Literature DB >> 29256033

Web-Based Tools and Mobile Applications To Mitigate Burnout, Depression, and Suicidality Among Healthcare Students and Professionals: a Systematic Review.

Sarah Pospos1, Ilanit Tal Young2, Nancy Downs1, Alana Iglewicz2, Colin Depp1, James Y Chen1, Isabel Newton1, Kelly Lee1, Gregory A Light1, Sidney Zisook3.   

Abstract

OBJECTIVE: Being a healthcare professional can be a uniquely rewarding calling. However, the demands of training and practice can lead to chronic distress and serious psychological, interpersonal, and personal health burdens. Although higher burnout, depression, and suicide rates have been reported in healthcare professionals, only a minority receive treatment. Concerns regarding confidentiality, stigma, potential career implications, and cost and time constraints are cited as key barriers. Web-based and mobile applications have been shown to mitigate stress, burnout, depression, and suicidal ideation among several populations and may circumvent these barriers. Here, we reviewed published data on such resources and selected a small sample that readily can be used by healthcare providers.
METHODS: We searched PubMed for articles evaluating stress, burnout, depression, and suicide prevention or intervention for healthcare students or providers and identified five categories of programs with significant effectiveness: Cognitive Behavioral Therapy (online), meditation, mindfulness, breathing, and relaxation techniques. Using these categories, we searched for Web-based (through Google and beacon.anu.edu.au -a wellness resource website) and mobile applications (Apple and mobile. va.gov/appstore ) for stress, burnout, depression, and suicide prevention and identified 36 resources to further evaluate based on relevance, applicability to healthcare providers (confidentiality, convenience, and cost), and the strength of findings supporting their effectiveness.
RESULTS: We selected seven resources under five general categories designed to foster wellness and reduce burnout, depression, and suicide risk among healthcare workers: breathing (Breath2Relax), meditation (Headspace, guided meditation audios), Web-based Cognitive Behavioral Therapy (MoodGYM, Stress Gym), and suicide prevention apps (Stay Alive, Virtual Hope Box).
CONCLUSIONS: This list serves as a starting point to enhance coping with stressors as a healthcare student or professional in order to help mitigate burnout, depression, and suicidality. The next steps include adapting digital health strategies to specifically fit the needs of healthcare providers, with the ultimate goal of facilitating in-person care when warranted.

Entities:  

Keywords:  Burnout; Depression; Mobile applications; Suicide prevention; Web applications

Mesh:

Year:  2017        PMID: 29256033      PMCID: PMC5796838          DOI: 10.1007/s40596-017-0868-0

Source DB:  PubMed          Journal:  Acad Psychiatry        ISSN: 1042-9670


  34 in total

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Authors:  Colin P West; Liselotte N Dyrbye; Patricia J Erwin; Tait D Shanafelt
Journal:  Lancet       Date:  2016-09-28       Impact factor: 79.321

3.  A mindfulness course decreases burnout and improves well-being among healthcare providers.

Authors:  Matthew J Goodman; John B Schorling
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4.  "I would never want to have a mental health diagnosis on my record": A survey of female physicians on mental health diagnosis, treatment, and reporting.

Authors:  Katherine J Gold; Louise B Andrew; Edward B Goldman; Thomas L Schwenk
Journal:  Gen Hosp Psychiatry       Date:  2016-09-15       Impact factor: 3.238

5.  Effects of a cognitive-behavioural internet program on depression, vulnerability to depression and stigma in adolescent males: a school-based controlled trial.

Authors:  Richard O'Kearney; Mal Gibson; Helen Christensen; Kathy M Griffiths
Journal:  Cogn Behav Ther       Date:  2006

6.  Mobile app self-care versus in-office care for stress reduction: a cost minimization analysis.

Authors:  David D Luxton; Ryan N Hansen; Katherine Stanfill
Journal:  J Telemed Telecare       Date:  2014-10-14       Impact factor: 6.184

7.  Nurse burnout and patient satisfaction.

Authors:  Doris C Vahey; Linda H Aiken; Douglas M Sloane; Sean P Clarke; Delfino Vargas
Journal:  Med Care       Date:  2004-02       Impact factor: 2.983

8.  Delivering interventions for depression by using the internet: randomised controlled trial.

Authors:  Helen Christensen; Kathleen M Griffiths; Anthony F Jorm
Journal:  BMJ       Date:  2004-01-23

9.  Listening to depression and suicide risk in medical students: the Healer Education Assessment and Referral (HEAR) Program.

Authors:  Nancy Downs; Wendy Feng; Brittany Kirby; Tara McGuire; Christine Moutier; William Norcross; Marc Norman; Ilanit Young; Sid Zisook
Journal:  Acad Psychiatry       Date:  2014-04-05

10.  Feasibility of a Comprehensive Wellness and Suicide Prevention Program: A Decade of Caring for Physicians in Training and Practice.

Authors:  Sydney Ey; Mary Moffit; J Mark Kinzie; Patrick H Brunett
Journal:  J Grad Med Educ       Date:  2016-12
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Review 3.  Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist.

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4.  The development of the 'COVID-19 Psychological Resilience Model' and its efficacy during the COVID-19 pandemic in China.

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5.  Stress and Coping Among Health Professions Students During COVID-19: A Perspective on the Benefits of Mindfulness.

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Review 6.  Suicidal behavior sociocultural factors in developing countries during COVID-19.

Authors:  S Shoib; J E T Gaitán Buitrago; K H Shuja; M Aqeel; R de Filippis; J Abbas; I Ullah; S M Y Arafat
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7.  Mobile App Tools for Identifying and Managing Mental Health Disorders in Primary Care.

Authors:  Joshua C Magee; Sarah Adut; Kevin Brazill; Stephen Warnick
Journal:  Curr Treat Options Psychiatry       Date:  2018-07-16

8.  The Effects of Biofeedback Training and Smartphone-Delivered Biofeedback Training on Resilience, Occupational Stress, and Depressive Symptoms among Abused Psychiatric Nurses.

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9.  The Fellowship Milieu in Adult Cardiothoracic Anesthesiology-Fostering Psychological Well-being During the Coronavirus Crisis.

Authors:  Jared W Feinman; Lourdes Al-Ghofaily; John G Augoustides
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10.  Impact of COVID-19 on the mental health of surgeons and coping strategies.

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