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首页> 外文期刊>JMIR Research Protocols >Rapid Design and Delivery of an Experience-Based Co-designed Mobile App to Support the Mental Health Needs of Health Care Workers Affected by the COVID-19 Pandemic: Impact Evaluation Protocol
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Rapid Design and Delivery of an Experience-Based Co-designed Mobile App to Support the Mental Health Needs of Health Care Workers Affected by the COVID-19 Pandemic: Impact Evaluation Protocol

机译：基于经验的共同设计的移动应用程序的快速设计和交付，支持受Covid-19大流行影响的医疗工作者的心理健康需求：影响评估议定书

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Background The COVID-19 pandemic has highlighted the importance of health care workers’ mental health and well-being for the successful function of the health care system. Few targeted digital tools exist to support the mental health of hospital-based health care workers, and none of them appear to have been led and co-designed by health care workers. Objective RMHive is being led and developed by health care workers using experience-based co-design (EBCD) processes as a mobile app to support the mental health challenges posed by the COVID-19 pandemic to health care workers. We present a protocol for the impact evaluation for the rapid design and delivery of the RMHive mobile app. Methods The impact evaluation will adopt a mixed methods design. Qualitative data from photo interviews undertaken with up to 30 health care workers and semistructured interviews conducted with up to 30 governance stakeholders will be integrated with qualitative and quantitative user analytics data and user-generated demographic and mental health data entered into the app. Analyses will address three evaluation questions related to engagement with the mobile app, implementation and integration of the app, and the impact of the app on individual mental health outcomes. The design and development will be described using the Mobile Health Evidence Reporting and Assessment guidelines. Implementation of the app will be evaluated using normalization process theory to analyze qualitative data from interviews combined with text and video analysis from the semistructured interviews. Mental health impacts will be assessed using the total score of the 4-item Patient Health Questionnaire (PHQ4) and subscale scores for the 2-item Patient Health Questionnaire for depression and the 2-item Generalized Anxiety Scale for anxiety. The PHQ4 will be completed at baseline and at 14 and 28 days. Results The anticipated average use period of the app is 30 days. The rapid design will occur over four months using EBCD to collect qualitative data and develop app content. The impact evaluation will monitor outcome data for up to 12 weeks following hospital-wide release of the minimal viable product release. The study received funding and ethics approvals in June 2020. Outcome data is expected to be available in March 2021, and the impact evaluation is expected to be published mid-2021. Conclusions The impact evaluation will examine the rapid design, development, and implementation of the RMHive app and its impact on mental health outcomes for health care workers. Findings from the impact evaluation will provide guidance for the integration of EBCD in rapid design and implementation processes. The evaluation will also inform future development and rollout of the app to support the mental health needs of hospital-based health care workers more widely.
机译：背景技术Covid-19大流行突出了医疗工作者心理健康的重要性和福祉的医疗保健系统的成功功能。有很少有针对性的数字工具来支持基于医院的医疗工作者的心理健康，并且他们都不会被卫生保健工作者带领和共同设计。目标RMHIVE正在被带领和由医疗工作者使用基于经验的协同设计（EBCD）流程作为移动应用程序来支持，以支持Covid-19大流行为医疗工作者提出的心理健康挑战。我们为RMHive移动应用程序的快速设计和交付提供了一种影响评估的协议。方法采用混合方法设计。拥有多达30名医疗工作者和多达30个治理利益相关者进行的拍摄工作人员和半系统采访的定性数据将与输入到应用程序的定性和定量用户分析数据和用户生成的人口统计学和心理健康数据集成。分析将解决与应用程序的移动应用程序，实施和集成的参与相关的三个评估问题，以及应用对个人心理健康结果的影响。将使用移动卫生证据报告和评估指南来描述设计和开发。将使用规范化过程理论进行评估应用程序的实现，以分析来自面试的定性数据与半系统访谈相结合的文本和视频分析。使用4项患者健康调查问卷（PHQ4）和2型患者健康问卷调查表的总分评估心理健康影响，为抑郁症和焦虑的2项通用焦虑规模。 PHQ4将在基线完成，14天和28天完成。结果应用程序的预期平均使用期为30天。快速设计将在四个月内使用EBCD来收集定性数据并开发应用程序内容。影响评估将在医院释放最小可行的产品释放后监测最多12周的结果数据。该研究于6月2020年6月获得资金和道德批准。预计会在2021年3月提供的结果数据，预计2021年中期的影响评估将出版。结论影响评估将审查RMHIVE APP的快速设计，开发和实施及其对医疗工作者的心理健康结果的影响。影响评估的调查结果将为快速设计和实施过程中的EBCD集成指导。该评估还将通知未来的应用程序和推出该应用程序，以支持医院的医疗保健工作者的心理健康需求更广泛。

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