The SupportNet Website: A Social Media Self-Care System

  • Carolyn Yeager
  • Judith Bock
  • Charles C. Benight


Over the last decade, there has been extensive growth in the use of the Internet worldwide. As a result, there has been an increase in the availability of web-based interventions that address a variety of health and psychological issues. This chapter reviews relevant online interventions followed by a description of SupportNet, a web intervention that addresses burnout in military behavioral health providers. We provide the technical and functional details of SupportNet along with important information regarding intervention engagement. We also provide recommendations for future system enhancements and conclude with a discussion of how SupportNet could be deployed within other provider settings.


Web intervention  Burnout Self-efficacy Social support Agile development Software security Engagement Goal setting Assessment Life balance Social networking 


  1. Amstadter, A. B., Broman-Fulks, J., Zinzowa, H., Ruggiero, K. J., & Cercone, J. (2009). Internet-based interventions for traumatic stress-related mental health problems: A review and suggestion for future research. Clinical Psychology Review, 29, 410–420.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Ballenger-Browning, K. K., Schmitz, K. J., Rothacker, J. A., Hammer, P. S., Webb-Murphy, J. A., & Johnson, D. C. (2011). Predictors of burnout among military mental health providers. Military Medicine, 176(3), 253–260.CrossRefPubMedGoogle Scholar
  3. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.Google Scholar
  4. Barak, A., & Klein, B. (2009). Defining internet-supported therapeutic interventions. Annals of Behavioral Medicine, 38, 4–17.CrossRefPubMedGoogle Scholar
  5. Beck, C. T. (2011). Secondary traumatic stress in nurses: A systematic review. Archives of Psychiatric Nursing, 25(1), 1–10.CrossRefPubMedGoogle Scholar
  6. Benight, C. C., Ruzak, J., & Waldrep, E. (2008). Internet interventions for traumatic stress: A review and theoretically based example. Journal of Traumatic Stress, 21(6), 513–520.CrossRefPubMedGoogle Scholar
  7. Brouwer, W., Kroeze, W., Crutzen, R., Nooijer, J. d., Vries, N. d., Brug, J., et al. (2011). Which intervention characteristics are related to more exposure to internet-delivered healthy lifestyle promotion interventions? A systematic review. Journal of Medical Internet Research, 13(1), e2.CrossRefPubMedPubMedCentralGoogle Scholar
  8. Cavanagh, K., Shapiro, D. A., Berg, S. V., Swain, S., Barkham, M., & Proudfoot, J. (2006). The effectiveness of computerized cognitive behavioural therapy in routine care. British Journal of Clinical Psychology, 45, 499–514.CrossRefPubMedGoogle Scholar
  9. Christensen, H., Griffiths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: Systematic review. Journal of Medical Internet Research, 11(2), e13.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Cieslak, R., Anderson, V., Bock, J., Moore, B. A., Peterson, A. L., & Benight, C. C. (2013). Secondary traumatic stress among mental health providers working with the military: Prevalence and its work- and exposure-related correlates. The Journal of Nervous and Mental Disease, 201(11), 917–925.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Cohen, S., & Syme, L. S. (1985). The study and application of social support. In S. Cohen & L. S. Syme (Eds.), Social support and health (pp. 3–20). Orlando, FL: Academic.Google Scholar
  12. Couper, M. P., Alexander, G. L., Zhang, N., Little, R. J., Maddy, N., Nowak, M. A., et al. (2010). Engagement and Retention: Measuring breadth and depth of participant use of an online intervention. Jounral of Medical Internet Research, 12(4), e52.CrossRefGoogle Scholar
  13. Craig, C., & Sprang, G. (2010). Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety Stress Coping, 23(3), 319–339.CrossRefPubMedGoogle Scholar
  14. Danaher, B. G., Boles, S. M., Akers, L., Gordon, J. S., & Severson, H. H. (2006). Defining participant exposure measures in web-based health behavior change programs. Journal of Medical Internet Research, 8(3), e15.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Dewa, C. S., Loong, D., Bonato, S., Thanh, N. X., & Jacobs, P. (2014). How does burnout affect physician productivity? A systematic literature review. BMC Health Services Research, 14, 325.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Dombrowski, S. U., Sniehotta, F., Avenell, A., & Coyne, J. (2007). Current issues and futuTowards a cumulative science of behavior change: Do current conduct and reporting of behavioral interventions fall short of best practice? Psychology and Health, 22(8), 869–874.CrossRefGoogle Scholar
  17. Donkin, L., & Glozier, N. (2012). Motivators and motivations to persist with online psychological interventions: A qualitative study of treatment completers. Journal of Medical Internet Research, 14(3), e91.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Eysenbach, G. (2005). The law of attrition. Journal of Medical Internet Research, 7(1), e11.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Fox, S. (2014). The web at 25 in the U.S. Washington, DC: Pew Research Center’s Internet & American Life Project.Google Scholar
  20. Hirai, M., & Clum, G. A. (2005). An internet-based self-change program for traumatic event related fear, distress, and maladaptive coping. Journal of Traumatic Stress, 18(6), 631–636.CrossRefPubMedGoogle Scholar
  21. Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351, 13–22.CrossRefPubMedGoogle Scholar
  22. Kintzle, S., Yarvis, J. S., & Bride, E. B. (2013). Secondary traumatic stress in military primary and mental health care providers. Military Medicine, 178(12), 1310–1315.CrossRefPubMedGoogle Scholar
  23. Lang, G. M., Pfister, E. A., & Siemens, M. J. (2010). Nursing burnout: Cross-sectional study at a large Army hospital. Military Medicine, 175(6), 435–441.CrossRefPubMedGoogle Scholar
  24. Lange, A., van de Ven, J.-P., & Schrieken, B. (2003). Interapy: Treatment of post-traumatic stress via the internet. Cognitive Behaviour Therapy, 32(3), 110–124.CrossRefPubMedGoogle Scholar
  25. Lisetti, C., Amani, R., Yasuvar, U., & Rishe, N. (2013). I can help you change! An empathic virtual agent delivers behavior change health interventions. ACM Transactions on Management Information Systems, 4(4), 1–28.CrossRefGoogle Scholar
  26. Litz, B. T., Bryant, R., Williams, L., Wang, J., & Engel, C. C. (2004). A therapist-assisted internet self-help program for traumatic stress. Professional Psychology: Research and Practice, 35(6), 628–634.CrossRefGoogle Scholar
  27. Marks, J. T., Campbell, M. K., Ward, D. S., Ribisl, K. M., Wildemuth, M. B., & Symons, M. J. (2006). A comparison of web and print media for physical activity promotion among adolescent girls. Journal of Adolescent Health, 39, 96–104.CrossRefPubMedGoogle Scholar
  28. Mojtabai, R., Olfson, M., Sampson, N. A., Jin, R., Druss, B., Wang, P. S., et al. (2011). Barriers to mental health treatment: Results from the national comorbidity survey replication. Psychological Medicine, 41, 1751–1761.CrossRefPubMedGoogle Scholar
  29. Morrison, C., & Doherty, G. (2014). Analyzing engagement in a web-based intervention platform through visualizing log-data. Journal of Medical Internet Research, 16(11), e252.Google Scholar
  30. National Institute of Standards and Technology. (2007). U.S. National Institute of Standards and Technology. Guide to secure Web services. Gaithersburg, USA: U.S. Department of Commerce, National Institute of Standards and Technology.Google Scholar
  31. Neve, M. J., Collins, C. E., & Morgan, P. J. (2010). Dropout, nonusage attrition, and pretreatment predictors of nonusage attrition in a commercial web-based weight loss program. Journal of Medical Internet Research, 12(4), e69.CrossRefPubMedPubMedCentralGoogle Scholar
  32. Office of the Chief of Public Affairs. (2013). The United States army social media handbook. Washington, DC: Online and Social Media Division.Google Scholar
  33. Parsons, T. D., & Rizzo, A. A. (2008). Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: A meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 39, 250–261.CrossRefPubMedGoogle Scholar
  34. Pepin, R., Segal, D. L., & Coolidge, F. L. (2009). Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults. Aging & Mental Health, 13(5), 769–777.CrossRefGoogle Scholar
  35. Rotondi, A. J., Anderson, C. M., Haas, G. L., Eack, S. M., Spring, M. B., Ganguli, R., et al. (2010). Web-based psychoeducational intervention for persons with schizophrenia and their supporters: One-year outcomes. Psychiatric Services, 61(11), 1099–1105.CrossRefPubMedGoogle Scholar
  36. Steinmetz, S. E., Benight, C. C., Bishop, S. L., & James, L. E. (2012). My disaster recovery: A pilot randomized controlled trial of an internet intervention. Anxiety Stress Coping, 25(5), 593–600.CrossRefPubMedGoogle Scholar
  37. Tate, D. F., & Zabinski, M. F. (2004). Computer and internet applications for psychological treatment: Update for clinicians. Journal of Clinical Psychology, 60(2), 209–220.CrossRefPubMedGoogle Scholar
  38. Wagner, B., Schulz, W., & Knaevelsrud, C. (2012). Efficacy of an internet-based intervention for posttraumatic stress disorder in Iraq: A pilot study. Psychiatry Research, 195(1–2), 85–88.CrossRefPubMedGoogle Scholar
  39. Wells, M., Mitchell, K., Finkelhor, D., & Becker-Blease, K. (2007). Online mental health treatment: Concerns and considerations. CyberPsychology & Behavior, 10(3), 453–459.CrossRefGoogle Scholar
  40. Yeager, C. M., & Udy, J. L. (1999). Patent No. 5,950,190. US.Google Scholar

Copyright information

© The Author(s) 2016

Authors and Affiliations

  • Carolyn Yeager
    • 1
  • Judith Bock
    • 1
  • Charles C. Benight
    • 1
  1. 1.Trauma, Health, and Hazards CenterUniversity of Colorado at Colorado SpringsColorado SpringsUSA

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