Effect of a mobile-based intervention on mental health in frontline healthcare workers against COVID-19: Protocol for a randomized controlled trial.

Autor: Serrano-Ripoll MJ; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.; Department of Psychology, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain., Ricci-Cabello I; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain., Jiménez R; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Department of Psychology, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain., Zamanillo-Campos R; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.; Department of Health, Valencian International University (VIU), Valencia, Spain., Yañez-Juan AM; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Research Group on Global Health & Human Development, University of the Balearic Islands, Palma, Illes Balears, Spain., Bennasar-Veny M; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Illes Balears, Spain., Sitges C; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.; Department of Psychology, Research Institute of Health Sciences (IUNICS), UIB, Palma, Balearic Islands, Spain., Gervilla E; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Department of Psychology, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain., Leiva A; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.; Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain., García-Campayo J; Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain.; Aragon Institute for Health Research (IIS Aragón), Miguel Servet University Hospital, Zaragoza, Aragón, Spain., García-Buades ME; Department of Psychology, University of the Balearic Islands (UIB), Palma, Balearic Islands, Spain., García-Toro M; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain., Pastor-Moreno G; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.; Andalusian School of Public Health (EASP), Granada, Andalucía, Spain., Ruiz-Perez I; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.; Andalusian School of Public Health (EASP), Granada, Andalucía, Spain., Alonso-Coello P; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.; Iberoamerican Cochrane Centre, Department of Clinical Epidemiology and Public Health, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain., Llobera J; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.; Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain., Fiol-deRoque MA; Health Research Institute of the Balearic Islands (IdISBa), Palma, Balearic Islands, Spain.; Primary Care Research Unit of Mallorca, Balearic Islands Health Services, Palma, Balearic Islands, Spain.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2021 Jun; Vol. 77 (6), pp. 2898-2907. Date of Electronic Publication: 2021 Mar 06.
DOI: 10.1111/jan.14813
Abstrakt: Aim: To evaluate the impact of a psychoeducational, mobile health intervention based on cognitive behavioural therapy and mindfulness-based approaches on the mental health of healthcare workers at the frontline against COVID-19 in Spain.
Design: We will carry out a two-week, individually randomized, parallel group, controlled trial. Participants will be individually randomized to receive the PsyCovidApp intervention or control App intervention.
Methods: The PsyCovidApp intervention will include five modules: emotional skills, lifestyle behaviour, work stress and burnout, social support, and practical tools. Healthcare workers having attended patients with COVID-19 will be randomized to receive the PsyCovidApp intervention (intervention group) or a control App intervention (control group). A total of 440 healthcare workers will be necessary to assure statistical power. Measures will be collected telephonically by a team of psychologists at baseline and immediately after the 2 weeks intervention period. Measures will include stress, depression and anxiety (DASS-21 questionnaire-primary endpoint), insomnia (ISI), burnout (MBI-HSS), post-traumatic stress disorder (DTS), and self-efficacy (GSE). The study was funded in May 2020, and was ethically approved in June 2020. Trial participants, outcome assessors and data analysts will be blinded to group allocation.
Discussion: Despite the increasing use of mobile health interventions to deliver mental health care, this area of research is still on its infancy. This study will help increase the scientific evidence about the effectiveness of this type of intervention on this specific population and context.
Impact: Despite the lack of solid evidence about their effectiveness, mobile-based health interventions are already being widely implemented because of their low cost and high scalability. The findings from this study will help health services and organizations to make informed decisions in relation to the development and implementation of this type of interventions, allowing them pondering not only their attractive implementability features, but also empirical data about its benefits.
Clinical Trial Registration: NCT04393818 (ClinicalTrials.gov identifier).
Approved Funding: May 2020.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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