Study Update



Study Update

We are completing the fourth and final year of the Bright Futures study funded by the Maternal and Child Health Bureau with Hank Bernstein as the Principal Investigator. The study design is a randomized controlled trial of incorporation of preventive health strategies comparing a more intensive web based educational module on oral health to a streamlined web based module on iron deficiency prevention. Twenty nine pediatric training programs are participating. We appreciate everyone's efforts as site co-investigators are working hard to finalize data collection by the end of this year. Also, congratulations to the sites that have completed!

Secondary Sexual Characteristics in Boys Study (SSCIB). CORNET is collaborating with the PROS network in this study to examine the onset of secondary sexual characteristics in boys, with Marcia Giddens, DrPh, PA as the Principal Investigator. This study is in need of larger numbers of underrepresented minority patients and thus PROS is offering incentives both to CORNET practices and to the CORNET network, for enrollment of practices that include >40% of their patients are from underrepresented minorities. Thus far 16 CORNET practices and 42 CORNET investigators are participating and recruitment is ongoing. High minority sites will receive $750 for participation. Site investigators need to pass a test regarding secondary sexual characteristics assessment and then recruit and submit data for 15 6-12 year olds and 15 13-18 year old patients. Recruitment is ongoing but the study will end by November. This is a great opportunity for CORNET sites that are new to the network to participate in a relatively easy study.

Completed Studies this Year

The Survey of Pediatric Asthma Care Education in Residency (SPACER) Study was completed in 2009. This study with Sande Okelo, MD as the principal investigator, and Terry Hetzler and Cindy Ferrell as CORNET co-investigators was a cross-sectional survey to assess asthma management and incorporation of national practice guidelines by pediatric residents. Ten pediatric training programs participated and surveys were obtained form 369 residents (65% response rate). The initial analysis has examined responses from the pediatric residents. Future analysis will compare resident responses to those of practitioners from a similar study Dr. Okelo conducted within the American Academy of Pediatrics and practicing pediatricians. The first manuscript is in preparation.

Studies in Development

Adolescent Immunizations within Medical Homes. This study is a national quality improvement study to increase adolescent immunization rates. The study was submitted to the Centers for Disease Control for potential funding and Peter Szilagyi, MD, MPH is the principal investigator. Stay tuned for more details.

Health Care of Pediatric Residents and their Families. This cross-sectional study proposed by Kristina Simeonsson, MD and John Olsson, MD will examine pediatric residents responses to how they receive their own health care, whether colleagues provide care and antibiotics, and the care their families receive.

How is Continuity Defined in Continuity Clinics? Paul Darden, MD, MPH is the principal investigator for this study to determine how pediatric continuity directors measure and define continuity, an important concept to the Residency Review Committee. This study is in development.

Play Nicely. Seth Scholer, MD is proposing this national, randomized controlled trial examining a web based video on discipline strategies and methods to decrease aggressive behavior in young children. Sue Feigelman, MD is serving as the CORNET Steering Committee member. A pilot feasibility study in development.

National Presentations

CORNET AT 2009 PAS Meeting Presentations
The following CORNET presentations took place at the 2009 PAS meeting.

  • Bright Futures and Oral Health Concepts for Pediatric Residents: Preliminary Findings from CORNET. Dhepyasuwan N, Serwint JR, Connors K, Bernstein H. Presented at the General Pediatrics Poster Session.
  • Survey of Pediatric Asthma Care Education in Residency: SPACER Study. Okelo S, Siberry GK, Solomon BS, Yamazaki M, Hetzler T, Ferrell C, Dhepyasuwan N, Serwint JR for the CORNET Investigators. This abstract was presented at the Medical Education platform presentation. Creating Multi-Site Clinical and Educational Research Studies with CORNET: Expand the Possibilities. Stratbucker W, Darden P, Dhepyasuwan N, Feigelman S, Ferrell C, Garfunkel L, Hetzler T, and Link E. This presentation was an interactive workshop and an incredibly energized session due to the hard work of Bill Stratbucker and many members of the CORNET Executive Committee.

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