There is increasing concern about online communities that promote eating disorder (ED) behaviors through messages and/or images that encourage a ?thin ideal? (i.e. promotion of thinness as attractive) and harmful weight loss/weight control practices. Twitter is one of the most popular social networking sites, especially among young adults, and social networking about pro-ED content has already been documented on this social media platform. Important next steps in this line of research are to examine the extent to which these tweets correlate with self-reported ED symptoms, perceived advantages and disadvantages to engaging in pro-ED networking, the types of Twitter handles and messages that are influential in these networks, and suggestions for online prevention messages or interventions that would be well-received. The overall aim of this grant is to explore strategies for identifying and helping individuals who display risk behaviors for eating disorders on Twitter and to investigate strategic means for intervention.
In Aim 1, we will determine if Twitter can be used to correctly identify and recruit individuals who struggle with eating disorders using different recruitment methods.
In Aim 2, we will explore individuals? rationale for networking about eating disorders on Twitter and other social media venues, and garner their suggestions/receptivity for the delivery of technology-based prevention/treatment messages.
In Aim 3, we will investigate how pro-ED messages flow through Twitter networks and the types of Twitter users who are key players driving this pro-ED chatter. Our proposal will explore innovative strategies for online, accessible, and timely ED-related outreach that could facilitate novel ways to utilize social media in mental health promotion and prevention initiatives.

Public Health Relevance

This study seeks to understand the level of risk among individuals networking about their own eating disorder risk behaviors on Twitter, how these messages flow through Twitter networks, and individuals? receptivity/suggestions for treatment and prevention messages via social media. Our study has potential to facilitate timely access into care so that the best possible outcomes can be achieved among a greater number of individuals than has been accomplished using traditional approaches.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21MH112331-02
Application #
9413493
Study Section
Adult Psychopathology and Disorders of Aging Study Section (APDA)
Program Officer
Reider, Eve
Project Start
2017-02-01
Project End
2019-01-31
Budget Start
2018-02-01
Budget End
2019-01-31
Support Year
2
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Washington University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Harris, Jenine K; Duncan, Alexis; Men, Vera et al. (2018) Messengers and Messages for Tweets That Used #thinspo and #fitspo Hashtags in 2016. Prev Chronic Dis 15:E01
Sowles, Shaina J; McLeary, Monique; Optican, Allison et al. (2018) A content analysis of an online pro-eating disorder community on Reddit. Body Image 24:137-144