Evidence map›Paper›PMID 34860662›Full record

ArticleJMIR formative research2021

Development of the Shift Smartphone App to Support the Emotional Well-Being of Junior Physicians: Design of a Prototype and Results of Usability and Acceptability Testing.

Isabelle Counson, Alexandra Bartholomew, Joanna Crawford, Katherine Petrie, Geetanjali Basarkod, Victoria Moynihan, Josie Pires, Rachel Cohen, Nicholas Glozier, Samuel Harvey and 1 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Isabelle CounsonBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0002-8446-4288
Alexandra BartholomewBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0001-9286-2756
Joanna CrawfordBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0002-4947-1626
Katherine PetrieBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0002-6285-8518
Geetanjali BasarkodInstitute for Positive Psychology and Education, Australian Catholic University, North Sydney, Australia.ORCID https://orcid.org/0000-0003-3708-2751
Victoria MoynihanBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0003-0586-1451
Josie PiresBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0002-2443-0078
Rachel CohenBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0002-5277-1822
Nicholas GlozierBrain and Mind Centre, Faculty of Medicine and Health, University of Sydney, Australia.ORCID https://orcid.org/0000-0002-0476-9146
Samuel HarveyBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0001-9580-3743
Samineh SanatkarBlack Dog Institute, Randwick, Australia.ORCID https://orcid.org/0000-0001-9962-163X
Black Dog Institute · AUAustralian Catholic University · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJunior physicians report higher levels of psychological distress than senior doctors and report several barriers to seeking professional mental health support, including concerns about confidentiality and career progression. Mobile health (mHealth) apps may be utilized to help overcome these barriers to assist the emotional well-being of this population and encourage help-seeking.

objectiveThis study describes the development and pilot trial of the Shift mHealth app to provide an unobtrusive avenue for junior physicians to seek information about, and help for, well-being and mental health concerns, which is sensitive to workplace settings.

methodsA 4-phase iterative development process was undertaken to create the content and features of Shift involving junior physicians using the principles of user-centered design. These 4 phases were-needs assessment, on the basis of interviews with 12 junior physicians; prototype development with user experience feedback from 2 junior physicians; evaluation, consisting of a pilot trial with 22 junior physicians to assess the usability and acceptability of the initial prototype; and redesign, including user experience workshops with 51 junior physicians.

resultsQualitative results informed the content and design of Shift to ensure that the app was tailored to junior physicians' needs. The Shift app prototype contained cognitive behavioral, mindfulness, value-based actions, and psychoeducational modules, as well as a tracking function that visualized patterns of daily variations in mood and health behaviors. Pilot-testing revealed possible issues with the organization of the app content, which were addressed through a thorough restructuring and redesign of Shift with the help of junior physicians across 3 user experience workshops.

conclusionsThis study demonstrates the importance of ongoing end user involvement in the creation of a specialized mHealth app for a unique working population experiencing profession-specific stressors and barriers to help-seeking. The development and pilot trial of this novel Shift mHealth app are the first steps in addressing the mental health and support-seeking needs of junior physicians, although further research is required to validate its effectiveness and appropriateness on a larger scale.

Indexed as

co-designdigital mental healthhelp-seekingjunior physiciansmHealth appsmobile phoneuser-centered design

Identifiers

PMID34860662
PMCPMC8686399
OpenAlexW3210316522

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.