Health Information Technology to Support Clinical Decision Making in Obesity Care

Status unconfirmed · Not applicable

Conditions studied: Childhood Overweight, Childhood Obesity

In brief

The purpose of this study is to address priority Research Area 3 in PAR-08-270: Health information technology (HIT) to improve health care decision making through the use of integrated data and knowledge management. The proposed study will evaluate the use of HIT for clinician decision support and tailored patient education on the implementation of the current guidelines for the prevention of obesity-related chronic conditions in health disparity populations of poor, minority youth who access care through SBHCs. The specific aims are: 1. To evaluate the effectiveness of web-based training with and without computerized clinical decision support on provider's process and outcome behaviors related to implementing the current guidelines for prevention of obesity and related conditions. a. Process variables include the following: i. Provider knowledge, attitudes, and barriers to implementing the guidelines. ii. Parent perception of the interpersonal process of care (i.e., provider communication, collaborative decision making, and interpersonal style). iii. Parent perception of provider support for their child's healthy eating and exercise. b. Behavior outcomes include the following: i. Provider self-reported behaviors of identification and assessment of overweight, counseling on nutrition and physical activity, use of behavioral interventions, referrals, and cultural competency. ii. Documentation by chart review of body mass index (BMI) percentile for age and sex; appropriate diagnosis when BMI \> 85th percentile; blood pressure (BP) percentile for age, height, and sex; and ordering appropriate laboratory tests when indicated. 2. To explore the role of HIT in the processes of system change for implementation of the guidelines for prevention of obesity and related conditions, including the facilitators, barriers, and impact of the care model on change.

Key facts

Study ID

NCT01281436

Run by

Arizona State University

People needed

24

Starts

2010-10-01

Expected to finish

2013-09-01

Last updated by the study team

2011-01-24

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• School Based Health Centers who serve children 5-12 years
• sees a minimum of 20 children per month for well-child care or sports physicals
• has internet access and printer
• has space for a small computer in the waiting room or check-in area
• has a primary care provider who reads English.
• Inclusion criteria for parents:
• read English or Spanish

You may not qualify if…

• centers that have implemented the HeartSmartKids program.
• children seen for immunizations, dental, or mental health care without a well-child visit.

Where it is running

• Arizona State University — Phoenix, Arizona, United States (enrolling)

Full record on ClinicalTrials.gov

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