A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)

Background: The global health emergency generated by the COVID-19 pandemic is posing an unprecedented challenge to health care workers, who are facing heavy workloads under psychologically difficult situations. Mental mobile Health (mHealth) interventions are now being widely deployed due to their a...

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Autores: Fiol-DeRoque, Maria A.|||0000-0001-8566-0929, Serrano-Ripoll, Maria J.|||0000-0002-1869-1132, Jiménez López, Rafael|||0000-0002-1181-3221, Zamanillo Campos, Rocío|||0000-0001-7162-0889, Yáñez, Aina M.|||0000-0001-8527-3937, Bennasar-Veny, Miquel|||0000-0003-1668-2141, Leiva, Alfonso|||0000-0001-5306-8533, Gervilla, Elena|||0000-0003-3194-5499, García-Buades, M. Esther|||0000-0001-8596-1481, Garcia-Toro, Mauro|||0000-0002-2251-1368, Alonso-Coello, Pablo|||0000-0002-8001-8504, Pastor-Moreno, Guadalupe|||0000-0002-3930-922X, Ruiz-Pérez, Isabel|||0000-0002-9565-0502, Sitges, Carolina|||0000-0003-3830-2859, Garcia-Campayo, Javier|||0000-0002-3797-4218, Llobera Canaves, Joan|||0000-0003-4113-4251, Ricci-Cabello, Ignacio|||0000-0002-4725-8274
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:271975
Acceso en línea:https://ddd.uab.cat/record/271975
https://dx.doi.org/urn:doi:10.2196/27039
Access Level:acceso abierto
Palabra clave:COVID-19
Randomized controlled trial
Mental health
Health care workers
Mhealth
app
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oai_identifier_str oai:ddd.uab.cat:271975
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
Randomized controlled trial
title A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
spellingShingle A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
Fiol-DeRoque, Maria A.|||0000-0001-8566-0929
COVID-19
Randomized controlled trial
Mental health
Health care workers
Mhealth
app
title_short A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
title_full A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
title_fullStr A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
title_full_unstemmed A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
title_sort A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)
dc.creator.none.fl_str_mv Fiol-DeRoque, Maria A.|||0000-0001-8566-0929
Serrano-Ripoll, Maria J.|||0000-0002-1869-1132
Jiménez López, Rafael|||0000-0002-1181-3221
Zamanillo Campos, Rocío|||0000-0001-7162-0889
Yáñez, Aina M.|||0000-0001-8527-3937
Bennasar-Veny, Miquel|||0000-0003-1668-2141
Leiva, Alfonso|||0000-0001-5306-8533
Gervilla, Elena|||0000-0003-3194-5499
García-Buades, M. Esther|||0000-0001-8596-1481
Garcia-Toro, Mauro|||0000-0002-2251-1368
Alonso-Coello, Pablo|||0000-0002-8001-8504
Pastor-Moreno, Guadalupe|||0000-0002-3930-922X
Ruiz-Pérez, Isabel|||0000-0002-9565-0502
Sitges, Carolina|||0000-0003-3830-2859
Garcia-Campayo, Javier|||0000-0002-3797-4218
Llobera Canaves, Joan|||0000-0003-4113-4251
Ricci-Cabello, Ignacio|||0000-0002-4725-8274
author Fiol-DeRoque, Maria A.|||0000-0001-8566-0929
author_facet Fiol-DeRoque, Maria A.|||0000-0001-8566-0929
Serrano-Ripoll, Maria J.|||0000-0002-1869-1132
Jiménez López, Rafael|||0000-0002-1181-3221
Zamanillo Campos, Rocío|||0000-0001-7162-0889
Yáñez, Aina M.|||0000-0001-8527-3937
Bennasar-Veny, Miquel|||0000-0003-1668-2141
Leiva, Alfonso|||0000-0001-5306-8533
Gervilla, Elena|||0000-0003-3194-5499
García-Buades, M. Esther|||0000-0001-8596-1481
Garcia-Toro, Mauro|||0000-0002-2251-1368
Alonso-Coello, Pablo|||0000-0002-8001-8504
Pastor-Moreno, Guadalupe|||0000-0002-3930-922X
Ruiz-Pérez, Isabel|||0000-0002-9565-0502
Sitges, Carolina|||0000-0003-3830-2859
Garcia-Campayo, Javier|||0000-0002-3797-4218
Llobera Canaves, Joan|||0000-0003-4113-4251
Ricci-Cabello, Ignacio|||0000-0002-4725-8274
author_role author
author2 Serrano-Ripoll, Maria J.|||0000-0002-1869-1132
Jiménez López, Rafael|||0000-0002-1181-3221
Zamanillo Campos, Rocío|||0000-0001-7162-0889
Yáñez, Aina M.|||0000-0001-8527-3937
Bennasar-Veny, Miquel|||0000-0003-1668-2141
Leiva, Alfonso|||0000-0001-5306-8533
Gervilla, Elena|||0000-0003-3194-5499
García-Buades, M. Esther|||0000-0001-8596-1481
Garcia-Toro, Mauro|||0000-0002-2251-1368
Alonso-Coello, Pablo|||0000-0002-8001-8504
Pastor-Moreno, Guadalupe|||0000-0002-3930-922X
Ruiz-Pérez, Isabel|||0000-0002-9565-0502
Sitges, Carolina|||0000-0003-3830-2859
Garcia-Campayo, Javier|||0000-0002-3797-4218
Llobera Canaves, Joan|||0000-0003-4113-4251
Ricci-Cabello, Ignacio|||0000-0002-4725-8274
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Randomized controlled trial
Mental health
Health care workers
Mhealth
app
topic COVID-19
Randomized controlled trial
Mental health
Health care workers
Mhealth
app
description Background: The global health emergency generated by the COVID-19 pandemic is posing an unprecedented challenge to health care workers, who are facing heavy workloads under psychologically difficult situations. Mental mobile Health (mHealth) interventions are now being widely deployed due to their attractive implementation features, despite the lack of evidence about their efficacy in this specific population and context. Objective: The aim of this trial is to evaluate the effectiveness of a psychoeducational, mindfulness-based mHealth intervention to reduce mental health problems in health care workers during the COVID-19 pandemic. Methods: We conducted a blinded, parallel-group, controlled trial in Spain. Health care workers providing face-to-face health care to patients with COVID-19 were randomly assigned (1:1) to receive the PsyCovidApp intervention (an app targeting emotional skills, healthy lifestyle behavior, burnout, and social support) or a control app (general recommendations about mental health care) for 2 weeks. The participants were blinded to their group allocation. Data were collected telephonically at baseline and after 2 weeks by trained health psychologists. The primary outcome was a composite of depression, anxiety, and stress (overall score on the Depression Anxiety Stress Scale-21 [DASS-21]). Secondary outcomes were insomnia (Insomnia Severity Index), burnout (Maslach Burnout Inventory Human Services Survey), posttraumatic stress (Davidson Trauma Scale), self-efficacy (General Self-Efficacy Scale), and DASS-21 individual scale scores. Differences between groups were analyzed using general linear modeling according to an intention-to-treat protocol. Additionally, we measured the usability of the PsyCovidApp (System Usability Scale). The outcome data collectors and trial statisticians were unaware of the treatment allocation. Results: Between May 14 and July 25, 2020, 482 health care workers were recruited and randomly assigned to PsyCovidApp (n=248) or the control app (n=234). At 2 weeks, complete outcome data were available for 436/482 participants (90.5%). No significant differences were observed between the groups at 2 weeks in the primary outcome (standardized mean difference -0.04; 95% CI -0.11 to 0.04; P=.15) or in the other outcomes. In our prespecified subgroup analyses, we observed significant improvements among health care workers consuming psychotropic medications (n=79) in the primary outcome (-0.29; 95% CI -0.48 to -0.09; P=.004), and in posttraumatic stress, insomnia, anxiety, and stress. Similarly, among health care workers receiving psychotherapy (n=43), we observed improvements in the primary outcome (-0.25; 95% CI -0.49 to -0.02; P=.02), and in insomnia, anxiety, and stress. The mean usability score of PsyCovidApp was high (87.21/100, SD 12.65). After the trial, 208/221 participants in the intervention group (94.1%) asked to regain access to PsyCovidApp, indicating high acceptability. Conclusions: In health care workers assisting patients with COVID-19 in Spain, PsyCovidApp, compared with a control app, reduced mental health problems at 2 weeks only among health care workers receiving psychotherapy or psychotropic medications.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/271975
https://dx.doi.org/urn:doi:10.2196/27039
url https://ddd.uab.cat/record/271975
https://dx.doi.org/urn:doi:10.2196/27039
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CP17/00019
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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spelling A mobile phone-based intervention to reduce mental health problems in health care workers during the COVID-19 pandemic (PsyCovidApp)Randomized controlled trialFiol-DeRoque, Maria A.|||0000-0001-8566-0929Serrano-Ripoll, Maria J.|||0000-0002-1869-1132Jiménez López, Rafael|||0000-0002-1181-3221Zamanillo Campos, Rocío|||0000-0001-7162-0889Yáñez, Aina M.|||0000-0001-8527-3937Bennasar-Veny, Miquel|||0000-0003-1668-2141Leiva, Alfonso|||0000-0001-5306-8533Gervilla, Elena|||0000-0003-3194-5499García-Buades, M. Esther|||0000-0001-8596-1481Garcia-Toro, Mauro|||0000-0002-2251-1368Alonso-Coello, Pablo|||0000-0002-8001-8504Pastor-Moreno, Guadalupe|||0000-0002-3930-922XRuiz-Pérez, Isabel|||0000-0002-9565-0502Sitges, Carolina|||0000-0003-3830-2859Garcia-Campayo, Javier|||0000-0002-3797-4218Llobera Canaves, Joan|||0000-0003-4113-4251Ricci-Cabello, Ignacio|||0000-0002-4725-8274COVID-19Randomized controlled trialMental healthHealth care workersMhealthappBackground: The global health emergency generated by the COVID-19 pandemic is posing an unprecedented challenge to health care workers, who are facing heavy workloads under psychologically difficult situations. Mental mobile Health (mHealth) interventions are now being widely deployed due to their attractive implementation features, despite the lack of evidence about their efficacy in this specific population and context. Objective: The aim of this trial is to evaluate the effectiveness of a psychoeducational, mindfulness-based mHealth intervention to reduce mental health problems in health care workers during the COVID-19 pandemic. Methods: We conducted a blinded, parallel-group, controlled trial in Spain. Health care workers providing face-to-face health care to patients with COVID-19 were randomly assigned (1:1) to receive the PsyCovidApp intervention (an app targeting emotional skills, healthy lifestyle behavior, burnout, and social support) or a control app (general recommendations about mental health care) for 2 weeks. The participants were blinded to their group allocation. Data were collected telephonically at baseline and after 2 weeks by trained health psychologists. The primary outcome was a composite of depression, anxiety, and stress (overall score on the Depression Anxiety Stress Scale-21 [DASS-21]). Secondary outcomes were insomnia (Insomnia Severity Index), burnout (Maslach Burnout Inventory Human Services Survey), posttraumatic stress (Davidson Trauma Scale), self-efficacy (General Self-Efficacy Scale), and DASS-21 individual scale scores. Differences between groups were analyzed using general linear modeling according to an intention-to-treat protocol. Additionally, we measured the usability of the PsyCovidApp (System Usability Scale). The outcome data collectors and trial statisticians were unaware of the treatment allocation. Results: Between May 14 and July 25, 2020, 482 health care workers were recruited and randomly assigned to PsyCovidApp (n=248) or the control app (n=234). At 2 weeks, complete outcome data were available for 436/482 participants (90.5%). No significant differences were observed between the groups at 2 weeks in the primary outcome (standardized mean difference -0.04; 95% CI -0.11 to 0.04; P=.15) or in the other outcomes. In our prespecified subgroup analyses, we observed significant improvements among health care workers consuming psychotropic medications (n=79) in the primary outcome (-0.29; 95% CI -0.48 to -0.09; P=.004), and in posttraumatic stress, insomnia, anxiety, and stress. Similarly, among health care workers receiving psychotherapy (n=43), we observed improvements in the primary outcome (-0.25; 95% CI -0.49 to -0.02; P=.02), and in insomnia, anxiety, and stress. The mean usability score of PsyCovidApp was high (87.21/100, SD 12.65). After the trial, 208/221 participants in the intervention group (94.1%) asked to regain access to PsyCovidApp, indicating high acceptability. Conclusions: In health care workers assisting patients with COVID-19 in Spain, PsyCovidApp, compared with a control app, reduced mental health problems at 2 weeks only among health care workers receiving psychotherapy or psychotropic medications. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/271975https://dx.doi.org/urn:doi:10.2196/27039reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 CP17/00019open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2719752026-06-06T12:50:31Z
score 15,300724

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