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Safe Patient Handling Musculoskeletal Injury-Prevention Smartphone App for Community Health Care Workers: Mixed
Alfred S Y Lee1, Sarah Burrell2, Sandy Courtnall1
1Behavioural Medicine Laboratory, School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.
JMIR Formative Research
|October 31, 2025
Summary
A new smartphone app, Safe Patient Handling Musculoskeletal Injury-Prevention (SPH MSIP), was developed to support community health care workers. The app addresses unmet needs for safe patient handling resources and demonstrates feasibility and acceptability for improving practices.
Area of Science:
- Healthcare technology
- Occupational health
- Digital health interventions
Background:
- Safe patient handling is crucial for preventing healthcare worker injuries.
- Community health care workers face barriers to safe patient handling, including limited training and resources.
Purpose of the Study:
- To identify unmet safe patient handling needs of community health care workers.
- To develop a user-centered smartphone app (SPH MSIP) through co-design.
- To evaluate the acceptability and feasibility of the SPH MSIP app.
Main Methods:
- A 3-phase participatory study involving community health care workers.
- Co-design process for developing the SPH MSIP app based on user feedback.
- Mixed methods evaluation including recruitment, retention, satisfaction, and qualitative interviews.
Main Results:
- Identified needs for improved safe patient handling training and real-time support.
- Developed the SPH MSIP app with features for high-risk tasks and intuitive guidance.
- App exceeded recruitment, retention, and satisfaction targets; users found it useful and usable.
Conclusions:
- The SPH MSIP app shows potential to meet community health care workers' needs for safe patient handling support.
- The app is feasible and acceptable for improving real-time patient handling practices.
- Further large-scale trials are recommended to assess the app's impact on injury reduction and patient outcomes.

