ComputerCaPRANCT01427829
Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement
A study testing Computer-assisted Psychosocial Risk Assessment (CaPRA) in people with Computer and Screening, run by University of Toronto.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Computer, Screening, Decision Support System
- What is being tested?
- Computer-assisted Psychosocial Risk Assessment (CaPRA)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- No sites listed yet
- Study dates
- Jul 2010to Oct 2010
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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)
About this study
Official title: 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.
Read the 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.
- Conditions
- Computer, Screening, Decision Support System, Primary Care, Psychosocial, Refugees
- Being tested
- Computer-assisted Psychosocial Risk Assessment (CaPRA)
- Keywords
- pilot, randomized controlled trial, RCT, computer, screening, community heath center, psychosocial, immigrant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Computer-assisted Psychosocial Risk Assessment (CaPRA)Behavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| Intervention (CaPRA) | Experimental | Not described Receives: Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA) |
| Control (usual care) | No intervention | Not described Receives: Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient intention to visit a psychosocial counselor
Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups
Measured: July to October post-visit
Secondary outcomes (2)
Patient satisfaction
Patients completed a paper-pencil Exit Survey in the intervention (CaPRA) and control (usual care) groups
Measured: July to October post-visit
Patient acceptability
Patients completed a paper-pencil Exit Survey in the intervention group (CaPRA)
Measured: July to October post-visit
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Sep 2011 (estimated)
- Study startJul 2010
- Primary completionOct 2010
- Study completionOct 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ComputerStudies of the same condition, open and under way.
- More trials run by University of TorontoThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Toronto
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Farah Ahmad, MBBS, MPH, PhD, Principal investigator, University of Toronto / York University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01427829
- Sponsor's protocol ID
- FA-25340
- Acronym
- CaPRA
- Status last verified
- Aug 2011
- First submitted
- 22 Aug 2011
- Last updated
- 2 Sep 2011
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement - Evaluation Phase
- ClinicalTrials.gov ID
- NCT01427829
- Acronym / sponsor ID
- CaPRA / FA-25340
- Conditions
- Computer, Screening, Decision Support System, Primary Care, Psychosocial, Refugees
- Keywords
- pilot, randomized controlled trial, RCT, computer, screening, community heath center, psychosocial, immigrant
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- University of TorontoUniversity, hospital or other
- Study start
- Jul 2010
- Primary completion
- Oct 2010 (actual)
- Study completion
- Oct 2010 (actual)
- First posted
- 2 Sep 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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 design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention (CaPRA) | Experimental | Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA) |
| Control (usual care) | No intervention | Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (4 listed)
- 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)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 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. | Behavioural | Control (usual care), Intervention (CaPRA) |
Primary outcome
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
2 secondary outcomes
Patient satisfaction
Time frame: July to October post-visit
Patient acceptability
Time frame: July to October post-visit
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2011.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Farah Ahmad, MBBS, MPH, PhD principal investigator
University of Toronto / York University
Questions about this trial
What is this clinical trial studying?
A study testing Computer-assisted Psychosocial Risk Assessment (CaPRA) in people with Computer and Screening, run by University of Toronto.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Sep 2011. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient intention to visit a psychosocial counselor (time frame: July to October post-visit). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2011.