{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T02:46:27Z","timestamp":1761965187150},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","funder":[{"DOI":"10.13039\/100010249","name":"Indiana University School of Medicine","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100010249","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"crossref","award":["R01DK092717"],"award-info":[{"award-number":["R01DK092717"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003With the increasing prevalence of type 2 diabetes (T2D) in youth, primary care providers must identify patients at high risk and implement evidence-based screening promptly. Clinical decision support systems (CDSSs) provide clinicians with personalized reminders according to best evidence. One example is the Child Health Improvement through Computer Automation (CHICA) system, which, as we have previously shown, significantly improves screening for T2D. Given that the long-term success of any CDSS depends on its acceptability and its users' perceptions, we examined what clinicians think of the CHICA diabetes module.<\/jats:p><jats:p>\n          Methods\u2003CHICA users completed an annual quality improvement and satisfaction questionnaire. Between May and August of 2015 and 2016, the survey included two statements related to the T2D-module: (1) \u201cCHICA improves my ability to identify patients who might benefit from screening for T2D\u201d and (2) \u201cCHICA makes it easier to get the lab tests necessary to identify patients who have diabetes or prediabetes.\u201d Answers were scored using a 5-point Likert scale and were later converted to a 2-point scale: agree and disagree. The Pearson chi-square test was used to assess the relationship between responses and the respondents. Answers per cohort were compared using the Mann\u2013Whitney U-test.<\/jats:p><jats:p>\n          Results\u2003The majority of respondents (N\u2009=\u200960) agreed that CHICA improved their ability to identify patients who might benefit from screening but disagreed as to whether it helped them get the necessary laboratories. Scores were comparable across both years.<\/jats:p><jats:p>\n          Conclusion\u2003CHICA was endorsed as being effective for T2D screening. Research is needed to improve satisfaction for getting laboratories with CHICA.<\/jats:p>","DOI":"10.1055\/s-0040-1710024","type":"journal-article","created":{"date-parts":[[2020,5,13]],"date-time":"2020-05-13T22:57:09Z","timestamp":1589410629000},"page":"350-355","source":"Crossref","is-referenced-by-count":3,"title":["Clinician Perceptions of a Computerized Decision Support System for Pediatric Type 2 Diabetes Screening"],"prefix":"10.1055","volume":"11","author":[{"given":"Hala K.","family":"El Mikati","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States"},{"name":"Pediatric and Adolescent Comparative Effectiveness Research (PACER), Indiana University, Indianapolis, Indiana, United States"}]},{"given":"Lisa","family":"Yazel-Smith","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States"},{"name":"Pediatric and Adolescent Comparative Effectiveness Research (PACER), Indiana University, Indianapolis, Indiana, United States"}]},{"given":"Randall W.","family":"Grout","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States"},{"name":"Regenstrief Institute, Indianapolis, Indiana, United States"}]},{"given":"Stephen M.","family":"Downs","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States"},{"name":"Regenstrief Institute, Indianapolis, Indiana, United States"}]},{"given":"Aaron E.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States"},{"name":"Pediatric and Adolescent Comparative Effectiveness Research (PACER), Indiana University, Indianapolis, Indiana, United States"},{"name":"Regenstrief Institute, Indianapolis, Indiana, United States"}]},{"given":"Tamara S.","family":"Hannon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, United States"},{"name":"Pediatric and Adolescent Comparative Effectiveness Research (PACER), Indiana University, Indianapolis, Indiana, United States"}]}],"member":"194","published-online":{"date-parts":[[2020,5,13]]},"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1710024.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,13]],"date-time":"2020-05-13T22:57:11Z","timestamp":1589410631000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1710024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2020,3,18]]},"published-print":{"date-parts":[[2020,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1710024","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}