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

NCT01427829 | Completed

• 1 other identifier: FA-25340
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Computer; Screening; Decision Support System; Primary Care; Psychosocial; Refugees

Keywords

pilot; randomized controlled trial; RCT; computer; screening; community heath center; psychosocial; immigrant

Outcome Measures

Primary Outcomes (1)

• Patient intention to visit a psychosocial counselor

  Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups

  July to October post-visit

Secondary Outcomes (2)

• Patient satisfaction

  July to October post-visit

• Patient acceptability

  July to October post-visit

Study Arms (2)

Intervention (CaPRA)

EXPERIMENTAL

Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)

Control (usual care)

NO INTERVENTION

Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)

Interventions

Computer-assisted Psychosocial Risk Assessment (CaPRA) BEHAVIORAL

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.

Control (usual care); Intervention (CaPRA)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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)

Sponsors & Collaborators

• University of Toronto: lead

Study Officials

• Farah Ahmad, MBBS, MPH, PhD

  University of Toronto / York University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 22, 2011
• First Posted: September 2, 2011
• Study Start: July 1, 2010
• Primary Completion: October 1, 2010
• Study Completion: October 1, 2010
• Last Updated: September 2, 2011

Record last verified: 2011-08