The purpose of this study is to assess the effectiveness of a novel mHealth intervention that is being designed to promote self-efficacy and response willingness among Pakistan-based emergency department health care workers (HCWs) in public health emergencies and disasters. This application seeks approval for the trial of the intervention. The purpose of this trial is to gauge short-term (1-month), medium-term (6-months), and longer-term (12-months) impacts of iRise mHealth app on low and middle income based countries HCWs' self-efficacy and willingness to respond (WTR) during public health emergencies and disasters. The investigators will test the hypothesis that the iRise app would yield an increased 12-months WTR in Aga Khan University Hospital (AKUH) and Jinnah Postgraduate Medical Center (JMPC) emergency departments.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Intervention group: The intervention group would download the iRise mHealth app ("iRise app") via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group).
The control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training, allowing attendees to practice and apply learned concepts in simulated emergency scenarios.
Aga Khan University Hospital
Karachi, Sindh, Pakistan
Jinnah Postgraduate Medical Centre
Karachi, Sindh, Pakistan
Aga khan university
Karachi, Sindh, Pakistan
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale \[1= Strongly Agree; 9 = Strongly Disagree\] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Time frame: Baseline, 1 month, 6 months, 12 months
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale \[1= Strongly Agree; 9 = Strongly Disagree\] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Time frame: 1 month
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale \[1= Strongly Agree; 9 = Strongly Disagree\] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Time frame: 6 months
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale \[1= Strongly Agree; 9 = Strongly Disagree\] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Time frame: 12 months
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Time frame: Baseline
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Time frame: 1 month
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Time frame: 6 months
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Time frame: 12 months
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