一种预防和管理艾伯塔省急救人员创伤后应激损伤的电子心理健康解决方案：短信服务（Text4PTSI和Text4Wellbeing）的实施与评估方案
An E-Mental Health Solution to Prevent and Manage Posttraumatic Stress Injuries Among First Responders in Alberta: Protocol for the Implementation and Evaluation of Text Messaging Services (Text4PTSI and Text4Wellbeing).
作者信息
Obuobi-Donkor Gloria, Eboreime Ejemai, Bond Jennifer, Phung Natalie, Eyben Scarlett, Hayward Jake, Zhang Yanbo, MacMaster Frank, Clelland Steven, Greiner Russell, Jones Chelsea, Cao Bo, Brémault-Phillips Suzette, Wells Kristopher, Li Xin-Min, Hilario Carla, Greenshaw Andrew J, Agyapong Vincent Israel Opoku
机构信息
Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Operational Stress Injury Clinic, Alberta Health Services, Edmonton, AB, Canada.
出版信息
JMIR Res Protoc. 2022 Apr 25;11(4):e30680. doi: 10.2196/30680.
BACKGROUND
First responders are confronted with traumatic events in their work that has a substantial toll on their psychological health and may contribute to or result in posttraumatic stress injuries (PTSIs) for many responders. Persons with a PTSI usually seek management therapies. Evidence indicates that digital delivery of these therapies is an innovative, efficient, and effective way to improve PTSI symptoms as an adjunct to in-person delivery.
OBJECTIVE
This project aims to implement and provide accessible, convenient, and economical SMS text messaging services, known as Text4PTSI and Text4Wellbeing, to first responders in Alberta, Canada; to prevent and improve the symptoms of PTSI among first responders; and to improve their overall quality of life. We will evaluate posttraumatic symptoms and the impact of Text4PTSI and Text4Wellbeing on stress, anxiety, and depression in relation to the correspondents' demographic backgrounds.
METHODS
First responders who subscribe to Text4PTSI or Text4Wellbeing receive daily supportive and psychoeducational SMS text messages for 6 months. The SMS text messages are preprogrammed into an online software program that delivers messages to subscribers. Baseline and follow-up data are collected through online questionnaires using validated scales at enrollment, 6 weeks, 12 weeks, and 24 weeks (end point). In-depth interviews will be conducted to assess satisfaction with the text-based intervention.
RESULTS
We hypothesize that participants who enroll in this program will have improved PTSI symptoms; increased or improved quality of life; and significant reduction in associated stress, depression, and anxiety symptoms, among other psychological concerns. Improvement will be determined in comparison to established baseline parameters.
CONCLUSIONS
This research will be beneficial for practitioners and will inform policy-making and decision-making regarding psychological interventions for PTSI. Lessons from this study will inform the scale-up of the intervention, a cost-effective, zero contact therapeutic option to manage PTSI.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/30680.
背景
急救人员在工作中会面临创伤性事件，这对他们的心理健康造成了沉重负担，可能导致许多急救人员出现创伤后应激损伤（PTSI）或使其病情加重。患有PTSI的人通常会寻求治疗方法。有证据表明，以数字方式提供这些治疗方法是一种创新、高效且有效的方式，作为面对面治疗的辅助手段可改善PTSI症状。
目的
本项目旨在为加拿大艾伯塔省的急救人员实施并提供便捷、经济且易于使用的短信服务，即Text4PTSI和Text4Wellbeing；预防并改善急救人员的PTSI症状；提高他们的整体生活质量。我们将评估创伤后症状以及Text4PTSI和Text4Wellbeing对压力、焦虑和抑郁的影响，并与受访者的人口统计学背景进行关联分析。
方法
订阅Text4PTSI或Text4Wellbeing的急救人员会在6个月内每天收到支持性和心理教育性的短信。这些短信预先编程到一个在线软件程序中，该程序会将短信发送给订阅者。在入组时、6周、12周和24周（终点）通过使用经过验证的量表的在线问卷收集基线和随访数据。将进行深入访谈以评估对基于短信的干预措施的满意度。
结果
我们假设参与该项目的参与者的PTSI症状将得到改善；生活质量将得到提高或改善；与压力、抑郁和焦虑症状相关的其他心理问题将显著减轻。将通过与既定的基线参数进行比较来确定改善情况。
结论
本研究将对从业者有益，并为有关PTSI心理干预的政策制定和决策提供参考。本研究的经验教训将为扩大干预措施提供参考，这是一种管理PTSI的具有成本效益的零接触治疗选择。
国际注册报告识别号（IRRID）：PRR1-10.2196/30680。
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