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Completed

NCT Number: NCT02023957

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

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.

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Key information

Conditions

Mental Health Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

York University

Toronto, Ontario, M3J 1P3, Canada

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Interactive computer-assisted screening (iCAS)

Behavioral

Primary outcomes

  1. Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence

    Time frame: Day 1

    Chart review for the index visit

  2. Patient discussion on mental health

    Time frame: Day 1

    Exit Survey of patients after the index visit

Secondary outcomes

  1. Patient intention to see a mental health counselor

    Time frame: Day 1

    Exit Survey of patients after the index visit

  2. Patient satisfaction with health services

    Time frame: Day 1

    Exit Survey of patients after the index visit

  3. Patient enablement to cope with these conditions

    Time frame: Day 1

    Exit Survey of patients after the index visit

  4. Patient adherence to follow-up advice and referrals to mental health support

    Time frame: 3 month

    Chart review

Other outcomes

  1. Symptom reduction

    Time frame: 6 month

    Measurement of this outcome depends on availability of funds for follow-up phone interviews

Sponsors and collaborators

Lead sponsor

York University

Other

Collaborators

  • Canadian Institutes of Health Research (CIHR)
  • North York General Hospital

Registry information

Official study title

Interactive Computer-assisted Screening for Mental Health in Primary Care

Acronym: iCAS

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Dec 30, 2013
Registry last updated
Jun 3, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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