Lewis Matthew, Palmer Victoria J, Kotevski Aneta, Densley Konstancja, O'Donnell Meaghan L, Johnson Caroline, Wohlgezogen Franz, Gray Kathleen, Robins-Browne Kate, Burchill Luke
Integrated Mental Health Research Program, Department of General Practice, Melbourne Medical School, The University of Melbourne, Melbourne, Australia.
Centre for Digital Transformation of Health, The University of Melbourne, Melbourne, Australia.
JMIR Res Protoc. 2021 Mar 9;10(3):e26168. doi: 10.2196/26168.
The COVID-19 pandemic has highlighted the importance of health care workers' mental health and well-being for the successful function of the health care system. Few targeted digital tools exist to support the mental health of hospital-based health care workers, and none of them appear to have been led and co-designed by health care workers.
RMHive is being led and developed by health care workers using experience-based co-design (EBCD) processes as a mobile app to support the mental health challenges posed by the COVID-19 pandemic to health care workers. We present a protocol for the impact evaluation for the rapid design and delivery of the RMHive mobile app.
The impact evaluation will adopt a mixed methods design. Qualitative data from photo interviews undertaken with up to 30 health care workers and semistructured interviews conducted with up to 30 governance stakeholders will be integrated with qualitative and quantitative user analytics data and user-generated demographic and mental health data entered into the app. Analyses will address three evaluation questions related to engagement with the mobile app, implementation and integration of the app, and the impact of the app on individual mental health outcomes. The design and development will be described using the Mobile Health Evidence Reporting and Assessment guidelines. Implementation of the app will be evaluated using normalization process theory to analyze qualitative data from interviews combined with text and video analysis from the semistructured interviews. Mental health impacts will be assessed using the total score of the 4-item Patient Health Questionnaire (PHQ4) and subscale scores for the 2-item Patient Health Questionnaire for depression and the 2-item Generalized Anxiety Scale for anxiety. The PHQ4 will be completed at baseline and at 14 and 28 days.
The anticipated average use period of the app is 30 days. The rapid design will occur over four months using EBCD to collect qualitative data and develop app content. The impact evaluation will monitor outcome data for up to 12 weeks following hospital-wide release of the minimal viable product release. The study received funding and ethics approvals in June 2020. Outcome data is expected to be available in March 2021, and the impact evaluation is expected to be published mid-2021.
The impact evaluation will examine the rapid design, development, and implementation of the RMHive app and its impact on mental health outcomes for health care workers. Findings from the impact evaluation will provide guidance for the integration of EBCD in rapid design and implementation processes. The evaluation will also inform future development and rollout of the app to support the mental health needs of hospital-based health care workers more widely.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/26168.
新冠疫情凸显了医护人员心理健康和福祉对于医疗系统成功运作的重要性。目前几乎没有针对性的数字工具来支持医院医护人员的心理健康，而且似乎没有一个是由医护人员主导并共同设计的。
RMHive由医护人员牵头并采用基于经验的协同设计（EBCD）流程进行开发，作为一款移动应用程序，以应对新冠疫情给医护人员带来的心理健康挑战。我们提出了一项针对RMHive移动应用程序快速设计与交付的影响评估方案。
影响评估将采用混合方法设计。对多达30名医护人员进行的照片访谈以及对多达30名管理利益相关者进行的半结构化访谈所获得的定性数据，将与定性和定量的用户分析数据以及输入到应用程序中的用户生成的人口统计学和心理健康数据相结合。分析将解决与移动应用程序的参与度、应用程序的实施与整合以及应用程序对个体心理健康结果的影响相关的三个评估问题。设计和开发将按照移动健康证据报告与评估指南进行描述。应用程序的实施将使用规范化过程理论进行评估，以分析访谈中的定性数据，并结合半结构化访谈中的文本和视频分析。心理健康影响将使用4项患者健康问卷（PHQ4）的总分以及2项抑郁患者健康问卷和2项广泛性焦虑量表的子量表得分进行评估。PHQ4将在基线、第14天和第28天完成。
该应用程序预计的平均使用期为30天。快速设计将在四个月内通过EBCD收集定性数据并开发应用程序内容。影响评估将在最小可行产品发布全院范围后监测长达12周的结果数据。该研究于2020年6月获得资金和伦理批准。预计结果数据将于2021年3月可得，影响评估预计于2021年年中发表。
影响评估将考察RMHive应用程序的快速设计、开发和实施及其对医护人员心理健康结果的影响。影响评估的结果将为EBCD在快速设计和实施过程中的整合提供指导。该评估还将为该应用程序未来的开发和推广提供信息，以更广泛地支持医院医护人员的心理健康需求。
国际注册报告标识符（IRRID）：DERR1-10.2196/26168。
