Golden Eddye A, Zweig Micol, Danieletto Matteo, Landell Kyle, Nadkarni Girish, Bottinger Erwin, Katz Lindsay, Somarriba Ricardo, Sharma Vansh, Katz Craig L, Marin Deborah B, DePierro Jonathan, Charney Dennis S
Hasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Digital Health Center, Hasso Plattner Institute, University of Potsdam, Potsdam, Germany.
JMIR Form Res. 2021 May 5;5(5):e26590. doi: 10.2196/26590.
The COVID-19 pandemic has resulted in increased strain on health care systems and negative psychological effects on health care workers (HCWs). This is anticipated to result in long-term negative mental health effects on the population, with HCWs representing a particularly vulnerable group. The scope of the COVID-19 pandemic necessitates the development of a scalable mental health platform to provide services to large numbers of at-risk or affected individuals. The Mount Sinai Health System in New York City was at the epicenter of the pandemic in the United States.
The Center for Stress, Resilience, and Personal Growth (CSRPG) was created to address the current and anticipated psychological impact of the pandemic on the HCWs in the health system. The mission of the Center is to support the resilience and mental health of employees through educational offerings, outreach, and clinical care. Our aim was to build a mobile app to support the newly founded Center in its mission.
We built the app as a standalone digital platform that hosts a suite of tools that users can interact with on a daily basis. With consideration for the Center's aims, we determined the overall vision, initiatives, and goals for the Wellness Hub app, followed by specific milestone tasks and deliverables for development. We defined the app's primary features based on the mental health assessment and needs of HCWs. Feature definition was informed by the results of a resilience survey widely distributed to Mount Sinai HCWs and by the resources offered at CSRPG, including workshop content.
We launched our app over the course of two phases, the first phase being a "soft" launch and the second being a broader launch to all of Mount Sinai. Of the 231 HCWs who downloaded the app, 173 (74.9%) completed our baseline assessment of all mental health screeners in the app. Results from the baseline assessment show that more than half of the users demonstrate a need for support in at least one psychological area. As of 3 months after the Phase 2 launch, approximately 55% of users re-entered the app after their first opening to explore additional features, with an average of 4 app openings per person.
To address the mental health needs of HCWs during the COVID-19 pandemic, the Wellness Hub app was built and deployed throughout the Mount Sinai Health System. To our knowledge, this is the first resilience app of its kind. The Wellness Hub app is a promising proof of concept, with room to grow, for those who wish to build a secure mobile health app to support their employees, communities, or others in managing and improving mental and physical well-being. It is a novel tool offering mental health support broadly.
新冠疫情给医疗系统带来了更大压力，并对医护人员产生了负面心理影响。预计这将给民众带来长期的心理健康问题，而医护人员是特别脆弱的群体。新冠疫情的规模使得有必要开发一个可扩展的心理健康平台，为大量有风险或受影响的个体提供服务。纽约市的西奈山医疗系统处于美国疫情的中心。
应激、恢复力和个人成长中心（CSRPG）的设立是为了应对疫情对该医疗系统医护人员当前和预期的心理影响。该中心的使命是通过教育活动、外展服务和临床护理来支持员工的恢复力和心理健康。我们的目标是开发一款移动应用程序，以支持这个新成立的中心完成其使命。
我们将这款应用程序构建为一个独立的数字平台，其中包含一系列用户可以日常使用的工具。考虑到该中心的目标，我们确定了健康中心应用程序的总体愿景、举措和目标，随后确定了开发的具体里程碑任务和可交付成果。我们根据医护人员的心理健康评估和需求定义了该应用程序的主要功能。功能定义参考了广泛分发给西奈山医护人员的恢复力调查问卷结果以及CSRPG提供的资源，包括工作坊内容。
我们分两个阶段推出了这款应用程序，第一阶段是“软”推出，第二阶段是面向整个西奈山医疗系统更广泛的推出。在下载该应用程序的231名医护人员中，173人（74.9%）完成了我们对应用程序中所有心理健康筛查工具的基线评估。基线评估结果显示，超过一半的用户在至少一个心理领域表现出需要支持。截至第二阶段推出后3个月，约55%的用户在首次打开应用程序后再次进入以探索其他功能，每人平均打开应用程序4次。
为了满足新冠疫情期间医护人员的心理健康需求，我们开发并在整个西奈山医疗系统部署了健康中心应用程序。据我们所知，这是同类首个恢复力应用程序。对于那些希望构建一个安全的移动健康应用程序来支持其员工、社区或其他人员管理和改善身心健康的人来说，健康中心应用程序是一个很有前景的概念验证，还有发展空间。它是一个广泛提供心理健康支持的新颖工具。
