A Trial of Point of Care Information in Ambulatory Pediatrics

Constipation Clinical Trial

Official title:

A Randomized Clinical Trial to Improve Prescribing Patterns in Ambulatory Pediatrics

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00368823
• Other study ID #: HS10516-03
• Status: Completed
• Phase: Phase 3
• First received: August 24, 2006
• Last updated: August 24, 2006
• Start date: November 1999
• Est. completion date: December 2003

Study information

• Verified date: August 2006
• Source: University of Washington
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Does presentation of clinical evidence for decision making at point-of-care improve prescribing patterns in ambulatory pediatrics?

Description:

We showed previously that an electronic prescription writer and decision support system improved pediatric prescribing behavior for otitis media in an academic clinic setting. This study assessed whether point-of-care evidence delivery could demonstrate similar effects for a wide range of other common pediatric conditions. We performed a randomized controlled trial in a teaching clinic/clinical practice site and a primary care pediatric clinic serving a rural and semi-urban patient mix. There were 36 providers at the teaching clinic/practice site, and 8 providers at the private primary pediatric clinic, and an evidence-based message system presented real time evidence to providers based on prescribing practices for acute otitis media, allergic rhinitis, sinusitis, constipation, pharyngitis, croup, urticaria, and bronchiolitis. We measured the proportion of prescriptions dispensed in accordance with evidence.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44
• Est. completion date: December 2003
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria: The 44 clinical providers at the two participating clinics. -

Exclusion Criteria: Study investigators

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Acute Otitis Media
• Allergic Rhinitis
• Bronchiolitis
• Constipation
• Croup
• Otitis Media
• Pharyngitis
• Sinusitis
• Urticaria

Intervention

Device:
• Electronic point-of-care delivery system

Locations

Country	Name	City	State
United States	Roosevelt Pediatric Clinic	Seattle	Washington
United States	Skagit Valley Pediatrics	Skagit Valley	Washington

Sponsors (2)

Lead Sponsor	Collaborator
University of Washington	Agency for Healthcare Research and Quality (AHRQ)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	prescribing practices for acute otitis media,
Primary	allergic rhinitis,
Primary	sinusitis,
Primary	constipation,
Primary	pharyngitis,
Primary	croup,
Primary	urticaria,
Primary	bronchiolitis