title: Therapeutic Affordances of Online Support Group Use in Women With Endometriosis.
abstract: BACKGROUND
  The Internet has provided women living with endometriosis new opportunities to seek support online. Online support groups may provide a range of therapeutic affordances that may benefit these women.
  
  
  OBJECTIVE
  To examine the presence of therapeutic affordances as perceived by women who use endometriosis online support groups.
  
  
  METHODS
  Sixty-nine women (aged 19-50 years, mean 34.2 years; 65.2% (45/69) United Kingdom, 21.7% (15/69) United States) participated in a Web-based interview exploring online support group use. Participants had been using online support groups for an average of 2 years and 4 months (range = 1 month to 14 years, 9 months). Responses were analyzed using inductive thematic analysis.
  
  
  RESULTS
  The analysis revealed 4 therapeutic affordances related to online support group use: (1) "connection," that is, the ability to connect in order to support each other, exchange advice, and to try to overcome feelings of loneliness; (2) "exploration," that is, the ability to look for information, learn, and bolster their knowledge; (3) "narration," that is, the ability to share their experiences, as well as read about the experiences of others; and (4) "self-presentation," that is, the ability to manage how they present themselves online. The associated outcomes of use were predominantly positive, such as reassurance and improved coping. However, a number of negative aspects were revealed including the following: concerns about the accuracy of information, arguments between members, overreliance on the group, becoming upset by negative experiences or good news items, and confidentiality of personal information.
  
  
  CONCLUSIONS
  Our findings support the previously proposed SCENA (Self-presentation, Connection, Exploration, Narration, and Adaptation) model and reveal a range of positive aspects that may benefit members, particularly in relation to reassurance and coping. However, negative aspects need to be addressed to maximize the potential benefit of support groups. Some of these can be addressed relatively easily through making privacy policies clearer, including health professionals to moderate content, and structuring forums to encourage the sharing of positive stories.
authors.affiliation: Division of Rehabilitation & Ageing, School of Medicine, University of Nottingham, Nottingham, United Kingdom.
authors.forename: Amie
authors.identifier: http://orcid.org/0000-0002-3770-2028
authors.initials: A
authors.lastname: Shoebotham
authors.forename: Neil S
authors.identifier: http://orcid.org/0000-0001-9940-909X
authors.initials: NS
authors.lastname: Coulson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D019468:Disease Management; D004715:Endometriosis / Q000523:psychology*; D005260:Female; D006296:Health Services; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D008875:Middle Aged; D036301:Qualitative Research; D012657:Self-Help Groups / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult
keywords: endometriosis, social network, social support, qualitative research