Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement - Evaluation Phase
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 主要终点
- Patient intention to visit a psychosocial counselor
研究概览
简要总结
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.
详细描述
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.
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
- •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
排除标准
- •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)
结局指标
主要结局
Patient intention to visit a psychosocial counselor
时间窗: July to October post-visit
Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups
次要结局
- Patient satisfaction(July to October post-visit)
- Patient acceptability(July to October post-visit)