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

This study has been completed.
ClinicalTrials.gov Identifier:
First Posted: June 6, 2012
Last Update Posted: March 24, 2015
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Indiana University
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
Intervention Model: Parallel Assignment
Masking: Single (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 ]
    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 ]
    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.

Information from the National Library of Medicine

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

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
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

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 ( U.S. AHRQ Grant/Contract )
First Submitted: June 4, 2012
First Posted: June 6, 2012
Last Update Posted: March 24, 2015
Last Verified: March 2015

Keywords provided by Indiana University:
well child care

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