title: Using Instagram as a Modified Application of Photovoice for Storytelling and Sharing in Adolescents With Type 1 Diabetes.
abstract: Photovoice is a research method developed to help communities share images as a tool for discussion of key issues. Although this may be useful to promote healthy behavior, using Photovoice in adolescents has been logistically challenging. Given adolescents' engagement in social media, our study explored the feasibility of using a photo-sharing mobile phone application, Instagram, to accomplish the principles of Photovoice. Twenty adolescents 14 to 18 years old with type 1 diabetes were asked to use Instagram to post any diabetes-related photo for 3 weeks. Individual interviews and a focus group were also offered, and recruitment and retention statistics were tracked. Of those approached (n = 47), 43% agreed to participate. Twelve were actively engaged. Shared photos were most likely to fall into the categories of diabetes care, humor, or food. Engaged participants universally reported the project to be a positive experience; however, there were technological and personal factors to consider for widespread implementation.
authors.affiliation: University of Washington, Seattle, Washington, USA Seattle Children's Research Institute, Seattle, Washington, USA joyce.yi-frazier@seattlechildrens.org.
authors.forename: Joyce P
authors.initials: JP
authors.lastname: Yi-Frazier
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Cochrane
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Connor
authors.initials: C
authors.lastname: Mitrovich
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Pascual
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Emil
authors.initials: E
authors.lastname: Buscaino
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Eaton
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Neil
authors.initials: N
authors.lastname: Panlasigui
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Bailey
authors.initials: B
authors.lastname: Clopp
authors.affiliation: Seattle Children's Research Institute, Seattle, Washington, USA.
authors.forename: Faisal
authors.initials: F
authors.lastname: Malik
mesh_terms: D000293:Adolescent; D003142:Communication; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D010781:Photography / Q000379:methods*; D012107:Research Design; D060756:Social Networking
keywords: United States, Northwest; concept development; diabetes, adolescents / youth, at risk; feasibility study; photography / photovoice; qualitative; technology, use in research