BACKGROUND
Burnout,
anxiety,
and
depression
continue
to
affect
physicians,
postgraduate
medical
trainees,
students
globally
in
Canada
particularly
after
the
COVID-19
pandemic.
OBJECTIVE
The
primary
goal
of
this
project
is
design,
implement,
monitor,
evaluate
a
daily
supportive
SMS
text
messaging
program
(Wellness4MDs,
Global
Psychological
e-Health
Foundation).
aims
reduce
prevalence
severity
burnout,
symptoms
among
Canada.
METHODS
This
longitudinal
study
represents
multistakeholder,
mixed
methods,
multiyear
implementation
science
project.
Project
evaluation
will
be
conducted
through
quantitative
prospective
approach
using
paired
sample
comparison,
naturalistic
cross-sectional
controlled
satisfaction
surveys.
Prevalence
estimates
for
psychological
problems
would
based
on
baseline
data
from
self-completed
validated
rating
scales.
Additional
collected
at
designated
time
points
comparison.
Outcome
measures
assessed
standardized
scales,
including
Maslach
Burnout
Inventory
burnout
symptoms,
9-item
Patient
Health
Questionnaire
7-item
Generalized
Anxiety
Disorder
scale
anxiety
World
Organization–Five
Well-Being
Index.
RESULTS
launched
last
quarter
2023,
results
become
available
within
36
months.
Wellness4MDs
expected
physicians
achieve
high
subscriber
satisfaction.
CONCLUSIONS
provide
key
information
regarding
effectiveness
messages
links
mental
health
resources
these
parameters
Canadian
students.
Information
useful
informing
policy
decision-making
concerning
interventions
INTERNATIONAL
REGISTERED
REPORT
PRR1-10.2196/44368
International Journal of Environmental Research and Public Health,
Год журнала:
2022,
Номер
19(3), С. 1565 - 1565
Опубликована: Янв. 29, 2022
Firefighters
and
military
personnel
are
public
safety
who
protect
the
of
individuals
their
properties.
They
usually
exposed
to
traumatic
events
leaving
them
at
risk
developing
mental
health
conditions
such
as
post-traumatic
stress
disorder
(PTSD).
Increasing
concern
is
being
raised
regarding
impacts,
specifically
PTSD,
among
firefighters.
International Journal of Environmental Research and Public Health,
Год журнала:
2023,
Номер
20(5), С. 4215 - 4215
Опубликована: Фев. 27, 2023
Background:
Public
safety
personnel
experience
various
mental
health
conditions
due
to
their
work’s
complex
and
demanding
nature.
There
are
barriers
seeking
support
treatment;
hence,
providing
innovative
cost-effective
interventions
can
help
improve
symptoms
in
public
personnel.
Objective:
The
study
aimed
evaluate
the
impact
of
Text4PTSI
on
depression,
anxiety,
trauma,
stress-related
symptoms,
resilience
after
six
months
supportive
text
message
intervention.
Methods:
subscribed
received
daily
psychoeducational
SMS
messages
for
months.
Participants
were
invited
complete
standardized
self-rated
web-based
questionnaires
assess
posttraumatic
stress
disorder
(PTSD),
measured
Patient
Health
Questionnaire-9
(PHQ-9),
Generalized
Anxiety
Disorder-7
scale
(GAD-7),
Posttraumatic
Stress
Disorder
Checklist-Civilian
Version
(PCL-C),
Brief
Resilience
Scale
(BRS),
respectively.
assessment
was
conducted
at
baseline
(enrolment)
weeks,
three
months,
enrollment.
Results:
One
hundred
thirty-one
subscribers
participated
program,
eighteen
completed
both
any
follow-up
survey.
A
total
31
participants
survey
107
surveys
recorded
all
time
points.
prevalence
psychological
problems
among
as
follows:
likely
major
depressive
(MDD)
47.1%,
generalized
anxiety
(GAD)
37.5%,
low
22.2%,
PTSD
13.3%.
At
post-intervention,
MDD,
GAD,
respondents
reduced;
however,
a
statistically
significant
reduction
reported
only
MDD
(−35.3%,
X2
(1)
=
2.55,
p
0.03).
no
change
between
post-intervention.
decrease
mean
scores
PHQ-9,
GAD-7,
PCL-C,
BRS
from
post-intervention
by
25.8%,
24.7%,
9.5%,
0.3%,
However,
GAD-7
with
effect
size
(t
(15)
2.73,
0.02).
Conclusions:
results
this
suggest
well
severity
program.
is
cost-effective,
convenient,
easily
scalable
program
that
augment
other
services
managing
burdens
Journal of Medical Internet Research,
Год журнала:
2023,
Номер
25, С. e46368 - e46368
Опубликована: Ноя. 6, 2023
Psychological
stress-related
injuries
within
first-responder
organizations
have
created
a
need
for
the
implementation
of
effective
stress
management
training.
Most
training
solutions
limitations
associated
with
scaled
adoption
workforce.
For
instance,
those
that
are
in
civilian
populations
often
do
not
align
human
performance
culture
embedded
organizations.
Programs
involving
expert-led
instructions
high
quality
expensive.This
study
sought
to
evaluate
tailored
platform
existing
schedule
Australian
Defense
Force
(ADF).
The
platform,
known
as
Performance
Edge
(PE),
is
novel
virtual
reality
(VR)
and
biofeedback-enabled
skills
platform.
Focusing
on
practical
well-established
strategies,
was
designed
take
advantage
VR
technology
generate
an
immersive
private
environment.
This
aimed
assess
feasibility
delivering
group-based
context
intended
population.
In
this
setting,
further
collect
data
critical
predictors
user
acceptance
education,
including
perceived
usability,
usefulness,
engagement,
while
also
assessing
impacts.This
used
mixed
methods,
multisite
approach
observational,
self-reported,
biometric
from
both
staff
trainers
real-world
"on-base"
ADF.
Validated
scales
include
Presence
Questionnaire
User
Engagement
Scale
well
State
Mindfulness
Relaxation
Inventory,
gain
insights
into
immediate
impacts
specific
modules.
Additional
surveys
were
specifically
developed
feedback,
intention
use
skills,
impact
value.PE
delivered
189
ADF
trainees
over
372
sessions.
easy
at
individual
level
feasible
deliver
classroom
setting.
Trainee
feedback
consistently
showed
levels
engagement
sense
presence
content
PE
overall
useful
tool.
Self-report
objective
indices
confirmed
knowledge
improvement,
increased
skill
confidence,
competency
after
Specific
elements
resulted
state
mindfulness,
physical
relaxation,
reduced
breathing
rate.
ability
practice
cognitive
strategies
diverse,
private,
environment
group
setting
highlighted
particularly
valuable.This
found
VR-based
(PE)
be
solution
delivery
defense
Furthermore,
end
users,
trainees,
perceive
usable,
useful,
engaging,
training,
suggesting
end-user
potential
adoption.
Journal of Medical Internet Research,
Год журнала:
2024,
Номер
26, С. e49929 - e49929
Опубликована: Март 23, 2024
Disasters
are
becoming
more
frequent
due
to
the
impact
of
extreme
weather
events
attributed
climate
change,
causing
loss
lives,
property,
and
psychological
trauma.
Mental
health
response
disasters
emphasizes
prevention
mitigation,
mobile
(mHealth)
apps
have
been
used
for
mental
promotion
treatment.
However,
little
is
known
about
their
use
in
components
disaster
management.
Frontiers in Public Health,
Год журнала:
2022,
Номер
10
Опубликована: Окт. 28, 2022
There
is
a
high
prevalence
of
stress,
anxiety,
depression,
and
substance
use
disorders
in
college
students
globally.
Financial
stressors,
course
workload,
peer
pressure,
other
personal,
family,
societal
stressors
contribute
to
the
incidence
mental
among
students.
Despite
students,
barriers
such
as
lack
health
literacy,
stigma
health,
inadequate
numbers
counselors
clinical
psychologists
supporting
colleges
both
low-
high-income
countries,
financial
geographical
often
hinder
from
accessing
needed
supports.
increasing
evidence
on
effectiveness
feasibility
mobile
technology
promotion
closing
psychological
treatment
gaps.
College
are
well
adapted
technology,
particularly
text
email
messaging
daily,
which
presents
unique
opportunity
for
an
innovative
way
offer
support
their
health.
In
this
article,
we
provide
perspective
ResilienceNHope
program,
evidence-based
innovation,
close
gap
improve
literacy
JMIR Formative Research,
Год журнала:
2023,
Номер
7, С. e46431 - e46431
Опубликована: Июнь 23, 2023
Public
safety
personnel
(PSP)
are
exposed
to
traumatic
events
due
their
work
environments,
which
increases
the
risk
of
mental
health
challenges.
Providing
effective
and
evidence-based
interventions,
such
as
SMS
text
messaging
programs,
can
improve
PSP's
overall
well-being
with
high
user
satisfaction
rates.This
study
aims
evaluate
users'
satisfaction,
receptiveness,
perceptions
a
cognitive
behavioral
therapy
(CBT)-based
supportive
intervention
(Text4PTSI).Participants
self-subscribed
Text4PTSI
received
unidirectional
behavioral-based
messages
for
6
months.
Participants
completed
web-based
survey
delivered
via
message
at
enrollment,
weeks,
3
months,
months
post
enrollment.
Respondents'
perception
receptivity
program
were
assessed
using
questionnaire
measured
on
5-point
Likert
scale.
Data
collected
categorical
variables,
was
scale
from
0
100.There
131
subscribers
program;
however,
only
81
responded
survey,
producing
100
responses
across
follow-up
time
points.
The
mean
score
85.12
(SD
13.35).
More
than
half
agreed
or
strongly
that
helped
participants
cope
anxiety
(79/100
responses,
79%),
depressive
symptoms
(72/100
72%),
loneliness
(54/100
54%).
Similarly,
most
made
respondents
feel
connected
support
system,
improved
(84/100
84%),
felt
more
hopeful
about
managing
concerns
substance
use
(82
out
82%),
enhance
quality
life
(77/100
77%).
available
suggest
majority
always
read
took
reflect
each
(75/100
75%),
returned
once
(76/100
76%).PSP
who
surveys
reported
appreciation
receiving
during
6-month
program.
service
provided
could
pave
way
ensuring
better
uptake
potential
effectiveness
end
users.
JMIR Research Protocols,
Год журнала:
2024,
Номер
13, С. e44368 - e44368
Опубликована: Сен. 16, 2024
Background
Burnout,
anxiety,
and
depression
continue
to
affect
physicians,
postgraduate
medical
trainees,
students
globally
in
Canada
particularly
after
the
COVID-19
pandemic.
Objective
The
primary
goal
of
this
project
is
design,
implement,
monitor,
evaluate
a
daily
supportive
SMS
text
messaging
program
(Wellness4MDs,
Global
Psychological
e-Health
Foundation).
aims
reduce
prevalence
severity
burnout,
symptoms
among
Canada.
Methods
This
longitudinal
study
represents
multistakeholder,
mixed
methods,
multiyear
implementation
science
project.
Project
evaluation
will
be
conducted
through
quantitative
prospective
approach
using
paired
sample
comparison,
naturalistic
cross-sectional
controlled
satisfaction
surveys.
Prevalence
estimates
for
psychological
problems
would
based
on
baseline
data
from
self-completed
validated
rating
scales.
Additional
collected
at
designated
time
points
comparison.
Outcome
measures
assessed
standardized
scales,
including
Maslach
Burnout
Inventory
burnout
symptoms,
9-item
Patient
Health
Questionnaire
7-item
Generalized
Anxiety
Disorder
scale
anxiety
World
Organization–Five
Well-Being
Index.
Results
launched
last
quarter
2023,
results
become
available
within
36
months.
Wellness4MDs
expected
physicians
achieve
high
subscriber
satisfaction.
Conclusions
provide
key
information
regarding
effectiveness
messages
links
mental
health
resources
these
parameters
Canadian
students.
Information
useful
informing
policy
decision-making
concerning
interventions
International
Registered
Report
Identifier
(IRRID)
PRR1-10.2196/44368
JMIR Formative Research,
Год журнала:
2024,
Номер
8, С. e53668 - e53668
Опубликована: Апрель 24, 2024
Background
Cancer
is
the
leading
cause
of
death
in
Canada,
and
living
with
cancer
generates
psychological
demands,
including
depression
anxiety
among
survivors
caregivers.
Text4Hope-Cancer
Care
SMS
text
messaging–based
service
was
provided
to
people
caregivers
during
COVID-19
pandemic
support
their
mental
health.
Objective
The
aim
this
study
examine
clinical
effectiveness
satisfaction
addressing
health
conditions
Methods
conducted
Alberta,
Canada.
People
who
were
diagnosed
or
receiving
treatment
self-subscribed
receive
3-months
daily
supportive
cognitive
behavioral
therapy–based
messages
a
web-based
survey
sent
at
designated
time
points
collect
nonclinical
data.
Hospital
Anxiety
Depression
scale
(HADS)
used
changes
symptoms
after
service.
Satisfaction
assessed
using
Likert
scale.
Descriptive
inferential
statistics
used,
test
significance
considered
P≤.05.
Results
Overall,
107
individuals
subscribed
service,
93
completed
program
(completion
rate
93/107,
86.9%).
A
significant
improvement
(HADS-Anxiety
[HADS-A]
subscale)
reported
3
months
(t11=2.62;
P=.02),
medium
effect
size
(Hedges
g=0.7),
but
not
(HADS-Depression
[HADS-D]
subscale).
Subscribers
expressed
high
agreed
that
has
helped
them
cope
improve
quality
life.
Most
subscribers
read
more
than
once
(30/30,
100%);
took
reflect
beneficial
action
reading
(27/30,
90%);
highly
>80%)
value
received
as
being
relevant,
succinct,
affirmative,
positive.
All
recommended
messaging
for
stress,
anxiety,
care
100%).
Conclusions
well-perceived
effectively
addressed
peak
pandemic.
This
provides
evidence-based
insight
policy
stakeholders
implement
similar
convenient,
economic,
accessible
services
vulnerable
populations
crises.
International
Registered
Report
Identifier
(IRRID)
RR2-10.2196/20240
JMIR Formative Research,
Год журнала:
2023,
Номер
7, С. e45102 - e45102
Опубликована: Май 12, 2023
Physician
burnout
is
a
multibillion-dollar
issue
in
the
United
States.
Despite
its
prevalence,
difficult
to
accurately
measure.
Institutions
generally
rely
on
periodic
surveys
that
are
subject
recall
bias.
SMS
text
message-based
or
assessments
have
been
used
health
care
and
advantage
of
easy
accessibility
high
response
rates.In
this
pilot
project,
we
evaluated
utility
participant
engagement
with
simple,
longitudinal,
mental
assessment
system
for
physician-trainees
at
study
institution.
The
goal
was
track
stress,
burnout,
empathy,
engagement,
work
satisfaction
levels
faced
by
users
their
normal
working
conditions.Three
questions
per
week
5
weeks
were
sent
each
participant.
All
data
received
deidentified.
Additionally,
had
deidentified
personal
web
page
follow
scores
as
well
aggregated
all
participants
over
time.
A
13-question
optional
survey
conclusion
evaluate
usability
platform.
Descriptive
statistics
performed.In
all,
81
recruited
answered
least
six
(mean
14;
median
range
6-16)
total
1113
responses.
Overall,
10
(17%)
out
59
responded
"Yes"
having
experienced
traumatic
experience
during
period.
Only
3
ever
being
"Not
satisfied"
job.
highest
number
responses
indicating
stressed
burnt
came
day
25
34-day
There
mixed
concern
privacy
No
substantial
correlations
noted
between
Furthermore,
12
feedback
survey,
either
agreed
strongly
use
texts
reasonable.
None
respondents
indicated
using
caused
stress.Responses
demonstrated
potentially
useful
recording
physician-trainee
real
time
minimal
burden,
but
further
should
address
limitations
such
improving
rates
clarifying
participants'
sense
when
system.
findings
can
inform
development
institution-wide
tools
assessing
physician
protecting
physicians
from
occupational
stress.
BACKGROUND
Disasters
are
becoming
more
frequent
due
to
the
impact
of
extreme
weather
events
attributed
climate
change,
causing
loss
lives,
property,
and
psychological
trauma.
Mental
health
response
disasters
emphasizes
prevention
mitigation,
mobile
(mHealth)
apps
have
been
used
for
mental
promotion
treatment.
However,
little
is
known
about
their
use
in
components
disaster
management.
OBJECTIVE
This
scoping
review
was
conducted
explore
phone
responses
natural
identify
gaps
literature.
METHODS
We
identified
relevant
keywords
subject
headings
comprehensive
searches
6
electronic
databases.
Studies
which
participants
were
exposed
a
man-made
included
if
sample
also
some
hazard.
Only
full-text
studies
published
English
included.
The
initial
titles
abstracts
unique
papers
screened
by
2
independent
authors.
Full
texts
selected
that
met
inclusion
criteria
reviewed
reviewers.
Data
extracted
from
each
paper
synthesized
using
narrative
approach
based
on
outcome
measures,
duration,
frequency
apps,
outcomes.
reported
according
PRISMA-ScR
(Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
extension
Scoping
Reviews).
RESULTS
Of
1398
retrieved,
5
this
review.
A
total
3
stress
following
while
relief
workers.
interventions
Training
Life
Skills,
Sonoma
Rises,
Headspace,
Psychological
First
Aid,
Substance
Abuse
Health
Services
Administration
(SAMHSA)
Behavioural
Disaster
Response
Apps.
different
assessed
effectiveness
or
efficacy
app,
feasibility,
acceptability,
characteristics
app
predictors
use.
Different
measures
assess
apps’
as
either
primary
secondary
outcome.
CONCLUSIONS
limited
number
exploring
disasters.
showed
promising
results.
Mobile
potential
provide
effective
support
before,
during,
after
further
research
needed
all
hazards.
