Comparison of YouthCHAT, an Electronic Composite Psychosocial Screener, With a Clinician Interview Assessment for Young People: Randomized Trial

Related Article This is a corrected version. See correction statement in: https://www.jmir.org/2020/2/e17339/ Background: Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routin...

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Published in:Journal of medical Internet research 2019-12, Vol.21 (12), p.e13911
Main Authors: Thabrew, Hiran, D'Silva, Simona, Darragh, Margot, Goldfinch, Mary, Meads, Jake, Goodyear-Smith, Felicity
Format: Article
Language:English
Subjects:
Alcohol
Anxiety
Body image
Bullying
Clinical research
Clinical trials
Drugs
Education
Electronic health records
Ethnic groups
Ethnicity
Evaluation
Generalized anxiety disorder
Interviews
Maoris
Mental depression
Mental health
Nurses
Personal safety
Physical activity
Primary care
Psychosocial factors
Questionnaires
School nurses
Secondary schools
Self destructive behavior
Sexual health
Sexuality
Students
Substance abuse
Suicide
Suicides & suicide attempts
Youth
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Summary:Related Article This is a corrected version. See correction statement in: https://www.jmir.org/2020/2/e17339/ Background: Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consuming clinician-administered Home, Education, Eating, Activities, Drugs and Alcohol, Sexuality, Suicide and Depression, Safety (HEEADSSS) interview. The Youth version, Case-finding and Help Assessment Tool (YouthCHAT) is a relatively new, locally developed, electronic tablet–based composite screener for identifying similar psychosocial issues to HEEADSSS Objective: This study aimed to compare the performance and acceptability of YouthCHAT with face-to-face HEEADSSS assessment among 13-year-old high school students. Methods: A counterbalanced randomized trial of YouthCHAT screening either before or after face-to-face HEEADSSS assessment was undertaken with 129 13-year-old New Zealand high school students of predominantly Māori and Pacific Island ethnicity. Main outcome measures were comparability of YouthCHAT and HEEADSSS completion times, detection rates, and acceptability to students and school nurses. Results: YouthCHAT screening was more than twice as fast as HEEADSSS assessment (mean 8.57 min vs mean 17.22 min; mean difference 8 min 25 seconds [range 6 min 20 seconds to 11 min 10 seconds]; P
ISSN:1438-8871
1438-8871
DOI:10.2196/13911