A Pilot With Interactive Computer-assisted Screening for Mental Health in Primary Care

Not Applicable

Completed

• Conditions: Mental Health Disorders
• Interventions: Behavioral: Interactive computer-assisted screening (iCAS)

• Registration Number: NCT02023957
• Lead Sponsor: York University

Brief Summary

The current protocol pertains to the evaluation of the interactive computer-assisted screening (iCAS) tool through a pilot randomized control trial. The purpose of this evaluation is to determine the efficacy of the iCAS tool in improving clinician's detection of common mental health conditions (i.e. major depression/generalized anxiety/post-traumatic stress disorder/alcohol dependence), and patients' discussion on mental health.

Detailed Description

The iCAS tool is a health-risk assessment survey that is completed by adult patients using touch-screen iPad device in their waiting time before seeing their clinician (family physician or nurse practitioner). The computer program generates tailored risk-report for the clinician and a simple recommendation sheet for the patient, with community resources and health information, at the point of care. The iCAS tool currently includes validated screening scales for depression, generalized anxiety, posttraumatic stress disorder and alcohol abuse. There are some questions on the social determinants of mental health as well. The current versions of the tool are in English and Spanish; a Chinese language version will also be developed.

Study Timeline

• Study Start: 2013-11
• Study First Submitted: 2013-12-12
• Study First Submitted QC: 2013-12-24
• Study First Posted: 2013-12-30
• Primary Completion: 2014-05
• Study Completion: 2014-05
• Status Verified: 2016-06
• Last Update Submitted: 2016-06-01
• Last Update Posted: 2016-06-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 154

Inclusion Criteria

• At least 18 years of age
• Speak/read Spanish
• Speak/read English
• Visiting the consenting clinician

Exclusion Criteria

• Patient accompanied by a family member for interpretation
• New patients coming for first visit
• Patients feeling unwell (self-report)
• Inability of the research staff to offer study details in privacy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interactive computer-assisted screening	Interactive computer-assisted screening (iCAS)	Eligible patients completed the interactive computer-assisted screening (iCAS) tool in English or Spanish before seeing the consenting clinician. Participating patients then received the iCAS generated tailored recommendation sheet. Participating clinicians received the iCAS generated risk report.

Primary Outcome Measures

Name	Time	Method
Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence	Day 1	Chart review for the index visit
Patient discussion on mental health	Day 1	Exit Survey of patients after the index visit

Secondary Outcome Measures

Name	Time	Method
Patient enablement to cope with these conditions	Day 1	Exit Survey of patients after the index visit
Patient adherence to follow-up advice and referrals to mental health support	3 month	Chart review
Patient intention to see a mental health counselor	Day 1	Exit Survey of patients after the index visit
Patient satisfaction with health services	Day 1	Exit Survey of patients after the index visit

Trial Locations

Locations (1)

York University; 🇨🇦 Toronto, Ontario, Canada