Clinical Trials Logo

Clinical Trial Summary

This study tests the effectiveness of an intervention treatment algorithm vs. usual care control in a practical clinical trial. Control arm providers will receive a standard medication alert in the electronic medical record (EMR) when initiating an antipsychotic prescription for an eligible patient. Intervention arm prescribers will receive an interactive medication alert in the EMR when prescribing for eligible patients and the patient and provider will enter the treatment algorithm (provider - medication alert plus clinical review by a child psychiatrist; patient - offer of personalized behavioral health navigation plus bridging therapy when appropriate). The study aims to recruit 800 eligible patients in 4 health systems.


Clinical Trial Description

SUAY is a practical clinical trial designed to test the effectiveness of an intervention aiming to improve the targeted and safer use of antipsychotic medications by guiding clinician-prescribing behavior of antipsychotics for children aged ≥ 3 and < 18 years and encouraging psychosocial therapy for eligible youth. The intervention includes a medication best practice alert in Epic, consultation with a child and adolescent psychiatrist, and extra support for patients and families to improve behavioral health service access. The trial will be conducted in 4 non-academic health systems. Each health system will randomize prescribers to one of two study arms, intervention and control. During patient encounters, entering an antipsychotic for a potentially eligible patient will cause either the control or intervention medication alert to fire in the electronic medical record. The control arm medication alert will point prescribing clinicians to relevant Choosing Wisely® recommendations. The intervention arm medication alert will inform prescribers that: 1. Antipsychotics are not recommended 1st line treatment for non-psychotic disorders; 2. A child and adolescent psychiatrist (CAP) will review antipsychotic usage by youth; 3. Expedited access to bridging therapy, behavior health navigation, and/or a proactive consultation with a CAP may be ordered. The intervention medication alert will point prescribing clinicians to both Choosing Wisely® recommendations and to SUAY clinical prescribing guidelines. SUAY guidelines were developed by a national expert consensus panel in a prior phase of the study. Analytic data will be collected from automated data sources at the health systems. The primary outcomes are percent of children ordered an antipsychotic medication at 6 months of follow up, and total person-months of antipsychotic orders placed for participants during the study period. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03448575
Study type Interventional
Source Kaiser Permanente
Contact
Status Completed
Phase N/A
Start date March 29, 2018
Completion date December 24, 2021

See also
  Status Clinical Trial Phase
Recruiting NCT05525962 - Vulnerability/Resilience Factors Influencing the Developmental Trajectories and Adaptive Methods of Children and Adolescents in Child Welfare System.
Completed NCT00254930 - A Prospective Study of Risperdal (Risperidone) for the Treatment of Behavioral Disorder Following Psychological Therapy for Challenging Behavior in Learning Disabled Children Phase 3
Not yet recruiting NCT04418921 - Improving Self-regulation in Children With Neurodevelopmental Disorders: N/A
Recruiting NCT05637320 - Big Feelings: A Study on Children's Emotions in Therapy N/A
Completed NCT04610281 - The Inner Garden and Care for Children With Moderate to Severe Agitation N/A
Completed NCT02030730 - RCT of Brief Universal Parenting Program to Prevent Child Behavioural and Emotional Difficulties in Greece N/A
Completed NCT01554527 - Continuous Positive Airway Pressure (CPAP) After Adenotonsillectomy in Children N/A
Completed NCT00558454 - Iron Supplementation of Marginally Low Birth Weight Infants Phase 4
Completed NCT05240222 - Pre-Implementation Enhancement Strategy To Improve Teachers' Intention to Implement Evidence-Based Practices N/A
Completed NCT02778022 - Child Adult Relationship Enhancement in Pediatric Primary Care Parenting Group to Reduce Child Behavior Problems N/A
Completed NCT03065517 - VillageWhere: Innovative Mobile Technology for Youth With Conduct Disorder and Their Parents N/A
Completed NCT03927612 - Virtual Reality to Improve Social Perspective Taking N/A
Enrolling by invitation NCT05179759 - Teachers Leading the Frontlines (Tealeaf) - a Hybrid Effectiveness, Implement, and Context Trial N/A
Recruiting NCT05262088 - Prognostic Value of Generalized Movements in the Diagnosis of Neurological Diseases in Children
Completed NCT04723277 - Efficacy of Teacher-delivered Child Mental Healthcare in Primary Schools of India N/A
Recruiting NCT05206708 - Assesment of the Efficacy of Personalized Parent-child Psychotherapy in Children Under 3 Years Old N/A
Not yet recruiting NCT04745819 - Epidemiological Screening of Psychiatric Disorders Among School Aged Children and Adolescent in Assiut Governorate
Not yet recruiting NCT04762394 - Epidemiology of Psychiatric Disorders in Children and Adolescent at Egypt
Completed NCT02250339 - A Prospective Observational Study of Family-based Interventions for Children With Neuropsychiatric and/or Psychiatric Disorders
Recruiting NCT03300713 - MOther-Child Interaction Assessment TRAINING for Pediatricians N/A