Effect of a Mental Wellness App on the Mental Wellness of Medical and Nurse Anesthesia Students

Not Applicable

Withdrawn

• Conditions: Mental Health Issue
• Interventions: Behavioral: QActual

• Registration Number: NCT05925062
• Lead Sponsor: Wake Forest University Health Sciences

Brief Summary

Mental health issues and suicide are becoming increasingly common among health care trainees and providers. Suicide is the leading cause of death among male medical residents and the second leading cause of death among female residents.

Detailed Description

Training programs are usually very rigorous, caring for patients is stressful, and those who care for others often feel that they can't or shouldn't admit that they need care themselves. Unfortunately, there is often a stigma associated with mental illness, and trainees may feel that admitting that they struggle could damage their careers. The need exists for easily accessible, immediate, crisis support for medical trainees who are experiencing a mental health crisis. Although the effectiveness of mental health apps has been evaluated in college students, there is very little data assessing their use in medical and nurse anesthesia students. The purpose of this study is to evaluate the effect of a mental wellness app on the mental wellness of medical and nurse anesthesia students.

Study Timeline

• Study First Submitted: 2023-06-20
• Study First Submitted QC: 2023-06-20
• Study First Posted: 2023-06-29
• Status Verified: 2024-07
• Study Start: 2024-07
• Last Update Submitted: 2024-07-29
• Last Update Posted: 2024-07-30
• Primary Completion: 2024-08
• Study Completion: 2024-08

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• first-year medical students and second-year nurse anesthesia (CRNA) students from Wake Forest University School of Medicine during the 2023 - 2024 academic year (approximately July 2023 - June 2024).

Exclusion Criteria

• none

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
QActual	QActual	QActual is a phone-based app that offers peer-to-peer support, tracks mental wellness self-assessments, and provides support to users who are in crisis.

Primary Outcome Measures

Name	Time	Method
Patient Health Questionnaire-9 (PHQ-9) scores	Year 1	Scores less than 5 almost always signified the absence of a depressive disorder; scores of 5 to 9 predominantly represented patients with either no depression or subthreshold (i.e., other) depression; scores of 10 to 14 represented a spectrum of patients; and scores of 15 or greater usually indicated major depression.

Secondary Outcome Measures

Name	Time	Method
Number of crisis alerts triggered	Year 1	Number of crisis alerts triggered
Time periods associated with lower daily wellness check scores	Year 1	Time periods associated with lower daily wellness check scores (these will be compared to the academic calendar to detect any correlations) - The mean daily wellness check scores for Medical students and CRNA students will be retrospectively reviewed. Days where the mean score for the day differ significantly from the mean score for the year will be recorded
Number of daily wellness check-ins completed	Year 1	Number of daily wellness check-ins completed
Satisfaction with the app Scores	Year 1	Satisfaction with the app scores - a global scale that is used to assess attitudes and views. It is a scale with 5 answer options which has two utmost poles and a neutral option linked with intermediate answer options. For example, agree, fully agree, neither agree nor disagree, disagree, and fully disagree

Trial Locations

Locations (1)

Wake Forest University Health Sciences; 🇺🇸 Winston-Salem, North Carolina, United States