The Impact of Using Electronic Forms for Mental Health Assessments on Patient Honesty to Provide Mental Health Information

Publication: Canadian Journal of Community Mental Health
25 February 2025

Abstract

Mental health screening is an important facet of primary care. This study examines the implications of using an electronic form (eForm) in medical offices when completing mental health assessments. A cross-sectional study was conducted using survey data from primary care patients (n = 4,879) regarding their experience using a tablet to complete mental health assessment forms during their appointment. This study investigated patients’ perception of their honesty and preferences when completing forms electronically. Nearly 40% of respondents stated they were able to be more honest when answering the questions digitally compared with a face-to-face interaction with their clinician. This research provides evidence of a potential benefit of digitally enhanced mental health screening.

Résumé

Le dépistage de la santé mentale est un aspect important des soins primaires. Cette étude examine les implications de l’utilisation d’un formulaire électronique (eForm) dans les cabinets médicaux pour remplir les évaluations de santé mentale. Une étude transversale a été menée à partir des données d’enquête auprès de patients en soins primaires (n = 4 879) concernant leur expérience avec l’utilisation d’une tablette pour remplir des formulaires d’évaluation de la santé mentale pendant leur rendez-vous. Cette étude a examiné la perception des patients de leur honnêteté et de leurs préférences lorsqu’ils remplissent des formulaires par voie électronique. Près de quarante pour cent des répondants ont déclaré qu’ils étaient capables d’être plus honnêtes lorsqu’ils répondaient aux questions par voie numérique par rapport à une interaction en face à face avec leur clinicien. Cette recherche fournit des preuves d’un avantage potentiel du dépistage de la santé mentale amélioré par voie numérique.

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References

Alegría M., NeMoyer A., Falgàs Bagué I., Wang Y., and Alvarez K. 2018 Social determinants of mental health: Where we are and where we need to go Current Psychiatry Reports 20 11 95
Boydell K., Hodgins M., Pignatiello A., Teshima J., Edwards H., and Willis D. 2014 Using technology to deliver mental health services to children and youth: A scoping review Journal of the Canadian Academy of Child and Adolescent Psychiatry 23 2 87 -99
Canadian Mental Health Association. (2021, July). Fast facts about mental health and mental illness. CMHA. https://cmha.ca/brochure/fast-facts-about-mental-illness/
Collins K., Wolfe V., Fisman S., DePace J., and Steele M. 2006 Managing depression in primary care: Community survey Canadian Family Physician 52 7 878 -879
Druss B., Rosenheck R., Desai M., and Perlin J. 2002 Quality of preventive medical care for patients with mental disorders Medical Care 40 129 -136
Dy C., Schmicker T., Tran Q., Chadwick B., and Daluiski A. 2012 The use of a tablet computer to complete the DASH questionnaire The Journal of Hand Surgery 37 12 2589 -2594
Egede L. 2007 Major depression in individuals with chronic medical disorders: Prevalence, correlates and association with health resource utilization, lost productivity and functional disability General Hospital Psychiatry 29 5 409 -416 doi:https://doi.org/10.1016/j.genhosppsych.2007.06.002
Fagiolini A. and Goracci A. 2009 The effects of undertreated chronic mental illnesses in patients with severe mental disorders The Journal of Clinical Psychiatry 70 3 22 -29
Fear N. T., Seddon R., Jones N., Greenburg N., and Wessely S. 2012 Does anonymity increase the reporting of mental health symptoms? BMC Public Health 12 797
Grant B. F. Stinson F. S. Dawson D. A. Chou S. P. Dufour M. C. Compton W. … Kaplan K. 2004 Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: Results from the National Epidemiologic Survey on Alcohol and Related Conditions Archives of General Psychiatry 61 8 807 -816
Hess R., Santucci A., McTigue K., Fischer G., and Kapoor W. 2008 Patient difficulty using tablet computers to screen in primary care Journal of General Internal Medicine 23 4 476 -480
Joinson A. N. 2001 Self-disclosure in computer-mediated communication: The role of self-awareness and visual anonymity European Journal of Social Psychology 31 2 177 -192
Lakens D. 2013 November Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs Frontiers in Psychology 4 863
Lavender J. M. and Anderson D. A. 2009 Effect of perceived anonymity in assessments of eating disordered behaviors and attitudes The International Journal of Eating Disorders 42 6 546 -551
Lecrubier Y. 1998 Comorbidity in social anxiety disorder: Impact on disease burden and management The Journal of Clinical Psychiatry 59 Suppl 17 33 -38
Leon A., Olfson M., Broadhead W., Barrett J., Blacklow R., Keller M., and Weissman M. 1995 Prevalence of mental disorders in primary care. Implications for screening Archives of Family Medicine 4 10 857 -861
Lesage, A. D. (2010). Contribution of psychiatric epidemiology to the study of the adult severly mentally ill. Mental Disorder in Canada: An Epidemiological Perspective (155–180). University of Toronto Press.
Marcano Belisario J. S., Huckvale K., Greenfield G., Car J., and Gunn L. 2013 Smartphone and tablet self management apps for asthma The Cochrane Database of Systematic Reviews 2013 11 CD010013
Marcano Belisario J. S., Jamsek J., Huckvale K., O’Donoghue J., Morrison C. P., and Car J. 2015 Comparison of self-administered survey questionnaire responses collected using mobile apps versus other methods The Cochrane Database of Systematic Reviews 2015 7 MR000042
McQuaid J., Stein M., Mccahill M., Laffaye C., and Ramel W. 2000 Use of brief psychiatric screening measures in a primary care sample Depression and Anxiety 12
Mental Health Commision Of Canada. (2017). Strengthening the case for investing in Canada’s mental health system. https://mentalhealthcommission.ca/resource/strengthening-the-case-for-investing-in-canadas-mental-health-system/
Ministry of Health. (2022). COVID-19: Guidance for the Health Sector. https://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/2019_guidance.as
Newell S., Logan H., Guo Y., Marks J., and Shepperd J. 2015 Evaluating tablet computers as a survey tool in rural communities The Journal of Rural Health: official journal of the American Rural Health Association and the National Rural Health Care Association 31 1 108 -117
Ontario Health. (2014). Guidance for the Collection and Use of Sociodemographic Data for Equity Analytics. Ontario Health. 2024.
Palmieri J. and Stern T. 2009 Lies in the doctor-patient relationship. Primary care companion to the Journal of Clinical Psychiatry 11 4 163 -168
Patel V., Hale T., Palakodeti S., Kvedar J., and Jethwani K. 2015 Prescription tablets in the digital age: A crosssectional study exploring patient and physician attitudes toward the use of tablets for clinic-based personalized health care information exchange JMIR Research Protocols 4 4 e116
Patten S. B., Kennedy S. H., Lam R. W., O’Donovan C., Filteau M. J., Parikh S. V., and CANMAT C. N. 2009 Canadian Network for Mood and Anxiety Treatments (CANMAT) clinical guidelines for the management of major depressive disorder in adults. I. Classification, burden and principles of management Journal of Affective Disorders 117 Suppl 1 S5 -S14
Perez B., von Isenburg M., Yu M., Tuttle B., and Adams M. 2013 Exploring the impact of tablet computers on medical training at an academic medical center Journal of the Medical Library Association : JMLA 101 2 154 -157
Pfaff J. J. and Almeida O. P. 2005 A cross-sectional analysis of factors that influence the detection of depression in older primary care patients The Australian and New Zealand Journal of Psychiatry 39 4 262 -265
Pignone M. P., Gaynes B. N., Rushton J. L., Burchell C. M., Orleans C. T., Mulrow C. D., and Lohr K. N. 2022 Screening for depression in adults: A summary of the evidence for the U.S. Preventive Services Task Force Annals of Internal Medicine 136 10 765 -776
Ratnasingham, S., Cairney, J., Rehm, J., Manson, H., & Kurdyak, P. A. (2012). Opening eyes, opening minds: The Ontario burden of mental illness and addictions report. An ICES/PHO Report, Institute for Clinical Evaluative Sciences and Public Health Ontario, Toronto. https://www.publichealthontario.ca/-/media/documents/o/2012/opening-eyes.pdf?la=en
Reisner S., Vetters R., Leclerc M., Zaslow S., Wolfrum S., Shumer D., and Mimiaga M. 2015 Mental health of transgender youth in care at an adolescent urban community health center: A matched retrospective cohort study The Journal of Adolescent Hhealth: Official Publication of the Society for Adolescent Medicine 56 3 27 -279
Smetanin, P., Stiff, D., Briante, C., & Adair, C. E. (2011). The life and economic impact of major mental illnesses in Canada: 2011 to 2041. Mental Health Commission of Canada 2011. Toronto: RiskAnalytica.
Suzuki E., Mackenzie L., Sanson-Fischer R., Carey M., D’Este C., Asada H., and Toi M. 2016 Acceptability of a touch screen tablet psychosocial survey administered to radiation therapy patients in Japan International Journal of Behavioral Medicine 23 4 485 -491
Tidemalm D., Stefanss C.-G., Waern M., Elofsson S., and Runeson B. 2008 Excess mortality in persons with severe mental disorder in Sweden: A cohort study of 12 103 individuals with and without contact with psychiatric services Clinical Practice and Epidemiology in Mental Health: CP & EMH 4 23
Van Os T., Van den Brink R., Van der Meer K., and Ormel J. 2006 The care provided by general practitioners for persistent depression European Psychiatry 21 2 87 -92
Vu T., Anderson K. K., Some N. H., Thind A., and Sarma S. 2021 Mental health services provision in primary care and emergency department settings: Analysis of blended fee-for-service and blended capitation models in Ontario, Canada Administration and Policy in Mental Health and Mental Health Services Research 48 4 654 -667
Xavier J., Bradford J., Michael H., Safford L., McKee R., Martin E., and Honnold J. A. 2013 Transgender health care access in Virginia: A qualitative study International Journal of Transgenderism 14 1 3 -17
Zarghom S., Di Fonzo D., and Leung F. 2013 Does socioeconomic status affect patients’ ease of use of a touch-screen (iPad) patient survey? Interactive Journal of Medical Research 2 1 e1
Zimmerman M. and McGlinchy J. B. 2008 Why don’t psychiatrists use scales to measure outcome when treating depressed patients? The Journal of Clinical Psychiatry 69 12 1916 -1919

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
e-First
Pages: 1 - 15

History

Version of record online: 25 February 2025

Key Words

  1. electronic forms
  2. mental health
  3. primary care
  4. digital health
  5. electronic medical record

Mots-clés

  1. formulaires électroniques
  2. santé mentale
  3. soins primaires
  4. santé numérique
  5. dossier médical électronique

Authors

Affiliations

Lisa Harman
eHealth Centre of Excellence
eHealth Centre of Excellence
Marissa Barbosa
eHealth Centre of Excellence
Mohamed Alarakhia
eHealth Centre of Excellence

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