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| ID | Type | Description | Link |
|---|---|---|---|
| 5R33TW012210-04 | U.S. NIH Grant/Contract | View source |
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Due to collaboration model change
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| Name | Class |
|---|---|
| Fogarty International Center of the National Institute of Health | NIH |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Curriculum | Active Comparator | 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. Participants will be able to both view and download the course content via internet and can request a printed version of the course. 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. |
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| iRise curriculum | Experimental | 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). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iRise curriculum | Other | 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). |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 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. | 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. | 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. | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | Baseline |
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Inclusion Criteria:
Participants are eligible to be included in the study if
Exclusion Criteria:
Participants will not be eligible to participate if
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Barnett, MD | Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aga Khan University Hospital | Karachi | Sindh | 74800 | Pakistan | ||
| Jinnah Postgraduate Medical Centre |
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This will be a 12-month, two-arm, parallel randomized controlled trial to evaluate a mHealth intervention, iRise, for emergency health care workers (HCWs).
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| Control Curriculum | Other | 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. |
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| 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 |
| 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 | 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 | 12 months |
| Karachi |
| Sindh |
| 75510 |
| Pakistan |
| Aga khan university | Karachi | Sindh | Pakistan |