Evaluation of iRise mHealth App on Healthcare Workers' (HCWs') Self-Efficacy and Willingness to Respond During Public Health Emergencies in Pakistan

Johns Hopkins Bloomberg School of Public Health

Status: Withdrawn

Conditions: Self Efficacy; Behavior Change

Treatments: Other: iRise curriculum; Other: Control Curriculum

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06984692

IRB00029867

5R33TW012210-04 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to assess the effectiveness of a novel mHealth intervention that is being designed to promote self-efficacy and response willingness among Pakistan-based emergency department health care workers (HCWs) in public health emergencies and disasters. This application seeks approval for the trial of the intervention. The purpose of this trial is to gauge short-term (1-month), medium-term (6-months), and longer-term (12-months) impacts of iRise mHealth app on low and middle income based countries HCWs' self-efficacy and willingness to respond (WTR) during public health emergencies and disasters. The investigators will test the hypothesis that the iRise app would yield an increased 12-months WTR in Aga Khan University Hospital (AKUH) and Jinnah Postgraduate Medical Center (JMPC) emergency departments.

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Participants are eligible to be included in the study if

• aged 18 years or older,
• have worked in the current job position for at least three months,
• current Emergency Department clinical staff/employee involved in direct patient care (doctors, nurses, and technicians) at a participating institution (Aga Khan University Hospital (AKUH), Jinnah Postgraduate Medical Centre (JPMC)
• understand and write English,
• own a smart phone and have access to the internet to download the app.

Exclusion criteria

Participants will not be eligible to participate if

• younger than 18 years of age,
• have worked in the current job position for less than three months,
• are not a current employee or staff member as described above,
• are auxiliary personnel such as registration staff, housekeeping, porters, and security personnel,
• don't understand and write English, or
• don't own a smart phone or have access to the internet to download the app.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Control Curriculum

Active Comparator group

Description:

Control group: The control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. Participants will be able to both view and download the course content via internet and can request a printed version of the course. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training.

Treatment:

Other: Control Curriculum

iRise curriculum

Experimental group

Description:

The intervention group would download the iRise mHealth app ("iRise app") via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group).

Treatment:

Other: iRise curriculum