Study of the Effectiveness of a Computer Decision Support System to Improve Physicians' Screening for Autism
CAAC
Computer Assisted Autism Care (CAAC)
1 other identifier
interventional
368
1 country
1
Brief Summary
The investigators hypothesize that children seen in a clinic that uses a compute based system known as CHICA, which reminds pediatricians to screen at defined time point for autism, will be screened more consistently for autism and receive more timely diagnostic a treatment services.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2009
CompletedFirst Submitted
Initial submission to the registry
June 4, 2012
CompletedFirst Posted
Study publicly available on registry
June 6, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedMarch 24, 2015
March 1, 2015
4.8 years
June 4, 2012
March 23, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Structure autism screening instrument administered
Physicians are reminded by the computer system to screen children under 3 years of age for autism with a structured screening instrument. Chart abstraction is used to document whether or not the screening occurred.
Up to 4 years
Secondary Outcomes (1)
Are appropriate diagnostic studies conducted among children who screen positive for autism.
Up to 4 years
Study Arms (2)
Computer based reminders to MD
EXPERIMENTALChildren in this arm attend a clinic that is randomly assigned to receive physician alerts to screen appropriate children for autism.
Usual care arm
NO INTERVENTIONChildren in this are receive usual care from a clinic randomly chosen to serve as a control.
Interventions
Physicians in the intervention clinic will receive computer generated reminders to screen for autism among children of appropriate age visiting the clinic.
Eligibility Criteria
You may qualify if:
- Previously healthy children receiving routine care in one of four clinics in Indianapolis who participate in this study.
You may not qualify if:
- Previously known autism spectrum disorders or other causes of developmental delay
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Wishard (Eskenazi) Healthcare clinics
Indianapolis, Indiana, 46202, United States
Related Publications (1)
Downs SM, Bauer NS, Saha C, Ofner S, Carroll AE. Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1917676. doi: 10.1001/jamanetworkopen.2019.17676.
PMID: 31851348DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 4, 2012
First Posted
June 6, 2012
Study Start
September 1, 2009
Primary Completion
July 1, 2014
Study Completion
July 1, 2014
Last Updated
March 24, 2015
Record last verified: 2015-03