{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:49:51Z","timestamp":1782845391036,"version":"3.54.5"},"reference-count":55,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR XR Spatial Comput"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The metaverse is a promising avenue for accessible, effective digital mental health treatments. However, general attitudes toward peer-supported metaverse mental health interventions (MMHIs) remain largely unexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the relation of sociodemographic, mental health, and technology factors in predicting attitudes toward MMHIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used a mixed methods design with a self-report online survey (N=545 participants) to assess participant attitudes toward MMHIs and sociodemographic, mental health, and technology factors. Ordinal logistic regression was used to examine predictors of general interest in peer-supported MMHIs and binary logistic regression to examine predictors of preference for MMHIs versus face-to-face interventions. Inductive content analysis was performed on 483 open-ended responses regarding intervention preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Older age (odds ratio [OR] 1.03, 95% CI 1.02-1.05; P&lt;.001), higher ethnic identity centrality (OR 1.44, 95% CI 1.25-1.66; P&lt;.001), more positive mental help\u2013seeking attitudes (OR 1.22, 95% CI 1.06-1.42; P=.007), more online video game use (OR 1.26, 95% CI 1.09-1.44; P=.001), and greater virtual reality experience (OR 1.55, 95% CI 1.28-1.90; P&lt;.001) were associated with greater odds of reporting more interest in MMHIs. Internet access was associated with greater odds of reporting less interest in MMHIs (OR 0.50, 95% CI 0.30-0.84; P=.01). Hispanic ethnicity (OR 1.81, 95% CI 1.13-2.90; P=.01), older age (OR 1.04, 95% CI 1.02-1.05; P&lt;.001), higher ethnic identity centrality (OR 1.28, 95% CI 1.09-1.51; P=.003), smartphone access (OR 10.46, 95% CI 2.87-50.71; P&lt;.001), higher self-reported video game use (OR 1.25, 95% CI 1.05-1.48; P=.01), and more positive computer attitudes (OR 1.05, 95% CI 1.01-1.10; P=.02) predicted greater odds of preference for MMHIs (versus face-to-face interventions), whereas the male gender (OR 0.43, 95% CI 0.28-0.68; P&lt;.001), internet access (OR 0.12, 95% CI 0.02-0.40; P=.002), more positive mental help\u2013seeking attitudes (OR 0.76, 95% CI 0.62-0.92; P=.005), and moderately severe (OR 0.20, 95% CI 0.07-0.51; P=.001) and severe (OR 0.26, 95% CI 0.08-0.79; P=.02) levels of depression symptoms predicted lower odds of preference for MMHIs. Qualitative analysis revealed 14 themes describing reasons for intervention preference. Anonymity (133\/483, 27.5%), social aversion (38\/483, 7.9%), ease of use and accessibility (35\/483, 7.2%), anxiety (28\/483, 5.8%), and comfort (26\/483, 5.4%) tended to be endorsed by those preferring MMHIs. Ecological validity of social interactions (99\/483, 20.5%), ecological validity of interventions (75\/483, 15.5%), aversion\/distrust toward technology (42\/483, 8.7%), impersonal quality (31\/483, 6.4%), and immersion\/engagement (11\/483, 2.3%) tended to be endorsed by those who preferred face-to-face interventions. Mental health attitudes (28\/483, 5.8%), privacy (19\/483, 3.9%), and miscellaneous reasons (46\/483, 9.5%) were endorsed equally between preferences. Novelty (21\/483, 4.3%) was most cited by those who expressed no preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identified several factors associated with attitudes toward peer-supported MMHIs, which may be leveraged to inform mental health outreach to interested populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/57990","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T12:33:48Z","timestamp":1724330028000},"page":"e57990","source":"Crossref","is-referenced-by-count":5,"title":["Assessing Predictive Factors of Attitudes Toward Peer-Supported Mental Health Interventions in the Metaverse: Mixed Methods Study"],"prefix":"10.2196","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6513-3727","authenticated-orcid":false,"given":"Francisco Nicolas","family":"Ramos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1691-1330","authenticated-orcid":false,"given":"Rachel A","family":"Bernstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9289-3568","authenticated-orcid":false,"given":"Iony D","family":"Ezawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2024,8,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2196\/40410"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/gpsych-2022-100825"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.15358\/9783800669400","author":"Ball, M","year":"2022","journal-title":"The Metaverse: And How It Will Revolutionize Everything"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2023.104358"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20083"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.pra.0000422745.17990.be"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1089\/g4h.2022.0214"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2016.00186"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e11762"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2975\/34.3.2011.252.254"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0053244"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2020.4364"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/790457"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.2196\/mental.7722"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1080\/15228835.2020.1833810"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9109"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.7790\/ejap.v6i1.184"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.2196\/28066"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.2196\/35159"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.2196\/24387"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2023.1008564"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijinfomgt.2022.102542"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6.3.e34"},{"key":"ref24","unstructured":"ProlificProlific20142024-08-06https:\/\/www.prolific.com"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(95)00510-2"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(95)00048-8"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(96)00236-3"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwk052"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2013.773904"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.44.3.787"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1037\/cdp0000125"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000248"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.06.026"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1002\/da.1055"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2016.1158206"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.07m00576"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1002\/da.20250"},{"key":"ref38","author":"Schulenberg, SE","year":"2001","journal-title":"The Development of the Computer Aversion, Attitudes, and Familiarity Index (CAAFI). 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