TY - JOUR
KW - Alcohol-Related Disorders/diagnosis
KW - Anxiety/diagnosis
KW - Attitude of Health Personnel
KW - Depression/diagnosis
KW - Gambling/diagnosis
KW - Health Behavior
KW - Humans
KW - Internet
KW - Life Style
KW - Mass Screening
KW - Mental Disorders/diagnosis
KW - Mental Health
KW - Motor Activity
KW - Patient Acceptance of Health Care
KW - Primary Health Care
KW - Primary Health Care/methods
KW - Questionnaires
KW - Risk Reduction Behavior
KW - Sedentary Lifestyle
KW - Smoking
KW - Violence
AU - F. Goodyear-Smith
AU - J. Warren
AU - M. Bojic
AU - A. Chong
A1 - 
AB - PURPOSE: Early detection and management of unhealthy behaviors and mental health issues in primary care has the potential to prevent or ameliorate many chronic diseases and increase patients' well-being. This study aimed to assess the feasibility and acceptability of the systematic use of a Web-based eCHAT (electronic Case-finding and Help Assessment Tool) screening patients for problematic drinking, smoking, and other drug use, gambling, exposure to abuse, anxiety, depression, anger control, and physical inactivity, and whether they want help with these issues. Patients self-administered eCHAT on an iPad in the waiting room and received summarized results, including relevant scores and interpretations, which could be by a family physician on the website and in the electronic health record (EHR) at the point of care. METHODS: We conducted a mixed method feasibility and acceptability study in 2 general practices in Auckland, New Zealand. Participants were consecutive adult patients attending the practice during a 2-week period, as well as all practice staff. Patients completed eCHAT, doctors accessed the summarized reports. Outcome measures were patients' responses to eCHAT, and patients' written and staff recorded interview feedback. RESULTS: Of the 233 invited patients, 196 (84%) completed eCHAT and received feedback. Domains where patients wanted immediate help were anxiety (9%), depression (7%), physical activity (6%), and smoking (5%), which was not overwhelming for physicians to address. Most patients found the iPad easy to use, and the questions easy to understand and appropriate; they did not object to questions. Feedback from 7 doctors, 2 practice managers, 4 nurses, and 5 receptionists was generally positive. Practices continue to use eCHAT regularly since the research was completed. CONCLUSIONS: eCHAT is an acceptable and feasible means of systemic screening patients for unhealthy behaviors and negative mood states and is easily integrated into the primary care electronic health record.
BT - Annals of family medicine
C5 - HIT & Telehealth
CP - 5
CY - United States
DO - 10.1370/afm.1512
IS - 5
JF - Annals of family medicine
N2 - PURPOSE: Early detection and management of unhealthy behaviors and mental health issues in primary care has the potential to prevent or ameliorate many chronic diseases and increase patients' well-being. This study aimed to assess the feasibility and acceptability of the systematic use of a Web-based eCHAT (electronic Case-finding and Help Assessment Tool) screening patients for problematic drinking, smoking, and other drug use, gambling, exposure to abuse, anxiety, depression, anger control, and physical inactivity, and whether they want help with these issues. Patients self-administered eCHAT on an iPad in the waiting room and received summarized results, including relevant scores and interpretations, which could be by a family physician on the website and in the electronic health record (EHR) at the point of care. METHODS: We conducted a mixed method feasibility and acceptability study in 2 general practices in Auckland, New Zealand. Participants were consecutive adult patients attending the practice during a 2-week period, as well as all practice staff. Patients completed eCHAT, doctors accessed the summarized reports. Outcome measures were patients' responses to eCHAT, and patients' written and staff recorded interview feedback. RESULTS: Of the 233 invited patients, 196 (84%) completed eCHAT and received feedback. Domains where patients wanted immediate help were anxiety (9%), depression (7%), physical activity (6%), and smoking (5%), which was not overwhelming for physicians to address. Most patients found the iPad easy to use, and the questions easy to understand and appropriate; they did not object to questions. Feedback from 7 doctors, 2 practice managers, 4 nurses, and 5 receptionists was generally positive. Practices continue to use eCHAT regularly since the research was completed. CONCLUSIONS: eCHAT is an acceptable and feasible means of systemic screening patients for unhealthy behaviors and negative mood states and is easily integrated into the primary care electronic health record.
PP - United States
PY - 2013
SN - 1544-1717; 1544-1709
SP - 460
EP - 466
EP - 
T1 - eCHAT for lifestyle and mental health screening in primary care
T2 - Annals of family medicine
TI - eCHAT for lifestyle and mental health screening in primary care
U1 - HIT & Telehealth
U2 - 24019278
U3 - 10.1370/afm.1512
VL - 11
VO - 1544-1717; 1544-1709
Y1 - 2013
ER -