ABSTRACT
The COVID-19 pandemic exacerbated the ongoing opioid crisis in the United States. Individuals with a substance use disorder are vulnerable to relapse during times of acute stress. Online peer support communities (OPSCs) have the potential to decrease social isolation and increase social support for participants. In September 2020, we launched a private, professional-moderated OPSC using the Facebook Group platform to study its effects on the mental health wellness of women undergoing substance use treatment. This study was particularly meaningful as the participants were not able to join in-person treatment sessions due to the COVID-19 pandemic. Preliminary findings indicate that study participants reported decreased loneliness and increased online social support three months after initiating the OPSC. They tended to interact with content initiated by a clinical professional more than those generated by peers. © 2022 ACM.
ABSTRACT
BACKGROUND: Previous research has identified that people with type 2 diabetes (T2D) within the Hispanic community would benefit from an online peer support community (OPSC) and continuous glucose monitoring (CGM) data to facilitate diabetes self-management. METHODS: A mixed-methods feasibility study enrolled Hispanic, Spanish-speaking adults with T2D, not on insulin. Participants were provided with CGM and access to an OPSC for 12 weeks. Feasibility was assessed by number of eligible participants who enrolled, attrition, quantity of CGM data, validated clinical measures of self-efficacy, quality of life and adverse events. Engagement in the OPSC was measured using objective metrics on the online platform. Qualitative interviews were conducted upon conclusion of the intervention to assess feasibility, acceptability, participant satisfaction, and key recommendations for improvement. RESULTS: Of 46 participants screened, 39 were eligible and 26 completed the study. Participants significantly improved self-efficacy scores. Posts in the OPSC related to goal setting had the highest engagement followed by mid-week and end of week check-in posts respectively. Participant interviews described challenges accessing the OPSC platform as a barrier to engagement. Despite this, all participants were satisfied with the intervention. Key recommendations for improvement included providing greater variety of and individualized education and the use of a peer support platform that is easily accessible. CONCLUSIONS: The CGM + OPSC intervention tailored to the Hispanic community with T2D was feasible, acceptable and satisfactory and improved participant self-efficacy for diabetes management which may lead to improved clinical outcomes.