{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T19:15:39Z","timestamp":1772133339139,"version":"3.50.1"},"reference-count":85,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010747","name":"Consejo Nacional de Ciencia, Tecnolog\u00eda e Innovaci\u00f3n Tecnol\u00f3gica","doi-asserted-by":"publisher","award":["076-2021-PROCIENCIA"],"award-info":[{"award-number":["076-2021-PROCIENCIA"]}],"id":[{"id":"10.13039\/501100010747","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004892","name":"Agencia Espa\u00f1ola de Cooperaci\u00f3n Internacional para el Desarrollo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004892","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic marked an increase in depressive, anxiety, and post-traumatic stress disorder symptoms, more specifically among healthcare workers, teachers, and police officers. These workers face external and occupational factors which had a significant impact on mental health, significant increase in workload and direct exposure to the virus, shortage of personnel protective equipment, and instances of abuse, including discrimination. Mental health care in primary care requires a process of early identification and timely referral of complex cases. Telehealth emerges as an effective alternative for addressing challenges in mental health care, although its implementation encounters obstacles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To design a telehealth service that facilitates screening, initial management, and timely referral for mental health diagnoses in workers with prior SARS-CoV-2 infection, and to evaluate usability, acceptability, and user satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Mixed-method study with a user-centered design approach involving key external and internal service users in three sequential stages (pre-design, co-design, and post-design). The study phases lasted 6 months, involving a total of 23 participants in the pre-design phase (contextual inquiry and preparation and training), 12 participants in the co-design phase (framing the issue, generative design, and sharing design), and in the post-design phase, 4 participants were involved in service implementation, and 81 participants\u2014drawn from the subgroup of 134 users who received psychoeducation\u2014were included in the efficacy assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proposal included the development and evaluation of a service model guide and a telehealth software platform. First, the participants took part in a series of workshops (Pre-design, Co-design) where they provided ideas for meeting the product requirements, based on the Design Thinking methodology framework. The telehealth service model was named TelePsico CENSOPAS. It comprised four processes: a) Service promotion; b) User pre-identification; c) Appointment management; d) Psychoeducation counseling and referral. The Telehealth platform was designed through three cycles of an iterative process and integrated a proprietary development platform with third-party service technologies for communication support and information exchange. During post-design, the pilot test involved 698 screened patients; 193 were identified with mental health risks, and 134 of them received psychoeducation sessions. In addition to user acceptance, the usability score of the platform was 86.1\u2009\u00b1\u200916.9 SD, satisfaction dimensions of the service was 45.1\u2009\u00b1\u20097.2 SD for satisfaction with care processes, and 36.7\u2009\u00b1\u20095.2 SD satisfaction with psychological care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The proposal for mental health telehealth services and its supporting platform was successfully developed and accepted by both internal and external users, particularly within well-structured occupational health services in workplaces serving vulnerable occupational groups. In addition, it achieved higher satisfaction and usability scores than Peru\u2019s outpatient care services. These findings support the replicability of user-centered design frameworks\u2014such as design thinking\u2014within the occupational health sphere.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0343587","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T18:41:17Z","timestamp":1772131277000},"page":"e0343587","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of usability and acceptability of a Peruvian telemental health service for early assessment among vulnerable occupational workers: Mixed-method study with a user-centered design approach"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7017-5277","authenticated-orcid":true,"given":"Jimmy Andreyvan","family":"Cainamarks-Alejandro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liliana","family":"Cruz-Ausejo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6156-2176","authenticated-orcid":true,"given":"Miguel Angel","family":"Burgos-Flores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Rosales-Rimache","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonh","family":"Astete-Cornejo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2222-4764","authenticated-orcid":true,"given":"David","family":"Villarreal-Zegarra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"issue":"10224","key":"pone.0343587.ref001","article-title":"2019-nCoV epidemic: address mental health care to empower society","volume":"395","author":"Y Bao","year":"2020","journal-title":"Lancet"},{"issue":"2","key":"pone.0343587.ref002","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s00404-020-05805-x","article-title":"Investigation on the mental health status of pregnant women in China during the Pandemic of COVID-19","volume":"303","author":"H Dong","year":"2021","journal-title":"Arch Gynecol Obstet"},{"issue":"10312","key":"pone.0343587.ref003","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1016\/S0140-6736(21)02143-7","article-title":"Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic","volume":"398","author":"D Santomauro","year":"2021","journal-title":"Lancet"},{"key":"pone.0343587.ref004","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.ejim.2022.01.021","article-title":"COVID-19 infection survivors and the risk of depression and anxiety symptoms: A nationwide study of adults in the United States","volume":"97","author":"J Khubchandani","year":"2022","journal-title":"Eur J Intern Med"},{"issue":"10","key":"pone.0343587.ref005","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.28568","article-title":"Short-term and Long-term Rates of Postacute Sequelae of SARS-CoV-2 Infection: A Systematic Review","volume":"4","author":"D Groff","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"2","key":"pone.0343587.ref006","doi-asserted-by":"crossref","first-page":"269","DOI":"10.3390\/pathogens11020269","article-title":"Long-Term Sequelae of COVID-19: A Systematic Review and Meta-Analysis of One-Year Follow-Up Studies on Post-COVID Symptoms","volume":"11","author":"Q Han","year":"2022","journal-title":"Pathogens"},{"issue":"3","key":"pone.0343587.ref007","doi-asserted-by":"crossref","DOI":"10.5812\/zjrms-118719","article-title":"Development and Validation of COVID-19 Stress Scale (CSS) in an Iranian Non-clinical Population","volume":"24","author":"R Nooripour","year":"2022","journal-title":"Zahedan J Res Med Sci"},{"key":"pone.0343587.ref008","unstructured":"International Labour Organization. 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