Hiran Thabrew|Simona D'Silva|Margot Darragh|Mary Goldfinch|Jake Meads|Felicity Goodyear?Smith
Comparison of YouthCHAT, an Electronic Composite Psychosocial Screener, With a Clinician Interview Assessment for Young People: Randomized Trial
University of Auckland|University of Auckland|University of Auckland|Auckland Council|Auckland University of Technology|University of Auckland
psychosocial problems depression anxiety substance abuse common burdensome young people new zealand screening problems undertaken routinely year 9 students lowdecile schools opportunistically pediatric settings using nonvalidated timeconsuming clinicianadministered home education eating activities drugs alcohol sexuality suicide depression safety heeadsss interview youth version casefinding help assessment tool youthchat relatively new locally developed electronic tabletbased composite screener identifying similar psychosocial issues heeadsssthis study aimed compare performance acceptability youthchat facetoface heeadsss assessment among 13yearold high school studentsa counterbalanced randomized trial youthchat screening either facetoface heeadsss assessment undertaken 129 13yearold new zealand high school students predominantly mori pacific island ethnicity main outcome measures comparability youthchat heeadsss completion times detection rates acceptability students school nursesyouthchat screening twice fast heeadsss assessment mean 857 min vs mean 1722 min mean difference 8 min 25 seconds range 6 min 20 seconds 11 min 10 seconds p01 detected issues overall comparable domains substance misuse problems home instruments roughly comparable youthchat detected significantly problems eating body image perception 70110 636 vs 25110 227 p01 sexual health 24110 218 vs 10110 91 p01 safety 65110 591 vs 17110 155 p01 physical inactivity 43110 391 vs 21110 191 p01 heeadsss greater rate detection broader set mental health issues 30110 27 youthchat 11110 10 p001 assessed clinically relevant anxiety depression assessment order made significant difference duration assessment rates youthchatdetected positive screens anxiety depression significant differences student acceptability survey results two assessments nurses identified students found youthchat easy answer helped students answer facetoface questions especially sensitive nature difficulties encountered youthchat included occasional wifi connectivity student literacy issuesthis study provides preliminary evidence regarding shorter administration time detection rates acceptability youthchat schoolbased psychosocial screener young people although research needed confirm effectiveness age ethnic groups youthchat shows promise aiding earlier identification treatment common psychosocial problems young people including possible use part annual schoolbased holistic health checkaustralian new zealand clinical trials network registry actrn actrn12616001243404p httpswwwanzctrorgautrialregistrationtrialreviewaspxid371422