Delivering Geospatial Intelligence to Health Care Providers

Not Applicable

Completed

• Conditions: Overweight
• Interventions: Other: CHICA GIS (enhanced electronic medical record)

• Registration Number: NCT01567228
• Lead Sponsor: Indiana University

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2012-01-18
• Study First Submitted QC: 2012-03-29
• Study First Posted: 2012-03-30
• Study Start: 2012-09
• Primary Completion: 2014-09
• Study Completion: 2014-09
• Status Verified: 2015-09
• Last Update Submitted: 2015-09-14
• Last Update Posted: 2015-09-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1076

Inclusion Criteria

• 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).

Exclusion Criteria

• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CHICA GIS	CHICA GIS (enhanced electronic medical record)	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

Primary Outcome Measures

Name	Time	Method
Improved physician counseling	6 months	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.

Secondary Outcome Measures

Name	Time	Method
User experience and satisfaction	24 months	Surveys will be administered at baseline and end of the trial (18 months) to the entire staff of each practice, in order to document how each practice is organized and provide detailed information about community referral processes. Staff will also be asked about their satisfaction with the CHICA system, CHICA-GIS (Intervention Clinics only), and the community referral module (Intervention Clinics only).

Trial Locations

Locations (1)

Wishard Health Services; 🇺🇸 Indianapolis, Indiana, United States