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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
154
York University
Toronto, Ontario, Canada
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
Time frame: Day 1
Patient discussion on mental health
Exit Survey of patients after the index visit
Time frame: Day 1
Patient intention to see a mental health counselor
Exit Survey of patients after the index visit
Time frame: Day 1
Patient satisfaction with health services
Exit Survey of patients after the index visit
Time frame: Day 1
Patient enablement to cope with these conditions
Exit Survey of patients after the index visit
Time frame: Day 1
Patient adherence to follow-up advice and referrals to mental health support
Chart review
Time frame: 3 month
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