Interactive Computer-assisted Screening for Mental Health in Primary Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 154
- 试验地点
- 1
- 主要终点
- Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •At least 18 years of age
- •Speak/read Spanish
- •Speak/read English
- •Visiting the consenting clinician
排除标准
- •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
研究组 & 干预措施
Interactive computer-assisted screening
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.
干预措施: Interactive computer-assisted screening (iCAS) (Behavioral)
Usual Care
Eligible patients randomized to the control group completed their standard visit to the participating clinician. There was no pre-visit health risk screening. There were no tailored reports for the patients or clinicians.
结局指标
主要结局
Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence
时间窗: Day 1
Chart review for the index visit
Patient discussion on mental health
时间窗: Day 1
Exit Survey of patients after the index visit
次要结局
- Patient adherence to follow-up advice and referrals to mental health support(3 month)
- Patient intention to see a mental health counselor(Day 1)
- Patient satisfaction with health services(Day 1)
- Patient enablement to cope with these conditions(Day 1)
研究者
Farah Ahmad
Associate Professor
York University