Delivering Geospatial Intelligence to Health Care Providers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,076
- 试验地点
- 1
- 主要终点
- Improved physician counseling
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 21 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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).
排除标准
- •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
研究组 & 干预措施
routine counseling (control group)
Children will receive typical counseling for obesity prevention, dental caries prevention, or school problems per routine standards for pediatrician anticipatory guidance
CHICA GIS
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
干预措施: CHICA GIS (enhanced electronic medical record) (Other)
结局指标
主要结局
Improved physician counseling
时间窗: 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.
次要结局
- User experience and satisfaction(24 months)