Evidence map›Paper›PMID 27663508›Full record

ArticleBMC health services research2016

Computer-assisted client assessment survey for mental health: patient and health provider perspectives.

Manuela Ferrari, Farah Ahmad, Yogendra Shakya, Cliff Ledwos, Kwame McKenzie

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02023957 (Interactive Computer-assisted Screening for Mental Health in Primary Care), which is not on this map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02023957 nacompletednot on this map

Interactive Computer-assisted Screening for Mental Health in Primary Care

TypeinterventionalSponsorYork UniversityRan2013 to 2014Enrolled154ConditionsMental Health DisordersArmsInteractive computer-assisted screening (iCAS)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Look Before You Leap: Representativeness of Those Completing Self-Reports in Early Psychosis Research.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Manuela FerrariSchool of Health Policy and Management, York University, 4700 Keele Street, HNES Building, Rm 414, Toronto, ON, M3J1P3, Canada.
Farah AhmadSchool of Health Policy and Management, York University, 4700 Keele Street, HNES Building, Rm 414, Toronto, ON, M3J1P3, Canada. farahmad@yorku.ca.ORCID http://orcid.org/0000-0001-9747-1148
Yogendra ShakyaAccess Alliance Multicultural Health and Community Services, 340 College Street, Suite 500, Toronto, ON, M5T3A9, Canada.
Cliff LedwosAccess Alliance Multicultural Health and Community Services, 340 College Street, Suite 500, Toronto, ON, M5T3A9, Canada.
Kwame McKenzieWellesley Institute, Centre for Addiction & Mental Health, 33 Russell Street, Toronto, ON, M5S2S1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe worldwide rise in common mental disorders (CMDs) is posing challenges in the provision of and access to care, particularly for immigrant, refugee and racialized groups from low-income backgrounds. eHealth tools, such as the Interactive Computer-Assisted Client Assessment Survey (iCCAS) may reduce some barriers to access. iCCAS is a tablet-based, touch-screen self-assessment completed by clients while waiting to see their family physician (FP) or nurse practitioner (NP). In an academic-community initiative, iCCAS was made available in English and Spanish at a Community Health Centre in Toronto through a mixed-method trial.

methodsThis paper reports the perspectives of clients in the iCCAS group (n = 74) collected through an exit survey, and the perspectives of 9 providers (four FP and five NP) gathered through qualitative interviews. Client acceptance of the tool was assessed for cognitive and technical dimensions of their experience. They rated twelve items for perceived Benefits and Barriers and four questions for the technical quality.

resultsMost clients reported that the iCCAS completion time was acceptable (94.5 %), the touch-screen was easy to use (97.3 %), and the instructions (93.2 %) and questions (94.6 %) were clear. Clients endorsed the tool's Benefits, but were unsure about Barriers to information privacy and provider interaction (mean 4.1, 2.6 and 2.8, respectively on a five-point scale). Qualitative analysis of the provider interviews identified five themes: challenges in Assessing Mental Health Services, such as case complexity, time, language and stigma; the Tool's Benefits, including non-intrusive prompting of clients to discuss mental health, and facilitation of providers' assessment and care plans; the Tool's Integration into everyday practice; Challenges for Use (e.g. time); and Promoting Integration Effectively, centered on the timing of screening, setting readiness, language diversity, and technological advances.

conclusionsParticipant clients and providers perceived iCCAS as an easy and useful tool for mental health assessments at the Community Health Centre and similar settings. The findings are anticipated to inform further work in this area.

trial registrationClinicalTrials.gov; NCT02023957 ; Registered retrospectively 12 Dec. 2013.

Indexed as

CanadaCommunity health centreComputer-assistedMental health assessmentMixed-method research

Identifiers

PMID27663508
PMCPMC5035495

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.