Using Interventional Informatics to Address Social Determinants of Health During Clinical Care Visits to Promote Behavior Change and PREVENT Cardiovascular Disease
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 36
- Locations
- 2
- Primary Endpoint
- Patients' satisfaction of PREVENT tool: survey
Study Overview
Brief Summary
Healthcare providers recognize the need for behavior change and the influence of social determinants on youth at risk for poor cardiovascular health (CVH), especially among those of low-socioeconomic status (SES). Yet, providers lack the time and community data necessary to provide tailored, evidence-based care within routine practice. This project will use an Interventional Informatics approach to help providers prescribe patient-centered, evidence-based physical activity and nutrition prescriptions and link patients to community resources to account for social determinants at the point-of-care. This project will integrate our existing, novel, Patient-centered Real-timE interVENTion (PREVENT) tool into the BJC electronic health record (EHR) and test it with providers and adolescent patients at-risk for poor CVH. EHR integration of PREVENT will enable a cyclical, synergistic and data-centric approach to impact modifiable risk factors (physical activity and food intake) and prevent cardiovascular disease. This approach uses health informatics technology (HIT) to deliver data-driven, patient-centered care and generate evidence to support the use of HIT as a way to prevent cardiovascular disease across diverse patients and communities.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 12 Years to 17 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged 12-17 years at baseline
- •at risk for poor CVH (body mass index >= 85th percentile)
- •Receiving care from the Healthy Start Clinic at Barnes Jewish Hospital.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Patients' satisfaction of PREVENT tool: survey
Time Frame: 3-months
A survey (6-questions) will assess patient's satisfaction with the PREVENT tool. Questions are asked on a 5-point Likert scale (range: 6-30) with a higher score indicating greater satisfaction.
Provider's satisfaction of PREVENT tool: survey
Time Frame: 3-months
A survey (31-questions) will assess provider's acceptability and satisfaction with five aspects of health information technology: content, accuracy, format, ease of use and timeliness. Questions are asked on a 5-point Likert scale (range: 31-155) with a higher score indicating greater satisfaction.
Fidelity of PREVENT tool implementation
Time Frame: 0-3 months
Fidelity will be measured using direct observation of patient-provider interactions while using the PREVENT tool. A direct observation checklist will be used by the observer to determine the number of interactions with the PREVENT tool that were implemented as intended.
Secondary Outcomes
- Change in patient's motivation(At baseline, and 3-months)
- Change in patient's knowledge of CVH(At baseline, and 3-months)
- Change in food intake behaviors(At baseline, and 3-months)
- Change in physical activity behaviors(At baseline, and 3-months)
- Change on patient's average systolic and diastolic blood pressure(At baseline, and 3-months)
- Change in patient's blood glucose(At baseline, and 3-months)
- Change in body mass index z-score(At baseline, and 3-months)
- Change in patient's cholesterol(At baseline, and 3-months)