Delivering an Innovative Multi-disease Screening Tool to High-risk Migrant Populations

Status: Completed
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Migrants' overall health status may be improved by increasing the detection of certain infectious diseases and other conditions for which effective care is available. This can be achieved through a systematic screening of these conditions using innovative and digital solutions implemented in routine health care. This study aims to evaluate the implementation of a screening programme for migrants at primary care level in two different settings of Spain (Catalonia and Andalusia) using an innovative digital and user-friendly software tool (ISMiHealth). In Catalonia, the ISMiHealth tool has already been integrated into the Electronic Patient Record (EPR) system (eCAP) as part of a pilot study in 2018; currently, the research team aims to validate the tool in a higher number of primary care centres in this area. Therefore, a pragmatic cluster randomised controlled trial will be conducted with two parallel groups, in which selected centres using the novel software ISMiHealth will be compared to others that follow the current routine practice. On the other hand, in Andalusia a pilot cluster randomised controlled trial will be carried out, where the ISMiHealth tool will be implemented in the EPR system (DIRAYA) to evaluate the preliminary effectiveness of the tool in other settings. The ISMiHealth software is a clinical decision support system that provides recommendations for primary healthcare professionals on screening for targeted conditions. It currently includes: 7 communicable diseases (Human immunodeficiency virus, Hepatitis B and C virus, Tuberculosis, Chagas diseases, strongyloidiasis and schistosomiasis) and one key health condition (female genital mutilation). Through routinely collected variables (country of birth, age, and sex), the software performs an individualised risk assessment and provides real-time prompts to healthcare professionals on screening for the selected health conditions. In any case, health professionals will be responsible for requesting screening tests and/or referrals to specialists.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

⁃ • Centres with a migration density higher than 7%.

⁃ II) Primary care professionals

⁃ • Aged \>18 years old working at the selected PCCs.

⁃ III) Migrant populations

• Individuals assigned to a PCC.

• Patients attending the PCCs for any reason.

• Aged \>15 years old in the Catalonian site.

• Aged \>14 years old in the Andalusian site.

• Coming from countries in the geographic areas of Africa, Latin-America, Asia and Eastern Europe following the categorization of the United Nations Statistical Commission.

Locations
Other Locations
Spain
Servicio Andaluz de Salud (SAS) (administration of the participant PCCs in Andalusia)
Almería
Institut Català de la Salut (ICS) (administration of the participant PCCs in Catalonia)
Tortosa
Time Frame
Start Date: 2024-01-01
Completion Date: 2024-12-31
Participants
Target number of participants: 980
Treatments
Experimental: Primary care centres with the ISMiHealth software tool.
Primary care centres implementing the screening programme through the ISMiHealth software (tool-based arm).
No_intervention: Primary care centres that follow current routine care.
Primary care centres that follow the current practices in routine care (non tool-based arm).
Sponsors
Collaborators: Universidad de Granada, Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina, Consorci d'Atenció Primària de Salut de l'Eixample, Distrito Sanitario Poniente de Almería, Hospital de Poniente
Leads: Barcelona Institute for Global Health

This content was sourced from clinicaltrials.gov

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