Adoption of an Electronic Medical Record Tool for Childhood Obesity by Primary Care Providers.
Journal
Applied clinical informatics
ISSN: 1869-0327
Titre abrégé: Appl Clin Inform
Pays: Germany
ID NLM: 101537732
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
entrez:
19
3
2020
pubmed:
19
3
2020
medline:
12
1
2021
Statut:
ppublish
Résumé
Primary care providers are tasked with the increasingly difficult job of addressing childhood obesity during clinic visits. Electronic medical record (EMR)-enabled decision-support tools may aid providers in this task; however, information is needed regarding whether providers perceive such tools to be useful for addressing nutrition and physical activity lifestyle behaviors. This study aimed to evaluate the usefulness and usability of FitTastic, an EMR-enabled tool to support prevention and management of childhood obesity in primary care. In this mixed-method study, we implemented the FitTastic tool in two primary-care clinics, then surveyed and conducted focused interviews with providers. Validated Technology Acceptance Model perceived usefulness and National Aeronautics and Space Administration (NASA) perceived usability survey questions were e-mailed to 60 providers. In-depth provider interviews with family medicine and pediatric physicians ( Surveys were completed by 73% of providers ( FitTastic is perceived as a useful and usable EMR-based lifestyle behavior tool that standardizes, facilitates, and streamlines healthy lifestyle conversations with families. Perceived usability and usefulness scores correlated with provider intention-to-use the technology. These data suggest that EMR-based child obesity prevention and management tools can be feasible to use in the clinic setting, with potential for scalability. Usefulness can be optimized by limiting amount of time needed by staff to input data.
Sections du résumé
BACKGROUND
Primary care providers are tasked with the increasingly difficult job of addressing childhood obesity during clinic visits. Electronic medical record (EMR)-enabled decision-support tools may aid providers in this task; however, information is needed regarding whether providers perceive such tools to be useful for addressing nutrition and physical activity lifestyle behaviors.
OBJECTIVES
This study aimed to evaluate the usefulness and usability of FitTastic, an EMR-enabled tool to support prevention and management of childhood obesity in primary care.
METHODS
In this mixed-method study, we implemented the FitTastic tool in two primary-care clinics, then surveyed and conducted focused interviews with providers. Validated Technology Acceptance Model perceived usefulness and National Aeronautics and Space Administration (NASA) perceived usability survey questions were e-mailed to 60 providers. In-depth provider interviews with family medicine and pediatric physicians (
RESULTS
Surveys were completed by 73% of providers (
CONCLUSION
FitTastic is perceived as a useful and usable EMR-based lifestyle behavior tool that standardizes, facilitates, and streamlines healthy lifestyle conversations with families. Perceived usability and usefulness scores correlated with provider intention-to-use the technology. These data suggest that EMR-based child obesity prevention and management tools can be feasible to use in the clinic setting, with potential for scalability. Usefulness can be optimized by limiting amount of time needed by staff to input data.
Identifiants
pubmed: 32187633
doi: 10.1055/s-0040-1705106
pmc: PMC7080555
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
210-217Subventions
Organisme : NIDDK NIH HHS
ID : P30 DK092950
Pays : United States
Organisme : American Academy of Family Physicians Foundation Joint Grant Award Program
ID : G1603JG
Pays : International
Organisme : NCI NIH HHS
ID : P50 CA244431
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK056341
Pays : United States
Organisme : NIDDK NIH HHS
ID : R21 DK114764
Pays : United States
Organisme : NHLBI NIH HHS
ID : R03 HL144811
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK092949
Pays : United States
Informations de copyright
Georg Thieme Verlag KG Stuttgart · New York.
Déclaration de conflit d'intérêts
None declared.
Références
Pediatrics. 2002 Jul;110(1 Pt 2):210-4
pubmed: 12093997
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2005 Jun;23(3):178-81
pubmed: 16124892
Med Care Res Rev. 2007 Dec;64(6):650-72
pubmed: 17717378
Ann Fam Med. 2017 Sep;15(5):419-426
pubmed: 28893811
J Child Health Care. 2019 Mar;23(1):63-78
pubmed: 29792063
Ergonomics. 2007 Apr;50(4):514-9
pubmed: 17575712
Clin Pediatr (Phila). 2016 Oct;55(12):1152-9
pubmed: 26676994
Appl Clin Inform. 2016 Jul 20;7(3):693-706
pubmed: 27452794
Pediatrics. 2007 Dec;120 Suppl 4:S164-92
pubmed: 18055651
J Am Board Fam Med. 2011 Nov-Dec;24(6):745-51
pubmed: 22086819
Implement Sci. 2015 Aug 12;10:113
pubmed: 26264351
Child Obes. 2018 Nov/Dec;14(8):518-527
pubmed: 30153036
J Biomed Inform. 2003 Feb-Apr;36(1-2):4-22
pubmed: 14552843
Mayo Clin Proc. 2018 Sep;93(9):1247-1255
pubmed: 30060957
Clin Pediatr (Phila). 2018 Sep;57(10):1168-1175
pubmed: 29514514
Pediatrics. 2017 Nov;140(5):
pubmed: 29089403
Health Promot Int. 2013 Sep;28(3):285-98
pubmed: 22241853
J Pediatr Psychol. 2013 Oct;38(9):1010-20
pubmed: 23933841
Appl Clin Inform. 2015 Aug 12;6(3):506-20
pubmed: 26448795
J Biomed Inform. 2010 Feb;43(1):159-72
pubmed: 19615467