Preconsult interactive computer-assisted client assessment survey for common mental disorders in a community health centre: a randomized controlled trial

Article Figures & Tables

Download figure
Open in new tab
Download powerpoint
Figure 1
Study flow diagram. *Three patients already approached, 1 under age, 2 seeing other provider. †Patient felt unwell soon after consent and discontinued.

Table 1: Patient sociodemographic characteristics

Variable	iCCAS, no. (%)* n = 75	Usual care, no. (%)* n = 72
Age, yr, mean ± SD	36.5 ± 12.7	37.5 ± 12.2
Sex
Male	26 (34.7)	27 (37.5)
Female	49 (65.3)	41 (56.9)
Transgender†	0 (0.0)	4 (5.6)
Language
English	59 (78.7)	56 (77.8)
Spanish	16 (21.3)	16 (22.2)
Relationship status‡
Married/common law	37 (49.3)	38 (52.8)
Separated/divorced/widowed	11 (14.7)	10 (13.9)
Single, not in relationship	18 (24.0)	16 (22.2)
Single, in relationship	10 (13.3)	9 (12.5)
Have children	47 (62.7)	45 (62.5)
Immigrant	74 (98.7)	70 (97.2)
Citizenship status
Canadian citizen/permanent resident	54 (72.0)	50 (69.4)
Other	21 (28.0)	22 (30.6)
Years lived in Canada
Up to 5 rs	41 (54.7)	36 (50.0)
5 or more yr	34 (45.3)	36 (50.0)
Highest level of education
Up to grade 12	38 (50.7)	34 (47.2)
College or more	37 (49.3)	38 (52.8)
English reading/writing
Poor or fair	19 (25.3)	18 (25.0)
Good or better	56 (74.7)	54 (75.0)
Employment status
Full-time	15 (20.0)	9 (12.5)
Part time	11 (14.7)	16 (22.2)
Not employed	49 (65.3)	47 (65.3)
Annual household income before taxes
< 20 000	48 (64.0)	46 (63.9)
20 000-30 000	12 (16.0)	18 (25.0)
30 000-40 000	8 (10.7)	2 (2.8)
40 000-60 000	2 (2.7)	4 (5.6)
> 60 000	5 (6.7)	2 (2.8)

Note: iCCAS = interactive computer-assisted client assessment survey.

*Unless otherwise specified.

†Subsequent analyses combined transgender with female (results were same on combining with male).

‡Total does not sum up because patients were allowed to select more than 1 response.

Table 2: Patient health-related characteristics

Variable	iCCAS, no. (%) n = 75	Usual care, no. (%) n = 72
Self-rated health
Poor or fair	27 (36.0)	24 (33.3)
Good, very good or excellent	48 (64.0)	48 (66.7)
Purpose of visit
New problem	21 (28.0)	12 (16.7)
Routine physical exam or follow-up	54 (72.0)	60 (83.3)
Follow-up suggested in index visit)	53 (70.7)	50 (69.4)
Internal referral provided
Mental health	13 (44.8)	10 (40.0)
Other	16 (55.2)	15 (60.0)
External referral provided
Maternal health	2 (9.1)	1 (4.5)
Other	20 (90.9)	21 (95.5)
Visit satisfaction
Satisfied or very satisfied	59 (78.7)	61 (84.7)
Neutral	7 (9.3)	6 (8.3)
Dissatisfied or very dissatisfied	9 (12.0)	5 (6.9)

Note: iCCAS = interactive computer-assisted client assessment survey.

Table 3: Effect of intervention

Variable	No. (%) of patients		Unadjusted OR (95% CI)	Ajusted OR (95% CI)
Mental health discussion	Yesn = 73	Non = 74
Language
English	63 (86.3)	52 (70.3)	2.67 (1.15-6.18)	2.80 (1.15-6.85)*
Spanish†	10 (13.7)	22 (29.7)
Sex
Female	49 (67.1)	45 (60.8)	1.32 (0.67-2.60)	1.54 (0.73-3.24)
Male†	23 (32.9)	29 (39.2)
Education
College or more	38 (52.1)	37 (50.0)	1.09 (0.57-2.09)	1.32 (0.65-2.66)
Less than college†	35 (47.9)	37 (50.0)
Employed
Full-time	9 (12.3)	15 (20.3)	0.49 (0.19-1.23)	0.51 (0.19-1.37)
Part-time	11 (15.1)	16 (21.6)	0.56 (0.23-1.13)	0.63 (0.25-1.59)
Not employed†	53 (72.6)	43 (58.1)
Group
iCCAS	44 (60.3)	31 (49.9)	2.11 (1.08-4.09)	2.23 (1.11-4.49)*
Usual care†	29 (39.7)	43 (58.1)
Mental health detection	Yesn = 49	Non = 98
Language
English	44 (89.8)	71 (72.4)	3.35 (1.19-9.42)	3.02 (1.01-9.03)*
Spanish†	5 (10.2)	27 (27.6)
Sex
Female	29 (59.2)	65 (66.3)	0.74 (0.36-1.50)	0.79 (0.36-1.72)
Male†	20 (40.8)	33 (33.7)
Education
College or more	30 (61.2)	45 (45.9)	1.86 (0.92-3.76)	2.31 (1.08-4.96)*
Less than college†	19 (38.8)	53 (54.1)
Employed
Full-time	3 (6.1)	21 (21.4)	0.21 (0.06-0.76)	0.17 (0.04-0.66)*
Part-time	7 (14.3)	20 (20.4)	0.51 (0.19-1.34)	0.56 (0.21-1.56)
Not employed†	39 (79.6)	57 (58.2)
Group
iCCAS	29 (59.2)	46 (46.9)	1.64 (0.81-3.30)	1.93 (0.91-4.11)
Usual care†	20 (40.8)	52 (53.1)