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CompletedNCT03323853CARS-SAUpdated Jun 24, 2021Results posted

Computerized Assessment and Referral System Screener for Mental Health Evaluations in the Emergency Setting

An interventional study of Computerized Assessment and Referral System (CARS) Self-Assessment Screener and CARS-SA Summary Results in Mental Health, sponsored by University of Arkansas. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-06-24.

Sponsored by University of Arkansas · Not applicable, Interventional, and Health services research

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Phase
Not applicable
Study type
Interventional
Enrollment
451
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 654 studies in Psychological Well-Being with a site in United States — 188 open to participants now, 239 under way, 1 of them phase 3. Psychological Well-Being · United States.

Enrollment
101st of 572
451 · median 116
Started
2017
with 16 others
No phase
514 of 654
152 open now
Registered
157th of 654
by date

Among the 654 studies in Psychological Well-Being with a site in United States, this one is the 101st largest by enrollment of the 572 interventional ones that give a count, is one of 17 that started in 2017, is one of 514 with no phase, and was the 157th registered.

Psychological Well-Being

2,195 studies on the registry are indexed under Psychological Well-Being; 728 are open to participants now.

Browse Psychological Well-Being studies →

Open to participants now

188 of the 654 studies in Psychological Well-Being with a site in United States are open now. Recruiting first, the newest first:

183 more — sign in →

All 188 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 401 Psychological Well-Being studies recruiting now, 218 (54%) set no upper age limit and 157 (39%) stop at 75 or younger; 120 take children under 18; 204 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

This is a hybrid effectiveness-implementation randomized controlled trial which will be conducted at the emergency department (ED) at the University of Arkansas for Medical Sciences (UAMS) in Little Rock, Arkansas.

The hypothesis of this study is that use of the CARS (a computerized mental health screener) will modify emergency department treatment of patients with previously undiagnosed mental illness.

Read the detailed description

This pragmatic mixed methods clinical trial will compare the intervention of providing a CARS screener report to emergency providers to not providing the report. It will also collect qualitative data regarding implementation of the CARS screener and report. Consecutive patients presenting when a research associate is available will be approached to participate. Patients will be approached after evaluation by an emergency physician.

The Computerized Assessment and Referral System (CARS) is based on the Composite International Diagnostic Interview (CIDI), a validated instrument for assessing mental health diagnoses.CARS was piloted at 6 different sites in 2016, all in DUI populations. As CARS has not been specifically validated on non-DUI populations, investigators will collect alcohol history (see below). The CARS self-assessment version (CARS-SA) will be utilized in this study.

03

Conditions studied

  • Mental Health
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • >18 years of age
  • Not incarcerated
  • English-speaking and English-writing (as translators will not be available for this study)

Exclusion criteria

Exclusion Criteria:

  • Unable or unwilling to complete CARS screener
  • Unable or unwilling to provide any history of alcohol abuse
  • Currently presenting with a chief complaint of a psychiatric symptom
  • Currently presenting with a substance use complaint
  • History of a known psychiatric condition
  • Patients taking psychiatric medication
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
451 participants (actual)

Study arms

  • Experimental
    CARS-SA Report

    Emergency care providers for subjects in this group will receive a copy of the subject's CARS-SA summary results.

    Behavioral: Computerized Assessment and Referral System (CARS) Self-Assessment Screener · Behavioral: CARS-SA Summary Results

  • Other
    No CARS-SA Report

    Emergency care providers for subjects in this group will not receive a copy of the subject's CARS-SA summary results.

    Behavioral: Computerized Assessment and Referral System (CARS) Self-Assessment Screener

Interventions

  • BehavioralComputerized Assessment and Referral System (CARS) Self-Assessment Screener

    Subjects will take the CARS-SA Screener.

    Also known as: CARS-SA Screener

  • BehavioralCARS-SA Summary Results

    Subjects will be evaluated by emergency care providers using the CARS-SA Summary Results Report.

    Also known as: CARS-SA Report

06

What researchers measure

Primary outcomes

  1. Number of Participants With CARS Mental Health Diagnoses Made in the ED; the Number of Psychiatry Evaluations in the Emergency Department (ED); and the Number of Mental Health Referrals Made From the ED

    The composite measure includes: the number of CARS mental health diagnoses made in the ED; the number of psychiatry evaluations in the emergency department (ED); and the number of mental health referrals made from the ED.

    Time frame: Up to 12 hours

07

Results

Posted Jun 24, 2021

Participant flow

Participant flow — Overall Study
MilestoneCARS ReportNo CARS Report
Started213238
Completed213238
Not completed00

Outcome measures

PrimaryNumber of Participants With CARS Mental Health Diagnoses Made in the ED; the Number of Psychiatry Evaluations in the Emergency Department (ED); and the Number of Mental Health Referrals Made From the ED

The composite measure includes: the number of CARS mental health diagnoses made in the ED; the number of psychiatry evaluations in the emergency department (ED); and the number of mental health referrals made from the ED.

Time frame:
Up to 12 hours
Reported as:
Count of participants · Participants
Number of Participants With CARS Mental Health Diagnoses Made in the ED; the Number of Psychiatry Evaluations in the Emergency Department (ED); and the Number of Mental Health Referrals Made From the ED
ParticipantsCARS ReportNo CARS Report
Number of Participants With CARS Mental Health Diagnoses Made in the ED; the Number of Psychiatry Evaluations in the Emergency Department (ED); and the Number of Mental Health Referrals Made From the ED11

Adverse events

Collected over Duration of ED visit (typically 2 hours). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CARS Report0/213 (0%)0/213 (0%)0/213 (0%)
No CARS Report0/238 (0%)0/238 (0%)0/238 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)CARS ReportNo CARS ReportTotal
Mean40.28 ± 16.2340.79 ± 15.4540.55 ± 15.81
Sex: Female, Male
Sex: Female, Male(Participants)CARS ReportNo CARS ReportTotal
Female121145266
Male9293185
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)CARS ReportNo CARS ReportTotal
Count of participants——0
08

Study locations

1 site
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Dec 2019, 23 months.

Results were first posted in Jun 2021, 1 year 6 months after primary completion.

Of 1,261 non-industry interventional studies with no phase under Psychological Well-Being, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 34. This study's 23 months is above that.

Counting every sponsor, half of 1,304 studies reached it within 16 months; a quarter within 7 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 17, 2017
First posted
Oct 27, 2017
StartActual
Dec 30, 2017
Primary completionActual
Dec 21, 2019
CompletionActual
Dec 21, 2019
Results first posted
Jun 24, 2021
Last update
Jun 24, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 24, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03323853
Responsible party
Sponsor
First posted
Oct 27, 2017
Start date
Dec 30, 2017
Primary completion
Dec 21, 2019
Completion
Dec 21, 2019
Results posted
Jun 24, 2021
Last update
Jun 24, 2021

Study contacts

Michael P Wilson, M.D., Ph.D.
principal investigator · University of Arkansas

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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