Evidence map›Paper›PMID 41286075›Full record

ArticleNPJ digital medicine2025

A randomized controlled trial of a trauma-informed smartphone application in reducing firefighters' mental health symptoms.

Tracey Varker, Olivia Metcalf, Yee Foong Mok, Karen E Lamb, Julia Fredrickson, Hussain-Abdulah Arjmand, Phoebe Howlett, Kari Gibson, Le Pham, Kate Everett and 1 more

Abstract read
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In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tracey VarkerPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia. tvarker@unimelb.edu.au.
Olivia MetcalfCentre for Digital Health Transformation, University of Melbourne, Melbourne, Australia.
Yee Foong MokCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Karen E LambCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Julia FredricksonPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia.
Hussain-Abdulah ArjmandPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia.
Phoebe HowlettPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia.
Kari GibsonPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia.
Le PhamPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia.
Kate EverettFire and Rescue New South Wales, Sydney, Australia.
Meaghan Louise O'DonnellPhoenix Australia - Centre for Posttraumatic Mental Health, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many workforces are exposed to traumatic events which can precipitate the development of depression, anxiety and posttraumatic stress symptoms. This randomized controlled trial aimed to evaluate if an app-based version of the Skills for Life Adjustment and Resilience program (SOLAR-m) was superior to an active mood monitoring control app in reducing symptoms of depression and anxiety (Hospital Anxiety Depression Scale) at 8-weeks post baseline (primary) and 3-months post intervention in firefighters. Firefighters (N = 163) experiencing distress were randomized 1:1 to SOLAR-m or control. Secondary outcomes included posttraumatic stress symptoms and work-related outcomes. Longitudinal analysis on an intention-to-treat basis showed a greater decrease in depression and anxiety at 8-weeks for SOLAR-m (mean difference -2.64, 95% CI: -4.64, -0.63; p = 0.01), and each of depression, anxiety and posttraumatic stress symptoms. Only depression showed a between-group difference at 3-months. SOLAR-m was efficacious in reducing symptoms of depression, anxiety and posttraumatic stress among firefighters. (Trial registration: ANZCTRN12621001141831; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382298&isReview=true ).

Identifiers

PMID41286075
PMCPMC12644545

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.