- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01427829
Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement (CaPRA)
September 1, 2011 updated by: University of Toronto
Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement - Evaluation Phase
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.
Study Overview
Status
Completed
Intervention / Treatment
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.
Study Type
Interventional
Enrollment (Actual)
50
Phase
- Not Applicable
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
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)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: HEALTH_SERVICES_RESEARCH
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Intervention (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)
|
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.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
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
|
July to October post-visit
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
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
|
July to October post-visit
|
Patient acceptability
Time Frame: July to October post-visit
|
Patients completed a paper-pencil Exit Survey in the intervention group (CaPRA)
|
July to October post-visit
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Farah Ahmad, MBBS, MPH, PhD, University of Toronto / York University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2010
Primary Completion (ACTUAL)
October 1, 2010
Study Completion (ACTUAL)
October 1, 2010
Study Registration Dates
First Submitted
August 22, 2011
First Submitted That Met QC Criteria
September 1, 2011
First Posted (ESTIMATE)
September 2, 2011
Study Record Updates
Last Update Posted (ESTIMATE)
September 2, 2011
Last Update Submitted That Met QC Criteria
September 1, 2011
Last Verified
August 1, 2011
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- FA-25340
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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