Close Social Relationships Research Articles

Link Between Social Relationships and Vulnerability Among Community‐Dwelling Older Adults Living Alone in Taiwan

ABSTRACTThe study investigated the effect of social relationships on vulnerability among community‐dwelling older adults living alone in Taiwan. Data were extracted from the de‐identified service records of 2116 older adults living alone. Logistic regression models were used to identify the connection between social relationships and vulnerability. The results demonstrated that close social relationships help reduce vulnerability for older adults living alone. Moreover, the data indicated a statistically significant relationship between frailty and vulnerability and a statistically significant relationship between public assistance and vulnerability. An increase in the degree of frailty increases the risk of exposure to threats for older adults living alone. However, public assistance benefits older adults living alone. Existing policy and social work interventions aim to strengthen social safety nets for older adults living alone and establish social networks for older adults living alone through an institutional approach to prevent exposure to threats. Moreover, policymakers should focus not only on risk factors (e.g., frailty) but also on protective factors (e.g., social relationships and public assistance).

Ecology and Evolution of the Social Microbiome

Animals with close social relationships often have similar microbiomes. These socially structured microbiomes can arise through multiple mechanisms that are often difficult to disentangle, including transmission between social partners or via socially structured, shared environments. Here, we review evidence for socially structured microbiomes and propose methods to differentiate the mechanisms that give rise to them. We discuss the evolutionary implications of these mechanisms for both hosts and their microbiomes, including the possibility that social transmission selects for host-specialized microbiomes. We conclude by identifying outstanding questions related to social microbiomes and their implications for social evolution. We identify new or underutilized approaches like longitudinal study designs, strain-sharing analysis, and culture-based characterization to address these outstanding questions.

Closing the Gap: How Psychological Distance Influences Willingness to Engage in Risky COVID Behavior.

Pandemics, and other risk-related contexts, require dynamic changes in behavior as situations develop. Human behavior is influenced by both explicit (cognitive) and implicit (intuitive) factors. In this study, we used psychological distance as a lens to understand what influences our decision-making with regard to risk in the context of COVID-19. This study was based on the rationale that our relational needs are more concrete to us than the risk of the virus. First, we explored the impact of social-psychological distance on participants' risk perceptions and behavioral willingness. As hypothesized, we found that close social relationships of agents promoted willingness to engage in risky behavior. In the second phase, we tested an intervention designed to increase the concreteness of information about virus transmission as a mechanism to mitigate the bias of social influence. We found that the concreteness intervention resulted in significantly reduced willingness to engage in risky behavior. As such, communications aimed at changing the behavior of citizens during times of increased risk or danger should consider conceptually concrete messaging when communicating complex risk, and hence may provide a valuable tool in promoting health-related behavior.

Does a tragic event affect different aspects of attitudes toward immigration?

Abstract Dramatic events can evoke feelings of compassion, fear, or threat, and can affect public opinion regarding controversial issues. Such an event was the drowning of 3-year-old Alan Kurdi, a Syrian boy whose body washed up on a Turkish shore, and was photographed, producing an iconic image that was seen worldwide. The image evoked empathy and compassion that neuroscience and psychological research associate with a motivation to help. This article examines the impact of this event on four different aspects of attitudes toward immigration. The timing of the European Social Survey in Portugal allowed us to use this tragic event as a natural experiment. Our results suggest that Kurdi’s drowning had a significant effect on only two sentiments, but no such impact was detected on other attitudes. The results show that the event did not change the respondents’ opinion regarding the possible negative consequences of immigration on the host country’s economy, crime level, or culture, nor did it change their perception of the skills required by immigrants. On the other hand, the empathy induced by the tragic event increased their willingness to have a less restrictive immigration policy and their openness to having close social relationships with immigrants, although these changes were short-lived.

Collaboration Between University and Industry in Algeria: Beyond Geographical Proximity. Case Study of University Research Laboratories in Algeria

Abstract Subject and purpose of work: This study explores the challenges and opportunities of collaboration between Algerian universities and industrial enterprises, emphasizing the influence of social and cognitive proximity on successful partnerships, irrespective of geographical proximity. Materials and methods : Utilizing qualitative methods, the study includes semi-structured interviews with 16 directors of university research laboratories across the nation. Its aim is to analyze whether cultural or cognitive disparities play a role in collaboration challenges. Results : The study revealed that cognitive proximity stands out as a pivotal factor, as shared or complementary skills and knowledge foster synergies, enhance mutual understanding, and facilitate effective communication. This, in turn, leads to successful research collaborations and tailored training initiatives aligned with market needs. Additionally, social and cultural proximity is highlighted as a significant element, simplifying exchanges and strengthening trust among stakeholders. The study underscores the importance of close social relationships in improving communication and facilitating the exchange of ideas, ultimately reinforcing collaborative efforts between universities and industry. This shows that geographical proximity is not truly a crucial element for successful collaboration. Conclusions : This study proposes several measures to enhance collaboration. It sets the groundwork for future investigations by exploring the perspectives of industrial stakeholders, thereby enriching the discourse on collaborative initiatives between academia and industry in Algeria.

Salutogenic health measures: Psychometric properties of the Danish versions of the Flourish Index and the Secure Flourish Index.

Measurement of human flourishing represents a salutogenic approach to epidemiological and behavioral research emphasizing factors contributing to "good lives" rather than pathology. The objective of this study was to translate and psychometrically test the 10-item Flourish Index (FI) and 12-item Secure Flourish Index (SFI) in a convenience sample of Danish adults. A total of 325 participants completed a cross-sectional survey, with 148 of those participants completing the survey a second time (retest). Confirmatory factor analysis in a structural equation modelling framework was used to establish structural validity by comparing four different pre-specified models of the indexes. Additionally, internal consistency, convergent and incremental validity, and retest reliability were examined. The FI models exhibited superior structural validity compared with similar models of the SFI, although all models had good fits. Internal consistencies with McDonald's omega were 0.89 and 0.87 for the FI and SFI, respectively. The five (FI) or six (SFI) domains were happiness & life satisfaction, mental & physical health, meaning & purpose, character & virtue, close social relationships, and financial & material stability (λ4 = 0.51-0.91). Convergent and incremental validity tests supported predefined hypotheses. Retest analyses with the FI and SFI showed a high degree of retest reliability. Based on the psychometric evidence reported in this study, the Danish Flourish Index and Secure Flourish Index seem suitable for use with healthy adult Danes. The authors hope that this psychometric evaluation of the FI and SFI will stimulate research on patterns, health and economic outcomes, and predictors of human flourishing in Denmark.

Helping the Helpers: Mental Health Challenges of Psychosocial Support Workers During the Russian-Ukrainian War.

The ongoing Russian-Ukrainian war has been linked to mental health problems in the Ukrainian general population. To date, however, scarce research has examined the mental health of psychosocial support workers (PSWs) in Ukraine who have a burdensome workload in the context of ongoing conflict. This study aimed to examine the prevalence and correlates of burnout, posttraumatic stress disorder (PTSD), and suicidal ideation (SI) in PSWs in Ukraine during the Russian-Ukrainian war. One hundred seventy-eight PSWs in Ukraine completed a survey assessing war exposure, mental health, and psychosocial characteristics. A total 59.6% of PSWs screened positive for burnout, 38.2% for PTSD, and 10.7% for current SI. Lower optimism was associated with greater odds of burnout. Greater distress from witnessing war-related destruction, lower optimism, lower presence of meaning in life, and lower levels of close social relationships were associated with greater odds of burnout. Lower presence of meaning in life was associated with greater odds of SI. Results of this study highlight the mental health challenges faced by PSWs in Ukraine during the ongoing Russian-Ukrainian war. They further suggest that interventions to foster meaning in life and promote social connectedness may "help the helpers" during this ongoing conflict.

SIMILARITY IN HEALTH-RELATED BEHAVIORS WITHIN OLDER ADULTS’ CLOSE SOCIAL RELATIONSHIPS

Abstract Health-related behaviors are socially contagious, spreading through social networks via multiple mechanisms. It remains unclear though which mechanisms are most salient among older adults. Guided by Social Contagion Theory and the Convoy Model of Social Relations we examine similarity in health-related behaviors (exercise, smoking, alcohol consumption) between older adults and their closest social network members and investigate associations with multiple social factors (homophily, network structure, relationship quality). Data are from Wave 3 of the Detroit-based Social Relations Study collected in 2015. Panel respondents nominated people who were close and important in their lives, and up to the first three nominated were interviewed. Analyses were conducted at the dyad-level, and we selected dyads in which at least one member was age 60 or older (n=247 dyads). Generalized estimating equations were used due to some panel respondents being in multiple dyads. Greater homophily was found to be associated with similarity in both exercise frequency and number of alcoholic drinks consumed per week. Specifically, pairs of close social network members who were more similar in self-rated health were significantly more similar in exercise frequency, and those of the same gender and more similar in age were significantly more similar in alcohol consumption. Network structure, specifically greater contact frequency, was associated with significantly more similarity in alcohol consumption, but less similarity in exercise frequency. Findings suggest the salience of multiple aspects of older adults’ close social relationships that can be incorporated into behavior change interventions and leveraged to encourage healthy lifestyles in later life.

29 Associations Between Social Support and Cognitive Performance Among Persons with MS

Objective:Social support is an emerging protective factor against cognitive decline. However, the relationship between social support and cognitive functioning in the multiple sclerosis (MS) population is not well understood. The present study aimed to investigate the associations between different aspects of social support and cognitive performance among persons with MS.Participants and Methods:A volunteer sample of 63 persons with MS (% female = 88.9, mean age = 48.16) completed measures assessing perceived levels of social support measured by the Medical Outcomes Study Support Social Survey 5-item short form (MSSS-5), and social network (social network diversity and total size of social network) measured by the Social Network Index (SNI). Cognitive functioning was assessed by a brief virtual examiner-administered neuropsychological test battery (using a teleconferencing platform), including the Rey Auditory Verbal Learning Test, Controlled Oral Word Association Test, animal naming, and the Symbol Digit Modalities Test. Participants also completed brief, self-paced, virtual cognitive tests through the testmybrain.org platform, which consisted of digit span and the Trail-Making Test. A principal component analysis (PCA) was carried out to reduce the number of neuropsychological outcomes into fewer dimensions. Multiple linear regressions were conducted to examine the associations between social support measures and cognitive performance. Regression models were adjusted by the levels of depressive symptoms (operationalized by the Chicago Multiscale Depression Inventory or the Hospital Anxiety and Depression Scale) and premorbid functioning (measured by the Test of Premorbid Functioning).Results:A PCA reduced neuropsychological outcomes into 3 components representing cognitive domains of 1) processing speed/executive functioning, 2) verbal memory, and 3) verbal fluency / simple attention. In the unadjusted models, both perceived social support (i.e., to what extent one receives assistance from their social network) as well as total size of social network (i.e., total number of people one regularly talks to) were significant predictors of the processing speed/executive functioning component score of moderate strength, where F(1, 59) = 11.93, p = .001, β = 0.41 and F(1, 59) = 11.57, p = .001, β = 0.41, respectively. These associations were maintained after adjusting for depressive symptoms and level of premorbid functioning (F(4, 55) = 3.31, p = .003 and F(4, 55) = 3.31, p = .006, respectively). On the other hand, social network diversity (i.e., number of different types of close social relationships one has) was not a significant predictor of the processing speed/executive functioning component score (p > 0.05). None of the social support measures were significantly associated with the verbal memory and verbal fluency/simple attention component scores.Conclusions:Greater social support (specifically, perceived levels of assistance and total size of social network) is associated with better performance on processing speed/executive functioning measures among persons with MS, independent of effects from depressive symptoms and premorbid functioning. Maintaining a strong social support network may be an important factor in optimizing cognitive health in MS.

The relevance of human flourishing to offender rehabilitation

The relevance of human flourishing to offender rehabilitation Sung Joon Jang and Byron R. Johnson, both from Baylor University, turn the spotlight on the relevance of human flourishing to offender rehabilitation in Colombia and South Africa. Humans are born with fundamental needs for survival (e.g., food, clothing, and shelter) and flourishing, which concerns happiness and life satisfaction, physical and mental health, meaning and purpose, character and virtue, and close social relationships (VanderWeele, 2017). Survival needs are essential to human existence, but flourishing needs are not meant to be secondary or less important. While the sustenance of life is necessary for human flourishing, both types of innate needs should be seen as primary concerns from a holistic point of view. This is evident because even when physical and material needs are fully met, people may still decline mentally or relationally. They may experience “diseases of excess” or “deaths of despair” (Clifton, 2022).

Evolution of residents' cooperative behavior in neighborhood renewal: An agent-based computational approach

The cooperative behavior of residents is complex and influenced by their complicated social relationships. This complexity is especially noticeable in neighborhood renewal, so the government does not know how to promote residents' cooperative behavior. Therefore, this study proposes an agent-based model (ABM) to investigate the development of residents' cooperative behavior in neighborhood renewal. Based on a questionnaire survey among residents of old neighborhoods in China, the parameters of ABM were determined in this study. Then, controlled experiments were conducted to investigate the effects of general trust among residents and government control of neighborhood renewal on cooperation patterns in renewal projects. In addition, this study examines the effects of different types of social network structures (small-world, scale-free, and random networks) on the evolution of residents' cooperative behaviors. The simulation results show that when residents' initial willingness to agree to renewal projects is high, their close social relationships need to be managed by the government to achieve better outcomes. Conversely, if initial willingness is low, residents' close relationships may pose a challenge to the government. In addition, government-led renewal projects should be encouraged to a greater extent. This study confirms that the different social network structures have an influence on the development of residents' cooperative behavior. The results of this study provide concrete evidence for understanding the factors that contribute to the emergence of residents' cooperative behavior and for studying the effects of government intervention on neighborhood renewal projects. In addition, the results of this study provide theoretical support for future studies of residents' social network structures.

Truth that Matters

Truth that Matters

Authenticity and Inauthenticity in Adolescents: A Scoping Review

AbstractIn everyday life, adolescents’ authenticity and inauthenticity (sense of, and being, the real me/true self; or false self/not the real me) are assumed to be general indicators of their psychosocial health as they navigate developmental processes of identity exploration and relational connectedness on their way to adulthood. Authenticity is important for psychological thriving in adolescents and inauthenticity is considered maladaptive, but there was no broad and systematic evidence-based resource on the topic. Therefore, this scoping review maps: (1) how authenticity and inauthenticity in adolescents (12–18 years old) have been understood, defined, and characterized; (2) what is known about authenticity and inauthenticity; (3) contexts authenticity and inauthenticity have been explored in; and (4) methodological approaches utilized. This review followed a pre-registered protocol (2852 records identified; 39 peer-reviewed primary research studies included). The review revealed authenticity and inauthenticity are typically: characterized as dispositional, involving thoughts, feelings, awareness, and a sense of being one’s true self or a false self; investigated quantitatively; and contextualized in close social relationships (parents, friends, classmates). Authenticity and inauthenticity outcomes included friendship quality, wellbeing, self-esteem, depressive symptoms, internet addiction, and moral disengagement. Adolescents’ authenticity generally increases over time and social support is very important for that process. Adolescents can be more authentic if parents facilitate adolescents’ increasing independence and support role experimentation. Future research should target state (here-and-now) authenticity, as a critical finding was that autonomy satisfaction has an immediate and positive influence on adolescents’ state authenticity, which implies people interacting with adolescents can promptly boost their capacity for positive psychological development.

Differences in Multi-Dimensional Well-Being Among Factory Workers: Evidence from Six Countries

This paper presents cross-cultural comparisons of well-being among factory workers, as measured by the six well-being domains of happiness and life satisfaction, physical and mental health, meaning and purpose, character and virtue, close social relationships, and financial and material stability. Relative ranks of well-being domains across examined groups of workers are also compared. Results are based on survey data from factory workers in Cambodia, China, Mexico, Poland, Sri Lanka, and the United States. Average well-being scores are higher among factory workers in Mexico, China, and Cambodia than in the U.S., Poland, and Sri Lanka across all domains except financial and material stability. Close social relationships were the highest ranked domain in Cambodia and China but ranked much lower (5th) in the U.S. Meaning and purpose, as well as character and virtue were highly ranked across the board. Strong social relationships seem to thrive in contexts where financial insecurity is high.

The parent-child relationship in the context of parental mental illness-Possibilities for intervention

The parent-child relationship is the earliest and one of the most important close social relationships in aperson's life. It begins even during pregnancy, is expressed in interactions and is accompanied by many neurobiological processes. Asensitive interaction with the parent who is well-adapted to the needs of the child, is necessary for ahealthy child development; however, parents with mental disorders often face more difficulties in parenting than healthy parents. They tend to exhibit more intrusive or withdrawn behavior and report experiencing increased stress in parenting, which in turn can be arisk factor for the mental disorder. At the same time, parenting can be agreat resource. Early recognition of stress in parenting is central to healthy child development and also to the parent's mental health. In addition to disorder-specific treatment for parents, parent-child focused interventions can be used in relationship or interaction disorders. This article presents and discusses different prevention and intervention approaches.

Predicting online problem gambling treatment discontinuation: New evidence from cross-validated models.

There are tens of millions of problem gamblers in the world, many of whom either do not seek treatment or fail to commit to it. Dropout rates are high, and not enough is known about factors predicting treatment adherence. We focus on an online cognitive behavioral therapy program for severe problem gambling to determine the likelihood of treatment discontinuation at three different treatment phases: pretreatment, before halfway, and before the end of the program. Participants were Finnish adults (N = 1,139, 670 males, Mage = 34.5) registered in the program between 2019 and 2021. Using logistic regression and five-fold cross-validated naïve Bayes classification, we predicted discontinuation with demographic-, psychometric-, and other gambling-related variables, including the quality of one's social relations, time spent on the waiting list, and experienced readiness to behavioral change. The models had acceptable predictive ability (area under the curve [AUC] values from .69 to .745; cross-validated balanced classification accuracy = 63.2%). In logistic regressions, treatment discontinuation was prominently associated with younger age (p = .008), lower education (p < .001), not being ready to change gambling behavior (p < .001), problem gambling severity (p < .0001), longer time spent on the treatment waiting list (p < .0001), and fewer close social relationships (p < .001). We found significant new real-world evidence on factors statistically predicting treatment discontinuation, which is crucial when existing programs are modified to better serve those in need. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Social media use and adolescents' well-being: A note on flourishing.

Several large-scale studies and reviews have reported both negative and positive associations of social media use with well-being, suggesting that the findings are more complex and need more nuanced study. Moreover, there is little or no exploration of how social media use in adolescence influences flourishing, a more all-encompassing construct beyond well-being, including six sub-domains (i.e., happiness, meaning and purpose, physical and mental health, character, close social relationships, and financial stability). This paper aims to fill this gap by understanding how adolescents might flourish through social media activities by fulfilling the basic needs pointed out by the Self-Determination Theory, i.e., relatedness, autonomy, and competence. The study is drawn on cross-sectional data collected from 1,429 Swiss adolescents (58.8% females, Mage = 15.84, SDage = 0.83) as part of the HappyB project in Spring 2022. Self-reported measures included the Harvard Adolescent Flourishing scale, positive and negative online social experiences, self-disclosure on social media, and social media inspiration. Control variables included, among others, self-esteem, ill-being, and personality. After applying Bonferroni's correction, results of the hierarchical regression analyses showed that positive social media experiences (β = 0.112, p < 0.001) and social media inspirations from others (β = 0.072, p < 0.001) and for others (β = 0.060, p = 0.003) were positively associated with flourishing. Flourishing was inversely associated with negative social media experiences (β = -0.076, p < 0.001). Among covariates, self-esteem (β = 0.350, p < 0.001), ill-being (β = -0.252, p < 0.001), perceived school environment (β = 0.138, p < 0.001), self-reported level of physical activity (β =0.109, p < 0.001), and perceived socio-economic status (β = -0.059, p = 0.001) were all related to flourishing. In contrast, gender, high school year, age, perceived stress, and personality (extraversion and neuroticism) were not. Using a well-being framework to investigate social media use in adolescents is needed to go beyond the ill-being perspective. Our results align with the needs pointed out by the Self-Determination Theory. Carrying out social media activities in a way that promotes-rather than diminishes-flourishing should be included as an additional good habit influencing adolescents' development. We suggest that interventions aiming to foster adolescents' flourishing should include curricula aiming to promote a good use of social media through positive online social relationships and inspirational contents.

A Comparative Analysis of the Predictors, Extent and Impacts of Self-stigma in Patients with Psoriasis and Atopic Dermatitis

The impact of dermatological diseases goes beyond symptoms and often includes psychosocial burden. Self-stigmatization plays a key role in this relationship and was compared in patients with psoriasis and atopic dermatitis to evaluate the validity of cross-disease stigmatization models. In total, 101 patients per indication were included in this cross-sectional study. Besides sociodemographic and clinical data, patient-reported outcome measures relating to self-stigmatization, depression, anxiety, and quality of life were compared across groups. Sociodemographic and clinical factors were tested for their moderating effects between self-stigmatization and quality of life. Group mean comparisons yielded no significant differences in self-stigmatization between patient groups. In both diseases, self-stigmatization significantly predicted depression and anxiety symptoms as well as quality of life. Current symptoms, not having close social relationships, and lower age predicted self-stigma in patients with psoriasis, whereas the involvement of sensitive body areas, the sum of previous treatments, and female sex were predictors in patients with atopic dermatitis. In both groups, symptoms had significantly moderating effects. The results underline the relevance of self-stigmatization in patients with chronic skin diseases. Awareness should be raised, screening implemented, and psychosocial support offered early on. Assessments, conceptual models of self-stigma, and interventions are probably applicable for both diseases.

Flourishing During the COVID-19 Pandemic: A Longitudinal Study in South Africa.

In this longitudinal study, we examine changes in psychological distress and multidimensional well-being from before to during the COVID-19 pandemic among South African adults. As a secondary purpose, we explore whether pre-pandemic flourishing is protective against subsequent psychological distress during the public health crisis. The analytic sample (n = 293; Mage = 44.27, SD = 14.28; female = 65.19%) completed measures of anxiety symptoms, depression symptoms, and well-being shortly before the stringent nationwide lockdown started in South Africa (T1). A follow-up assessment was completed approximately 6months later (T2). Paired samples t-tests supported very small improvements in anxiety (d = -0.09) and depression symptoms (d = -0.13). For domains of well-being, small increases were found in close social relationships (d = 0.25) and financial and material stability (d = 0.19). Positive changes in the domains of character and virtue (d = 0.10) and meaning and purpose (d = 0.07) were very small. Changes in physical and mental health (d = -0.03) and life satisfaction and happiness (d = 0.02) were more negligible. Results from the generalized linear models indicated that continuous scores of secure flourishing assessed before the COVID-19 pandemic were associated with lower subsequent psychological distress (particularly depression symptoms) during the public health crisis. We discuss the implications of the findings for the development and delivery of interventions to promote and sustain human flourishing during public health crises, especially in contexts of social-structural vulnerability.

The Good Talk! A Serious Game to Boost People's Competence to Have Open Conversations About COVID-19: Protocol for a Randomized Controlled Trial.

Vaccine hesitancy is one of the many factors impeding efforts to control the COVID-19 pandemic. Exacerbated by the COVID-19 infodemic, misinformation has undermined public trust in vaccination, led to greater polarization, and resulted in a high social cost where close social relationships have experienced conflict or disagreements about the public health response. The purpose of this paper is to describe the theory behind the development of a digital behavioral science intervention-The Good Talk!-designed to target vaccine-hesitant individuals through their close contacts (eg, family, friends, and colleagues) and to describe the methodology of a research study to evaluate its efficacy. The Good Talk! uses an educational serious game approach to boost the skills and competences of vaccine advocates to have open conversations about COVID-19 with their close contacts who are vaccine hesitant. The game teaches vaccine advocates evidence-based open conversation skills to help them speak with individuals who have opposing points of view or who may ascribe to nonscientifically supported beliefs while retaining trust, identifying common ground, and fostering acceptance and respect of divergent views. The game is currently under development and will be available on the web, free to access for participants worldwide, and accompanied by a promotional campaign to recruit participants through social media channels. This protocol describes the methodology for a randomized controlled trial that will compare participants who play The Good Talk! game with a control group that plays the widely known noneducational game Tetris. The study will evaluate a participant's open conversation skills, self-efficacy, and behavioral intentions to have an open conversation with a vaccine-hesitant individual both before and after game play. Recruitment will commence in early 2023 and will cease once 450 participants complete the study (225 per group). The primary outcome is improvement in open conversation skills. Secondary outcomes are self-efficacy and behavioral intentions to have an open conversation with a vaccine-hesitant individual. Exploratory analyses will examine the effect of the game on implementation intentions as well as potential covariates or subgroup differences based on sociodemographic information or previous experiences with COVID-19 vaccination conversations. The outcome of the project is to promote more open conversations regarding COVID-19 vaccination. We hope that our approach will encourage more governments and public health experts to engage in their mission to reach their citizens directly with digital health solutions and to consider such interventions as an important tool in infodemic management. PRR1-10.2196/40753.