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Updated: May 15, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
What is needed to implement a computer-assisted health risk assessment tool? An exploratory concept mapping study.
Farah Ahmad1, Cameron Norman, Patricia O'Campo
1School of Health Policy and Management, York University, 4700 Keele Street, HNES Building, 4th Floor, Toronto, ON, M3J 1P3, Canada. farahmad@yorku.ca
Implementing interactive health-risk assessments (HRAs) for psychosocial health requires careful consideration of technical, patient, and provider factors. Successful integration depends on addressing availability, usability, content, confidentiality, comfort, professional development, and clinical protocols.
Area of Science:
- Health Informatics
- Digital Health
- Clinical Psychology
Background:
- eHealth tools can enhance care in busy clinical settings.
- Interactive computer-assisted health-risk assessments (HRAs) can improve provider-patient communication.
- Psychosocial health concerns are often under-detected in clinical encounters.
Purpose of the Study:
- To explore healthcare providers' perspectives on implementing interactive HRAs for psychosocial health.
- To identify key factors necessary for effective HRA implementation in clinical settings.
Main Methods:
- A semi-qualitative participatory Concept Mapping method was used.
- Participants brainstormed, sorted, and rated factors for HRA implementation.
- Multidimensional scaling and hierarchical cluster analyses visualized implementation factors.
Main Results:
- 54 providers identified 85 key implementation factors, clustered into seven groups: availability, usability, content, confidentiality, patient comfort, professional development, and clinical protocol.
- Factors were categorized as Technical, Social-Patient, and Social-Provider aspects.
- All clusters were rated as important, with feasibility scores varying; professional development/workload was a key challenge in emergency settings.
Conclusions:
- Implementing interactive HRAs for psychosocial health requires addressing multiple interconnected factors.
- Sociotechnical system theory provides a valuable framework for optimizing HRA implementation.
- Joint optimization of technical and social aspects is crucial for successful HRA integration.
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