Child Health Improvement Through Computer Automation of Constipation Management in Primary Care (CHICA-GI)

William E. Bennett, Jr.

Status: Completed

Conditions: Encopresis; Constipation

Treatments: Other: Evidence Based Constipation Reminders

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02354820

CHICA-GI Constipation

K23DK098235 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This project seeks to expand an existing computerized decision support system used in pediatric primary care. The expanded system will add a module that helps clinicians recognize constipated children and then provides evidence-based reminders for constipation management, as well as automates patient educational materials. The current system is deployed across multiple sites, and the constipation module will be randomized to deployment in different sites. The difference in constipation management and patient outcomes will then be compared between sites receiving the intervention and sites not receiving the intervention over a 12 month period.

Enrollment: 16,264 patients

Sex: All

Ages: 1 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients presenting to one of 5 primary care clinics in the Eskenazi Health system in Indianapolis, IN.
• Patients given a pre-screener form as part of the existing CHICA decision support system.
• Age between 2 years and 12 years, inclusive.

Exclusion criteria

• None.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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16,264 participants in 2 patient groups

Control

No Intervention group

Description:

Patients are identified by the pre-screener form given to parents as having constipation or encopresis. No intervention is given to providers to help them with constipation management.

Experimental

Experimental group

Description:

Patients are identified by the pre-screener form given to parents as having constipation or encopresis. Evidence based reminders and patient educational materials are given to providers to help them with constipation management.

Treatment:

Other: Evidence Based Constipation Reminders