PDF(Pubmed)
Abstract：
UNASSIGNED: Workplace mental health is an important global health concern.
UNASSIGNED: This unblinded, phase-III, wait-listed cluster randomized controlled trial aimed to examine the effectiveness of a mobile health (mHealth) psychoeducation program using a spaced education approach on mental health literacy (MHL) in the workplace. The main interest of this paper was the immediate and 3-month medium-term effect of the program on the MHL of workers. The purposely built mHealth platform was also evaluated as a health-related app.
UNASSIGNED: The mHealth platform was designed using the principle of spaced education as a psychoeducation intervention program, with various modules of web-based and mobile materials presented to the participant in a progressive manner. Short quizzes at the end of each module ensured adequate learning, and successful completion qualified the learner to progress to the next level. The trial recruited 456 employees of specific industries with high levels of work-related stress. Participants who were nested in different offices or units were allocated into the intervention and wait-listed control groups using a block randomization process, with the office or unit as the cluster. A separate sample of 70 individual raters were used for the evaluation of the mHealth platform. The Australian National MHL and Stigma Survey and the Mobile Apps Rating Scale were completed through a web-based self-reported survey to assess MHL and evaluate the app. The trial and follow-up data were analyzed by a generalized linear latent and mixed model with adjustments for the clustering effect of work sites and repeated measures.
UNASSIGNED: Of the 456 participants in the trial, 236 (51.8%) responded to the follow-up survey. Most MHL outcomes obtained significant results immediately after the intervention and across time. After adjusting for the clustering effect, the postintervention weighted mean scores were significantly higher in the intervention group than the control group for correct recognition of a mental health problem, help seeking, and stigmatization by 0.2 (SE 0.1; P=.003), 0.9 (SE 0.2; P<.001), and 1.8 (SE 0.4; P<.001), respectively. After adjusting for the clustering effect, significant differences across time were found in help-seeking intention (P=.01), stigmatization (P<.001), and social distancing (P<.001). The evaluation of the mHealth program resulted in average scores of the 4 major domains ranging from 3.8 to 4.2, with engagement having the lowest score.
UNASSIGNED: The mHealth psychoeducation intervention program using this platform had immediate and 3-month medium-term effects of retaining and improving MHL. The platform was evaluated to have satisfactory performance in terms of functionality, aesthetics, information content, and utility in enhancing MHL. It is anticipated that ongoing development in digital health will provide great benefits in improving the mental health of the global population.
UNASSIGNED: This unblinded, phase-III, wait-listed cluster randomized controlled trial aimed to examine the effectiveness of a mobile health (mHealth) psychoeducation program using a spaced education approach on mental health literacy (MHL) in the workplace. The main interest of this paper was the immediate and 3-month medium-term effect of the program on the MHL of workers. The purposely built mHealth platform was also evaluated as a health-related app.
UNASSIGNED: The mHealth platform was designed using the principle of spaced education as a psychoeducation intervention program, with various modules of web-based and mobile materials presented to the participant in a progressive manner. Short quizzes at the end of each module ensured adequate learning, and successful completion qualified the learner to progress to the next level. The trial recruited 456 employees of specific industries with high levels of work-related stress. Participants who were nested in different offices or units were allocated into the intervention and wait-listed control groups using a block randomization process, with the office or unit as the cluster. A separate sample of 70 individual raters were used for the evaluation of the mHealth platform. The Australian National MHL and Stigma Survey and the Mobile Apps Rating Scale were completed through a web-based self-reported survey to assess MHL and evaluate the app. The trial and follow-up data were analyzed by a generalized linear latent and mixed model with adjustments for the clustering effect of work sites and repeated measures.
UNASSIGNED: Of the 456 participants in the trial, 236 (51.8%) responded to the follow-up survey. Most MHL outcomes obtained significant results immediately after the intervention and across time. After adjusting for the clustering effect, the postintervention weighted mean scores were significantly higher in the intervention group than the control group for correct recognition of a mental health problem, help seeking, and stigmatization by 0.2 (SE 0.1; P=.003), 0.9 (SE 0.2; P<.001), and 1.8 (SE 0.4; P<.001), respectively. After adjusting for the clustering effect, significant differences across time were found in help-seeking intention (P=.01), stigmatization (P<.001), and social distancing (P<.001). The evaluation of the mHealth program resulted in average scores of the 4 major domains ranging from 3.8 to 4.2, with engagement having the lowest score.
UNASSIGNED: The mHealth psychoeducation intervention program using this platform had immediate and 3-month medium-term effects of retaining and improving MHL. The platform was evaluated to have satisfactory performance in terms of functionality, aesthetics, information content, and utility in enhancing MHL. It is anticipated that ongoing development in digital health will provide great benefits in improving the mental health of the global population.
摘要：
■工作场所心理健康是一个重要的全球健康问题。
■这是未致盲的，第三阶段，等待列出的整群随机对照试验，旨在研究使用工作场所心理健康素养（MHL）间隔教育方法的移动健康（mHealth）心理教育计划的有效性。本文的主要兴趣是该计划对工人MHL的直接和3个月的中期影响。故意构建的mHealth平台也被评估为与健康相关的应用程序。
■mHealth平台是使用间隔教育原理作为心理教育干预计划设计的，以渐进的方式向参与者展示基于网络和移动材料的各种模块。每个模块结束时的简短测验确保了充分的学习，和成功完成合格的学习者进步到一个新的水平。该试验招募了456名特定行业的员工，他们的工作压力很高。嵌套在不同办公室或单位的参与者被分配到干预和等待名单的对照组使用块随机过程，以办公室或单位为集群。使用70个单独评估者的单独样本来评估mHealth平台。澳大利亚国家MHL和污名调查和移动应用程序评级量表是通过基于网络的自我报告调查完成的，以评估MHL和评估应用程序。通过广义线性潜在和混合模型对试验和后续数据进行分析，并对工作场所和重复措施的聚类效果进行调整。
■在试验的456名参与者中，236人(51.8%)对后续调查作出回应。大多数MHL结果在干预后立即和跨时间获得了显着结果。调整聚类效果后，干预组干预后的加权平均得分明显高于对照组，以正确认识心理健康问题，寻求帮助,和污名化由0.2（SE0.1；P=0.003），0.9（SE0.2；P<.001），和1.8（SE0.4；P<.001），分别。调整聚类效果后，不同时间的求助意向存在显著差异(P=0.01)，污名化(P<.001)，和社会距离（P<0.001）。对mHealth计划的评估得出4个主要领域的平均得分从3.8到4.2不等，其中参与得分最低。
■使用该平台的mHealth心理教育干预计划具有保留和改善MHL的即时和3个月的中期效果。该平台经过评估，在功能方面具有令人满意的性能，美学，信息内容,以及增强MHL的效用。预计数字健康的持续发展将为改善全球人口的心理健康提供巨大的好处。
■这是未致盲的，第三阶段，等待列出的整群随机对照试验，旨在研究使用工作场所心理健康素养（MHL）间隔教育方法的移动健康（mHealth）心理教育计划的有效性。本文的主要兴趣是该计划对工人MHL的直接和3个月的中期影响。故意构建的mHealth平台也被评估为与健康相关的应用程序。
■mHealth平台是使用间隔教育原理作为心理教育干预计划设计的，以渐进的方式向参与者展示基于网络和移动材料的各种模块。每个模块结束时的简短测验确保了充分的学习，和成功完成合格的学习者进步到一个新的水平。该试验招募了456名特定行业的员工，他们的工作压力很高。嵌套在不同办公室或单位的参与者被分配到干预和等待名单的对照组使用块随机过程，以办公室或单位为集群。使用70个单独评估者的单独样本来评估mHealth平台。澳大利亚国家MHL和污名调查和移动应用程序评级量表是通过基于网络的自我报告调查完成的，以评估MHL和评估应用程序。通过广义线性潜在和混合模型对试验和后续数据进行分析，并对工作场所和重复措施的聚类效果进行调整。
■在试验的456名参与者中，236人(51.8%)对后续调查作出回应。大多数MHL结果在干预后立即和跨时间获得了显着结果。调整聚类效果后，干预组干预后的加权平均得分明显高于对照组，以正确认识心理健康问题，寻求帮助,和污名化由0.2（SE0.1；P=0.003），0.9（SE0.2；P<.001），和1.8（SE0.4；P<.001），分别。调整聚类效果后，不同时间的求助意向存在显著差异(P=0.01)，污名化(P<.001)，和社会距离（P<0.001）。对mHealth计划的评估得出4个主要领域的平均得分从3.8到4.2不等，其中参与得分最低。
■使用该平台的mHealth心理教育干预计划具有保留和改善MHL的即时和3个月的中期效果。该平台经过评估，在功能方面具有令人满意的性能，美学，信息内容,以及增强MHL的效用。预计数字健康的持续发展将为改善全球人口的心理健康提供巨大的好处。
