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Accepted for/Published in: JMIR Formative Research

Date Submitted: Dec 16, 2022
Open Peer Review Period: Dec 16, 2022 - Feb 10, 2023
Date Accepted: May 12, 2023
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Evaluating the Mental Health of Physician-Trainees Using an SMS Text Message–Based Assessment Tool: Longitudinal Pilot Study

Goldhaber NH, Chea A, Hekler E, Zhou W, Fergerson B

Evaluating the Mental Health of Physician-Trainees Using an SMS Text Message–Based Assessment Tool: Longitudinal Pilot Study

JMIR Form Res 2023;7:e45102

DOI: 10.2196/45102

PMID: 37266985

PMCID: 10276321

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

CalmDoc: Text Message Wellness Program for Physicians – A Pilot Study

  • Nicole Hamilton Goldhaber; 
  • Annie Chea; 
  • Eric Hekler; 
  • Wenjia Zhou; 
  • Byron Fergerson

ABSTRACT

Background:

Physician burnout is a multi-billion dollar issue in the United States. Despite its prevalence, burnout is difficult to accurately measure. Institutions generally rely on periodic surveys that are subject to recall bias. Text-based surveys are used in healthcare and have the advantage of high response rates.

Objective:

In this pilot project, we utilized a simple, longitudinal text-based survey system to evaluate the mental-health of physician-trainees. The goal of the text-based survey was to track stress, burnout, empathy, engagement, and work satisfaction levels faced by users’ in their native environments (i.e. their normal working conditions).

Methods:

Three text-questions per week for five weeks were sent to participants. All data received was de-identified. Each participant had a de-identified personal webpage to follow their scores and the aggregated scores of all participants over time. A 13-question optional survey was sent at the conclusion of the study to evaluate usability of the platform.

Results:

82 participants were recruited and answered at least six text-questions (range: 6–16 questions, average & median: 14 questions) for 1113 total responses. 12 participants responded to the optional feedback survey.

Conclusions:

Responses demonstrated that text-based mental health assessments are useful for recording physician-trainee mental-health levels in real time with minimal burden.


 Citation

Please cite as:

Goldhaber NH, Chea A, Hekler E, Zhou W, Fergerson B

Evaluating the Mental Health of Physician-Trainees Using an SMS Text Message–Based Assessment Tool: Longitudinal Pilot Study

JMIR Form Res 2023;7:e45102

DOI: 10.2196/45102

PMID: 37266985

PMCID: 10276321

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