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Completed

NCT Number: NCT05173506

Child Health Improvement Through Computer Automation - Child Neurology (CHICA-CN) Evaluation

The study will evaluate a computer decision support system for child neurology, Child Health Improvement through Computer Automation - Child Neurology (CHICA-CN) using patient chart review, family phone surveys, and physician interviews in a before-after study design.

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Key information

Conditions

Neurologic Disorder Nervous System Diseases

Age range

Up to 18 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

About this study

(CHICA-CN) Child Health Improvement through Computer Automation - Child Neurology is software that works with the electronic health record (EHR) to improve the efficiency and quality of care in the outpatient setting. Built in partnership with the Child Neurology Foundation, CHICA's guidance is based on authoritative guidelines from the American Academy of Neurology and others. The plan is to implement CHICA-CN in the Child Neurology Clinics at Wake Forest Baptist Health. To evaluate CHICA-CN the proposal is to look at data derived from three sources:

  • Chart Review to evaluate quality of care based on measures derived from four algorithms developed from American Academy of Neurology quality measures and typically documented in the medical record. This will be a before-after study design in which measurements will be obtained before and after the installation of CHICA-CN.
  • Parent Phone Surveys to Document the parent experience in terms of physician-patient communication, parent engagement, and satisfaction with use of the patient facing tablet interface. These data will be collected from families of patients identified for the chart review after the intervention.
  • Physician user satisfaction measures, including perceived value of the system and ease of use in general and as regards individual clinical issues. Surveys will be administered to physicians and clinic staff who used CHICA-CN.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Must be patients in the participating clinical practices meeting inclusion criteria for one of the four cohorts

Exclusion criteria

  • N/A

Treatment and study plan

Computer decision support for physician

Other

The Child Health Improvement through Computer Automation - Child Neurology (CHICA-CN) system will screen patients for needed services and provide reminders to physicians to provide the needed services.

Primary outcomes

  1. Chart Abstraction Outcomes - Transitions of Care

    Time frame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN

    Transitions of Care - the number of charts that document that the service was provided divided by the number of charts reviewed

  2. Chart Abstraction Outcomes - Rescue Seizure Therapy for Children with Epilepsy

    Time frame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN

    Rescue Seizure Therapy for Children with Epilepsy - the number of charts that document that the service was provided divided by the number of charts reviewed

  3. Chart Abstraction Outcomes - Genetic Testing for Global Developmental Delay

    Time frame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN

    Genetic Testing for Global Developmental Delay - the number of charts that document that the service was provided divided by the number of charts reviewed

  4. Chart Abstraction Outcomes - Adolescent Depression Screening

    Time frame: Visits will be extracted for the year before implementation of CHICA-CN and for a one year period after implementation of CHICA-CN

    Adolescent Depression Screening - the number of charts that document that the service was provided divided by the number of charts reviewed

  5. Physician-patient communication Survey Score

    Time frame: Eligible patients will be identified as they have encounters, starting 6 months after implementation of CHICA-CN and continuing for 12 months, assessed for the identified visit, within 2 weeks of the visit

    Communication subscale of the Ambulatory Care Experiences (ACE) Survey - includes 4 items like "How often did your personal doctor explain things in a way that was easy to understand" or "How would you rate your personal doctor's knowledge of your medical history." - Single score (0-12), higher score indicates better communication.

  6. Patient engagement Survey Score

    Time frame: Eligible patients will be identified as they have encounters, starting 6 months after implementation of CHICA-CN and continuing for 12 months, assessed for the identified visit, within 2 weeks of the visit

    Patient Activation Measure Short Form (PAM) - 13 item scale assesses whether the parent believes an active role in the child's care is important; if the parent has the confidence and knowledge to take action, e.g., medications, bringing concerns to the provider; if the parent has taken action, e.g., lifestyle changes, to improve child's health; and whether the parent stays on course under stress, e.g., being able to handle child's health condition at home. 13 items, single score (0-39), higher score indicates greater patient/parent engagement.

  7. Physician Satisfaction Survey

    Time frame: After one year of of clinicians using CHICA-CN

    Clinician user satisfaction measures, including perceived value of the system and ease of use in general and as regards individual clinical issues. Surveys will be administered to physicians and clinic staff who used CHICA-CN. The survey includes a series of statements with which the respondent will mark their level of agreement on a Likert scale. There is no summary score, but we will calculate and report a mean, median, and range for each item.

Sponsors and collaborators

Lead sponsor

Wake Forest University Health Sciences

Other

Collaborators

  • Child Neurology Foundation
  • Indiana University
  • Norton Healthcare

Registry information

Official study title

CHICA-CN Evaluation - Evaluation of a Computer Decision Support System in Child Neurology

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Dec 30, 2021
Registry last updated
Oct 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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