Study of the Effectiveness of a Computer Decision Support System to Improve Physicians' Screening for Autism

Not Applicable

Completed

• Conditions: Healthy Children Undergoing Routine Care; Children With Autism
• Interventions: Other: Computer based care reminders

• Registration Number: NCT01612897
• Lead Sponsor: Indiana University

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.

Detailed Description

To be eligible for this trial, participants must receive their care at one of four primary care clinics in Indianapolis where the CHICA system is used.

Study Timeline

• Study Start: 2009-09
• Study First Submitted: 2012-06-04
• Study First Submitted QC: 2012-06-05
• Study First Posted: 2012-06-06
• Primary Completion: 2014-07
• Study Completion: 2014-07
• Status Verified: 2015-03
• Last Update Submitted: 2015-03-23
• Last Update Posted: 2015-03-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 368

Inclusion Criteria

• Previously healthy children receiving routine care in one of four clinics in Indianapolis who participate in this study.

Exclusion Criteria

• Previously known autism spectrum disorders or other causes of developmental delay

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Computer based reminders to MD	Computer based care reminders	Children in this arm attend a clinic that is randomly assigned to receive physician alerts to screen appropriate children for autism.

Primary Outcome Measures

Name	Time	Method
Structure autism screening instrument administered	Up to 4 years	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.

Secondary Outcome Measures

Name	Time	Method
Are appropriate diagnostic studies conducted among children who screen positive for autism.	Up to 4 years	Among children who a suspected of having autism, chart abstraction and interviews are done to determine if the child received appropriate diagnostic and studies.

Trial Locations

Locations (1)

Wishard (Eskenazi) Healthcare clinics; 🇺🇸 Indianapolis, Indiana, United States