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

Mental Health Disorders Clinical Trial

— iCAS  

Official title:

Interactive Computer-assisted Screening for Mental Health in Primary Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02023957
• Other study ID #: e2013 - 291
• Status: Completed
• Phase: N/A
• First received: December 12, 2013
• Last updated: June 1, 2016
• Start date: November 2013
• Est. completion date: May 2014

Study information

• Verified date: June 2016
• Source: York University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 154
• Est. completion date: May 2014
• Est. primary completion date: May 2014
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

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

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Mental Disorders
• Mental Health Disorders

Intervention

Behavioral:
• Interactive computer-assisted screening (iCAS)

Locations

Country	Name	City	State
Canada	York University	Toronto	Ontario

Sponsors (3)

Lead Sponsor	Collaborator
York University	Canadian Institutes of Health Research (CIHR), North York General Hospital

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Symptom reduction	Measurement of this outcome depends on availability of funds for follow-up phone interviews	6 month	No
Primary	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	Day 1	No
Primary	Patient discussion on mental health	Exit Survey of patients after the index visit	Day 1	No
Secondary	Patient intention to see a mental health counselor	Exit Survey of patients after the index visit	Day 1	No
Secondary	Patient satisfaction with health services	Exit Survey of patients after the index visit	Day 1	No
Secondary	Patient enablement to cope with these conditions	Exit Survey of patients after the index visit	Day 1	No
Secondary	Patient adherence to follow-up advice and referrals to mental health support	Chart review	3 month	No