一项针对新冠疫情期间本科生和医学生心理健康应用的再分析：一项回顾性横断面研究。
A RE-AIM Analysis of a Mental Health App for Undergraduate and Medical Students during the COVID-19 Pandemic: A Retrospective Cross-Sectional Study.
机构信息
Department of Preventive Medicine and Public Health, Edward Via College of Osteopathic Medicine, Spartanburg, SC 29303, USA.
Student Affairs, Edward Via College of Osteopathic Medicine, Spartanburg, SC 29303, USA.
出版信息
Int J Environ Res Public Health. 2023 Jun 30;20(13):6266. doi: 10.3390/ijerph20136266.
OBJECTIVE
The purpose of this study was to use the RE-AIM framework to evaluate the implementation of a mental health app designed for undergraduate and medical students during the COVID-19 pandemic.
PARTICIPANTS
Medical ( = 270) and undergraduate students ( = 1386) from five universities in the Appalachian region in the United States participated in this study.
METHODS
Universities from the United States were recruited to deploy the Sharpen app for medical and undergraduate students. The Sharpen app provided psychoeducational modules in mental health literacy, social-emotional learning, mindfulness-based stress reduction, and suicide prevention to promote protective factors for students. The utilization of the Sharpen app was analyzed using the RE-AIM framework using a retrospective, cross-sectional design.
RESULTS
Reach: A total of 12.72% of medical students and 6.00% of undergraduate students participated in the study.
EFFICACY
Medical students viewed significantly more pages, had a significantly higher unique page view average, and a statistically significant exit percentage when compared to undergraduate students. Adoption: A total of 100% of the universities that were recruited participated in the study.
IMPLEMENTATION
Five out of six implementation criteria were included, indicating high implementation. Maintenance: All of the universities continued using the Sharpen app following the end of data collection, resulting in a 100% maintenance rate.
CONCLUSIONS
The RE-AIM framework indicated usability and maintenance by medical and undergraduate students. Future research needs to implement a more rigorous design to determine the impact of the Sharpen app on mental health outcomes in medical and undergraduate students.
目的
本研究旨在使用 RE-AIM 框架评估在 COVID-19 大流行期间为本科生和医学生设计的心理健康应用程序的实施情况。
参与者
来自美国阿巴拉契亚地区五所大学的医学生（n=270）和本科生（n=1386）参与了这项研究。
方法
美国的大学被招募来为医学生和本科生部署 Sharpen 应用程序。Sharpen 应用程序提供了心理健康素养、社会情感学习、正念减压和自杀预防方面的心理教育模块，以促进学生的保护因素。使用 RE-AIM 框架通过回顾性、横断面设计分析 Sharpen 应用程序的使用情况。
结果
可及性：共有 12.72%的医学生和 6.00%的本科生参与了研究。
效果：与本科生相比，医学生查看的页面明显更多，唯一页面平均浏览量明显更高，退出率具有统计学意义。
采用：参与研究的大学均达到 100%。
实施：纳入了六个实施标准中的五个，表明实施程度较高。
维持：所有大学在数据收集结束后都继续使用 Sharpen 应用程序，维持率达到 100%。
结论
RE-AIM 框架表明医学生和本科生对 Sharpen 应用程序具有可用性和维持性。未来的研究需要采用更严格的设计来确定 Sharpen 应用程序对医学生和本科生心理健康结果的影响。
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