ArticleJournal of the American Medical Informatics Association : JAMIA
Understanding the acceptability of a computer decision support system in pediatric primary care.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- An appraisal of published usability evaluations of electronic health records via systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Effectiveness of Computer Automation for the Diagnosis and Management of Childhood Type 2 Diabetes: A Randomized Clinical Trial.JAMA pediatrics · 2017Trial
- Computer Decision Support Changes Physician Practice But Not Knowledge Regarding Autism Spectrum Disorders.Applied clinical informatics · 2015Trial
- Use of a computerized decision aid for developmental surveillance and screening: a randomized clinical trial.JAMA pediatrics · 2014Trial
- Codevelopment of a Digital Screening and Intervention Tool to Improve Lifestyle Habits in Children: Focus Group Study With Parents and Clinicians.JMIR pediatrics and parenting · 2026Article
- A Systematic Review of Factors Affecting Utilization of Decision Support Systems: The Interplay Between Technology, Users, and the Healthcare Environment.Health science reports · 2026Review
- Workload and workflow implications associated with the use of electronic clinical decision support tools used by health professionals in general practice: a scoping review.BMC primary care · 2023Article
- Testing an individualized digital decision assist system for the diagnosis and management of mental and behavior disorders in children and adolescents.BMC medical informatics and decision making · 2020Article
- A six-year repeated evaluation of computerized clinical decision support system user acceptability.International journal of medical informatics · 2018Article
- Improving Primary Care Provider Practices in Youth Concussion Management.Clinical pediatrics · 2017Article
- Experience with decision support system and comfort with topic predict clinicians' responses to alerts and reminders.Journal of the American Medical Informatics Association : JAMIA · 2016Article
- Evaluation of a novel electronic genetic screening and clinical decision support tool in prenatal clinical settings.Maternal and child health journal · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveIndividual users' attitudes and opinions help predict successful adoption of health information technology (HIT) into practice; however, little is known about pediatric users' acceptance of HIT for medical decision-making at the point of care. MATERIALS AND
methodsWe wished to examine the attitudes and opinions of pediatric users' toward the Child Health Improvement through Computer Automation (CHICA) system, a computer decision support system linked to an electronic health record in four community pediatric clinics. Surveys were administered in 2011 and 2012 to all users to measure CHICA's acceptability and users' satisfaction with it. Free text comments were analyzed for themes to understand areas of potential technical refinement.
results70 participants completed the survey in 2011 (100% response rate) and 64 of 66 (97% response rate) in 2012. Initially, satisfaction with CHICA was mixed. In general, users felt the system held promise; however various critiques reflected difficulties understanding integrated technical aspects of how CHICA worked, as well as concern with the format and wording on generated forms for families and users. In the subsequent year, users' ratings reflected improved satisfaction and acceptance. Comments also reflected a deeper understanding of the system's logic, often accompanied by suggestions on potential refinements to make CHICA more useful at the point of care.
conclusionsPediatric users appreciate the system's automation and enhancements that allow relevant and meaningful clinical data to be accessible at point of care. Understanding users' acceptability and satisfaction is critical for ongoing refinement of HIT to ensure successful adoption into practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.