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Influencer Stories of Mental Health and Young People.

Lead Research Organisation: University of Birmingham
Department Name: Department of English Literature

Abstract

This project will explore how stories told by social media influencers ('influencers') can help young people or put them at risk as they gain awareness of, and respond to, challenges in mental health.

Currently, there is a worrying gap between the number of young people experiencing mental health difficulties and those who access the help they need. One of the largest barriers to accessing timely support is the knowledge and attitudes about mental illness and how to seek help (that is, poor mental health literacy). Knowing how to find and evaluate information about mental health is critical for young people as they navigate life's challenges, especially in the context of social media where there is a wealth of easily accessible information which varies in quality.

Influencers are among the most frequently followed accounts by young people in the UK, with audiences of millions. Mental health is often discussed in the stories that influencers share on social media sites like Instagram, Tiktok and YouTube. These stories are told in short-form videos which convey mental health experiences in distinct and powerful ways through words, music, images and editing effects. Influencer industry is largely unregulated which means that lay persons and professionals alike can offer information about mental health. Little is known about the quality of the mental health information influencers provide and the impact on young people's knowledge, emotions, attitudes and behaviours.

We will analyse the stories about mental health offered by influencers and work directly with young people to help them develop strategies to evaluate and respond effectively to this communication. We will do this in collaboration with the McPin Foundation, developing evidence-based resources for young people and those who support them (peers, families, educators).

We will use a combination of methods from applied linguistics and psychology in a co-designed project that is structured in three phases.

(1) Using narrative analysis, we will map out and categorise the types of mental health stories told by influencers in the videos they post on social media sites. We will analyse the responses to these stories to identify how mental health issues are reproduced, transformed and gain visibility online. We will work with mental health professionals and young people to evaluate the quality of these stories.

(2) Using frameworks from interpretive psychology, we will explore the impact of influencers' stories on the knowledge, beliefs and behaviour of young people, through focus groups and interviews. We will work with young people to define their key concerns about how influencers use stories to communicate about mental health.

(3) We will work with young people, mental health practitioners, parents and educators to co-design materials that will help young people best navigate the mental health information provided by influencers. We will deliver this content through a digital showcase with McPin and resources for national, third sector providers (e.g. Care for the Family and Futurum Careers).

The research comes at a time when regulation of influencer communication has become a matter of parliamentary concern (see Influencer Culture Inquiry, 2022). There is little consensus about how best to address the risks to and opportunities for young people's mental health in this context. Our research will explore solutions so young people can use social media in a safe and helpful way. We will generate knowledge which will be useful to educators, families and groups who support young people's mental health. The analyses will also provide insights to support sensitive and appropriate policy-making around influencers and health communication. The outcomes of our research will be shared with national and international audiences through publications, conferences and workshops.

Publications

10 25 50
 
Description This award is still active, so the findings are not yet complete. Our key findings so far are as follows:
We have identified the narrative styles used by influencers on TikTok to convey information about mental health, showing a gap between professionals who convey information and lived experience accounts which share stories of recovery.
With mental health professionals, we have identified a list of harms and helps that arise from these different formats which include but go beyond misinformation (especially relating to recommending unregulated supplements), and including self-diagnosis, separating young people from professional help, inducing hypervigilance and being led to unwanted further harmful content.
From focus groups with 75 young people, we identified a range of barriers and beliefs that stop young people accessing the help that they need for their mental health - including help from influencers. This includes disengagement from content about mental health due to fatigue with awareness-raising campaigns, a distrust of the medical professionals and of online content, a lack of diversity in influencer representation, persistent gendered and racist beliefs that make it difficult for people who identify as from ethnic minority groups or for young men to access support for their mental health.
Exploitation Route It's too early to say (the award is still active)
Sectors Digital/Communication/Information Technologies (including Software)

Education

Healthcare

 
Description Interview for national news 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Dr Alex Christiansen was interviewed on behalf of the project by The Economist, resulting in two quotes about our research findings included in The Intelligence Podcast.
Year(s) Of Engagement Activity 2024
URL https://shows.acast.com/theintelligencepodcast/episodes/between-estonia-and-a-hard-place-nato-meets?...
 
Description Mental Health Professionals Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Seven mental health professionals attended the project workshop which generated much debate about the harms which arise from influencer communication as a form of public health.
Year(s) Of Engagement Activity 2024
 
Description Practitioner Group Workshop (Language and Health) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact 20 health professionals attended the workshop on Language and Health Communication at the University of Birmingham, which sparked questions and discussions afterwards. We have been invited to provide further information for trainee GPs about our research findings.
Year(s) Of Engagement Activity 2024
 
Description Project Blog 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Study participants or study members
Results and Impact The project blog has published three posts to date, responding to media reports on the topic of our research.
Year(s) Of Engagement Activity 2024
URL https://blog.bham.ac.uk/influencerstories/