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

Primary Purpose

Mental Health Disorders

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Interactive computer-assisted screening (iCAS)
Sponsored by
York University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Mental Health Disorders focused on measuring Interactive Health-risk assessment, Primary Care, Randomized, Open Label, Efficacy Study

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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

Sites / Locations

  • York University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Interactive computer-assisted screening

Usual Care

Arm Description

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.

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.

Outcomes

Primary Outcome Measures

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

Secondary Outcome Measures

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

Full Information

First Posted
December 12, 2013
Last Updated
June 1, 2016
Sponsor
York University
Collaborators
Canadian Institutes of Health Research (CIHR), North York General Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02023957
Brief Title
A Pilot With Interactive Computer-assisted Screening for Mental Health in Primary Care
Acronym
iCAS
Official Title
Interactive Computer-assisted Screening for Mental Health in Primary Care
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
November 2013 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
York University
Collaborators
Canadian Institutes of Health Research (CIHR), North York General Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mental Health Disorders
Keywords
Interactive Health-risk assessment, Primary Care, Randomized, Open Label, Efficacy Study

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
154 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Interactive computer-assisted screening
Arm Type
Experimental
Arm Description
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.
Arm Title
Usual Care
Arm Type
No Intervention
Arm Description
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.
Intervention Type
Behavioral
Intervention Name(s)
Interactive computer-assisted screening (iCAS)
Primary Outcome Measure Information:
Title
Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence
Description
Chart review for the index visit
Time Frame
Day 1
Title
Patient discussion on mental health
Description
Exit Survey of patients after the index visit
Time Frame
Day 1
Secondary Outcome Measure Information:
Title
Patient intention to see a mental health counselor
Description
Exit Survey of patients after the index visit
Time Frame
Day 1
Title
Patient satisfaction with health services
Description
Exit Survey of patients after the index visit
Time Frame
Day 1
Title
Patient enablement to cope with these conditions
Description
Exit Survey of patients after the index visit
Time Frame
Day 1
Title
Patient adherence to follow-up advice and referrals to mental health support
Description
Chart review
Time Frame
3 month
Other Pre-specified Outcome Measures:
Title
Symptom reduction
Description
Measurement of this outcome depends on availability of funds for follow-up phone interviews
Time Frame
6 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Farah Ahmad, PhD
Organizational Affiliation
York University
Official's Role
Principal Investigator
Facility Information:
Facility Name
York University
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M3J 1P3
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
28401134
Citation
Ahmad F, Lou W, Shakya Y, Ginsburg L, Ng PT, Rashid M, Dinca-Panaitescu S, Ledwos C, McKenzie K. Preconsult interactive computer-assisted client assessment survey for common mental disorders in a community health centre: a randomized controlled trial. CMAJ Open. 2017 Mar 1;5(1):E190-E197. doi: 10.9778/cmajo.20160118. eCollection 2017 Jan-Mar.
Results Reference
derived
PubMed Identifier
27663508
Citation
Ferrari M, Ahmad F, Shakya Y, Ledwos C, McKenzie K. Computer-assisted client assessment survey for mental health: patient and health provider perspectives. BMC Health Serv Res. 2016 Sep 23;16(1):516. doi: 10.1186/s12913-016-1756-0.
Results Reference
derived

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

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