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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.
Information provided by (Responsible Party):
Indiana University Identifier:
First received: June 4, 2012
Last updated: March 23, 2015
Last verified: March 2015
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.

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
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 identifier: NCT01612897

United States, Indiana
Wishard (Eskenazi) Healthcare clinics
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Indiana University
  More Information

Responsible Party: Indiana University Identifier: NCT01612897     History of Changes
Other Study ID Numbers: R01HS018453 ( U.S. AHRQ Grant/Contract )
Study First Received: June 4, 2012
Last Updated: March 23, 2015

Keywords provided by Indiana University:
well child care

Additional relevant MeSH terms:
Autistic Disorder
Child Development Disorders, Pervasive
Neurodevelopmental Disorders
Mental Disorders processed this record on September 21, 2017