Health Information Technology to Support Clinical Decision Making in Obesity Care

NCT01281436 | Unknown DMC

• 1 other identifier: AHRQ
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to address priority Research Area 3 in PAR-08-270: Health information technology (HIT) to improve health care decision making through the use of integrated data and knowledge management. The proposed study will evaluate the use of HIT for clinician decision support and tailored patient education on the implementation of the current guidelines for the prevention of obesity-related chronic conditions in health disparity populations of poor, minority youth who access care through SBHCs. The specific aims are:

1. 1.To evaluate the effectiveness of web-based training with and without computerized clinical decision support on provider's process and outcome behaviors related to implementing the current guidelines for prevention of obesity and related conditions.
2. 2.To explore the role of HIT in the processes of system change for implementation of the guidelines for prevention of obesity and related conditions, including the facilitators, barriers, and impact of the care model on change.

Conditions

Childhood Overweight; Childhood Obesity

Keywords

childhood; overweight; obesity; Health information technology; HeartSmartKids; Motivational Interviewing

Outcome Measures

Primary Outcomes (2)

• International Life Science Institute(ILSI)Research Foundation Assessment of Overweight in Children and Adolescents

  The 35-item survey asks providers to rate themselves using a Likert-type scale on the following: (a) definitions of overweight in various age groups, (b) calculation and documentation of BMI percentile, (c) routine counseling on nutrition, physical activity, and screen time, (d) assessment of overweight children, and (e) resources and barriers that providers encounter in dealing with childhood overweight.

  every 9-12 months

• Chronic Care Model Elements Survey (CCMES)

  A 9-item survey that assesses the extent to which elements of the chronic care model are used in the routine care of patients in a practice. It was originally designed for patients with diabetes and was adapted for use in overweight/obesity. The total score is created as the mean of the 9 items, with the higher indicative of greater use of the elements of the CCM.

  every 9-12 months

Secondary Outcomes (2)

• Interpersonal Process of Care (IPC)

  every 9-12 months

• Health-Care Climate Questionnaire (HCCQ)

  every 9-12 months

Study Arms (2)

Web-based Provider training

OTHER

The training will include information about implementing the recommendations of the AMA, the pediatric metabolic working group, and the HEATSM guidelines into their practice setting through the use of the chronic care model for childhood obesity. Training will include self-management support, decision support, delivery-system redesign, clinical information systems, practice self-assessment, and staff development on obtaining, assessing, documenting BMI and BP; counseling families on appropriate interventions; and quality improvement processes to evaluate the practice's performance strategies.

Other: Web-based Provider Training

HeartSmartKids with web-based training

ACTIVE COMPARATOR

The providers assigned to Group 2 will receive the web-based training described in the other arm, plus the HeartSmartKids™ (HSK) system. HSK is a bilingual, HIT kiosk system with clinical decision support and tailored patient education.

Other: HeartSmartKids & Web-based Provider Training; Other: Web-based Provider Training

Interventions

HeartSmartKids & Web-based Provider Training OTHER

The providers assigned to Group 2 will receive the web-based training described in the web-based training arm, plus the HeartSmartKids™ (HSK) system. HSK is a bilingual, HIT kiosk system with clinical decision support and tailored patient education.

HeartSmartKids with web-based training

Web-based Provider Training OTHER

The training will include information about implementing the recommendations of the AMA, the pediatric metabolic working group, and the HEATSM guidelines into their practice setting through the use of the chronic care model for childhood obesity. Training will include self-management support, decision support, delivery-system redesign, clinical information systems, practice self-assessment, and staff development on obtaining, assessing, documenting BMI and BP; counseling families on appropriate interventions; and quality improvement processes to evaluate the practice's performance strategies.

HeartSmartKids with web-based training; Web-based Provider training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• School Based Health Centers who serve children 5-12 years
• sees a minimum of 20 children per month for well-child care or sports physicals
• has internet access and printer
• has space for a small computer in the waiting room or check-in area
• has a primary care provider who reads English.
• read English or Spanish

You may not qualify if:

• centers that have implemented the HeartSmartKids program.
• children seen for immunizations, dental, or mental health care without a well-child visit.

Sponsors & Collaborators

• Arizona State University: lead
• University of New Mexico: collaborator
• University of Colorado, Denver: collaborator

Study Sites (1)

Arizona State University

Phoenix, Arizona, 85004, United States

RECRUITING

MeSH Terms

Conditions

Pediatric Obesity; Overweight; Obesity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Bonnie M Gance-Cleveland, Ph.D.

  Arizona State University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Danielle M Dandreaux, Ph.D.

CONTACT

480-496-0822; danielle.dandreaux@asu.edu

Bonnie Gance-Cleveland, Ph.D., RNC, PNP, FAAN

CONTACT

602-496-0908; bonnie.gance-cleveland@asu.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: January 14, 2011
• First Posted: January 24, 2011
• Study Start: October 1, 2010
• Primary Completion: July 1, 2013
• Study Completion: September 1, 2013
• Last Updated: January 24, 2011

Record last verified: 2011-01

Locations

US (1)