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Computer-assisted Psychosocial Risk Assessment (CaPRA) for Refugee Health and Settlement

U

University of Toronto

Status

Completed

Conditions

Decision Support System
Screening
Refugees
Computer
Psychosocial
Primary Care

Treatments

Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)

Study type

Interventional

Funder types

Other

Identifiers

NCT01427829
FA-25340

Details and patient eligibility

About

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.

Full 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.

Enrollment

50 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

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)

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

50 participants in 2 patient groups

Intervention (CaPRA)
Experimental group
Treatment:
Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)
Control (usual care)
No Intervention group
Treatment:
Behavioral: Computer-assisted Psychosocial Risk Assessment (CaPRA)

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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