Case finding of lifestyle and mental health disorders in primary care: validation of the 'CHAT' tool

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
F Goodyear-SmithAnne-Thea McGill

Abstract

Primary care is accessible and ideally placed for case finding of patients with lifestyle and mental health risk factors and subsequent intervention. The short self-administered Case-finding and Help Assessment Tool (CHAT) was developed for lifestyle and mental health assessment of adult patients in primary health care. This tool checks for tobacco use, alcohol and other drug misuse, problem gambling, depression, anxiety and stress, abuse, anger problems, inactivity, and eating disorders. It is well accepted by patients, GPs and nurses. To assess criterion-based validity of CHAT against a composite gold standard. Conducted according to the Standards for Reporting of Diagnostic Accuracy statement for diagnostic tests. Primary care practices in Auckland, New Zealand. One thousand consecutive adult patients completed CHAT and a composite gold standard. Sensitivities, specificities, positive and negative predictive values, and likelihood ratios were calculated. Response rates for each item ranged from 79.6 to 99.8%. CHAT was sensitive and specific for almost all issues screened, except exercise and eating disorders. Sensitivity ranged from 96% (95% confidence interval [CI] = 87 to 99%) for major depression to 26% (95% CI = 22 to 30...Continue Reading

Citations

Sep 3, 2011·Family Practice·Sunny CollingsSimon Hatcher
Oct 12, 2011·Family Practice·Helen J MoriartyKevin P Dew
Sep 11, 2013·Annals of Family Medicine·Felicity Goodyear-SmithAngela Chong
May 13, 2009·Annals of Family Medicine·Felicity Goodyear-SmithNicole Coupe
May 29, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Vimal K SharmaAnthony Cummins
Aug 23, 2011·The American Journal of Drug and Alcohol Abuse·Michael P BogenschutzRobrina Walker
Nov 9, 2016·BMC Medical Informatics and Decision Making·Felicity Goodyear-SmithHannah Suh
Oct 22, 2016·Occupational Medicine·S ZhuP W Wong
Jan 11, 2019·JMIR Research Protocols·Rhiannon Mary MartelFelicity Anne Goodyear-Smith
Feb 17, 2018·Public Health Reviews·Felicity Goodyear-SmithTerryann C Clark
Oct 27, 2020·JMIR Pediatrics and Parenting·Hiran ThabrewFelicity Goodyear-Smith
Apr 1, 2021·Journal of Primary Health Care·Felicity Goodyear-SmithJim Warren

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