A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial

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...

Descripción completa

Detalles Bibliográficos
Autores: Garcia-Campayo, Javier, Llobera Cànaves, Joan, Ricci-Cabello, Ignacio, Fiol-deRoque, Maria Antonia, Serrano-Ripoll, Maria Jesus, Jiménez-López, Rafael, Zamanillo Campos, Rocío, Yáñez, Aina Maria, Bennasar-Veny, Miquel, Leiva, Alfonso, Gervilla Garcia, Elena, García-Buades, M Esther, Garcia Toro, Mauro, Alonso-Coello, Pablo, Pastor-Moreno, Guadalupe, Ruiz-Perez, Isabel, Sitges, Carolina
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/19410
Acceso en línea:https://hdl.handle.net/20.500.13003/19410
Access Level:acceso abierto
Palabra clave:Pandemics
Health Personnel
SARS-CoV-2
Spain
Cell Phone
Humans
COVID-19
Mental Health
Salud Mental
Teléfono Celular
Humanos
Personal de Salud
España
Pandemias
randomized controlled trial
mental health
health care workers
mHealth
app
id ES_bcf1532f04085bb997ef8f11678d8a0f
oai_identifier_str oai:docusalut.com:20.500.13003/19410
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): Randomized Controlled Trial
spellingShingle A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial
Garcia-Campayo, Javier
Pandemics
Health Personnel
SARS-CoV-2
Spain
Cell Phone
Humans
COVID-19
Mental Health
Salud Mental
Teléfono Celular
Humanos
SARS-CoV-2
Personal de Salud
COVID-19
España
Pandemias
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): Randomized Controlled Trial
title_full A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial
title_fullStr A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial
title_full_unstemmed A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial
title_sort A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled Trial
dc.creator.none.fl_str_mv Garcia-Campayo, Javier
Llobera Cànaves, Joan
Ricci-Cabello, Ignacio
Fiol-deRoque, Maria Antonia
Serrano-Ripoll, Maria Jesus
Jiménez-López, Rafael
Zamanillo Campos, Rocío
Yáñez, Aina Maria
Bennasar-Veny, Miquel
Leiva, Alfonso
Gervilla Garcia, Elena
García-Buades, M Esther
Garcia Toro, Mauro
Alonso-Coello, Pablo
Pastor-Moreno, Guadalupe
Ruiz-Perez, Isabel
Sitges, Carolina
author Garcia-Campayo, Javier
author_facet Garcia-Campayo, Javier
Llobera Cànaves, Joan
Ricci-Cabello, Ignacio
Fiol-deRoque, Maria Antonia
Serrano-Ripoll, Maria Jesus
Jiménez-López, Rafael
Zamanillo Campos, Rocío
Yáñez, Aina Maria
Bennasar-Veny, Miquel
Leiva, Alfonso
Gervilla Garcia, Elena
García-Buades, M Esther
Garcia Toro, Mauro
Alonso-Coello, Pablo
Pastor-Moreno, Guadalupe
Ruiz-Perez, Isabel
Sitges, Carolina
author_role author
author2 Llobera Cànaves, Joan
Ricci-Cabello, Ignacio
Fiol-deRoque, Maria Antonia
Serrano-Ripoll, Maria Jesus
Jiménez-López, Rafael
Zamanillo Campos, Rocío
Yáñez, Aina Maria
Bennasar-Veny, Miquel
Leiva, Alfonso
Gervilla Garcia, Elena
García-Buades, M Esther
Garcia Toro, Mauro
Alonso-Coello, Pablo
Pastor-Moreno, Guadalupe
Ruiz-Perez, Isabel
Sitges, Carolina
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Pandemics
Health Personnel
SARS-CoV-2
Spain
Cell Phone
Humans
COVID-19
Mental Health
Salud Mental
Teléfono Celular
Humanos
SARS-CoV-2
Personal de Salud
COVID-19
España
Pandemias
COVID-19
randomized controlled trial
mental health
health care workers
mHealth
app
topic Pandemics
Health Personnel
SARS-CoV-2
Spain
Cell Phone
Humans
COVID-19
Mental Health
Salud Mental
Teléfono Celular
Humanos
SARS-CoV-2
Personal de Salud
COVID-19
España
Pandemias
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. Trial Registration: ClinicalTrials.gov NCT04393818; https://clinicaltrials.gov/ct2/show/NCT04393818. (JMIR Mhealth Uhealth 2021;9(5):e27039) doi: 10.2196/27039
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-05-05
2021
2021-05-05
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/19410
url https://hdl.handle.net/20.500.13003/19410
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Jmir Publications, Inc
publisher.none.fl_str_mv Jmir Publications, Inc
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418158008303616
spelling A Mobile Phone-Based Intervention to Reduce Mental Health Problems in Health Care Workers During the COVID-19 Pandemic (PsyCovidApp): Randomized Controlled TrialGarcia-Campayo, JavierLlobera Cànaves, JoanRicci-Cabello, IgnacioFiol-deRoque, Maria AntoniaSerrano-Ripoll, Maria JesusJiménez-López, RafaelZamanillo Campos, RocíoYáñez, Aina MariaBennasar-Veny, MiquelLeiva, AlfonsoGervilla Garcia, ElenaGarcía-Buades, M EstherGarcia Toro, MauroAlonso-Coello, PabloPastor-Moreno, GuadalupeRuiz-Perez, IsabelSitges, CarolinaPandemicsHealth PersonnelSARS-CoV-2SpainCell PhoneHumansCOVID-19Mental HealthSalud MentalTeléfono CelularHumanosSARS-CoV-2Personal de SaludCOVID-19EspañaPandemiasCOVID-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. Trial Registration: ClinicalTrials.gov NCT04393818; https://clinicaltrials.gov/ct2/show/NCT04393818. (JMIR Mhealth Uhealth 2021;9(5):e27039) doi: 10.2196/27039Jmir Publications, Inc20212021-05-0520212021-05-05research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/19410reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/194102026-06-22T12:44:07Z
score 15.81155

Similares en LA Referencia