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

This study has been completed.

Sponsor:

Information provided by (Responsible Party):

Indiana University

ClinicalTrials.gov Identifier:

NCT01612897

First received: June 4, 2012

Last updated: March 23, 2015

Last verified: March 2015

History of Changes

Purpose

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	Intervention
Healthy Children Undergoing Routine Care Children With Autism	Other: Computer based care reminders


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Screening
Official Title:	Computer Assisted Autism Care (CAAC)

Further study details as provided by Indiana University:

Primary Outcome Measures:

Structure autism screening instrument administered [ Time Frame: Up to 4 years ] [ Designated as safety issue: No ]
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:

Are appropriate diagnostic studies conducted among children who screen positive for autism. [ Time Frame: Up to 4 years ] [ Designated as safety issue: No ]
Among children who a suspected of having autism, chart abstraction and interviews are done to determine if the child received appropriate diagnostic and studies.


Enrollment:	368
Study Start Date:	September 2009
Study Completion Date:	July 2014
Primary Completion Date:	July 2014 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
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.

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.

Eligibility


Ages Eligible for Study:	17 Months to 4 Years (Child)
Genders Eligible for Study:	Both
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

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01612897

Locations


United States, Indiana
Wishard (Eskenazi) Healthcare clinics
Indianapolis, Indiana, United States, 46202

Sponsors and Collaborators

Indiana University

More Information


Responsible Party:	Indiana University
ClinicalTrials.gov Identifier:	NCT01612897 History of Changes
Other Study ID Numbers:	R01HS018453
Study First Received:	June 4, 2012
Last Updated:	March 23, 2015
Health Authority:	United States: Institutional Review Board

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

ClinicalTrials.gov processed this record on September 23, 2016

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