Delivering Geospatial Intelligence to Health Care Providers (CHICA GIS)

Indiana University

Status: Completed

Conditions: Overweight

Treatments: Other: CHICA GIS (enhanced electronic medical record)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01567228

1R01LM010923-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Enrollment: 1,076 estimated patients

Sex: All

Ages: 1 to 21 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,076 participants in 2 patient groups

routine counseling (control group)

No Intervention group

Description:

Children will receive typical counseling for obesity prevention, dental caries prevention, or school problems per routine standards for pediatrician anticipatory guidance

CHICA GIS

Experimental group

Description:

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

Treatment:

Other: CHICA GIS (enhanced electronic medical record)