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Confl Health. 2017 Oct 02;11:18. doi: 10.1186/s13031-017-0120-2. eCollection 2017.

Mental health assessments in refugees and asylum seekers: evaluation of a tablet-assisted screening software.

Conflict and health

Naser Morina, Simon M Ewers, Sandra Passardi, Ulrich Schnyder, Christine Knaevelsrud, Julia Müller, Richard A Bryant, Angela Nickerson, Matthis Schick

Affiliations

  1. Department of Psychiatry and Psychotherapy, University Hospital Zurich, University of Zurich, Culmannstrasse 8, CH-8091 Zurich, Switzerland.
  2. Department of Clinical Psychological Intervention, Freie Universität, Berlin, Germany.
  3. Psychiatric Services Thurgau, CH-8596 Münsterlingen, Switzerland.
  4. School of Psychology, University of New South Wales, Sydney, N.S.W. 2052 Australia.

PMID: 29026438 PMCID: PMC5623980 DOI: 10.1186/s13031-017-0120-2

Abstract

BACKGROUND: Mental health problems resulting from persecution and forced migration are very common among refugees and asylum seekers and evolve into a major public health challenge in hosting societies. Language barriers often prevent timely access to appropriate health care, leading to chronic trajectories and abortive social integration. Tools for multilingual screening and assessment could be of great benefit for this particularly vulnerable population as well as for policy makers. This study aimed at testing the reliability, feasibility and usability of the Multi-Adaptive Psychological Screening Software (MAPSS), a newly developed Audio Computer-Assisted Self-Interview Software (ACASI) for touchscreen devices, for screening purposes in a clinical setting.

METHODS: In a randomized cross-over design including both MAPSS and paper-pencil clinician-administered interviews, 30 treatment-seeking refugees completed clinical measures and a feasibility questionnaire to rate the user interface of MAPSS. Five professionals performed given tasks in MAPSS and completed usability questionnaires for the administration interface.

RESULTS: Results showed no differences between the two assessment modalities with regard to symptom scores. The findings suggest good feasibility and usability of MAPSS in traumatized refugees. The administration via MAPSS was significantly shorter than the paper-pencil interview.

CONCLUSION: MAPSS may be a cost-effective, flexible and valid alternative to interpreter-based psychometric screening and assessment.

Keywords: ACASI; Clinical setting; Feasibility; Interview; Refugees; Screening; Usability

References

  1. PLoS One. 2009;4(5):e5340 - PubMed
  2. Swiss Med Wkly. 2010 Nov 19;140:w13110 - PubMed
  3. BMC Med Inform Decis Mak. 2005 Aug 02;5:24 - PubMed
  4. Trials. 2009 Apr 30;10:27 - PubMed
  5. Trop Med Int Health. 2010 Mar;15(3):362-81 - PubMed
  6. Soc Sci Med. 2010 Jan;70(1):7-16 - PubMed
  7. AMIA Annu Symp Proc. 2006;:729-33 - PubMed
  8. JAMA. 2013 Aug 7;310(5):519-28 - PubMed
  9. Health Serv Res. 2007 Apr;42(2):727-54 - PubMed
  10. Drug Alcohol Depend. 2006 Apr;82 Suppl 1:S103-7 - PubMed
  11. Health Qual Life Outcomes. 2014 Feb 20;12:23 - PubMed
  12. BMC Infect Dis. 2013 Mar 27;13:154 - PubMed
  13. Ann Emerg Med. 2012 Nov;60(5):545-53 - PubMed
  14. Adm Policy Ment Health. 2007 Jul;34(4):401-9 - PubMed
  15. PLoS One. 2010 Feb 10;5(2):e9149 - PubMed
  16. AIDS Care. 2012;24(12):1496-503 - PubMed
  17. JAMA. 2005 Aug 3;294(5):602-12 - PubMed
  18. Sex Transm Infect. 2005 Oct;81(5):421-5 - PubMed
  19. BMC Int Health Hum Rights. 2015 Oct 28;15:29 - PubMed
  20. Appl Clin Inform. 2015 Mar 18;6(1):148-62 - PubMed
  21. JAMA. 2009 Aug 5;302(5):537-49 - PubMed
  22. Value Health. 2009 Jun;12(4):419-29 - PubMed
  23. J Community Health. 2009 Dec;34(6):529-38 - PubMed
  24. AIDS Behav. 2013 Jul;17(6):2260-8 - PubMed
  25. J Healthc Qual. 2014 Nov-Dec;36(6):47-53 - PubMed
  26. Am J Psychiatry. 1987 Apr;144(4):497-500 - PubMed
  27. J Off Stat. 1994;10(2):197-214 - PubMed

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