Preliminary Effectiveness of a Smartphone App to Reduce Depressive Symptoms in the Workplace: Feasibility and Acceptability Study

被引：46

作者：

Deady, Mark ^{[1
]}

Johnston, David ^{[1
,2
]}

Milne, David ^{[3
]}

Glozier, Nick ^{[4
]}

Peters, Dorian ^{[5
]}

Caivo, Rafael ^{[5
]}

Harvey, Samuel ^{[1
]}

机构：

[1] Univ New South Wales, Fac Med, Black Dog Inst, Hosp Rd, Sydney, NSW, Australia

[2] Univ Cambridge, MRC, Cognit & Brain Sci Unit, Cambridge, England

[3] Univ Technol Sydney, Fac Engn & IT, Sch Syst Management & Leadership, Sydney, NSW, Australia

[4] Univ Sydney, Fac Med & Hlth, Cent Clin Sch, Brain & Mind Ctr, Sydney, NSW, Australia

[5] Univ Sydney, Sch Elect & Informat Engn, Sydney, NSW, Australia

来源：

JMIR MHEALTH AND UHEALTH | 2018年 / 6卷 / 12期

基金：

澳大利亚研究理事会;

关键词：

depression; workplace; mHealth; smartphone; eHealth; pilot; COMMON MENTAL-DISORDERS; WORK PERFORMANCE QUESTIONNAIRE; HEALTH-ORGANIZATION HEALTH; CONNOR-DAVIDSON RESILIENCE; WELL-BEING INDEX; INTERVENTIONS; VALIDATION; ANXIETY; SEVERITY; VALIDITY;

D O I：

10.2196/11661

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: The workplace represents a unique setting for mental health interventions. Due to range of job-related factors, employees in male-dominated industries are at an elevated risk. However, these at-risk groups are often overlooked. HeadGear is a smartphone app-based intervention designed to reduce depressive symptoms and increase well-being in these populations. Objective: This paper presents the development and pilot testing of the app's usability, acceptability, feasibility, and preliminary effectiveness. Methods: The development process took place from January 2016 to August 2017. Participants for prototype testing (n=21; stage 1) were recruited from industry partner organizations to assess acceptability and utility. A 5-week effectiveness and feasibility pilot study (n=84; stage 2) was then undertaken, utilizing social media recruitment. Demographic data, acceptability and utility questionnaires, depression (Patient Health Questionnaire-9), and other mental health measures were collected. Results: The majority of respondents felt HeadGear was easy to use (92%), easily understood (92%), were satisfied with the app (67%), and would recommend it to a friend (75%; stage 1). Stage 2 found that compared with baseline, depression and anxiety symptoms were significantly lower at follow-up (t(30)=2.53; P=.02 and t(30)=2.18; P=.04, respectively), days of sick leave in past month (t(28)=2.38; P=.02), and higher self-reported job performance (t(28)=-2.09; P=.046; stage 2). Over 90% of respondents claimed it helped improve their mental fitness, and user feedback was again positive. Attrition was high across the stages. Conclusions: Overall, HeadGear was well received, and preliminary findings indicate it may provide an innovative new platform for improving mental health outcomes. Unfortunately, attrition was a significant issue, and findings should be interpreted with caution. The next stage of evaluation will be a randomized controlled trial. If found to be efficacious, the app has the potential to reduce disease burden and improve health in this at-risk group.

引用

页数：14

共 69 条

[1] Construct Validity and Scoring Methods of the World Health Organization: Health and Work Performance Questionnaire Among Workers With Arthritis and Rheumatological Conditions [J].