Anxiety, Depression, Loneliness, Stress
Conditions
Keywords
Depression, Anxiety, Stress, Loneliness, Mobile Intervention
Brief summary
Stress, anxiety, distress and depression are exceptionally high among healthcare providers at the frontline of the COVID-19 pandemic. Knowledge of factors underlying distress and resilience and evidence based interventions to impact the mental wellbeing of frontline healthcare providers is limited. This study will evaluate a novel mobile platform to gather the distress experience of healthcare workers at Unity Health Toronto in real time during and after the COVID-19 pandemic, use automated personalized mobile interventions (e.g. routine, sleep, exercise) to nudge active/passive parameters to manage distress.
Interventions
OTHERMobile Intervention
Active mobile data will be used to provide automated, personalized notifications to frontline healthcare workers. Key information on mental health and links to access additional health resources will be available on the mobile platform.
Sponsors
Toronto Metropolitan University
University of Toronto
Unity Health Toronto
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Masking description
Participants will be issued a specific ID number to be used within the mobile app to ensure that any identifiable information within this app will remain anonymous. A master linking log will serve as the only link between participants and the study data collected in the mobile app.
Intervention model description
Upon logging into the study platform, half of the participants will be automatically randomized to receive (for 4 weeks) daily-personalized automated alerts (The mobile intervention). This feature will be made available to all participants after 4 weeks. Hence, for the first 4 weeks, this study can be described as having a parallel group study model. After 4 weeks, the study switches to a single group study model, and can therefore be described as having a single group interventional model after 4 weeks from the start date until the rest of the duration of the study.
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 criteria
* Non-Unity Health Toronto staff
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceived Stress Scale | At 4 weeks from baseline | The primary outcome measure will be the ten-item Perceived Stress Scale. Scores range from 0 to 40, and higher scores indicate more severe stress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perceived Stress Scale | At 12 weeks from baseline | The primary outcome measure will be the ten-item Perceived Stress Scale. Scores range from 0 to 40, and higher scores indicate more severe stress. |
| Active Data - Short UCLA Loneliness Scale | At 4 weeks from baseline | Short, 3-item scale; scores range from 3 to 9, and higher scores indicate more severe loneliness symptoms. Feasibility of the mobile platform will be indicated by a significant reduction in score. |
| Active Data - Generalized Anxiety Disorder Scale | At 4 weeks from baseline | 7-item scale; scores range from 0 to 21, and higher scores indicate more severe anxiety symptoms. Feasibility of the mobile platform will be indicated by a significant reduction in score. |
| Active Data - Patient Health Questionnaire | At 4 weeks from baseline | 9-item scale; scores range from 0 to 27, and higher scores indicate more severe depression symptoms. Feasibility of the mobile platform will be indicated by a significant reduction in score. |
| Passive Data - GPS Sample Point Metrics | At 4 weeks from baseline | Feasibility of the mobile platform will be determined by the number of GPS sample points (mobility metrics) collected per user per day. |
Countries
Canada
Outcome results
None listed