{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:42:55Z","timestamp":1791564175948,"version":"4.3.4"},"reference-count":38,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T00:00:00Z","timestamp":1662422400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"KOA HEALTH B.V.","award":["KCL\/Koa Health NHS CHECK Study"],"award-info":[{"award-number":["KCL\/Koa Health NHS CHECK Study"]}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec id=\"S0007125022001039_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Healthcare workers (HCWs) have faced considerable pressures during the COVID-19 pandemic. For some, this has resulted in mental health distress and disorder. Although interventions have sought to support HCWs, few have been evaluated.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125022001039_sec_a2\"><jats:title>Aims<\/jats:title><jats:p>We aimed to determine the effectiveness of the \u2018Foundations\u2019 application (app) on general (non-psychotic) psychiatric morbidity.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125022001039_sec_a3\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>We conducted a multicentre randomised controlled trial of HCWs at 16 NHS trusts (trial registration number: EudraCT: 2021-001279-18). Participants were randomly assigned to the app or wait-list control group. Measures were assessed at baseline, after 4 and 8 weeks. The primary outcome was general psychiatric morbidity (using the General Health Questionnaire). Secondary outcomes included: well-being; presenteeism; anxiety; depression and insomnia. The primary analysis used mixed-effects multivariable regression, presented as adjusted mean differences (aMD).<\/jats:p><\/jats:sec><jats:sec id=\"S0007125022001039_sec_a4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Between 22 March and 3 June 2021, 1002 participants were randomised (500:502), and 894 (89.2%) followed-up. The sample was predominately women (754\/894, 84.3%), with a mean age of 44\u22c53 years (interquartile range (IQR) 34\u201353). Participants randomised to the app had a reduction in psychiatric morbidity symptoms (aMD = \u22121.39, 95% CI \u22122.05 to \u22120.74), improvement in well-being (aMD = 0\u22c554, 95% CI 0\u22c520 to 0\u22c589) and reduction in insomnia (adjusted odds ratio (aOR) = 0\u22c536, 95% CI 0\u22c521 to 0\u22c560). No other significant findings were found, or adverse events reported.<\/jats:p><\/jats:sec><jats:sec id=\"S0007125022001039_sec_a5\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The app had an effect in reducing psychiatric morbidity symptoms in a sample of HCWs. Given it is scalable with no adverse effects, the app may be used as part of an organisation's tiered staff support package. Further evidence is needed on long-term effectiveness and cost-effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.2022.103","type":"journal-article","created":{"date-parts":[[2022,8,30]],"date-time":"2022-08-30T14:50:42Z","timestamp":1661871042000},"page":"58-66","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":27,"title":["Multicentre, England-wide randomised controlled trial of the \u2018Foundations\u2019 smartphone application in improving mental health and well-being in a healthcare worker population"],"prefix":"10.1192","volume":"222","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9495-6879","authenticated-orcid":false,"given":"Sam N.","family":"Gnanapragasam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose","family":"Tinch-Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah R.","family":"Scott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobhan","family":"Hegarty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Souliou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupa","family":"Bhundia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1526-9793","authenticated-orcid":false,"given":"Danielle","family":"Lamb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Weston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Greenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ira","family":"Madan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7655-7986","authenticated-orcid":false,"given":"Sharon","family":"Stevelink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalind","family":"Raine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0318-8865","authenticated-orcid":false,"given":"Ben","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Wessely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,9,6]]},"reference":[{"key":"S0007125022001039_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-8-355"},{"key":"S0007125022001039_ref24","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000459"},{"key":"S0007125022001039_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00565-9"},{"key":"S0007125022001039_ref37","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12275"},{"key":"S0007125022001039_ref11","first-page":"S106","article-title":"Consumer mobile health apps: current state, barriers, and future directions","volume":"9","author":"Kao","year":"2017","journal-title":"PMandR"},{"key":"S0007125022001039_ref22","doi-asserted-by":"publisher","DOI":"10.3109\/2000-1967-221"},{"key":"S0007125022001039_ref28","doi-asserted-by":"publisher","DOI":"10.2196\/27039"},{"key":"S0007125022001039_ref26","unstructured":"26 StataCorp L. 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