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Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement (CaPRA)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01427829
First Posted: September 2, 2011
Last Update Posted: September 2, 2011
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
University of Toronto
  Purpose
The purpose of this study was to examine preliminary effect of Computer-assisted Psychosocial Risk Assessment tool (CaPRA) among Afghan refugees visiting medical professionals (family physicians or nurse practitioners) at a Community Health Center. The investigators examined the tool's acceptability among patients and its impact on patient satisfaction and patient intention to visit a psychosocial counselor as a proxy of potential to integrate medical and social care.

Condition Intervention
Computer Screening Decision Support System Primary Care Psychosocial Refugees Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement - Evaluation Phase

Resource links provided by NLM:


Further study details as provided by University of Toronto:

Primary Outcome Measures:
  • Patient intention to visit a psychosocial counselor [ Time Frame: July to October post-visit ]
    Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups


Secondary Outcome Measures:
  • Patient satisfaction [ Time Frame: July to October post-visit ]
    Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups

  • Patient acceptability [ Time Frame: July to October post-visit ]
    Patients completed a paper-pencil Exit Survey in the intervention group (CaPRA)


Enrollment: 50
Study Start Date: July 2010
Study Completion Date: October 2010
Primary Completion Date: October 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention (CaPRA) Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)
The study intervention was a touch-screen self-assessment survey which eligible patients completed on a touch-screen iPad in Dari/Farsi language while waiting to see their medical practitioner. The Computer-assisted Psychosocial Risk Assessment (CaPRA) survey had questions on psychosocial risks (e.g., alcohol, tobacco and street drug use, sexual health, personal violence, post-traumatic stress disorder, depression, and food insecurity), cardiovascular risks (e.g., physical activity, weight, diabetes, and hypertension), road and home safety, stress buffers (e.g., coping and social support) and sociodemographics. The tool generated two tailored print-outs at the point of care. The recommendation sheet for patients summarized their disclosed risks in simple Dari/Farsi language along with contacts of relevant services. The risk-report for medical practitioner summarized patients' risks with possible referrals. This was attached to the medical chart prior to the consult.
No Intervention: Control (usual care) Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)
The study intervention was a touch-screen self-assessment survey which eligible patients completed on a touch-screen iPad in Dari/Farsi language while waiting to see their medical practitioner. The Computer-assisted Psychosocial Risk Assessment (CaPRA) survey had questions on psychosocial risks (e.g., alcohol, tobacco and street drug use, sexual health, personal violence, post-traumatic stress disorder, depression, and food insecurity), cardiovascular risks (e.g., physical activity, weight, diabetes, and hypertension), road and home safety, stress buffers (e.g., coping and social support) and sociodemographics. The tool generated two tailored print-outs at the point of care. The recommendation sheet for patients summarized their disclosed risks in simple Dari/Farsi language along with contacts of relevant services. The risk-report for medical practitioner summarized patients' risks with possible referrals. This was attached to the medical chart prior to the consult.

Detailed Description:
The recent waves of refugees to Canada belong to regions of prolonged conflict and, thus arrive in compromised state of mental, physical, and social health. This complexity asks for provision of integrated medical and social care to newly arrived refugees. With this aim, a university-community initiative developed a Computer-assisted Psychosocial Risk Assessment tool (CaPRA) in Dari/Farsi for Afghan refugees. This innovative eHealth approach is first of its kind for Canadian refugees accessing primary care. In this model of care, patients complete an interactive multi-risk iPad computer survey in their own language before seeing the provider. The computer then generates individualized recommendation sheet for patients and a risk-report for providers at the point of care. The tool was developed through a collaborative process by working with Access Alliance Multicultural Health and Community Services and advisory board with community representatives.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Afghan refugee patients
  • Over 18 years of age
  • Speak and read Dari /Farsi or English language
  • Eligible for federal or provincial health care program
  • Visiting a participating medical practitioner

Exclusion Criteria:

  • Patient visiting a provider who has not consented for the study
  • Patient accompanied by a family member for interpretation
  • New patients
  • Patients unable to receive study details due to logistical issue (e.g, no private room)
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01427829


Sponsors and Collaborators
University of Toronto
Investigators
Principal Investigator: Farah Ahmad, MBBS, MPH, PhD University of Toronto / York University
  More Information

Responsible Party: University of Toronto
ClinicalTrials.gov Identifier: NCT01427829     History of Changes
Other Study ID Numbers: FA-25340
First Submitted: August 22, 2011
First Posted: September 2, 2011
Last Update Posted: September 2, 2011
Last Verified: August 2011

Keywords provided by University of Toronto:
pilot
randomized controlled trial
RCT
computer
screening
community heath center
psychosocial
immigrant