Cognitive and Affective Dimensions of Mitigation in Advice

Bates, Carolina Figueras

doi:10.1007/s41701-019-00064-x

Cited by 10 publications

(1 citation statement)

References 64 publications

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“…The social connection offered by online mental health forums facilitates several distinct positive impacts. Others' accounts of similar circumstances validate users' own thoughts and behaviors [73], contributing to a recognition that they are not isolated in their mental health experiences (CMO 18) [62]:…”

Section: Theory Area 5: Social Connectionmentioning

confidence: 99%

Understanding the Impacts of Online Mental Health Peer Support Forums: Realist Synthesis

Marshall,

Booth,

Coole

et al. 2024

JMIR Ment Health

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Background Online forums are widely used for mental health peer support. However, evidence of their safety and effectiveness is mixed. Further research focused on articulating the contexts in which positive and negative impacts emerge from forum use is required to inform innovations in implementation. Objective This study aimed to develop a realist program theory to explain the impacts of online mental health peer support forums on users. Methods We conducted a realist synthesis of literature published between 2019 and 2023 and 18 stakeholder interviews with forum staff. Results Synthesis of 102 evidence sources and 18 interviews produced an overarching program theory comprising 22 context-mechanism-outcome configurations. Findings indicate that users’ perceptions of psychological safety and the personal relevance of forum content are foundational to ongoing engagement. Safe and active forums that provide convenient access to information and advice can lead to improvements in mental health self-efficacy. Within the context of welcoming and nonjudgmental communities, users may benefit from the opportunity to explore personal difficulties with peers, experience reduced isolation and normalization of mental health experiences, and engage in mutual encouragement. The program theory highlights the vital role of moderators in creating facilitative online spaces, stimulating community engagement, and limiting access to distressing content. A key challenge for organizations that host mental health forums lies in balancing forum openness and anonymity with the need to enforce rules, such as restrictions on what users can discuss, to promote community safety. Conclusions This is the first realist synthesis of online mental health peer support forums. The novel program theory highlights how successful implementation depends on establishing protocols for enhancing safety and strategies for maintaining user engagement to promote forum sustainability. Trial Registration PROSPERO CRD42022352528; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=352528

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Section: Theory Area 5: Social Connectionmentioning

confidence: 99%

Understanding the Impacts of Online Mental Health Peer Support Forums: Realist Synthesis

Marshall,

Booth,

Coole

et al. 2024

JMIR Ment Health

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Mitigation in discourse: Social, cognitive and affective motivations when exchanging advice

Bates

2021

Journal of Pragmatics

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Advice in Conversation

Pöldvere

Felice²,

Paradis³

2022

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This Element is a contribution to a new generation of corpus pragmatics research by taking as its starting point the multifaceted nature of speech acts in conversation, and by adopting a mixed-methods approach. Through a unique combination of theoretical, qualitative, quantitative, and statistical approaches, it provides a detailed investigation of advice-giving and advice uptake in relation to (i) the range of constructions used to give advice in different discourse contexts and at different points in time, and (ii) their interaction with dialogic and social factors of advice uptake as key components of frames of advice exchanges in natural conversation. Using data from the London-Lund Corpora of spoken British English, the Element shows, firstly, that there are systematic differences in advising between discourse contexts over the past half a century, and, secondly, that who gave the advice and how they did it are the strongest predictors of the advisee's response. This title is also available as Open Access on Cambridge Core.

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Cognitive and Affective Dimensions of Mitigation in Advice

Cited by 10 publications

References 64 publications

Understanding the Impacts of Online Mental Health Peer Support Forums: Realist Synthesis

Understanding the Impacts of Online Mental Health Peer Support Forums: Realist Synthesis

Mitigation in discourse: Social, cognitive and affective motivations when exchanging advice

Advice in Conversation

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