Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model

BackgroundRural mental health is a growing area of concern internationally, and online mental health forums offer a potential response to addressing service gaps in rural communities. ObjectiveThe objective of this study was to explore and identify pathways by whi...

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Main Authors: Artur Steiner, Jane Farmer, Peter Kamstra, Karen Carlisle, Anthony McCosker, Sue Kilpatrick
Format: Article
Language:English
Published: JMIR Publications 2023-06-01
Series:JMIR Mental Health
Online Access:https://mental.jmir.org/2023/1/e47459
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author Artur Steiner
Jane Farmer
Peter Kamstra
Karen Carlisle
Anthony McCosker
Sue Kilpatrick
author_facet Artur Steiner
Jane Farmer
Peter Kamstra
Karen Carlisle
Anthony McCosker
Sue Kilpatrick
author_sort Artur Steiner
collection DOAJ
description BackgroundRural mental health is a growing area of concern internationally, and online mental health forums offer a potential response to addressing service gaps in rural communities. ObjectiveThe objective of this study was to explore and identify pathways by which online peer support mental health forums help to build resilience for rural residents experiencing mental ill-health by contributing to overcoming their specific contextual challenges. MethodsWe developed a Theoretical Resilience Framework and applied it to 3000 qualitative posts from 3 Australian online mental health forums and to data from 30 interviews with rural forum users. ResultsDrawing on the findings and an abductive approach, a logic model was developed to illustrate links between the resilience resources built and enabling features of forums that make them spaces that facilitate resilience. ConclusionsThe study demonstrated that online forums make valuable contributions to social well-being and access to a range of timely support services for rural people experiencing mental ill-health, and, while doing so, involve users in the processes of resilience building. The study provides a new way for practitioners to frame the work of and value produced by forums. It gives a logic model that can be used in evaluation and audit as it facilitates a causal framing of how forums, as an intervention, link with resilience outcomes. Ultimately, the study contributes to developing new knowledge about how rural resilience building can be conceptualized and measured while showing how forums are part of contemporary health service provision in rural places.
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spelling doaj.art-dee4302984924151bd36a0e580970dc32023-08-29T00:07:55ZengJMIR PublicationsJMIR Mental Health2368-79592023-06-0110e4745910.2196/47459Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic ModelArtur Steinerhttps://orcid.org/0000-0002-7422-8396Jane Farmerhttps://orcid.org/0000-0003-1730-2622Peter Kamstrahttps://orcid.org/0000-0003-3934-1403Karen Carlislehttps://orcid.org/0000-0002-1781-4057Anthony McCoskerhttps://orcid.org/0000-0003-0666-3262Sue Kilpatrickhttps://orcid.org/0000-0003-2473-9814 BackgroundRural mental health is a growing area of concern internationally, and online mental health forums offer a potential response to addressing service gaps in rural communities. ObjectiveThe objective of this study was to explore and identify pathways by which online peer support mental health forums help to build resilience for rural residents experiencing mental ill-health by contributing to overcoming their specific contextual challenges. MethodsWe developed a Theoretical Resilience Framework and applied it to 3000 qualitative posts from 3 Australian online mental health forums and to data from 30 interviews with rural forum users. ResultsDrawing on the findings and an abductive approach, a logic model was developed to illustrate links between the resilience resources built and enabling features of forums that make them spaces that facilitate resilience. ConclusionsThe study demonstrated that online forums make valuable contributions to social well-being and access to a range of timely support services for rural people experiencing mental ill-health, and, while doing so, involve users in the processes of resilience building. The study provides a new way for practitioners to frame the work of and value produced by forums. It gives a logic model that can be used in evaluation and audit as it facilitates a causal framing of how forums, as an intervention, link with resilience outcomes. Ultimately, the study contributes to developing new knowledge about how rural resilience building can be conceptualized and measured while showing how forums are part of contemporary health service provision in rural places.https://mental.jmir.org/2023/1/e47459
spellingShingle Artur Steiner
Jane Farmer
Peter Kamstra
Karen Carlisle
Anthony McCosker
Sue Kilpatrick
Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model
JMIR Mental Health
title Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model
title_full Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model
title_fullStr Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model
title_full_unstemmed Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model
title_short Online Mental Health Forums and Rural Resilience: Mixed Methods Study and Logic Model
title_sort online mental health forums and rural resilience mixed methods study and logic model
url https://mental.jmir.org/2023/1/e47459
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