心理健康与幸福以及加拿大医生和医学学习者中支持性短信计划（Wellness4MDs）的影响：一项纵向研究方案

Psychological Health and Wellness and the Impact of a Supportive Text Messaging Program (Wellness4MDs) Among Physicians and Medical Learners in Canada: Protocol for a Longitudinal Study.

作者信息

Shalaby Reham, Agyapong Belinda, Dias Raquel, Obuobi-Donkor Gloria, Adu Medard K, Spicer Sharron, Yanchar Natalie L, Agyapong Vincent I O

机构信息

Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.

Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.

出版信息

JMIR Res Protoc. 2024 Sep 16;13:e44368. doi: 10.2196/44368.

DOI:10.2196/44368

PMID:39283660

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11444124/

Abstract

BACKGROUND

Burnout, anxiety, and depression continue to affect physicians, postgraduate medical trainees, and medical students globally and in Canada particularly after the COVID-19 pandemic.

OBJECTIVE

The primary goal of this project is to design, implement, monitor, and evaluate a daily supportive SMS text messaging program (Wellness4MDs, Global Psychological e-Health Foundation). The program aims to reduce the prevalence and severity of burnout, anxiety, and depression symptoms among physicians, postgraduate medical trainees, and medical students in Canada.

METHODS

This longitudinal study represents a multistakeholder, mixed methods, multiyear implementation science project. Project evaluation will be conducted through a quantitative prospective longitudinal approach using a paired sample comparison, a naturalistic cross-sectional controlled design, and satisfaction surveys. Prevalence estimates for psychological problems would be based on baseline data from self-completed validated rating scales. Additional data will be collected at designated time points for paired comparison. Outcome measures will be assessed using standardized rating scales, including the Maslach Burnout Inventory for burnout symptoms, the 9-item Patient Health Questionnaire for depression symptoms, the 7-item Generalized Anxiety Disorder scale for anxiety symptoms, and the World Health Organization-Five Well-Being Index.

RESULTS

The project launched in the last quarter of 2023, and program evaluation results will become available within 36 months. The Wellness4MDs program is expected to reduce the prevalence and severity of psychological problems among physicians in Canada and achieve high subscriber satisfaction.

CONCLUSIONS

The results from the Wellness4MDs project evaluation will provide key information regarding the effectiveness of daily supportive SMS text messages and links to mental health resources on these mental health parameters in Canadian physicians, postgraduate trainees, and medical students. Information will be useful for informing policy and decision-making concerning psychological interventions for physicians in Canada.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/44368.

摘要

背景

职业倦怠、焦虑和抑郁持续影响着全球以及加拿大的医生、医学研究生和医学生，尤其是在新冠疫情之后。

目的

本项目的主要目标是设计、实施、监测和评估一个每日支持性短信计划（Wellness4MDs，全球心理电子健康基金会）。该计划旨在降低加拿大医生、医学研究生和医学生中职业倦怠、焦虑和抑郁症状的发生率及严重程度。

方法

这项纵向研究是一个多利益相关方、混合方法、多年实施的科学项目。项目评估将通过定量前瞻性纵向方法进行，采用配对样本比较、自然主义横断面对照设计和满意度调查。心理问题的患病率估计将基于自我完成的有效评定量表的基线数据。将在指定时间点收集额外数据用于配对比较。结果测量将使用标准化评定量表进行评估，包括用于职业倦怠症状的马氏职业倦怠量表、用于抑郁症状的9项患者健康问卷、用于焦虑症状的7项广泛性焦虑障碍量表以及世界卫生组织幸福指数。