Moll Sandra E, Ricciardelli Rosemary, Carleton R Nicholas, MacDermid Joy C, Czarnuch Stephen, MacPhee Renée S
School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 4L8, Canada.
School of Maritime Studies, Fisheries and Marine Institute, Memorial University, St. John's, NL A1C 5R3, Canada.
Int J Environ Res Public Health. 2025 Aug 13;22(8):1269. doi: 10.3390/ijerph22081269.
Public safety personnel (PSP), including correctional workers, firefighters, paramedics, police, and public safety communicators, are at increased risk for posttraumatic stress injury, yet face barriers in receiving timely support. Mobile health (mHealth) applications (apps) offer promising avenues for confidential, on-demand access to relevant information and support. The purpose of this study was to assess implementation of , a new mHealth platform designed by and for PSP (the platform includes two parallel apps: one for frontline workers and one for peer support providers). A multi-site mixed methods implementation trial was conducted over 3-6 months in 42 public safety organizations across Canada. App usage trends were tracked through software analytics, and facilitators and barriers to app use were explored via interviews with organizational champions. Over 11,300 employees across 42 organizations were invited to use the app over the trial period, with approximately 1759 PSP (15% of total) downloading the app. Variation within and across sectors was evident in app downloads and feature use. Approaches to communication (mode, timing, and messenger), and organizational culture related to mental health and help outreach affected uptake levels. is a promising tool to facilitate access to peer support; however, culturally relevant strategies are needed to overcome barriers and integrate this tool into workplace practices.
公共安全人员（PSP），包括惩教人员、消防员、护理人员、警察和公共安全通信员，遭受创伤后应激损伤的风险增加，但在获得及时支持方面面临障碍。移动健康（mHealth）应用程序（应用）为保密、按需获取相关信息和支持提供了有前景的途径。本研究的目的是评估由PSP设计并为其打造的新mHealth平台（该平台包括两个并行应用：一个面向一线工作人员，一个面向同伴支持提供者）的实施情况。在加拿大42个公共安全组织中进行了一项为期3至6个月的多地点混合方法实施试验。通过软件分析跟踪应用使用趋势，并通过与组织倡导者的访谈探讨应用使用的促进因素和障碍。在试验期间，42个组织的超过11300名员工被邀请使用该应用，约1759名PSP（占总数的15%）下载了该应用。各部门内部和部门之间在应用下载和功能使用方面存在明显差异。沟通方式（模式、时间和传达者）以及与心理健康和帮助推广相关的组织文化影响了应用的使用水平。该应用是促进获得同伴支持的一个有前景的工具；然而，需要采用与文化相关的策略来克服障碍并将该工具融入工作场所实践。
