Digital Interventions for Detection and Reduction of Moral Distress

Not Applicable

Completed

• Conditions: Moral Injury; Distress, Emotional
• Interventions: Other: Educational moral injury video

• Registration Number: NCT05001542
• Lead Sponsor: Unity Health Toronto

Brief Summary

Stress, anxiety, distress and depression are exceptionally high among healthcare workers at the frontline of the COVID-19 pandemic. Factors underlying distress and resilience are unknown and there are no evidence based interventions to impact the mental wellbeing of frontline healthcare workers. This study will evaluate a novel virtual reality platform to gather the "distress experience" of frontline healthcare workers at Unity Health Toronto in real time during the ongoing COVID pandemic by developing and showing feasibility of digital technology (Virtual Reality (VR) and mobile app) as a digital platform to understand the causes and ultimately reduce the moral distress of healthcare providers during the COVID-19 pandemic. The project will develop innovations which can be used for future pandemics and other contexts prone to producing moral distress and injury.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-05-31
• Study First Submitted: 2021-07-28
• Study First Submitted QC: 2021-08-05
• Study First Posted: 2021-08-12
• Primary Completion: 2021-08-30
• Study Completion: 2021-08-30
• Status Verified: 2021-10
• Last Update Submitted: 2021-10-05
• Last Update Posted: 2021-10-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

• Staff or healthcare providers working at Unity Health Toronto
• 18 years of age or older
• Must own a mobile phone running Android Version 6.0 and higher, or an iPhone 6 running OS 14 and higher)

Exclusion Criterion:

• Non-Unity Health Toronto staff

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Experimental Arm	Educational moral injury video	VR simulation exercise with a digital follow-up component to help assess the physiological and psychological indicators of moral distress

Primary Outcome Measures

Name	Time	Method
Feasibility evaluation of the virtual reality environment	60 minutes (during the intervention)	The primary outcome measure will be a comparison of MIOS (Moral Injury Outcome Scale) and PSS (Perceived Stress Scale) scores before and after watching an educational video on moral injury; feasibility of this platform will be assessed based on a feasibility questionnaire and changes in score.

Secondary Outcome Measures

Name	Time	Method
Feasibility evaluation of a mobile platform to understand the continuum of stress and moral distress.	Up to 8 weeks	Feasibility of the mobile platform will be measured based on dropout rate

Trial Locations

Locations (1)

St. Michael's Hospital; 🇨🇦 Toronto, Ontario, Canada