PeerOnCall: Implementing and Evaluating App-Based Peer Support in Canadian Fire Services

Официальное название

PeerOnCall: A Cluster Randomized Trial of a Peer Support Mobile Health Platform in Canadian Fire Service Organizations

Обзор

The goal of this clinical trial is to test how best to implement a mobile peer support app called PeerOnCall in Canadian fire services. The main questions it aims to answer are: 1. Do firefighters use the app more with a structured implementation compared to standard implementation? 2. Does using the app improve mental health and workplace outcomes? Researchers will compare a standard implementation approach with basic onboarding to more structured implementation with weekly reminders, new content, and feedback reports to see if these features encourage more consistent app use. Participants will: 1. Use the PeerOnCall app to access private peer support and wellness resources. 2. Participate in surveys, interviews, and focus groups about their app experience and workplace environment.

Вмешательства

• Другое App Users (Structured Implementation)
  The structured implementation (intervention) group will follow a structured protocol designed to promote weekly app engagement. This includes regular updates to customized content, reminders to use the app, and feedback on use. Weekly content updates and push notifications will be provided through the app, and the research team will communicate monthly with organizational champions with feedback reports on app utilization to reinforce engagement.
• Другое App Users (Standard Implementation)
  The standard implementation (control) group will receive baseline support, allowing firefighters to use the app as they choose. The research team will provide an initial orientation for organizations and peer supporters, but the organizational champion will be responsible for communication and follow-up. The research team will respond to questions and prompt data collection.

Первичные конечные точки

• Change from Baseline Score on the Mental Health Continuum at 1 year [Срок оценки: From Baseline to the end of implementation at 1-year]
• App Engagement (App Opens) [Срок оценки: From enrolment to the end of implementation at 1-year]
• App Engagement (Peer Support Outreach) [Срок оценки: From enrolment to the end of implementation at 1-year]

Вторичные конечные точки (2)

• Change from Baseline Score on the WLQ-F at 1 year [Срок оценки: From Baseline to the end of implementation at 1-year]
• Mental Health Absenteeism [Срок оценки: From enrolment to the end of implementation at 1-year]

Критерии участия

Критерии включения

• Must be a working aged adult (18-70)
• Must be employed in a participating Canadian Fire Service organization
• Agree to download the PeerOnCall app to their mobile phone (iPhone or Android)

Критерии исключения

\- Not able to access app on their smart device

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Профилактика

Центры проведения

Канада · 1 центр

• 20 Fire Service Organizations across Canada — Hamilton

Публикации

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• Lesage FX, Berjot S, Deschamps F. Clinical stress assessment using a visual analogue scale. Occup Med (Lond). 2012 Dec;62(8):600-5. doi: 10.1093/occmed/kqs140. Epub 2012 Sep 10. PMID 22965867
• Dutheil F, Palgen C, Brousse G, Cornet T, Mermillod M, Lakbar I, Vallet G, Baker JS, Schmidt J, Charbotel B, Pereira B, Delamarre L. Validation of visual analog scales of mood and anxiety at the workplace. PLoS One. 2024 Dec 31;19(12):e0316159. doi: 10.1371/journal.pone.0316159. eCollection 2024. PMID 39739967
• Moll SE, Ricciardelli R, Carleton RN, MacDermid JC, Czarnuch S, MacPhee RS. PeerOnCall: Evaluating Implementation of App-Based Peer Support in Canadian Public Safety Organizations. Int J Environ Res Public Health. 2025 Aug 13;22(8):1269. doi: 10.3390/ijerph22081269. PMID 40869854
• Raggi A, Bernard RM, Toppo C, Sabariego C, Salvador Carulla L, Lukersmith S, Hakkaart-van Roijen L, Merecz-Kot D, Olaya B, Antunes Lima R, Gutierrez-Marin D, Vorstenbosch E, Curatoli C, Cacciatore M. The EMPOWER Occupational e-Mental Health Intervention Implementation Checklist to Foster e-Mental Health Interventions in the Workplace: Development Study. J Med Internet Res. 2024 Mar 15;26:e48504. d PMID 38488846
• Goraya NK, Alvarez E, Young M, Moll S. PeerOnCall: Exploring how organizational culture shapes implementation of a peer support app for public safety personnel. Compr Psychiatry. 2024 Nov;135:152524. doi: 10.1016/j.comppsych.2024.152524. Epub 2024 Aug 12. PMID 39146608
• Damschroder LJ, Reardon CM, Widerquist MAO, Lowery J. The updated Consolidated Framework for Implementation Research based on user feedback. Implement Sci. 2022 Oct 29;17(1):75. doi: 10.1186/s13012-022-01245-0. PMID 36309746
• Howarth A, Quesada J, Silva J, Judycki S, Mills PR. The impact of digital health interventions on health-related outcomes in the workplace: A systematic review. Digit Health. 2018 May 10;4:2055207618770861. doi: 10.1177/2055207618770861. eCollection 2018 Jan-Dec. PMID 29942631

Идентификаторы

NCT: NCT07199387 · 204097 · 204097

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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