ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Case finding of lifestyle and mental health disorders in primary care: validation of the 'CHAT' tool.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The trial behind it
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Who cites it
20 citing papers in PubMed.
- Comparison of YouthCHAT, an Electronic Composite Psychosocial Screener, With a Clinician Interview Assessment for Young People: Randomized Controlled Trial.Journal of medical Internet research · 2019Trial
- Design of NIDA CTN Protocol 0047: screening, motivational assessment, referral, and treatment in emergency departments (SMART-ED).The American journal of drug and alcohol abuse · 2011Trial
- High prevalence of harmful drinking habits and gambling among professional rugby players: mental health symptoms and lifestyle risks among New Zealand Super Rugby players-a cross-sectional survey.BMJ open sport & exercise medicine · 2024Article
- Assessing potential brief screening questions for use within different social care-related contexts to identify individuals experiencing gambling-related harms: A scoping review.Health & social care in the community · 2022Article
- Identifying patients with psychosocial problems in general practice: A scoping review.Frontiers in medicine · 2022Article
- Patient perspectives on tablet-based technology to collect risk factor information in primary care.BMC family practice · 2021Article
- Repeated Psychosocial Screening of High School Students Using YouthCHAT: Cohort Study.JMIR pediatrics and parenting · 2020Article
- YouthCHAT as a Primary Care E-Screening Tool for Mental Health Issues Among Te Tai Tokerau Youth: Protocol for a Co-Design Study.JMIR research protocols · 2019Article
- Development of the Gambling Disorder Identification Test (G-DIT): Protocol for a Delphi Method Study.JMIR research protocols · 2019Article
- Barriers and Facilitators of Responding to Problem Gambling: Perspectives from Australian Mental Health Services.Journal of gambling studies · 2018Article
- Randomized Trial Comparing the Electronic Composite Psychosocial Screener YouthCHAT With a Clinician-Interview Assessment for Young People: A Study Protocol.JMIR research protocols · 2017Article
- Metric properties of the "prescribe healthy life" screening questionnaire to detect healthy behaviors: a cross-sectional pilot study.BMC public health · 2016Observational
- Electronic screening for lifestyle issues and mental health in youth: a community-based participatory research approach.BMC medical informatics and decision making · 2016Article
- Screening for lifestyle and mental health risk factors in the waiting room: feasibility study of the Case-finding Health Assessment Tool.Canadian family physician Medecin de famille canadien · 2014Article
- Usability testing of Avoiding Diabetes Thru Action Plan Targeting (ADAPT) decision support for integrating care-based counseling of pre-diabetes in an electronic health record.International journal of medical informatics · 2014Article
- Challenges to alcohol and other drug discussions in the general practice consultation.Family practice · 2012Article
- Mental health diagnosis by nurses using the Global Mental Health Assessment Tool: a validity and feasibility study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- eCHAT for lifestyle and mental health screening in primary care.Annals of family medicineArticle
- Screening for risky behaviour and mental health in young people: the YouthCHAT programme.Public health reviewsReview
- Asking for help is helpful: validation of a brief lifestyle and mood assessment tool in primary health care.Annals of family medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care is accessible and ideally placed for case finding of patients with lifestyle and mental health risk factors and subsequent intervention. The short self-administered Case-finding and Help Assessment Tool (CHAT) was developed for lifestyle and mental health assessment of adult patients in primary health care. This tool checks for tobacco use, alcohol and other drug misuse, problem gambling, depression, anxiety and stress, abuse, anger problems, inactivity, and eating disorders. It is well accepted by patients, GPs and nurses.
aimTo assess criterion-based validity of CHAT against a composite gold standard. DESIGN OF STUDY: Conducted according to the Standards for Reporting of Diagnostic Accuracy statement for diagnostic tests.
settingPrimary care practices in Auckland, New Zealand.
methodOne thousand consecutive adult patients completed CHAT and a composite gold standard. Sensitivities, specificities, positive and negative predictive values, and likelihood ratios were calculated.
resultsResponse rates for each item ranged from 79.6 to 99.8%. CHAT was sensitive and specific for almost all issues screened, except exercise and eating disorders. Sensitivity ranged from 96% (95% confidence interval [CI] = 87 to 99%) for major depression to 26% (95% CI = 22 to 30%) for exercise. Specificity ranged from 97% (95% CI = 96 to 98%) for problem gambling and problem drug use to 40% (95% CI = 36 to 45%) for exercise. All had high likelihood ratios (3-30), except exercise and eating disorders.
conclusionCHAT is a valid and acceptable case-finding tool for most common lifestyle and mental health conditions.
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Registered trials
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