Improving Pediatric Obesity Practice Using Prompts (iPOP-UP)

Yale University

Status

Completed

Conditions

Pediatric Obesity

Treatments

Behavioral: Interruptive Clinical Decision Support

Study type

Interventional

Funder types

Other

Identifiers

NCT03648242

2000026382

1K08HS024332-01A1 (U.S. AHRQ Grant/Contract)

Details and patient eligibility

About

This study compares the effectiveness of electronic health record (EHR)-based tools to support the management of pediatric obesity in primary care. All clinicians will receive an interruptive "pop-up" alert We will examine the impact -- the added value versus unintended consequences -- of the interruptive alert on the quality of obesity management in pediatric primary care.

Full description

The primary specific aims of this study are to:

To assess the impact of EHR-based tools for pediatric obesity in primary care. Hypotheses: EHR-based clinical decision support tools that interrupt but support clinical workflow will (1) improve measures of pediatric obesity care quality delivered by clinicians (e.g., addition of obesity to the problem list, recommended screening for comorbidities, and follow-up/referral plans) and (2) result in a reduced rate of BMI increase over one year among children with obesity.
To utilize a mixed methods approach with surveys and semi-structured qualitative interviews with clinicians to (1) examine the extent to which the EHR tools positively impact clinicians' awareness, knowledge and adherence to expert guidelines for pediatric obesity management, and (2) to explore the barriers to and facilitators of clinicians' use of the EHR tools and factors that influence adoption.

Enrollment

140 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

All pediatric primary care providers providing well child care for patients ages 2-17 years-old in the Boston Children's Hospital primary care practices will be eligible for the study. There are no exclusion criteria.