PeerOnCall: A Cluster Randomized Trial of a Peer Support Mobile Health Platform in Canadian Fire Service Organizations
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 2,000
- 试验地点
- 1
- 主要终点
- Change from Baseline Score on the Mental Health Continuum at 1 year
研究概览
简要总结
The goal of this clinical trial is to test how best to implement a mobile peer support app called PeerOnCall in Canadian fire services. The main questions it aims to answer are:
- Do firefighters use the app more with a structured implementation compared to standard implementation?
- Does using the app improve mental health and workplace outcomes? Researchers will compare a standard implementation approach with basic onboarding to more structured implementation with weekly reminders, new content, and feedback reports to see if these features encourage more consistent app use.
Participants will:
- Use the PeerOnCall app to access private peer support and wellness resources.
- Participate in surveys, interviews, and focus groups about their app experience and workplace environment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Must be a working aged adult (18-70)
- •Must be employed in a participating Canadian Fire Service organization
- •Agree to download the PeerOnCall app to their mobile phone (iPhone or Android)
排除标准
- •- Not able to access app on their smart device
研究组 & 干预措施
App Users (Structured Implementation)
All participating organizations will receive access to PeerOnCall, a mobile mental health and peer support platform co-designed by and for Canadian public safety providers (PSP) that includes: a) an app for frontline workers, b) an app for peer support providers, and c) an administrative portal for organizational leaders. The structured implementation (intervention) group will follow a structured protocol designed to promote weekly app engagement.
干预措施: App Users (Structured Implementation) (Other)
App Users (Standard Implementation)
All participating organizations will receive access to PeerOnCall, a mobile mental health and peer support platform co-designed by and for Canadian public safety providers (PSP) that includes: a) an app for frontline workers, b) an app for peer support providers, and c) an administrative portal for organizational leaders. The standard implementation (control) group will receive baseline support, allowing firefighters to use the app as they choose.
干预措施: App Users (Standard Implementation) (Other)
结局指标
主要结局
Change from Baseline Score on the Mental Health Continuum at 1 year
时间窗: From Baseline to the end of implementation at 1-year
Impact on mental health (primary) outcome - A 10-point visual analogue scale (VAS) will be used to measure mental health status as a continuous variable, aligning with the mental health continuum commonly used in the public safety community. The scale uses color coding from 0 (green/well) to 10 (red/crisis) with strong concurrent validity (r = .60 to .74) compared to other anxiety measures. Pilot research indicated that firefighters are resistant to lengthy psychological questionnaires, so this brief, intuitive, and widely accepted single-item scale was selected to optimize response rates. App users will receive monthly in-app notifications prompting them to complete the scale. Since the scale is integrated into the app, data can be directly linked to app utilization.
App Engagement (App Opens)
时间窗: From enrolment to the end of implementation at 1-year
App opens will be tracked as a binary variable, measuring whether an employee opens the app at least once during the 12-month study period. This initial adoption measure will be monitored using unique ID numbers to track the total number of app opens per user. A list of eligible employees will be established at the start of the intervention and monitored over time to assess engagement across the organization.
App Engagement (Peer Support Outreach)
时间窗: From enrolment to the end of implementation at 1-year
Peer support outreach will be measured by the number of text or phone interactions initiated with a peer support provider. Software analytics will track individual use patterns, including whether users reach out once or multiple times to peer support. Higher outreach frequency reflects greater engagement with the app.
次要结局
- Change from Baseline Score on the WLQ-F at 1 year(From Baseline to the end of implementation at 1-year)
- Mental Health Absenteeism(From enrolment to the end of implementation at 1-year)
- Change from Baseline Score on the WLQ-F at 1 year(From Baseline to the end of implementation at 1-year)
- Mental Health Absenteeism(From enrolment to the end of implementation at 1-year)
研究者
Sandra Moll
Professor
McMaster University