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Study of the Effectiveness of a Computer Decision Support System to Improve Physicians' Screening for Autism (CAAC)

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ClinicalTrials.gov Identifier: NCT01612897
Recruitment Status : Completed
First Posted : June 6, 2012
Last Update Posted : March 24, 2015
Sponsor:
Information provided by (Responsible Party):
Indiana University

Study Description
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Brief Summary:
The investigators hypothesize that children seen in a clinic that uses a compute based system known as CHICA, which reminds pediatricians to screen at defined time point for autism, will be screened more consistently for autism and receive more timely diagnostic a treatment services.

Condition or disease Intervention/treatment Phase
Healthy Children Undergoing Routine Care Children With Autism Other: Computer based care reminders Not Applicable

Detailed Description:
To be eligible for this trial, participants must receive their care at one of four primary care clinics in Indianapolis where the CHICA system is used.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 368 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Screening
Official Title: Computer Assisted Autism Care (CAAC)
Study Start Date : September 2009
Actual Primary Completion Date : July 2014
Actual Study Completion Date : July 2014
Arms and Interventions
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Arm Intervention/treatment
Experimental: Computer based reminders to MD
Children in this arm attend a clinic that is randomly assigned to receive physician alerts to screen appropriate children for autism.
 Other: Computer based care reminders
Physicians in the intervention clinic will receive computer generated reminders to screen for autism among children of appropriate age visiting the clinic.
No Intervention: Usual care arm
Children in this are receive usual care from a clinic randomly chosen to serve as a control.


Outcome Measures
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Primary Outcome Measures :
  1. Structure autism screening instrument administered [ Time Frame: Up to 4 years ]
    Physicians are reminded by the computer system to screen children under 3 years of age for autism with a structured screening instrument. Chart abstraction is used to document whether or not the screening occurred.


Secondary Outcome Measures :
  1. Are appropriate diagnostic studies conducted among children who screen positive for autism. [ Time Frame: Up to 4 years ]
    Among children who a suspected of having autism, chart abstraction and interviews are done to determine if the child received appropriate diagnostic and studies.


Eligibility Criteria
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Ages Eligible for Study:   17 Months to 4 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Previously healthy children receiving routine care in one of four clinics in Indianapolis who participate in this study.

Exclusion Criteria:

  • Previously known autism spectrum disorders or other causes of developmental delay
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01612897


Locations
United States, Indiana
Wishard (Eskenazi) Healthcare clinics
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Indiana University
More Information
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Responsible Party: Indiana University
ClinicalTrials.gov Identifier: NCT01612897     History of Changes
Other Study ID Numbers: R01HS018453 ( U.S. AHRQ Grant/Contract )
First Posted: June 6, 2012    Key Record Dates
Last Update Posted: March 24, 2015
Last Verified: March 2015

Keywords provided by Indiana University:
autism
well child care
screening
computer
reminders

Additional relevant MeSH terms:
Autistic Disorder
Child Development Disorders, Pervasive
Neurodevelopmental Disorders
Mental Disorders