Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement

Not Applicable

Completed

• Conditions: Computer; Screening; Decision Support System; Primary Care; Psychosocial; Refugees
• Interventions: Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)

• Registration Number: NCT01427829
• Lead Sponsor: University of Toronto

Brief Summary

The purpose of this study was to examine preliminary effect of Computer-assisted Psychosocial Risk Assessment tool (CaPRA) among Afghan refugees visiting medical professionals (family physicians or nurse practitioners) at a Community Health Center. The investigators examined the tool's acceptability among patients and its impact on patient satisfaction and patient intention to visit a psychosocial counselor as a proxy of potential to integrate medical and social care.

Detailed Description

The recent waves of refugees to Canada belong to regions of prolonged conflict and, thus arrive in compromised state of mental, physical, and social health. This complexity asks for provision of integrated medical and social care to newly arrived refugees. With this aim, a university-community initiative developed a Computer-assisted Psychosocial Risk Assessment tool (CaPRA) in Dari/Farsi for Afghan refugees. This innovative eHealth approach is first of its kind for Canadian refugees accessing primary care. In this model of care, patients complete an interactive multi-risk iPad computer survey in their own language before seeing the provider. The computer then generates individualized recommendation sheet for patients and a risk-report for providers at the point of care. The tool was developed through a collaborative process by working with Access Alliance Multicultural Health and Community Services and advisory board with community representatives.

Study Timeline

• Study Start: 2010-07
• Primary Completion: 2010-10
• Study Completion: 2010-10
• Status Verified: 2011-08
• Study First Submitted: 2011-08-22
• Study First Submitted QC: 2011-09-01
• Last Update Submitted: 2011-09-01
• Study First Posted: 2011-09-02
• Last Update Posted: 2011-09-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Afghan refugee patients
• Over 18 years of age
• Speak and read Dari /Farsi or English language
• Eligible for federal or provincial health care program
• Visiting a participating medical practitioner

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Exclusion Criteria

• Patient visiting a provider who has not consented for the study
• Patient accompanied by a family member for interpretation
• New patients
• Patients unable to receive study details due to logistical issue (e.g, no private room)

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention (CaPRA)	Computer-assisted Psychosocial Risk Assessment (CaPRA)	-
Control (usual care)	Computer-assisted Psychosocial Risk Assessment (CaPRA)	-

Primary Outcome Measures

Name	Time	Method
Patient intention to visit a psychosocial counselor	July to October post-visit	Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	July to October post-visit	Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups
Patient acceptability	July to October post-visit	Patients completed a paper-pencil Exit Survey in the intervention group (CaPRA)