Overweight
Conditions
Keywords
obesity, overweight, dental caries, school problems, school failure, child BMI > 85th percentile, Needing dental preventive services, Needing academic support for school problems
Brief summary
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.
Interventions
OTHERCHICA GIS (enhanced electronic medical record)
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
Sponsors
National Library of Medicine (NLM)
Indiana University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 21 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improved physician counseling | 6 months | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| User experience and satisfaction | 24 months | 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). |
Countries
United States
Outcome results
None listed