Resident Surveillance of Pediatric Patient Developmental Status at the Two Month Preventive Care Visit

NCT00465361 | Completed Results

• 1 other identifier: 07 02-027E
• Study Type: interventional
• Target: 7
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate the efficacy of individualized performance feedback coupled with an educational module in improving resident performance of the physical and developmental examination component of developmental surveillance of infants at the two month preventive care visit.

Conditions

Growth & Development; Child Development; Internship and Residency; Education, Medical; Developmental Disabilities

Keywords

Growth and Development; Child Development; Developmental Surveillance; Medical Education; Internship and Residency

Outcome Measures

Primary Outcomes (1)

• Presence of Resident Surveillance Behaviors of Specific Aspects of Developmental Status at the Two Month Preventive Care Visit

  Residents were observed to determine whether specific aspects of infant developmental status, as part of developmental surveillance, were assessed during the two-month preventive care visit. The components of developmental surveillance observed were: assessment of the infant's ability to follow past midline, assessment of the infant's ability to lift his/her head off of the table in prone, assessment of the infant's ability to hold an object placed in his/her hand, assessment of the infant's ability to coo, and assessment of the infant's ability to demonstrate a social smile.

  Residents were observed during each of the eligible preventive care visits. Each visit was an average of 20 minutes in length. Preventive care visits were observed over a 13 month time period.

Study Arms (2)

Baseline Performance

NO INTERVENTION

Observation of baseline performance

Post-intervention Performance

EXPERIMENTAL

Observation of performance post-intervention

Procedure: performance feedback with an educational module

Interventions

performance feedback with an educational module PROCEDURE

individual performance feedback with an educational module

Post-intervention Performance

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Categorical pediatric residents in their second year of training at Children's Mercy Hospitals and Clinics who are scheduled to see infants for a two month preventive care visit.

You may not qualify if:

• Preventive care visits for infants who have parents/guardians who do not speak English fluently
• Preventive care visits for infants who have a previously identified genetic or other medical syndrome or developmental delay

Sponsors & Collaborators

• Children's Mercy Hospital Kansas City: lead

Study Sites (1)

Children's Mercy Hospitals and Clinics

Kansas City, Missouri, 64108, United States

Location

MeSH Terms

Conditions

Developmental Disabilities

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders

Limitations and Caveats

Long-term effects of intervention are unknown.

Results Point of Contact

• Title: Sarah S. Nyp
• Organization: Children's Mercy Hospitals and Clinics

ssnyp@cmh.edu

816-234-3000

Study Officials

• Sarah S Nyp, MD

  Children's Mercy Hospital Kansas City

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Physician

Study Record Dates

• First Submitted: April 23, 2007
• First Posted: April 25, 2007
• Study Start: May 1, 2007
• Primary Completion: July 1, 2008
• Study Completion: July 1, 2008
• Last Updated: February 9, 2012
• Results First Posted: February 9, 2012

Record last verified: 2011-12

Locations

US (1)