Behavior Change, Self Efficacy
Conditions
Brief summary
The purpose of this study is to assess the effectiveness of a novel mHealth intervention that is being designed to promote self-efficacy and response willingness among Pakistan-based emergency department health care workers (HCWs) in public health emergencies and disasters. This application seeks approval for the trial of the intervention. The purpose of this trial is to gauge short-term (1-month), medium-term (6-months), and longer-term (12-months) impacts of iRise mHealth app on low and middle income based countries HCWs' self-efficacy and willingness to respond (WTR) during public health emergencies and disasters. The investigators will test the hypothesis that the iRise app would yield an increased 12-months WTR in Aga Khan University Hospital (AKUH) and Jinnah Postgraduate Medical Center (JMPC) emergency departments.
Interventions
OTHERiRise curriculum
Intervention group: The intervention group would download the iRise mHealth app (iRise app) via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group).
OTHERControl Curriculum
The control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training, allowing attendees to practice and apply learned concepts in simulated emergency scenarios.
Sponsors
Fogarty International Center of the National Institute of Health
Johns Hopkins Bloomberg School of Public Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
This will be a 12-month, two-arm, parallel randomized controlled trial to evaluate a mHealth intervention, iRise, for emergency health care workers (HCWs).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participants are eligible to be included in the study if * aged 18 years or older, * have worked in the current job position for at least three months, * current Emergency Department clinical staff/employee involved in direct patient care (doctors, nurses, and technicians) at a participating institution (Aga Khan University Hospital (AKUH), Jinnah Postgraduate Medical Centre (JPMC) * understand and write English, * own a smart phone and have access to the internet to download the app.
Exclusion criteria
Participants will not be eligible to participate if * younger than 18 years of age, * have worked in the current job position for less than three months, * are not a current employee or staff member as described above, * are auxiliary personnel such as registration staff, housekeeping, porters, and security personnel, * don't understand and write English, or * don't own a smart phone or have access to the internet to download the app.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST) | Baseline, 1 month, 6 months, 12 months | HIRST uses a 9-point Likert scale \[1= Strongly Agree; 9 = Strongly Disagree\] or Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self efficacy as assessed by the General Self-efficacy Scale | Baseline | Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy |
Countries
Pakistan
Outcome results
None listed