Gestational Weight Gain and the Electronic Medical Record (WATE)
Less than one third of pregnant women actually achieve the Institute of Medicine's (IOM) recommended weight gain. To date, there are no randomized controlled trials studying the use of the electronic medical record to alert providers to initiate the counseling of patients on the IOM gestational weight gain recommendations.
In the investigator's planned study intervention, using the EPIC EMR system, an electronic alert (Best Practice Advisory) will appear for providers at each prenatal care visit. This alert will remind providers to counsel patients on the recommendations for gestational weight gain. The control group will receive standard prenatal care, without electronic alerts generated regarding BMI and gestational weight gain.
The investigators hypothesize that a higher percentage of patients who receive the intervention will meet the IOM guidelines for weight gain.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||WATE Study - Gestational Weight Gain and the Electronic Medical Record|
- Weight gain [ Time Frame: At delivery, average of 40 weeks from enrollment ]Primary outcome will be measured as the percent of patients who achieve their recommended weight gain goal in pregnancy (IOM guidelines)
- Patient perception [ Time Frame: At end of pregnancy, average of 40 weeks from enrollment ]Survey to patients at the end of pregnancy regarding how patients perceive and are influenced by EMR notifications and counseling
|Study Start Date:||October 2013|
|Study Completion Date:||May 2016|
|Primary Completion Date:||October 2014 (Final data collection date for primary outcome measure)|
Experimental: EMR intervention
Patients will have an electronic medical record popup/highlight in their chart, displaying the recommended guidelines for weight gain in pregnancy.
Other: EMR Intervention
Electronic medical record flag/notification in the patient's chart
No Intervention: Control
The patient's medical record will be displayed as usual, with no flag or highlight for weight gain recommendations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01987141
|United States, Illinois|
|Loyola University Medical Center|
|Maywood, Illinois, United States, 60153|