{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:37:15Z","timestamp":1787060235865,"version":"build-2736575974"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T00:00:00Z","timestamp":1625616000000},"content-version":"am","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background: There are major shortfalls in the identification and screening of at-risk migrant groups. This study aims to evaluate the effectiveness of a new digital tool (IS-MiHealth) integrated into the electronic patient record system of primary care centres in detecting prevalent migrant infections. IS-MiHealth provides targeted recommendations to health professionals for screening multiple infections, including HIV, hepatitis B and C, active tuberculosis, Chagas disease, strongyloidiasis, and schistosomiasis, based on patient characteristics (including variables of country of origin, age, sex).<\/jats:p>\n                  <jats:p>Methods: A pragmatic pilot cluster-randomised controlled trial was deployed from March to December 2018. Eight primary care centres in Catalonia, Spain, were randomly allocated 1:1 to use of the digital tool for screening, or to routine care. The primary outcome was the monthly diagnostic yield of all aggregated infections. Intervention and control sites were compared before and after implementation with respect to their monthly diagnostic yield using regression models. This study is registered on ISRCTN (ISRCTN14795012).<\/jats:p>\n                  <jats:p>Results: 15780 migrants registered across the 8 centres had at least one visit during the intervention period (March to December 2018), of which 14\u2009598 (92.51%) fulfilled the criteria to be screened for at least one infection. There were 210 (2.57%) individuals from the intervention group with new diagnoses compared with 113 (1.49%) from the control group (OR:2.08 95%CI 1.63\u20132.64, p\u2009&amp;lt;\u20090.001). The intervention centres raised their overall monthly diagnosis rate to 5.80 (95%CI 1.23\u201310.38, p\u2009=\u20090.013) extra diagnoses compared to the control centres. This monthly increase in diagnosis in intervention centres was also observed if we consider all cases together of HIV, hepatitis B and C, and active TB cases (2.72,[95%CI 0.43\u20135.00]; p\u2009=\u20090.02) and was observed as well for the parasitic infections\u00b4 group (Chagas disease, strongyloidiasis, and schistosomiasis) 2.58 (95%CI 1.60\u20133.57; p\u2009&amp;lt;\u20090.001).<\/jats:p>\n                  <jats:p>Conclusions: The IS-MiHealth increased screening rate and diagnostic yield for key infections in migrants in a population-based primary care setting. Further testing and development of this new tool is warranted in larger trials and in other countries.<\/jats:p>","DOI":"10.1093\/jtm\/taab100","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T15:06:31Z","timestamp":1624979191000},"source":"Crossref","is-referenced-by-count":17,"title":["Improving the detection of infectious diseases in at-risk migrants with an innovative integrated multi-infection screening digital decision support tool (IS-MiHealth) in primary care: A pilot cluster-randomized controlled trial"],"prefix":"10.1093","author":[{"given":"Ethel","family":"Sequeira-Aymar","sequence":"first","affiliation":[{"name":"Consorci d\u2019Atenci\u00f3 Prim\u00e0ria de Salut Barcelona Esquerra (CAPSBE) Casanova, Carrer Rossell\u00f3 161, 08036 Barcelona, Spain"},{"name":"August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Carrer Rossell\u00f3, 149, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeline","family":"Cruz","sequence":"additional","affiliation":[{"name":"Barcelona Institute for Global Health (ISGlobal, Hospital Cl\u00ednic-Universitat de Barcelona). Carrer Rosello 132, 40, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miquel","family":"Serra-Burriel","sequence":"additional","affiliation":[{"name":"Epidemiology, Biostatistics, and Prevention Institute, University of Zurich, R\u00e4mistrasse 71, 8006 Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ximena","family":"di Lollo","sequence":"additional","affiliation":[{"name":"August Pi i Sunyer Biomedical Research Institute (IDIBAPS), Carrer Rossell\u00f3, 149, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra Queiroga","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la recerca a l'Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Tarragona, Spain"},{"name":"Unitat Docent de Medicina de Fam\u00edlia i Comunit\u00e0ria Tortosa-Terres de L\u2019Ebre, Institut Catal\u00e0 de la Salut, 43500 Tortosa, Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Camps-Vil\u00e0","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atencio Primaria Pla\u00e7a Catalunya, Institut Catal\u00e0 de la Salut (ICS), Carrer Soler i March, 6, 08242 Manresa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta M","family":"Monclus-Gonzalez","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atencio Primaria Sagrada Fam\u00edlia, Consorci Sanitari Integral (CSI), Carrer C\u00f2rsega 643, 08025 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa M","family":"Revuelta-Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atencio Primaria Rambla Ferran, Institut Catal\u00e0 de la Salut (ICS), Carrer Rambla Ferran 44, 25007, Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Busquet-Sol\u00e9","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atencio Primaria Sagrada Fam\u00edlia, Institut Catal\u00e0 de la Salut, Carrer St. Crist\u00f2fol, 34, 08243 Manresa, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana","family":"Sarriegui-Dom\u00ednguez","sequence":"additional","affiliation":[{"name":"Centre d\u2019Atencio Primaria 1 Maig, Institut Catal\u00e0 de la Salut (ICS), Carrer De la Merc\u00e8, 5, 25003, Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aina","family":"Casellas","sequence":"additional","affiliation":[{"name":"Barcelona Institute for Global Health (ISGlobal, Hospital Cl\u00ednic-Universitat de Barcelona). Carrer Rosello 132, 40, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Rosa Dalmau","family":"Llorca","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la recerca a l'Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Tarragona, Spain"},{"name":"Equip d\u2019Atenci\u00f3 Prim\u00e0ria Tortosa Est, Institut Catal\u00e0 de la Salut, Avenida Generalitat 95, 43500, Tortosa, Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Aguilar-Mart\u00edn","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca Terres de l\u2019Ebre, Fundaci\u00f3 Institut Universitari per a la recerca a l'Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol), 43500 Tortosa, Tarragona, Spain"},{"name":"Unitat d\u2019Avaluaci\u00f3, Direcci\u00f3 d\u2019Atenci\u00f3 Prim\u00e0ria Terres de l\u2019Ebre, Institut Catal\u00e0 de la Salut, Tortosa, 43500 Tarragona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constanza","family":"Jacques-Avi\u00f1\u00f3","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3 Institut Universitari per a la recerca a l'Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain"},{"name":"Universitat Aut\u00f2noma de Barcelona, Bellaterra, 08193 Cerdanyola del Vall\u00e8s (Barcelona), Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Hargreaves","sequence":"additional","affiliation":[{"name":"Migrant Health Research Group, Institute for Infection and Immunity, St. George's, University of London, London, SW17 0RE London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Requena-M\u00e9ndez","sequence":"additional","affiliation":[{"name":"Barcelona Institute for Global Health (ISGlobal, Hospital Cl\u00ednic-Universitat de Barcelona). Carrer Rosello 132, 40, 08036 Barcelona, Spain"},{"name":"Department of Medicine Solna, Karolinska Institutet, Solnav\u00e4gen 17177, Solna (Stockholm), Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,6]]},"container-title":["Journal of Travel Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jtm\/advance-article-pdf\/doi\/10.1093\/jtm\/taab100\/38873907\/taab100.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jtm\/advance-article-pdf\/doi\/10.1093\/jtm\/taab100\/38873907\/taab100.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T00:25:15Z","timestamp":1625790315000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jtm\/advance-article\/doi\/10.1093\/jtm\/taab100\/6316245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,6]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/jtm\/taab100","relation":{},"ISSN":["1195-1982","1708-8305"],"issn-type":[{"value":"1195-1982","type":"print"},{"value":"1708-8305","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,6]]},"article-number":"taab100"}}