A network approach was used to determine the overall supportive communication patterns constructed within the PTT psychosis support group in Taiwan, the largest bulletin board system in the Chinese-speaking world.The full sequences of supportive interactions were observed over a 2
IntroductionHumans need various types of social support at many points in life, especially when they or the ones they care for are in need of health information (Yoo & Robbins, 2008). Individuals purposively acquire health information from "selected information carriers" (Johnson, 1996, p. 9) to reduce uncertainty regarding health issues. Indeed, much has been written about the associations between social support and individuals' emotional and physical well-being (Burleson & MacGeorge, 2002).In general, social support is important across age (Tichon 1& Shapiro, 2003;Wright, 2000;Xie, 2008), and culture (Burleson, Liu, Liu, & Mortenson, 2006;Hiller & Franz, 2004), and is especially significant to individuals afflicted with diseases (Bambina, 2005;Bertero, 2000;Eichhorn, 2008). "Indeed, a life without any supportive relationships is virtually unthinkable" (Albrecht, Burleson, & Goldsmith, 1994, p. 419). Fortunately, with the advent of the Internet, Received June 26, 2008; revised February 12, 2009; accepted February 16, 2009 © 2009 ASIS&T • Published online 13 April 2009 in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/asi.21070 which has "rapidly expanded to address the demand for medical information on health-related topics" (Cotton & Gupta, 2004, p. 1796, individuals have access to a superior and fabulous medium for social support (Robinson & Turner, 2003;Walther & Parks, 2002).Online social support has fundamentally changed two structural aspects of traditional face-to-face (FtF) social support: the channels of communication and the sociometric relationships of support seekers and providers (Walther & Parks, 2002). These two features both expand individuals' personal social support networks. First, individuals can seek and provide social support without constraints of time and space in online venues (Eichhorn, 2008;Franzen, 2000;Wellman, 2001). Second, individuals can have more social choices regarding to whom they could go when they engage in supportive interactions (Hlebec, Manfreda, & Vehovar, 2006).The other change brought about by online supportive interactions, from a researcher's point of view, is that the full sequence of events comprising supportive interactions can be easily recorded and observed online. In general, researchers have agreed that there are four sequences of events for supportive interactions: support activation target, support provision by a helper, support receipt and accompanying reactions by the target, and responses to the target's reaction by the helper. However, in the past, most studies have focused on the first two phases of the full sequence, and few studies have been conducted to study the full four phases of supportive interactions (Burleson & MacGeorge, 2002). One major ...