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Role of Moderators on Engagement of Adolescents With Depression or Anxiety in a Social Media Intervention: Content Analysis of Web-Based Interactions

Mohr warns against external rewards, such as money, which may undermine intrinsic motivation and limit long-term success. In contrast, verbal rewards such as positive feedback are encouraged as a means to enhance intrinsic motivation. The supportive accountability model also considers mimicking the communication style of users in content, tense, and tone, known as paralinguistic mirroring, as useful for increasing comfort and trust between users and coaches.

Carolyn Windler, Maeve Clair, Cassandra Long, Leah Boyle, Ana Radovic

JMIR Ment Health 2019;6(9):e13467

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Supporting Our Valued Adolescents (SOVA), a Social Media Website for Adolescents with Depression and/or Anxiety: Technological Feasibility, Usability, and Acceptability Study

Reasons for lower than anticipated engagement with our intervention include (1) newness of the site and 100 users recruited slowly over time so that at any moment, an “empty room” may be experienced [38]; (2) high dropout rates experienced in most ehealth trials or “law of attrition,” where many initial users quickly stop accessing the site [13]; and (3) “superuser” effect or 1% rule, where 90% users observe, 9% users contribute sparingly, and 1% users contribute most new content; demonstrated across even long-standing

Ana Radovic, Theresa Gmelin, Jing Hua, Cassandra Long, Bradley D Stein, Elizabeth Miller

JMIR Ment Health 2018;5(1):e17

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