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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Computer based reminders to MD | Experimental | Children in this arm attend a clinic that is randomly assigned to receive physician alerts to screen appropriate children for autism. |
|
| Usual care arm | No Intervention | Children in this are receive usual care from a clinic randomly chosen to serve as a control. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Computer based care reminders | Other | Physicians in the intervention clinic will receive computer generated reminders to screen for autism among children of appropriate age visiting the clinic. |
| Measure | Description | Time Frame |
|---|---|---|
| Structure autism screening instrument administered | 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. | Up to 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Are appropriate diagnostic studies conducted among children who screen positive for autism. | Among children who a suspected of having autism, chart abstraction and interviews are done to determine if the child received appropriate diagnostic and studies. | Up to 4 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wishard (Eskenazi) Healthcare clinics | Indianapolis | Indiana | 46202 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31851348 | Derived | Downs SM, Bauer NS, Saha C, Ofner S, Carroll AE. Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1917676. doi: 10.1001/jamanetworkopen.2019.17676. |
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| ID | Term |
|---|---|
| D001321 | Autistic Disorder |
| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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