Online professionalism: social media, social contracts, trust, and medicine

The AMA Council on Ethical and Judicial Affairs (CEJA) has initiated an important discussion on medical professionalism and the use of social media by issuing thoughtful and practical guidance for physicians and medical students. The implications of online activities for trust in the profession, as well as for trust between patient and doctor, however, will need further exploration as digital life expands and evolves.     

Report of the AMA Council on Ethical and Judicial Affairs: professionalism in the use of social media

Although many physicians have been using the internet for both clinical and social purposes for years, recently concerns have been raised regarding blurred boundaries of the profession as a whole. In both the news media and medical literature, physicians have noted there are unanswered questions in these areas, and that professional self-regulation is needed. This report discusses the ethical implications of physicians' nonclinical use of the internet, including the use of social networking sites, blogs, and other means to post content online. It does not address the clinical use of the internet, such as telemedicine, e-prescribing, online clinical consultations, health-related websites, use of electronic media for clinical collaboration, and e-mailing patients (some of which are already covered in the AMA's Code of Medical Ethics).     

Nonclinical use of online social networking sites: new and old challenges to medical professionalism

The AMA Council on Ethical and Judicial Affairs (CEJA) has written a position paper on how social medical use challenges medical professionalism. The report offers persuasive ethical and practical guidelines for nonclinical internet use, specifically for social networking. This commentary provides a framework from which to apply these guidelines, but adds that there may be important situations in which physicians are not able to act in accordance. The guidelines call for professional reporting of questionable online portrayals or behaviors, but this commentary argues that this may be not only cumbersome to implement, but may violate aspects of constitutional rights. While online social networking may in many ways be a new application of old challenges, there may be other aspects that require novel approaches to medical professionalism.     

Relating social skills and social media use to consumer behavior: An investigation across the autism spectrum

In this study, we focus on the role of social functioning on consumer behavior, exploring social media use as a mediating factor. In order to facilitate our identification of social functioning competence as a factor, we increased the range by including a subgroup of respondents who identified themselves as being on the autism spectrum. Indeed, this group stood out as having difficulties in getting along with persons they interact with at school, at work and at home. We used these measures to define an individual differences index of social functioning that we call Quality of Social Functioning (QoSF). In a preliminary report, we showed that this index was predictive of social media use and its influence, with those scoring higher reacting more favorably and utilizing more of its features. In the main study, we focused on the content of social media posts by providing photos of posts that depicted either group activities or individual activities. Those scoring lower on our index gave lower ratings of posts in general, but especially for those posts depicting group activities. Results are discussed in terms of the important role of social functioning in the use of social media and its content as a vehicle for informing consumer behavior. We describe how the results of our study and related studies can be used by marketers to improve the lives of especially vulnerable consumers.     

The social affirmation use of social media as a motivator of collective action

The mobilizing potential of the internet has been widely recognized but also sharply criticized. We propose and test in two studies that the social affirmation use of social media motivates individuals for collective action to achieve social change. In Study 1, we surveyed participants of a university occupation and found that enduring participation was predicted by social affirmation use, mediated by group identification. In Study 2 we experimentally tested our hypothesis, the results of which confirmed that the social affirmation use of a forum (and in particular its interactive aspect) motivated individuals for collective action to achieve social change. We discuss the theoretical and practical implications of our findings for theory and research on the mobilizing potential of the internet.     

社交媒体使用与错失焦虑的关系：一项元分析

社交媒体使用与错失焦虑均是当下生活中较为常见的现象, 诸多研究探讨了两者间的内在联系, 但研究结果却存在很大差异。为明确两者之间的整体关系, 以及产生分歧的原因, 对检索后获得的65项研究(70个独立样本)使用随机效应模型进行了元分析。结果发现：社交媒体使用与错失焦虑存在显著正相关(r = 0.38, 95% CI [0.34, 0.41]); 二者的相关强度受社交媒体使用测量指标和社交媒体类型的调节, 但不受性别、年龄、错失焦虑测量工具和个体主义指数的调节。结果一定程度上澄清了大众传播的社会认知理论和数字恰到好处假说的争论, 表明社交媒体使用程度越高的人往往也会伴随着较高水平的错失焦虑。防止社交媒体过度使用, 尤其是引导大众合理使用以图像为中心并且开放度较高的社交媒体有助于错失焦虑的缓解。     

Self-presentation and belonging on Facebook: How personality influences social media use and motivations

The present study examined the relationship between the Big Five and the use of Facebook to fulfill belonging and self-presentational needs. One hundred and eighty four undergraduates completed a survey assessing personality and Facebook behaviors and motivations. High agreeableness and neuroticism were the best predictors of belongingness-related behaviors and motivations. Extraversion was associated with more frequent use of Facebook to communicate with others. Self-presentational behaviors and motivations were best predicted by low conscientiousness and high neuroticism. Results suggest that conscientious individuals are cautious in their online self-presentation. Neuroticism, agreeableness, and extraversion were positively associated with the tendency to express one’s actual self. Neuroticism was positively associated with the expression of ideal and hidden self-aspects. The motivation to express these self-aspects mediated the relationship between neuroticism and self-disclosure.     

Motivation and representational processes in adulthood: the effects of social accountability and information relevance.

The role of motivation in determining age differences in social representations was examined. Adults aged 20 to 83 years were given an impression formation task that attempted to manipulate motivation by varying the characteristics of the target and the extent to which participants would be held accountable for their impressions. It was hypothesized that increasing age would be associated with greater selectivity in the use of available cognitive resources to support the construction of accurate representations. Support for this hypothesis was obtained when trait inferences and recall were examined. Specifically, older adults made more accurate trait inferences and recalled more information when the target was similar in age or they were held accountable for their impressions. In contrast, younger adults demonstrated similar levels of accuracy across conditions. The fact that these effects were observed when cognitive resources was controlled suggests a motivational effect that is independent of age differences in cognitive ability.     

A neural autopilot theory of habit: Evidence from consumer purchases and social media use

This article applies a two-process “neural autopilot” model to field data. The autopilot model hypothesizes that habitual choice occurs when the reward from a behavior has low numerical “doubt” (i.e., reward prediction errors are small). The model toggles between repeating a previous choice (habit) when doubt is low and making a goal-directed choice when doubt is high. The model has ingredients established in animal learning and cognitive neuroscience and is simple enough to make nonobvious predictions. In two empirical applications, we fit the model to field data on purchases of canned tuna and posting on the Chinese social media site Weibo. This style of modeling is called “structural” because there is a theoretical model of how different variables influence choices by agents (the “structure”), which tightly restricts how hidden variables lead to observed choices. There is empirical support for the model, more strongly for tuna purchases than for Weibo posting, relative to a baseline “reduced-form” model in which current choices are correlated with past choices without a mechanistic (structural) explanation. An interesting set of predictions can also be derived about how consumers react to different kinds of changes in prices and qualities of goods (this is called “counterfactual analysis”).     

The wired generation: academic and social outcomes of electronic media use among university students

Little is known about the influence of electronic media use on the academic and social lives of university students. Using time-diary and survey data, we explore the use of various types of electronic media among first-year students. Time-diary results suggest that the majority of students use electronic media to multitask. Robust regression results indicate a negative relationship between the use of various types of electronic media and first-semester grades. In addition, we find a positive association between social-networking-site use, cellular-phone communication, and face-to-face social interaction.     

Paying for sanctions in social dilemmas: The effects of endowment asymmetry and accountability

The present research examines whether or not endowment asymmetry leads those with many endowments to contribute more than those with few endowments towards the public good (i.e., a first-order dilemma), but also towards the implementation of a sanctioning system (i.e., a second-order dilemma). In Experiment 1, we found that those with many endowments contributed more than those with few endowments in a public good dilemma without a sanctioning system present, whereas those with many endowments did not contribute more than those with few endowments toward the implementation of a sanctioning system. The latter effect, however, was eliminated when participants were accountable (i.e., when expectations that they would have to justify their decisions to others in the group were high). Experiment 2 showed that when participants were accountable, the contributions of those with many endowments (and not those with few endowments) toward the sanctioning system increased, but only when they perceived the group to be more self-evaluative in terms of morality (i.e., high-evaluation expectancy). Experiment 3 showed that this effect of evaluation expectancy only emerged when participants were accountable to the whole group rather than to only one group member.     

Social media addiction and psychological adjustment: religiosity and spirituality in the age of social media

Previous research indicates a significant association between social media use and psychological adjustment. The present study investigated whether religiosity/spirituality mediates the relationship between social media intrusion and psychological adjustment. Participants completed a demographic questionnaire, Religious Commitment Inventory-10, Spirituality Index of Well-Being, the DASS-21 Scales, and the Facebook Intrusion Questionnaire, which was altered slightly to include all types of social media. Results revealed that social media intrusion was significantly positively associated with depression, anxiety, and stress, and negatively correlated with spiritual well-being and the self-efficacy component of spiritual well-being. Furthermore, the self-efficacy dimension of spiritual well-being partially mediated the association between social media intrusion and psychological stress. From these results, it may be inferred that higher social media intrusion may have the ability to decrease specific aspects of spirituality, which may, in turn, negatively impact psychological adjustment. Limitations and future directions are discussed.     

移动社交媒介使用行为对青少年友谊质量的影响:网络自我表露和网络社会支持的中介作用

随着移动智能设备和移动互联网的出现,移动社交媒介已日益成为人们网络活动和人际交往的新平台。为考察移动社交媒介使用行为、网络自我表露、网络社会支持和友谊质量之间的关系,本研究采用问卷法对473名青少年进行了调查。结果发现:(1)移动社交媒介使用行为会对网络自我表露和网络社会支持产生显著的直接正向影响,网络自我表露会对网络社会支持产生显著的直接正向影响,网络社会支持会对友谊质量产生显著的直接正向影响。(2)移动社交媒介使用行为可以通过网络社会支持的中介作用对友谊质量产生显著的间接影响,还可以通过网络自我表露和网络社会支持的链式中介作用对友谊质量产生显著的间接影响。     

Media use, face-to-face communication, media multitasking, and social well-being among 8- to 12-year-old girls

An online survey of 3,461 North American girls ages 8-12 conducted in the summer of 2010 through Discovery Girls magazine examined the relationships between social well-being and young girls' media use--including video, video games, music listening, reading/homework, e-mailing/posting on social media sites, texting/instant messaging, and talking on phones/video chatting--and face-to-face communication. This study introduced both a more granular measure of media multitasking and a new comparative measure of media use versus time spent in face-to-face communication. Regression analyses indicated that negative social well-being was positively associated with levels of uses of media that are centrally about interpersonal interaction (e.g., phone, online communication) as well as uses of media that are not (e.g., video, music, and reading). Video use was particularly strongly associated with negative social well-being indicators. Media multitasking was also associated with negative social indicators. Conversely, face-to-face communication was strongly associated with positive social well-being. Cell phone ownership and having a television or computer in one's room had little direct association with children's socioemotional well-being. We hypothesize possible causes for these relationships, call for research designs to address causality, and outline possible implications of such findings for the social well-being of younger adolescents.     

Explaining the use of text-based communication media: an examination of three theories of media use

The present study examined the factors associated with individuals' use of three different text-based communication media: e-mail, cell-phone texting, and Facebook Wall postings. Three theoretical perspectives, including media richness theory, uses and gratifications, and perceived network effects, were examined. Using data from a survey of college students (N=280), the study found that the theoretical constructs from these theories play different roles when applied to different technologies. The results suggest that a simultaneous consideration of technological attributes, users' motivations, and social circumstances in which users select and use the technology is useful for fully understanding the dynamics of the selection and the use of a given technology.