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A Pilot With Interactive Computer-assisted Screening for Mental Health in Primary Care (iCAS)

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ClinicalTrials.gov Identifier: NCT02023957
Recruitment Status : Completed
First Posted : December 30, 2013
Last Update Posted : June 3, 2016
Canadian Institutes of Health Research (CIHR)
North York General Hospital
Information provided by (Responsible Party):
Farah Ahmad, York University

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Mental Health Disorders Behavioral: Interactive computer-assisted screening (iCAS) Not Applicable

Detailed Description:
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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 154 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Interactive Computer-assisted Screening for Mental Health in Primary Care
Study Start Date : November 2013
Actual Primary Completion Date : May 2014
Actual Study Completion Date : May 2014

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Interactive computer-assisted screening
Eligible patients completed the interactive computer-assisted screening (iCAS) tool in English or Spanish before seeing the consenting clinician. Participating patients then received the iCAS generated tailored recommendation sheet. Participating clinicians received the iCAS generated risk report.
Behavioral: Interactive computer-assisted screening (iCAS)
No Intervention: Usual Care
Eligible patients randomized to the control group completed their standard visit to the participating clinician. There was no pre-visit health risk screening. There were no tailored reports for the patients or clinicians.

Primary Outcome Measures :
  1. Clinician Detection (probable, sub-clinical, confirmed) of major depression or generalized anxiety or post-traumatic stress disorder or alcohol dependence [ Time Frame: Day 1 ]
    Chart review for the index visit

  2. Patient discussion on mental health [ Time Frame: Day 1 ]
    Exit Survey of patients after the index visit

Secondary Outcome Measures :
  1. Patient intention to see a mental health counselor [ Time Frame: Day 1 ]
    Exit Survey of patients after the index visit

  2. Patient satisfaction with health services [ Time Frame: Day 1 ]
    Exit Survey of patients after the index visit

  3. Patient enablement to cope with these conditions [ Time Frame: Day 1 ]
    Exit Survey of patients after the index visit

  4. Patient adherence to follow-up advice and referrals to mental health support [ Time Frame: 3 month ]
    Chart review

Other Outcome Measures:
  1. Symptom reduction [ Time Frame: 6 month ]
    Measurement of this outcome depends on availability of funds for follow-up phone interviews

Information from the National Library of Medicine

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

Inclusion Criteria:

  • At least 18 years of age
  • Speak/read Spanish
  • Speak/read English
  • Visiting the consenting clinician

Exclusion Criteria:

  • Patient accompanied by a family member for interpretation
  • New patients coming for first visit
  • Patients feeling unwell (self-report)
  • Inability of the research staff to offer study details in privacy

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): NCT02023957

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Canada, Ontario
York University
Toronto, Ontario, Canada, M3J 1P3
Sponsors and Collaborators
York University
Canadian Institutes of Health Research (CIHR)
North York General Hospital
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Principal Investigator: Farah Ahmad, PhD York University
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Farah Ahmad, Associate Professor, York University
ClinicalTrials.gov Identifier: NCT02023957    
Other Study ID Numbers: e2013 - 291
First Posted: December 30, 2013    Key Record Dates
Last Update Posted: June 3, 2016
Last Verified: June 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Keywords provided by Farah Ahmad, York University:
Interactive Health-risk assessment
Primary Care
Open Label
Efficacy Study
Additional relevant MeSH terms:
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Mental Disorders