Perceptions of Social Support?: An Experimental Trial of Approaches for Supporting Diabetes Self-Management

Abstract

Internet-based support groups are a rapidly growing segment of mutual aid programs for individuals with chronic illnesses and other challenges. Previous studies have informed us about the content of online exchanges between support group members, but we know little about the ability of these interventions to change participants' perceptions of support. A randomized trial of 160 adult Type 2 diabetes patients provided novice Internet users with computers and Internet access to 1 of 4 conditions: (a) diabetes information only, (b) a personal self-management coach, (c) a social support intervention, or (d) a personal self-management coach and the support intervention. After 3 months, individuals in the 2 support conditions reported significant increases in support on a diabetes-specific support measure and a general support scale. Participants' age was significantly related to change in social support, but intervention effects were still significant after accounting for this relationship. This report is a critical first step in evaluating the long-term effects of Internet-based support for diabetes self-management. The discussion identifies directions for future research.

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REFERENCES

  1. American Diabetes Association. (1997). Application information for Provider Recognition Program. Alexandria, VA: Author.

    Google Scholar 

  2. Barrera, M., Jr. (2000). Social support research in community psychology. In J. Rappaport & E. Seidman (Eds.), Handbook of community psychology (pp. 215–245). New York: Plenum.

    Google Scholar 

  3. Barrera, M., Jr., & Prelow, H. (2000). Interventions to promote social support in children and adolescents. In D. Cicchetti, J. Rappaport, I. N. Sandler, & R. P. Weissberg (Eds.), The promotion of wellness in children and adolescents (pp. 309–339).Washington, D.C.: CWLA Press.

    Google Scholar 

  4. Bogat, G. A., Sullivan, L. A., & Grober, J. (1993). Applications of social support to preventive interventions. In D. S. Glenwick & L. A. Jason (Eds.), Promoting health and mental health in children, youth, and families (pp. 205–232). New York: Springer.

    Google Scholar 

  5. Brennan, P. F., Moore, S. M., & Smyth, K. A. (1995). The effects of a special computer network on caregivers of persons with Alzheimer's disease. Nursing Research, 44, 166–172.

    Google Scholar 

  6. Burnett, K. F., Taylor, C. B., & Agras, W. S. (1992). Ambulatory computer-assisted behavior therapy for obesity: An empirical model for examining behavioral correlates of treatment outcome. Computers in Human Behavior, 8, 239–248.

    Google Scholar 

  7. Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7, 269–297.

    Google Scholar 

  8. Cohen, S., Doyle, W. J., Skoner, D. P., Rabin, B. S., & Gwaltney, J. M., Jr. (1997). Social ties and susceptibility to the common cold. JAMA, 277, 1940–1944.

    Google Scholar 

  9. Cohen, S., & Hoberman, H. M. (1983). Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology, 13, 99–125.

    Google Scholar 

  10. Eggert, L. L., Thompson, E. A., Herting, J. R., & Nicholas, L. J. (1995). Reducing suicide potential among high-risk youth: Tests of a school-based prevention program. Suicide and Life-Threatening Behavior, 23, 276–296.

    Google Scholar 

  11. Ensel, W., & Woelfel, M. (1986). Measuring the instrumental and expressive functions of social support. In N. Lin, A. Dean, & W. Ensel (Eds.), Social support, life events, and depression (pp. 129–152). Orlando, FL: Academic Press.

    Google Scholar 

  12. Finn, J. (1996). Computer-based self-help groups: On-line recovery for addictions. Computers in Human Services, 13, 21–41.

    Google Scholar 

  13. Gackenbach, J. (1998). Psychology and the Internet: Intrapersonal, interpersonal, and transpersonal implications. San Diego, CA: Academic Press.

    Google Scholar 

  14. Glasgow, R. E., Barrera, M., Jr., McKay, H. G., & Boles, S. M. (1999). Social support, selfmanagement, and quality of life among participants in an internet based diabetes support program: A multi-dimensional investigation. Cyberpsychology and Behavior, 2, 271–281.

    Google Scholar 

  15. Glasgow, R. E., & Toobert, D. J. (1988). Social environment and regimen adherence among Type II diabetic patients. Diabetes Care, 11, 377–386.

    Google Scholar 

  16. Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. American Journal of Public Health, 89, 1322–1327.

    Google Scholar 

  17. Gottlieb, B. H. (1988). Support interventions: A typology and agenda for research. In S. W. Duck (Ed.), Handbook of personal relationships (pp. 519–541). New York: Wiley.

    Google Scholar 

  18. Gustafson, D. H., Hawkins, R., Boberg, E., Pingree, S., Serlin, R. E., Graziano, F., et al. (1999). Impact of a patient-centered, computer-based health information/support system. American Journal of Preventive Medicine, 16, 1–9.

    Google Scholar 

  19. Heller, K., Price, R. H., & Hogg, J. R. (1990). The role of social support in community and clinical interventions. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: An interactional view (pp. 482–507). New York: Wiley.

    Google Scholar 

  20. Heller, K., Thompson, M. G., Trueba, P. E., Hogg, J. R., & Vlachos-Weber, I. (1991). Peer support telephone dyads for elderly women: Was this the wrong intervention? American Journal of Community Psychology, 19, 53–74.

    Google Scholar 

  21. Humphreys, K. (1997). Individual and social benefits of mutual aid self-help groups. Social Policy, Spring, 12–19.

  22. King, S. A., & Moreggi, D. (1998). Internet therapy and self-help groups-The pros and cons. In J. Gackenbach (Ed.), Psychology and the Internet: Intrapersonal, interpersonal, and transpersonal implications (pp. 77–109). San Diego, CA: Academic Press.

    Google Scholar 

  23. Kraut, R., Patterson, M., Lundmark, V., Kiesler, S., Mukopadhyay, T., & Scherlis, W. (1998). Internet paradox: A social technology that reduces social involvement and psychological well-being? American Psychologist, 53, 1017–1031.

    Google Scholar 

  24. Lichtenstein, E., Glasgow, R. E., & Abrams, D. (1986). Social support in smoking cessation: In search of effective interventions. Behavior Therapy, 17, 607–619.

    Google Scholar 

  25. Madara, E. J. (1997). The mutual-aid self-help online revolution. Social Policy, Spring, 20–26.

  26. Olds, D. L., & Kitzman, H. (1993). Review of research on home visiting for pregnant women and parents of young children. The Future of Children, 3, 53–92.

    Google Scholar 

  27. Salem, D. A., Bogat, G. A., & Reid, C. (1997). Mutual help goes on-line. Journal of Community Psychology, 25, 189–207.

    Google Scholar 

  28. Stewart, A. L., Hays, R. D., & Ware, J. E. (1988). The MOS short-form general health survey: Reliability and validity in a patient population. Medical Care, 26, 724–735.

    Google Scholar 

  29. Street, R. L., Jr., Gold, W. R., & Manning, T. (Eds.). (1997). Health promotion and interactive technology: Theoretical applications and future directions. London: Erlbaum.

    Google Scholar 

  30. U.S. Department of Health and Human Services. (1991). Healthy people 2000: National health promotion and disease prevention objectives (DHHS Publication No. PHS 91–50213). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  31. Vaux, A. (1988). Social support: Theory, research, and intervention. New York: Praeger.

    Google Scholar 

  32. Weinberg, N., Schmale, J., Uken, J., & Wessel, K. (1995). Computer-mediated support groups. Social Work With Groups, 17, 43–54.

    Google Scholar 

  33. Weinberg, N., Schmale, J., Uken, J., & Wessel, K. (1996). Online help: Cancer patients participate in a computer-mediated support group. Health and Social Work, 21, 24–29.

    Google Scholar 

  34. Winzelberg, A. (1997). The analysis of an electronic support group for individuals with eating disorders. Computers in Human Behavior, 13, 393–407.

    Google Scholar 

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Barrera, M., Glasgow, R.E., McKay, H.G. et al. Do Internet-Based Support Interventions Change Perceptions of Social Support?: An Experimental Trial of Approaches for Supporting Diabetes Self-Management. Am J Community Psychol 30, 637–654 (2002). https://doi.org/10.1023/A:1016369114780

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  • Internet
  • social support
  • Internet-based communication
  • diabetes
  • chronic illness
  • mutual aid
  • peer support
  • self-management