Distress, Emotional, Moral Injury
Conditions
Keywords
Depression, Anxiety, Stress, Moral Injury, Moral Distress, Loneliness
Brief summary
Stress, anxiety, distress and depression are exceptionally high among healthcare workers at the frontline of the COVID-19 pandemic. Factors underlying distress and resilience are unknown and there are no evidence based interventions to impact the mental wellbeing of frontline healthcare workers. This study will evaluate a novel virtual reality platform to gather the distress experience of frontline healthcare workers at Unity Health Toronto in real time during the ongoing COVID pandemic by developing and showing feasibility of digital technology (Virtual Reality (VR) and mobile app) as a digital platform to understand the causes and ultimately reduce the moral distress of healthcare providers during the COVID-19 pandemic. The project will develop innovations which can be used for future pandemics and other contexts prone to producing moral distress and injury.
Interventions
OTHEREducational moral injury video
Educational video that addresses the identification of moral injury and distress in frontline healthcare workers during COVID-19; offers available interventions at the levels of individual, team and organization
Sponsors
Toronto Metropolitan University
University of Toronto
University of Ontario Institute of Technology
McMaster University
Unity Health Toronto
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Users will go through a VR experiment before and after a brief interventional informative video describing moral distress. The VR experiment is a simulation that will lead the participant through a stressful experience about moral distress during the COVID-19 pandemic. Before, during, and after the experiment, active and physiological data will be collected from the participant to monitor their level of acute distress and health, respectively. Following the experiment, active and passive data will be collected on each user through the investigators' mobile platform (DiiG) for longitudinal monitoring of moral distress and injury.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Staff or healthcare providers working at Unity Health Toronto * 18 years of age or older * Must own a mobile phone running Android Version 6.0 and higher, or an iPhone 6 running OS 14 and higher) Exclusion Criterion: \- Non-Unity Health Toronto staff
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility evaluation of the virtual reality environment | 60 minutes (during the intervention) | The primary outcome measure will be a comparison of MIOS (Moral Injury Outcome Scale) and PSS (Perceived Stress Scale) scores before and after watching an educational video on moral injury; feasibility of this platform will be assessed based on a feasibility questionnaire and changes in score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility evaluation of a mobile platform to understand the continuum of stress and moral distress. | Up to 8 weeks | Feasibility of the mobile platform will be measured based on dropout rate |
Countries
Canada
Outcome results
None listed