TEACH: Technology Evaluation to Address Child Health

Key procedures of the study include:

1. Practices will be contacted via letters, emails and in-person discussion with practice
leaders.

2. Among practices that say yes to recruitment, a total of 2 practices will be randomly
assigned to one of two groups: 1) Implementation of the electronic screening tool 2)
care as usual

3. Control and intervention practices will be trained in integrating a Research Assistant
(RA) who will be hired, trained, and paid by the research study. RAs will be through
networking, temporary officeservice contractors, and other local resources.

4. A notice to parents and teenagers will be posted where all can see it when registering
for their pediatric visit. The notice will announce that the practice is participating
in a research study and that parents/guardians and teenagers may be approached by a
study RA. Practice staff will refer parents to the RA for the Eligibility Screener.

5. In the control practice and in the pre-implementation phase of the intervention
practice, after being seen by the pediatric clinician, the parent will be approached by
the RA stationed near the exit of the clinic for an exit interview consisting of the
Exit Survey. Alternatively, it the practice prefers to not have RAs directly approaching
patients, practice staff will refer the potential participants to the RA after checkout.
Parents who agree to study participation will learn about the study, sign the consent,
and complete the Exit Survey for enrolled parents/guardians. Teenagers will not be
invited or involved in this part of the study.

6. In the post-implementation phase of the intervention practice, practice staff will
follow a script at the check-in desk to refer parents to the RA. Parents will be
approached by the RA after checking in for their appointment. Parents who agree to study
participation will complete the Intake Survey. If they are accompanied by a teenager
(aged 13-18 years old, the teenager will also be presented the study. Parents will be
invited to consent to their child participate in the study. If the child is 13 years
old, we will seek assent from the child to answer a portion of the intake survey. If
he/she is 14 years or older, consent will be sought, and if obtained, the teenager will
be asked to complete a section of the survey, on the same risk factors. We are asking
that written documentation of these being waived and that consent/assent be inferred
from survey participation, which will be documented in the research record. Teenagers
will not be compensated for this section of the study that should take less than 5
minutes to complete. After completion of the survey, the adult participants will
receive, if they desire, an information sheet on the risk factors identified, as well as
a summary of the screening questionnaire, to be handed to the clinician they are coming
to see that day. If no risk factor is identified, no clinician handout will be given.
Teenagers' response to the survey will not be shared with parents and will only be
available to the principal investigator and co-investigator. Adult participants will
also be asked to reach out to the RA after their appointment to complete the Exit
Survey, following the procedure mentioned above.

7. One month after the recruitment and completion of the Exit Survey, adult participants
will be contacted by phone by the RA or the Principal Investigator (PI) to complete the
Follow-up survey. Consent for this survey will be obtain as part of the study initial
consent and preferred phone numbers will be obtained directly from the participants.
After completion of the Follow-up Survey, participation in the survey will be complete.

Inclusion Criteria:

- Parent of a child aged 0-18 years

Exclusion Criteria:

- Parents under age 18

- Parents who have a child with a medical emergency (any condition requiring transfer
for immediate medical intervention)

- Non-consenting individuals

- Non-English speakers