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document
Computer Decision Support Changes Physician Practice But Not Knowledge Regarding Autism Spectrum Disorders . OBJECTIVE To examine whether adding an autism module promoting adherence to clinical guidelines to an existing computer decision support system ( CDSS ) changed physician knowledge and self-reported clinical practice . METHODS The CHICA ( Child Health Improvement through Computer Automation ) system , a CDSS , was enhanced with a module to improve management of autism in 2 of the 4 community pediatric clinics using the system . We examined the knowledge and beliefs of pediatric users using cross-sectional surveys administered at 3 time points ( baseline , 12 months and 24 months post-implementation ) between November 2010 and January 2013 . Surveys measured knowledge , beliefs and self-reported practice patterns related to autism . RESULTS A total of 45 , 39 , and 42 pediatricians responded at each time point , respectively , a 95-100 % response rate . Respondents ' knowledge of autism and perception of role for diagnosis did not vary between control and intervention groups either at baseline or any of the two post-intervention time points . At baseline , there was no difference between these groups in rates in the routine use of parent-rated screening instruments for autism . However , by 12 and 24 months post-implementation there was a significant difference between intervention and control clinics in terms of the intervention clinics consistently screening eligible patients with a validated autism tool . Physicians at all clinics reported ongoing challenges to community resources for further work-up and treatment related to autism . CONCLUSIONS A CDSS module to improve primary care management of ASD in pediatric practice led to significant improvements in physician-reported use of validated screening tools to screen for ASDs . However it did not lead to corresponding changes in physician knowledge or attitudes .
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Intervention_Educational
Computer Decision Support
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Intervention_Educational
computer decision support system
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Intervention_Educational
CHICA ( Child Health Improvement through Computer Automation ) system
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Intervention_Educational
CDSS
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Intervention_Educational
CDSS
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Outcome_Mental
Practice
72637
Outcome_Mental
Knowledge
72638
Outcome_Physical
management of autism
72639
Outcome_Other
Surveys
72640
Outcome_Physical
knowledge
72641
Outcome_Physical
beliefs and self-reported practice patterns related to autism
72642
Outcome_Physical
knowledge of autism and perception of role for diagnosis
72643
Outcome_Mental
rates in the routine use of parent-rated screening instruments
72644
Outcome_Physical
physician-reported use of validated screening tools
72645
Outcome_Physical
physician knowledge or attitudes
72646
Participant_Condition
Physician Practice
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Participant_Condition
Autism Spectrum Disorders .
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Participant_Condition
CHICA ( Child Health Improvement through Computer Automation
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Participant_Condition
autism
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Participant_Condition
pediatric users
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Participant_Sample-size
45
72652
Participant_Sample-size
39
72653
Participant_Sample-size
42