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Pilot study of an app-supported psychosocial prevention intervention: a mixed-methods approach
Jan Gehrmann1,2, Johannes Stephan3, Jana Dehner3
1Chair of Social Determinants of Health, Department of Health and Sport Sciences, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany. Jan.Gehrmann@tum.de.
Background:
Work-related health issues, particularly those affecting mental health, are increasing, leading to significant costs for health systems and impacting individuals' ability to work. Preventive interventions using digital health applications promise to mitigate these issues by promoting mental well-being and reducing risk factors.
Objective:
The study aimed to pilot the new prevention intervention "RV Fit Mental Health" which combines an intensive inpatient phase with an app-supported digital outpatient phase. The primary objectives were to understand the target group, evaluate the acceptability and feasibility of the intervention, and identify areas for optimization based on participant feedback.
Methods:
A mixed-methods approach was employed, combining qualitative and quantitative data. Qualitative data were gathered from 18 participants through focus groups. Quantitative data were collected from 21 participants using various validated instruments, including the Work Ability Index (WAI), World Health Organization Quality of Life-BREF (WHOQOL-BREF), Depression Anxiety Stress Scale-21 (DASS-21), and eHealth Literacy scales. Data analysis was conducted using descriptive statistics and content analysis.
Results:
Qualitative results highlighted the acceptability of the intervention and identified several challenges, including the transition between the different phases of the intervention and the diversity of participants' backgrounds and health conditions. Participants appreciated the holistic approach of combining an inpatient and app-supported outpatient phase but suggested further adjustments to enhance usability and integration into daily life. Quantitative findings indicated a heterogeneous group of participants.
Conclusions:
The "RV Fit Mental Health" intervention shows promise for addressing work-related mental health issues. The initial results of the pilot study indicate feasibility and good acceptance of the intervention. However, further refinement and a larger-scale evaluation are necessary to confirm its efficacy and optimize its implementation. If successful, this approach could strengthen participation in working life and reduce mental health-related work incapacity.
Trial Registration:
DRKS-ID: DRKS000308188 ( https://drks.de/search/de/trial/DRKS00030818 ).
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