Delivering Geospatial Intelligence to Health Care Providers

Indiana University1,076 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

1,076

Conditions

Overweight

Interventions

CHICA GIS (enhanced electronic medical record)OTHER

An electronic medical record enhanced with geographic information systems will assist physicians in directing patients to community resources for increasing physical activity, preventing dental caries or addressing school problems

Eligibility

Sex: ALLMin age: 1 YearMax age: 21 Years

Medical Language ↔ Plain English

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

Locations (1)

Wishard Health Services

Indianapolis, Indiana, United States

Outcomes

Primary Outcomes

Improved physician counseling

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.

Time frame: 6 months

Secondary Outcomes

User experience and satisfaction

Surveys will be administered at baseline and end of the trial (18 months) to the entire staff of each practice, in order to document how each practice is organized and provide detailed information about community referral processes. Staff will also be asked about their satisfaction with the CHICA system, CHICA-GIS (Intervention Clinics only), and the community referral module (Intervention Clinics only).

Time frame: 24 months

Data from ClinicalTrials.gov

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