Preconsult interactive computer-assisted client assessment survey for common mental disorders in a community health centre: a randomized controlled trial

Ahmad, Farah; Lou, Wendy; Shakya, Yogendra; Ginsburg, Liane; Ng, Peggy; Rashid, Meb; Dinca-Panaitescu, Serban; Ledwos, Cliff; McKenzie, Kwame

doi:10.9778/cmajo.20160118

Cited by 12 publications

(34 citation statements)

References 39 publications

(26 reference statements)

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“…Most articles were excluded because they were not conducted in the primary care setting, did not include mental health services or interventions, were not written in English, or were editorials or abstract proceedings. Subsequently, 19 articles were included: Asgary et al, 2006 (study 1); Bertelsen et al, 2018 (study 2); Bosson et al, 2017 (study 3); Dalgaard et al, 2020 (study 4); Dick et al, 2015 (study 5); Schaeffer and Jolles, 2019 (study 6); Ahmad et al, 2017 (study 7); Furler et al, 2010 (study 8); Jensen et al, 2013 (study 9); Kirmayer et al, 2003 (study 10); Samarasinghe et al, 2010 (study 11); McMahon et al, 2007 (study 12); Njeru et al, 2016 (study 13); Northwood et al, 2020 (study 14); Polcher and Calloway, 2016 (study 15); Rousseau et al, 2013 (study 16); Sorkin et al, 2019 (study 17); Weine et al, 2003 (study 18); White et al, 2015 (study 19) [ 24 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ]. Five articles were used as companion reports [ 68 , 69 , 70 , 71 , 72 ].…”

Section: Resultsmentioning

confidence: 99%

“…We identified only three RCTs; two on technology-assisted mental health screening and one on integrating intensive psychotherapy and case management (IPCM) into primary care. In the study by Ahmad et al [ 50 ], an interactive computer-assisted client assessment survey (iCCAS) tool improved mental health consultations compared to usual care. Similarly, the study by Sorkin et al [ 65 ] found that a multicomponent health information technology mental health screening intervention helped primary care providers with diagnosing and providing evidence-informed care to Cambodian refugees.…”

Section: Discussionmentioning

confidence: 99%

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Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review

Jamani

Benjamen

et al. 2020

IJERPH

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Migrants are at a higher risk for common mental health problems than the general population but are less likely to seek care. To improve access, the World Health Organization (WHO) recommends the integration of mental health services into primary care. This scoping review aims to provide an overview of the types and characteristics of mental health services provided to migrants in primary care following resettlement in high-income countries. We systematically searched MEDLINE, EMBASE, PsycInfo, Global Health, and other databases from 1 January 2000 to 15 April 2020. The inclusion criteria consisted of all studies published in English, reporting mental health services and practices for refugee, asylum seeker, or undocumented migrant populations, and were conducted in primary care following resettlement in high-income countries. The search identified 1627 citations and we included 19 studies. The majority of the included studies were conducted in North America. Two randomized controlled trials (RCTs) assessed technology-assisted mental health screening, and one assessed integrating intensive psychotherapy and case management in primary care. There was a paucity of studies considering gender, children, seniors, and in European settings. More equity-focused research is required to improve primary mental health care in the context of global mental health.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review

Jamani

Benjamen

et al. 2020

IJERPH

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“…These mostly comprise digitized screening and early detection tools. The majority of this work focuses on mental health or the prediction of mental disease [ 59 , 64 - 66 , 68 , 69 , 74 , 77 ], and only a few publications have focused on predictors of chronic disease in general, including substance abuse [ 63 , 65 , 68 , 70 , 77 ]. However, helping physicians to identify smokers is only one aim of the intervention presented here; we think it is at least likewise important to investigate its direct effect on quitting behavior in future studies.…”

Section: Discussionmentioning

confidence: 99%

A Face-Aging App for Smoking Cessation in a Waiting Room Setting: Pilot Study in an HIV Outpatient Clinic

Brinker¹,

Brieske²,

Eßer³

et al. 2018

J Med Internet Res

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BackgroundThere is strong evidence for the effectiveness of addressing tobacco use in health care settings. However, few smokers receive cessation advice when visiting a hospital. Implementing smoking cessation technology in outpatient waiting rooms could be an effective strategy for change, with the potential to expose almost all patients visiting a health care provider without preluding physician action needed.ObjectiveThe objective of this study was to develop an intervention for smoking cessation that would make use of the time patients spend in a waiting room by passively exposing them to a face-aging, public morphing, tablet-based app, to pilot the intervention in a waiting room of an HIV outpatient clinic, and to measure the perceptions of this intervention among smoking and nonsmoking HIV patients.MethodsWe developed a kiosk version of our 3-dimensional face-aging app Smokerface, which shows the user how their face would look with or without cigarette smoking 1 to 15 years in the future. We placed a tablet with the app running on a table in the middle of the waiting room of our HIV outpatient clinic, connected to a large monitor attached to the opposite wall. A researcher noted all the patients who were using the waiting room. If a patient did not initiate app use within 30 seconds of waiting time, the researcher encouraged him or her to do so. Those using the app were asked to complete a questionnaire.ResultsDuring a 19-day period, 464 patients visited the waiting room, of whom 187 (40.3%) tried the app and 179 (38.6%) completed the questionnaire. Of those who completed the questionnaire, 139 of 176 (79.0%) were men and 84 of 179 (46.9%) were smokers. Of the smokers, 55 of 81 (68%) said the intervention motivated them to quit (men: 45, 68%; women: 10, 67%); 41 (51%) said that it motivated them to discuss quitting with their doctor (men: 32, 49%; women: 9, 60%); and 72 (91%) perceived the intervention as fun (men: 57, 90%; women: 15, 94%). Of the nonsmokers, 92 (98%) said that it motivated them never to take up smoking (men: 72, 99%; women: 20, 95%). Among all patients, 102 (22.0%) watched another patient try the app without trying it themselves; thus, a total of 289 (62.3%) of the 464 patients were exposed to the intervention (average waiting time 21 minutes).ConclusionsA face-aging app implemented in a waiting room provides a novel opportunity to motivate patients visiting a health care provider to quit smoking, to address quitting at their subsequent appointment and thereby encourage physician-delivered smoking cessation, or not to take up smoking.

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“…Previous research has demonstrated that patients reveal more sensitive information via health information technology than during patient visits [ 15 ]. Studies show that unvoiced concerns and goals for care disproportionately relate to the patients’ experience of illness [ 16 , 17 ], patients’ expectations of treatment [ 18 ], or psychosocial concerns [ 17 , 19 - 21 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Previsit Contextual Data Collection on Patient-Provider Communication and Patient Activation: Study Protocol for a Randomized Controlled Trial

et al. 2020

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Background Patient-centered care is respectful of and responsive to individual patient preferences, needs, and values. To provide patient-centered care, clinicians need to know and incorporate patients’ context into their communication and care with patients. Patient contextual data (PCD) encompass social determinants of health and patients’ needs, values, goals, and preferences relevant to their care. PCD can be challenging to collect as a routine component of the time-limited primary care visit. Objective This study aims to determine if patient-provider communication and patient activation are different for patient users and patient nonusers of an electronic health record (EHR)–integrated PCD tool and assess if the impact of using PCD on patient-provider communication and patient activation differs for Black and White patients. Methods We describe a randomized controlled trial of a prospective cohort of non-Hispanic White and Black patients who receive primary care services at a midwestern academic health care system in the United States. We will evaluate whether providing PCD through a consumer informatics tool enhances patient-provider communication, as measured by the Communication Assessment Tool, and we will evaluate patient activation, as measured by the Patient Activation Measure for PCD tool users and nonusers. Furthermore, owing to racial disparities in care and communication, we seek to determine if the adoption and use of the tool might narrow the differences between patient groups. Results The trial was funded in November 2017 and received local ethics review approval in February 2019. The study began recruitment in April 2019 and enrollment concluded in October 2019 with 301 participants. The analysis was completed in May 2020, and trial results are expected to be published in winter 2020. Conclusions Recently, there has been increased attention to the role of health information technology tools to enable patients to collaborate with providers through the sharing of PCD. The adoption of such tools may overcome the barriers of current EHRs by directly engaging patients to submit their contextual data. Effectively, these tools would support the EHR in providing a more holistic understanding of the patient. Research further supports that individuals who have robust digital engagement using consumer informatics tools have higher participation in treatment follow-up and self-care across populations. Therefore, it is critical to investigate interventions that elicit and share patients’ social risks and care preferences with the health care team as a mechanism to improve individualized care and reduce the gap in health outcomes. Trial Registration ClinicalTrials.gov NCT03766841; https://clinicaltrials.gov/ct2/show/NCT03766841 International Registered Report Identifier (IRRID) RR1-10.2196/20309

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Preconsult interactive computer-assisted client assessment survey for common mental disorders in a community health centre: a randomized controlled trial

Cited by 12 publications

References 39 publications

Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review

Global Mental Health and Services for Migrants in Primary Care Settings in High-Income Countries: A Scoping Review

A Face-Aging App for Smoking Cessation in a Waiting Room Setting: Pilot Study in an HIV Outpatient Clinic

The Impact of Previsit Contextual Data Collection on Patient-Provider Communication and Patient Activation: Study Protocol for a Randomized Controlled Trial

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