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            Online peer-to-peer therapy sessions can be effective in improving people's mental well-being. However, online volunteer counselors may lack the expertise and necessary training to provide high-quality sessions, and these low-quality sessions may negatively impact volunteers' motivations as well as clients' well-being. This paper uses interviews with 20 senior online volunteer counselors to examine how they addressed challenges and acquired skills when volunteering in a large, mental-health support community - 7Cups.com. Although volunteers in this community received some training based on principles of active listening and motivational interviewing, results indicate that the training was insufficient and that volunteer counselors had to independently develop strategies to deal with specific challenges that they encountered in their volunteer work. Their strategies, however, might deviate from standard practice since they generally lacked systematic feedback from mentors or clients and, instead, relied on their personal experiences. Additionally, volunteer counselors reported having difficulty maintaining their professional boundaries with the clients. Even though training and support resources were available, they were underutilized. The results of this study have uncovered new design spaces for HCI practitioners and researchers, including social computing and artificial intelligence approaches that may provide better support to volunteer counselors in online mental health communities.more » « less
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            The individualistic nature of gig work allows workers to have high levels of flexibility, but it also leads to atomization, leaving them isolated from peer workers. In this paper, we employed a qualitative approach to understand how online social media groups provide informational and emotional support to physical gig workers during the COVID-19 pandemic. We found that social media groups alleviate the atomization effect, as workers use these groups to obtain experiential knowledge from their peers, build connections, and organize collective action. However, we noted a reluctance among workers to share strategic information where there was a perceived risk of being competitively disadvantaged. In addition, we found that the diversity among gig workers has also led to limited empathy for one another, which further impedes the provision of emotional support. While social media groups could potentially become places where workers organize collective efforts, several factors, including the uncertainty of other workers' activities and the understanding of the independent contractor status, have diminished the effectiveness of efforts at collective action.more » « less
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            Online health communities (OHCs) have become important resources from which members can obtain social support. Since most benefits of OHCs are provided by its members, it is crucial that OHCs maintain a critical mass of active members. This paper examines temporal changes in members' participation in a cancer-orientedOHC, focusing on the changes in members' motivations and behavior as they transition from newcomers to other roles or when they ultimately leave the community. Our work used mixed methods, combining behavioral log analysis, automated content analysis, surveys and interviews. We found that shifts in members' motivations seemed to be driven by two sources: the internal dynamics common to becoming a member of most online communities and the external needs associated with their cancer journey. When members' disease-driven needs for support decreased, most members quit the site. The motivations of those who stayed shifted from receiving support to providing it to others in the community. As in many online communities, old-timers contributed the vast majority of content. However, they encountered challenges that threatened their commitment, including negative emotions related to other members' deaths, which led them to take leaves of absence from the community or to drop out permanently. Implications for the motivation changes ofOHC members are discussed.more » « less
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