Delivering Geospatial Intelligence to Health Care Providers (CHICA GIS)

This study has been completed.
National Library of Medicine (NLM)
Information provided by (Responsible Party):
Indiana University Identifier:
First received: January 18, 2012
Last updated: September 14, 2015
Last verified: September 2015

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.

Condition Intervention
Other: CHICA GIS (enhanced electronic medical record)

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Delivering Geospatial Intelligence to Health Care Providers

Resource links provided by NLM:

Further study details as provided by Indiana University:

Primary Outcome Measures:
  • Improved physician counseling [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    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 Outcome Measures:
  • User experience and satisfaction [ Time Frame: 24 months ] [ Designated as safety issue: No ]
    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).

Estimated Enrollment: 1076
Study Start Date: September 2012
Study Completion Date: September 2014
Primary Completion Date: September 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: routine counseling (control group)
Children will receive typical counseling for obesity prevention, dental caries prevention, or school problems per routine standards for pediatrician anticipatory guidance
Experimental: CHICA GIS
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
Other: CHICA 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
Other Name: CHICA GIS


Ages Eligible for Study:   1 Year to 21 Years
Genders Eligible for Study:   Both
Accepts 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
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Please refer to this study by its identifier: NCT01567228

United States, Indiana
Wishard Health Services
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Indiana University
National Library of Medicine (NLM)
Principal Investigator: Gilbert C Liu, MD Indiana University
  More Information

Additional Information:
No publications provided

Responsible Party: Indiana University Identifier: NCT01567228     History of Changes
Other Study ID Numbers: 1R01LM010923-01, 1R01LM010923-01
Study First Received: January 18, 2012
Last Updated: September 14, 2015
Health Authority: United States: Federal Government

Keywords provided by Indiana University:
dental caries
school problems
school failure
child BMI > 85th percentile
Needing dental preventive services
Needing academic support for school problems

Additional relevant MeSH terms:
Body Weight
Signs and Symptoms processed this record on October 08, 2015