Evidence map›Paper›PMID 39815681›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2025

Clusters of Patient Empowerment and Mental Health Literacy Differentiate Professional Help-Seeking Attitudes in Online Mental Health Communities Users.

Nicole Bizzotto, Gert-Jan de Bruijn, Peter Johannes Schulz

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nicole BizzottoFaculty of Communication, Culture and Society, Università della Svizzera italiana, Lugano, Switzerland.ORCID 0000-0002-4730-1367
Gert-Jan de BruijnDepartment of Communication Studies, University of Antwerp, Antwerpen, Belgium.
Peter Johannes SchulzFaculty of Communication, Culture and Society, Università della Svizzera italiana, Lugano, Switzerland.

Funding

This work was supported by the Swiss National Science Foundation (200396).
6 · The paper itself

Abstract

objectivesGrounded in the Health Empowerment Model, which posits that health literacy and patient empowerment are intertwined yet distinct constructs, this study investigates how the interplay of these factors influences attitudes toward seeking professional psychological help in members of online communities for mental health (OCMHs). This while acknowledging the multidimensionality of patient empowerment, encompassing meaningfulness, competence, self-determination, and impact. DESIGN AND

methodsA cluster analysis of data gathered from 269 members of Italian-speaking OCMHs on Facebook has been performed.

resultsFour profiles have been identified: dangerous self-managers (11.2%), effective self-managers (21.2%), disempowered (40.5%) and ambivalent empowered (27.1%). Clusters provided meaningful variations in help-seeking attitudes, also when controlling for depression and anxiety severity, F

conclusionsThe findings provided further evidence of the multidimensionality of patient empowerment. Considering the results, we discussed potential interventions aimed at enhancing the quality of OCMHs, tailoring to the unique characteristics of each cluster. PATIENT OR PUBLIC CONTRIBUTION: Administrators and moderators of mental health Facebook communities-whether expert-led by mental health professionals or peers-played a key role in this study. They provided valuable insights during the questionnaire design process to ensure the questions were both relevant and appropriate for community members. These administrators and moderators also actively facilitated participant recruitment by creating and sharing posts, either video- or text-based, on community homepages. Furthermore, after completing the questionnaire, participants were encouraged to comment on the Facebook posts where the survey link was shared, mentioning that they participated and inviting other members to take part. This approach aimed to foster a sense of involvement and further promoted the survey within the community.

Indexed as

EmpowermentHealth LiteracyHelp-Seeking BehaviorMental HealthMental Health ServicesPatient Acceptance of Health CareAdultCluster AnalysisFemaleHumansItalyMaleMental DisordersMiddle AgedSocial MediaSurveys and Questionnaireshelp‐seeking attitudesmental health literacyonline health communitiespatient empowerment

Identifiers

PMID39815681
PMCPMC11735741

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.