Behavior ChangeiRiseNCT06984692
Evaluation of iRise mHealth App on Healthcare Workers' (HCWs') Self-Efficacy and Willingness to Respond During Public Health Emergencies in Pakistan
A study testing iRise curriculum in people with Behavior Change and Self Efficacy, run by Johns Hopkins Bloomberg School of Public Health at 3 sites in Pakistan.
Trial summary
The purpose of this study is to assess the effectiveness of a novel mHealth intervention that is being designed to promote self-efficacy and response willingness among Pakistan-based emergency department health care workers (HCWs) in public health emergencies and disasters. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Behavior Change, Self Efficacy
- What is being tested?
- iRise curriculum
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 3 sitesPakistan
- Study dates
- 1 Oct 2025to 30 Apr 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Participants are eligible to be included in the study if
- aged 18 years or older,
- have worked in the current job position for at least three months,
- current Emergency Department clinical staff/employee involved in direct patient care (doctors, nurses, and technicians) at a participating institution (Aga Khan University Hospital (AKUH), Jinnah Postgraduate Medical Centre (JPMC)
- understand and write English,
- own a smart phone and have access to the internet to download the app.
Who cannot join
- Participants will not be eligible to participate if
- younger than 18 years of age,
- have worked in the current job position for less than three months,
- are not a current employee or staff member as described above,
- are auxiliary personnel such as registration staff, housekeeping, porters, and security personnel,
- don't understand and write English, or
- don't own a smart phone or have access to the internet to download the app.
Trial locations and contacts
3 sites in 1 country.
Pakistan3 sites
Aga Khan University Hospital
Karachi, Sindh, 74800
Jinnah Postgraduate Medical Centre
Karachi, Sindh, 75510
Aga khan university
Karachi, Sindh
About this study
The purpose of this study is to assess the effectiveness of a novel mHealth intervention that is being designed to promote self-efficacy and response willingness among Pakistan-based emergency department health care workers (HCWs) in public health emergencies and disasters. This application seeks approval for the trial of the intervention. The purpose of this trial is to gauge short-term (1-month), medium-term (6-months), and longer-term (12-months) impacts of iRise mHealth app on low and middle income based countries HCWs' self-efficacy and willingness to respond (WTR) during public health emergencies and disasters. The investigators will test the hypothesis that the iRise app would yield an increased 12-months WTR in Aga Khan University Hospital (AKUH) and Jinnah Postgraduate Medical Center (JMPC) emergency departments.
- Conditions
- Behavior Change, Self Efficacy
- Being tested
- iRise curriculum, Control Curriculum
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
iRise curriculumOther
Intervention group: The intervention group would download the iRise mHealth app ("iRise app") via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group).
Control CurriculumOther
The control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training, allowing attendees to practice and apply learned concepts in simulated emergency scenarios.
| Study group | Role | What they receive |
|---|---|---|
| Control Curriculum | Active comparator | Control group: The control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. Participants will be able to both view and download the course content via internet and can request a printed version of the course. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training. Receives: Other: Control Curriculum |
| iRise curriculum | Experimental | The intervention group would download the iRise mHealth app ("iRise app") via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group). Receives: Other: iRise curriculum |
What is being measured
The primary outcome is the main question the study is designed to answer.
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Measured: Baseline, 1 month, 6 months, 12 months
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Measured: 1 month
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Measured: 6 months
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Measured: 12 months
Secondary outcomes (4)
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Measured: Baseline
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Measured: 1 month
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Measured: 6 months
Self efficacy as assessed by the General Self-efficacy Scale
Self efficacy is assessed by the General Self-efficacy Scale embedded within the Hospital Infrastructure Response Survey Tool (HIRST).Total score ranging between 10 and 40, with a higher score indicating a higher level of self efficacy
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 May 2025
- Study start1 Oct 2025 (estimated)
- Primary completion15 Apr 2026 (estimated)
- Study completion30 Apr 2026 (estimated)
Why it stopped: Due to collaboration model change
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Behavior ChangeStudies of the same condition, open and under way.
- More trials run by Johns Hopkins Bloomberg School of Public HealthThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This will be a 12-month, two-arm, parallel randomized controlled trial to evaluate a mHealth intervention, iRise, for emergency health care workers (HCWs).
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Johns Hopkins Bloomberg School of Public Health
- Sponsor type
- University, hospital or other
- Collaborators
- Fogarty International Center of the National Institute of Health
- Responsible party
- Sponsor
- Investigators
- Daniel Barnett, MD, Principal investigator, Johns Hopkins University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06984692
- Sponsor's protocol ID
- IRB00029867
- Other IDs
- 5R33TW012210-04
- Acronym
- iRise
- Status last verified
- Nov 2025
- First submitted
- 8 May 2025
- Last updated
- 5 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of iRise mHealth App on Healthcare Workers' (HCWs') Self-Efficacy and Willingness to Respond During Public Health Emergencies in Pakistan
- ClinicalTrials.gov ID
- NCT06984692
- Acronym / sponsor ID
- iRise / IRB00029867
- Conditions
- Behavior Change, Self Efficacy
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Due to collaboration model change
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Johns Hopkins Bloomberg School of Public HealthUniversity, hospital or other
- Collaborators
- Fogarty International Center of the National Institute of Health
- Study start
- 1 Oct 2025 (estimated)
- Primary completion
- 15 Apr 2026 (estimated)
- Study completion
- 30 Apr 2026 (estimated)
- First posted
- 22 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effectiveness of a novel mHealth intervention that is being designed to promote self-efficacy and response willingness among Pakistan-based emergency department health care workers (HCWs) in public health emergencies and disasters. This application seeks approval for the trial of the intervention. The purpose of this trial is to gauge short-term (1-month), medium-term (6-months), and longer-term (12-months) impacts of iRise mHealth app on low and middle income based countries HCWs' self-efficacy and willingness to respond (WTR) during public health emergencies and disasters. The investigators will test the hypothesis that the iRise app would yield an increased 12-months WTR in Aga Khan University Hospital (AKUH) and Jinnah Postgraduate Medical Center (JMPC) emergency departments.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- This will be a 12-month, two-arm, parallel randomized controlled trial to evaluate a mHealth intervention, iRise, for emergency health care workers (HCWs).
| Arm | Type | Receives |
|---|---|---|
| Control Curriculum | Active comparator | Other: Control CurriculumControl group: The control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. Participants will be able to both view and download the course content via internet and can request a printed version of the course. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training. |
| iRise curriculum | Experimental | Other: iRise curriculumThe intervention group would download the iRise mHealth app ("iRise app") via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Participants are eligible to be included in the study if
- aged 18 years or older,
- have worked in the current job position for at least three months,
- current Emergency Department clinical staff/employee involved in direct patient care (doctors, nurses, and technicians) at a participating institution (Aga Khan University Hospital (AKUH), Jinnah Postgraduate Medical Centre (JPMC)
- understand and write English,
Key exclusion criteria (7 listed)
- Participants will not be eligible to participate if
- younger than 18 years of age,
- have worked in the current job position for less than three months,
- are not a current employee or staff member as described above,
- are auxiliary personnel such as registration staff, housekeeping, porters, and security personnel,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| iRise curriculumIntervention group: The intervention group would download the iRise mHealth app ("iRise app") via Canvas on the participant's respective smart phones, and based on the participant's own schedules and preferences, would complete different modules of iRise. The iRise app would include emergency management elements as received by the control group, but presented via smart phone-based content delivery (i.e., rather than rather than via the in-person modality utilized for the control group). | Other | iRise curriculum |
| Control CurriculumThe control group will receive standard training in crisis response and management, which is offered as a course on Emergency Management and Response at AKU, for which study participants from JPMC will also readily access. The course involves introduction to disaster terminology, emergency management cycle and hospital-based patient treatment guidelines. The control curriculum will offer a comprehensive focus on disaster preparedness, addressing important subjects such as emergency management techniques, disasters, and triage. The eight-hour training will be split into two parts, aiming to improve academic and practical understanding. The first part will be a didactic session, where participants will learn fundamental information through lectures and discussions. The second part will consist of hands-on training, allowing attendees to practice and apply learned concepts in simulated emergency scenarios. | Other | Control Curriculum |
Primary outcome
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
Time frame: Baseline, 1 month, 6 months, 12 months
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
Time frame: 1 month
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
Time frame: 6 months
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST)
Time frame: 12 months
HIRST uses a 9-point Likert scale [1= Strongly Agree; 9 = Strongly Disagree] or "Don't Know) to indicate attitudes and beliefs about a series of 20 construct statements relevant to emergency response risk perception. Score range 20-180. Higher scores indicate a greater willingness to respond or preparedness.
4 secondary outcomes
Self efficacy as assessed by the General Self-efficacy Scale
Time frame: Baseline
Self efficacy as assessed by the General Self-efficacy Scale
Time frame: 1 month
Self efficacy as assessed by the General Self-efficacy Scale
Time frame: 6 months
Self efficacy as assessed by the General Self-efficacy Scale
Time frame: 12 months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Nov 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Daniel Barnett, MD principal investigator
Johns Hopkins University
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing iRise curriculum in people with Behavior Change and Self Efficacy, run by Johns Hopkins Bloomberg School of Public Health at 3 sites in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 5 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Willingness to respond (WTR) to disasters as measured by Hospital Infrastructure Response Survey Tool (HIRST) (time frame: Baseline, 1 month, 6 months, 12 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2025.