...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Medical Informatics and Decision Making >A pilot with computer-assisted psychosocial risk –assessment for refugees
【24h】

A pilot with computer-assisted psychosocial risk –assessment for refugees

机译：具有计算机辅助社会心理风险的飞行员-对难民的评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Refugees experience multiple health and social needs. This requires an integrated approach to care in the countries of resettlement, including Canada. Perhaps, interactive eHealth tools could build bridges between medical and social care in a timely manner. The authors developed and piloted a multi-risk Computer-assisted Psychosocial Risk Assessment (CaPRA) tool for Afghan refugees visiting a community health center. The iPad based CaPRA survey was completed by the patients in their own language before seeing the medical practitioner. The computer then generated individualized feedback for the patient and provider with suggestions about available services. Methods A pilot randomized trial was conducted with adult Afghan refugees who could read Dari/Farsi or English language. Consenting patients were randomly assigned to the CaPRA (intervention) or usual care (control) group. All patients completed a paper-pencil exit survey. The primary outcome was patient intention to see a psychosocial counselor. The secondary outcomes were patient acceptance of the tool and visit satisfaction. Results Out of 199 approached patients, 64 were eligible and 50 consented and one withdrew (CaPRA?=?25; usual care?=?24). On average, participants were 37.6?years of age and had lived 3.4?years in Canada. Seventy-two percent of participants in CaPRA group had intention to visit a psychosocial counselor, compared to 46?% in usual care group [X2 (1)=3.47, p?=?0.06]. On a 5-point scale, CaPRA group participants agreed with the benefits of the tool (mean?=?4) and were ‘unsure’ about possible barriers to interact with the clinicians (mean?=?2.8) or to privacy of information (mean?=?2.8) in CaPRA mediated visits. On a 5-point scale, the two groups were alike in patient satisfaction (mean?=?4.3). Conclusion The studied eHealth tool offers a promising model to integrate medical and social care to address the health and settlement needs of refugees. The tool’s potential is discussed in relation to implications for healthcare practice. The study should be replicated with a larger sample to generalize the results while controlling for potential confounders.
机译：背景难民经历着多种健康和社会需求。这就要求在包括加拿大在内的移民安置国家采取综合的照料方法。也许，交互式电子卫生保健工具可以及时在医疗和社会护理之间建立桥梁。作者为访问社区卫生中心的阿富汗难民开发并试用了多风险计算机辅助社会心理风险评估（CaPRA）工具。基于iPad的CaPRA调查由患者在看医生之前用他们自己的语言完成。然后，计算机为患者和提供者生成个性化的反馈，并提供有关可用服务的建议。方法对能够阅读达里语/波斯语或英语的成年阿富汗难民进行了一项试验性随机试验。同意的患者被随机分配到CaPRA（干预）或常规护理（对照组）组。所有患者均完成了纸笔出口调查。主要结果是患者打算去找心理咨询师。次要结果是患者对该工具的接受程度和访问满意度。结果在199名就诊患者中，有64名符合条件，有50​​名患者同意，其中1名退出（CaPRA？=？25;常规护理？=？24）。参与者平均年龄为37.6岁，在加拿大居住的时间为3.4岁。 CaPRA组中有72％的参与者打算去看心理咨询师，而常规护理组中有46％[X 2 （1）= 3.47，p <= 0.06]。在5点量表上，CaPRA小组的参与者同意使用该工具的好处（平均值= 4），并且“不确定”与临床医生互动的可能障碍（平均值2.8）或信息隐私（平均值2.8）。平均值？=？2.8）。在5分制上，两组患者的满意度相似（均值== 4.3）。结论研究的eHealth工具提供了一个有前途的模型，可以将医疗和社会护理相结合，以满足难民的健康和定居需求。讨论了该工具的潜力以及对医疗实践的影响。研究应与较大的样本重复进行，以概括结果，同时控制潜在的混杂因素。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号