Back to resultsDelivering Geospatial Intelligence to Health Care Providers (CHICA GIS)
Primary Purpose
Overweight
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
CHICA GIS (enhanced electronic medical record)
Sponsored by
About this trial
This is an interventional health services research trial for Overweight focused on measuring obesity, overweight, dental caries, school problems, school failure, child BMI > 85th percentile, Needing dental preventive services, Needing academic support for school problems
Eligibility Criteria
Inclusion Criteria:
- Referrals to three community resources will be studied: dentists (children older than 1 year), after school tutoring services (children older than 7 years), and physical education programs (children older than 5 years).
Exclusion Criteria:
- Inability of parent to complete data collection instruments spoken (via telephone survey) or written in English or Spanish.
- Inability to participate in community based physical activity programs due to health related condition
Sites / Locations
- Wishard Health Services
Arms of the Study
Arm 1
Arm 2
Arm Type
No Intervention
Experimental
Arm Label
routine counseling (control group)
CHICA GIS
Arm Description
Children will receive typical counseling for obesity prevention, dental caries prevention, or school problems per routine standards for pediatrician anticipatory guidance
In randomly assigned experimental clinics, physicians will counsel patients to increase physical activity, seek dental care, or seek academic support services such as tutoring; this counseling will be assisted by an experimental intervention which consist of an electronic medical record that prompts specific counseling in conjunction with a geographic information system. The enhanced electronic medical record will map community resources to support physician counseling and lifestyle modification
Outcomes
Primary Outcome Measures
Improved physician counseling
For the intervention clinics, data gathered by CHICA-GIS on the physician worksheet and just-in-time handouts will also allow us to determine the percentage of children who received behavioral counseling about dentistry, school performance, or physical activity by the physician, as well as the percentage of children who were referred to a community resource.
Secondary Outcome Measures
User experience and satisfaction
Surveys will be administered at baseline and end of the trial (18 months) to the entire staff of each practice, in order to document how each practice is organized and provide detailed information about community referral processes. Staff will also be asked about their satisfaction with the CHICA system, CHICA-GIS (Intervention Clinics only), and the community referral module (Intervention Clinics only).
Full Information
NCT ID
NCT01567228
First Posted
January 18, 2012
Last Updated
September 14, 2015
Sponsor
Indiana University
Collaborators
National Library of Medicine (NLM)
1. Study Identification
Unique Protocol Identification Number
NCT01567228
Brief Title
Delivering Geospatial Intelligence to Health Care Providers
Acronym
CHICA GIS
Official Title
Delivering Geospatial Intelligence to Health Care Providers
Study Type
Interventional
2. Study Status
Record Verification Date
September 2015
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
September 2014 (Actual)
Study Completion Date
September 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Indiana University
Collaborators
National Library of Medicine (NLM)
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Physician counseling for physical activity, dental services, and academic support services such as tutoring could be improved through physician knowledge of local community resources and physician counseling directing patients to such services that are near the patient's residential address. This study will test the hypothesis that an electronic medical record enhanced with geographic information systems can improved physician counseling for physical activity, dental services, and academic support services by identifying services that are near the patient's residential address and informing MD's of such info at the point of care.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overweight
Keywords
obesity, overweight, dental caries, school problems, school failure, child BMI > 85th percentile, Needing dental preventive services, Needing academic support for school problems
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
1076 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
routine counseling (control group)
Arm Type
No Intervention
Arm Description
Children will receive typical counseling for obesity prevention, dental caries prevention, or school problems per routine standards for pediatrician anticipatory guidance
Arm Title
CHICA GIS
Arm Type
Experimental
Arm Description
In randomly assigned experimental clinics, physicians will counsel patients to increase physical activity, seek dental care, or seek academic support services such as tutoring; this counseling will be assisted by an experimental intervention which consist of an electronic medical record that prompts specific counseling in conjunction with a geographic information system. The enhanced electronic medical record will map community resources to support physician counseling and lifestyle modification
Intervention Type
Other
Intervention Name(s)
CHICA GIS (enhanced electronic medical record)
Other Intervention Name(s)
CHICA GIS
Intervention Description
An electronic medical record enhanced with geographic information systems will assist physicians in directing patients to community resources for increasing physical activity, preventing dental caries or addressing school problems
Primary Outcome Measure Information:
Title
Improved physician counseling
Description
For the intervention clinics, data gathered by CHICA-GIS on the physician worksheet and just-in-time handouts will also allow us to determine the percentage of children who received behavioral counseling about dentistry, school performance, or physical activity by the physician, as well as the percentage of children who were referred to a community resource.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
User experience and satisfaction
Description
Surveys will be administered at baseline and end of the trial (18 months) to the entire staff of each practice, in order to document how each practice is organized and provide detailed information about community referral processes. Staff will also be asked about their satisfaction with the CHICA system, CHICA-GIS (Intervention Clinics only), and the community referral module (Intervention Clinics only).
Time Frame
24 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
1 Year
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Referrals to three community resources will be studied: dentists (children older than 1 year), after school tutoring services (children older than 7 years), and physical education programs (children older than 5 years).
Exclusion Criteria:
Inability of parent to complete data collection instruments spoken (via telephone survey) or written in English or Spanish.
Inability to participate in community based physical activity programs due to health related condition
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gilbert C Liu, MD
Organizational Affiliation
Indiana University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Wishard Health Services
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Delivering Geospatial Intelligence to Health Care Providers
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