Facebook-based stress management resources for first-year medical students: A multi-method evaluation

Student anxiety and doubt about academic performance in the early years of medical school have been well documented. Stress management programs can be helpful but are challenged by shortages of time, personnel, and resources. Therefore, popular online social networks such as Facebook may offer an innovative strategy for addressing student stress and supporting coping. This pilot study explored whether first-year medical students could benefit from a stress management intervention based exclusively on Facebook. During orientation week at Penn State College of Medicine, participants were randomly assigned to a Facebook stress management group that addressed problematic issues during the first semester. The intervention took place during the first eleven weeks of medical school. A multi-method evaluation of the intervention was completed using descriptive statistics for demographics and frequencies and qualitative procedures for focus group data. The accessibility and ease of use of a Facebook-based stress management program proved valuable for medical students, particularly early in the semester when engagement was greatest. These preliminary results suggest that medical schools might consider adding an online social networking component to existing stress management programming. This online strategy may also be of benefit to other health professionals and students from other health disciplines.

[1]  E. Alam,et al.  Prevalence of anxiety and depression among medical students of private university. , 2003, JPMA. The Journal of the Pakistan Medical Association.

[2]  E. Frank,et al.  Mortality rates and causes among U.S. physicians. , 2000, American journal of preventive medicine.

[3]  K. Dawson,et al.  The Intersection of Online Social Networking with Medical Professionalism , 2008, Journal of General Internal Medicine.

[4]  Daniel R. George,et al.  “Friending Facebook?” A Minicourse on the Use of Social Media by Health Professionals , 2011, The Journal of continuing education in the health professions.

[5]  C. Moutier,et al.  A Conceptual Model of Medical Student Well-Being: Promoting Resilience and Preventing Burnout , 2008, Academic Psychiatry.

[6]  S. Folkman,et al.  [An analysis of coping in a middle-aged community sample]. , 1980, Kango kenkyu. The Japanese journal of nursing research.

[7]  O. Ekeberg,et al.  Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. , 2001, Journal of affective disorders.

[8]  A. Mcgrady,et al.  Stress Management Intervention for First Year Medical Students , 2010 .

[9]  C. Chew‐Graham,et al.  ‘I wouldn't want it on my CV or their records': medical students' experiences of help‐seeking for mental health problems , 2003, Medical education.

[10]  L. Hays,et al.  Medical student suicide, 1989-1994. , 1996, The American journal of psychiatry.

[11]  S. Folkman,et al.  Ways of Coping Questionnaire Manual , 1988 .

[12]  Cheryl Beach,et al.  Depressive Symptoms in Medical Students and Residents: A Multischool Study , 2009, Academic medicine : journal of the Association of American Medical Colleges.

[13]  R. Lubitz,et al.  Medical student abuse during third-year clerkships. , 1996 .

[14]  Julie Scott Taylor,et al.  Learning with emotion: a powerful and effective pedagogical technique. , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[15]  Michael G. Webster,et al.  Trends in the number and administrative characteristics of medical school health promotion programmes. , 2001 .

[16]  D. Shapiro,et al.  Stress Management in Medical Education: A Review of the Literature , 2000, Academic medicine : journal of the Association of American Medical Colleges.

[17]  S. Hickman,et al.  The Patient–Doctor Relationship and Online Social Networks: Results of a National Survey , 2011, Journal of General Internal Medicine.

[18]  G. Schwartz,et al.  Effects of Mindfulness-Based Stress Reduction on Medical and Premedical Students , 1998, Journal of Behavioral Medicine.

[19]  Elizabeth D. Cox,et al.  Feeling bad on Facebook: depression disclosures by college students on a social networking site , 2011, Depression and anxiety.

[20]  Terry Kind,et al.  It's Your Own Risk: Medical Students' Perspectives on Online Professionalism , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[21]  L. DiLalla,et al.  Prevalence of Health-Related Behaviors Among Physicians and Medical Trainees , 2008, Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry.

[22]  Judy A Shea,et al.  Factors Associated With Undertreatment of Medical Student Depression , 2005, Journal of American college health : J of ACH.

[23]  Steven J Durning,et al.  Relationship between burnout and professional conduct and attitudes among US medical students. , 2010, JAMA.

[24]  T. Schwenk,et al.  Depression, stigma, and suicidal ideation in medical students. , 2010, JAMA.

[25]  Jennifer Tjia,et al.  Depressed Medical Students' Use of Mental Health Services and Barriers to Use , 2002, Academic medicine : journal of the Association of American Medical Colleges.

[26]  M. Dahlin,et al.  Stress and depression among medical students: a cross‐sectional study , 2005, Medical education.

[27]  William V. Harper,et al.  Burnout and Suicidal Ideation among U.S. Medical Students , 2008, Annals of Internal Medicine.

[28]  Ygal Benhamou,et al.  Facebook activity of residents and fellows and its impact on the doctor–patient relationship , 2010, Journal of Medical Ethics.

[29]  Y. Şenol,et al.  Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey , 2001, Medical education.

[30]  D. Abatemarco,et al.  Health behaviors and health promotion/disease prevention perceptions of medical students. , 1996, American journal of preventive medicine.

[31]  Michael J Green,et al.  Beyond Good and Evil: Exploring Medical Trainee Use of Social Media , 2012, Teaching and learning in medicine.

[32]  J. Firth‐Cozens Medical student stress. , 2001 .