Clinical trial NCT02023957: A Pilot With Interactive Computer-assisted Screening for Mental Health in Primary Care
Official title: Interactive Computer-assisted Screening for Mental Health in Primary Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Health Disorders
Keywords: Interactive Health-risk assessment
Primary Care
Randomized
Open Label
Efficacy Study
Lead sponsor: York University
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
name: North York General Hospital
First posted: 2013-12-30
Enrollment: 154
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

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.

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

Primary outcomes:
measure: Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence
timeFrame: Day 1
measure: Patient discussion on mental health
timeFrame: Day 1
Secondary outcomes:
measure: Patient intention to see a mental health counselor
timeFrame: Day 1
measure: Patient satisfaction with health services
timeFrame: Day 1
measure: Patient enablement to cope with these conditions
timeFrame: Day 1
measure: Patient adherence to follow-up advice and referrals to mental health support
timeFrame: 3 month
Other outcomes:
measure: Symptom reduction
timeFrame: 6 month
Locations:
city: Toronto
country: Canada
facility: York University
state: Ontario
Study officials:
affiliation: York University
name: Farah Ahmad, PhD
role: PRINCIPAL_INVESTIGATOR
References:
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.
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.