Feasibility of Accessible Video Mental Healthcare Triage and Assessment

NCT06681727 | Completed

• 1 other identifier: PD pilot
• Study Type: observational
• Target: 172
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to describe the immediate psychiatry (IP) service, patient population, and patient flow, as well as investigate the experiences, acceptability, and feasibility of the IP triage service implemented in Region Stockholm, Sweden. Patients aged 18 years and older who were registered at participating primary care centers were eligible to access the IP through a regional healthcare app. IP comprised a brief digital screening followed by a 45-minute video consultation with a mental health professional. The study will employ a mixed methods design with data from medical records, patient surveys, interviews with the IP team, and clinician acceptability questionnaires. The quantitative data will be analyzed via descriptive statistics, and the qualitative data will be analyzed via content analysis.

Conditions

Psychiatric Disorders

Keywords

Telepsychiatry; Mental Health Triage; Implementation; Primary care

Outcome Measures

Primary Outcomes (2)

• Patient characteristics

  Patient characteristics and patient flow Data on patient characteristics were collected through self-reported psychiatric concerns as well as preliminary diagnoses and actions initiated by the IP team, as indicated by information from the medical records. Patient flow was monitored through patient medical records.

  Study period of 7 months

• Brief screening of psychiatric concerns

  The 9-item brief self-reported screening of psychiatric concerns (Supplement A) was used to gather initial information from patients (patient-rated symptoms and the impact of these symptoms on daily life and relationships via a combination of multiple-choice and open-ended questions.) It assesses a range of psychiatric symptoms, including those related to mood disorders, anxiety disorders, stress-related disorders, obsessive-compulsive disorders, and psychotic disorders. Additionally, it screens for self-harm or suicidal thoughts, psychiatric history, and current use of psychopharmaceuticals. The scale is descriptive without numeric score.

  Study period of 7 months

Secondary Outcomes (5)

• Patients demographics

  Pre intervention

• Clinical assessments

  Study period of 7 months]

• Patient satisfaction

  Study period of 7 months

• Interviews with the IP Team

  Study period of 7 months

• Clinician acceptability at primary care centers

  Study period of 7 months

Study Arms (1)

Patients

Patients belonging to Primary care with help seeking for acute psychiatric symptoms

Other: Accessible Video Mental Healthcare Triage and Assessment (IP)

Interventions

Accessible Video Mental Healthcare Triage and Assessment (IP) OTHER

Patients aged 18 years and older who were registered at participating primary care centers were eligible to access the IP through a regional healthcare app. IP comprised a brief digital screening followed by a 45-minute video consultation with a mental health professional. Eligible patients could thereafter schedule appointments at cooperating healthcare centers and clinics through the app used for video consultations.

Also known as: Immediate psychiatry (IP)

Patients

Eligibility Criteria

• Age: 18 Years+
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients belonging to primary care in Southwest of Stockholm who seek help for acute psychiatric symtoms.

You may qualify if:

• Adult patients
• Knowledge of Swedish language
• Access to internet
• Belonging to Primary care in Southwest of Stockholm Region
• Seeking help for acute psychiatric symptoms

You may not qualify if:

• Younger than 18 years old

Sponsors & Collaborators

• Region Stockholm: lead
• Karolinska Institutet: collaborator

Study Sites (2)

Psychiatry Southwest

Stockholm, 11486, Sweden

Location

Psychiatry Southwest,

Stockholm, 14186, Sweden

Location

MeSH Terms

Conditions

Mental Disorders

Interventions

Restraint, Physical

Intervention Hierarchy (Ancestors)

Behavior Control; Therapeutics; Immobilization; Investigative Techniques

Study Officials

• Lina Martinsson, MD PhD

  Centre for Psychiatry Research, Dept. Clinical Neuro Science. Karolinska Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Target Duration: 7 Months
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 7, 2024
• First Posted: November 8, 2024
• Study Start: December 1, 2022
• Primary Completion: June 30, 2023
• Study Completion: June 30, 2023
• Last Updated: November 19, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

SE (2)