Mental Health Disorders
Conditions
Keywords
Interactive Health-risk assessment, Primary Care, Randomized, Open Label, Efficacy Study
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.
Interventions
BEHAVIORALInteractive computer-assisted screening (iCAS)
Sponsors
Canadian Institutes of Health Research (CIHR)
North York General Hospital
York University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient discussion on mental health | Day 1 | Exit Survey of patients after the index visit |
| 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 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction with health services | 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 enablement to cope with these conditions | Day 1 | Exit Survey of patients after the index visit |
| Patient intention to see a mental health counselor | Day 1 | Exit Survey of patients after the index visit |
Other
| Measure | Time frame | Description |
|---|---|---|
| Symptom reduction | 6 month | Measurement of this outcome depends on availability of funds for follow-up phone interviews |
Countries
Canada
Outcome results
None listed