Improving Patient Communication About SUDEP
NCT03502759 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 103
Last updated 2022-02-08
Summary
Children with generalized tonic-clonic seizures (GTCS) have about a 1 in 4500 of succumbing to sudden unexpected death in epilepsy (SUDEP). For that reason, the American Academy of Neurology recommends that clinicians caring for these children make their families aware of this small but important risk and provide appropriate supportive follow-up resources. Moreover, existing evidence suggests that children with poorly controlled GTCS have a strikingly increased odds of SUDEP, 3-24 fold, raising the importance of improving seizure control.
Clinicians caring for these patients have multiple issues to address in the typical visit. The investigators propose to use information technology to help providers assure that addressing SUDEP is incorporated into their routine care. The investigators have developed the Child Health Improvement through Computer Automation system (CHICA), a computer based clinical decision support system for pediatric care. CHICA captures patient reported data in the waiting room and prioritizes clinical advice to the physician through the electronic health record (EHR).
CHICA is used in five primary care clinics in the Eskenazi health system where it supports general pediatric care. The goal of this project is to test the effectiveness of a SUDEP module in this setting where CHICA is already in use - with a future goal of developing a full suite of CHICA modules for child neurologists.
Conditions
- SUDEP
- Epilepsy
Interventions
- BEHAVIORAL
-
CHICA SUDEP module
CHICA reminds physicians to counsel patients/families about the risk of SUDEP.
Sponsors & Collaborators
-
Child Neurology Foundation
collaborator UNKNOWN -
Greenwich Biosciences
collaborator INDUSTRY -
Indiana University
lead OTHER
Principal Investigators
-
Randall W Grout, MD · Indiana University - Ped Health Services
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 0 Years
- Max Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-06-14
- Primary Completion
- 2019-03-05
- Completion
- 2019-03-30
Countries
- United States
Study Locations
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