NCT01567228

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,076

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2012

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 18, 2012

Completed
2 months until next milestone

First Posted

Study publicly available on registry

March 30, 2012

Completed
5 months until next milestone

Study Start

First participant enrolled

September 1, 2012

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2014

Completed
Last Updated

September 16, 2015

Status Verified

September 1, 2015

Enrollment Period

2 years

First QC Date

January 18, 2012

Last Update Submit

September 14, 2015

Conditions

Overweight

Keywords

obesityoverweightdental cariesschool problemsschool failurechild BMI > 85th percentileNeeding dental preventive servicesNeeding academic support for school problems

Outcome Measures

Primary Outcomes (1)

  • 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.

    6 months

Secondary Outcomes (1)

  • User experience and satisfaction

    24 months

Study Arms (2)

routine counseling (control group)

NO INTERVENTION

Children will receive typical counseling for obesity prevention, dental caries prevention, or school problems per routine standards for pediatrician anticipatory guidance

CHICA GIS

EXPERIMENTAL

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

Other: CHICA GIS (enhanced electronic medical record)

Interventions

CHICA GIS (enhanced electronic medical record)OTHER

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

Also known as: CHICA GIS
CHICA GIS

Eligibility Criteria

Age1 Year - 21 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • 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).

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Wishard Health Services

Indianapolis, Indiana, 46202, United States

Location

MeSH Terms

Conditions

OverweightObesityDental Caries

Condition Hierarchy (Ancestors)

OvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsTooth DemineralizationTooth DiseasesStomatognathic Diseases

Study Officials

  • Gilbert C Liu, MD

    Indiana University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 18, 2012

First Posted

March 30, 2012

Study Start

September 1, 2012

Primary Completion

September 1, 2014

Study Completion

September 1, 2014

Last Updated

September 16, 2015

Record last verified: 2015-09

Locations

US(1)