Alexander G. Fiks

Learn More
BACKGROUND Early school success is clearly related to later health. A prediction index that uses parent report to assess children's risk for poor academic achievement could potentially direct targeted service delivery to improve child outcomes. METHODS We obtained risk factors through literature review and used the National Longitudinal Survey of Youth(More)
OBJECTIVES To characterize patterns of electronic medical record (EMR) use at pediatric primary care acute visits. DESIGN Direct observational study of 529 acute visits with 27 experienced pediatric clinician users. MEASUREMENTS For each 20 s interval and at each stage of the visit according to the Davis Observation Code, we recorded whether the(More)
BACKGROUND Despite national recommendations, as of 2009 human papillomavirus (HPV) vaccination rates were low with < 30% of adolescent girls fully vaccinated. Research on barriers to vaccination has focused separately on parents, adolescents, or clinicians and not on the decision making process among all participants at the point of care. By incorporating(More)
We have studied partially edited molecules for the cytochrome-c oxidase subunit III (COIII) transcript from two species of the insect trypanosome Herpetomonas. We found unexpected patterns of editing, in which editing does not proceed strictly 3' to 5', in 24 of 61 partially edited clones. A comparison of the partially edited molecules between the two(More)
OBJECTIVES To describe the association between parents' attention-deficit/hyperactivity disorder (ADHD) treatment preferences and goals and treatment initiation. METHODS Parents/guardians of children aged 6 to 12 years diagnosed with ADHD in the past 18 months and not currently receiving combined treatment (both medication and behavior therapy [BT]) were(More)
OBJECTIVE To improve human papillomavirus (HPV) vaccination rates, we studied the effectiveness of targeting automated decision support to families, clinicians, or both. METHODS Twenty-two primary care practices were cluster-randomized to receive a 3-part clinician-focused intervention (education, electronic health record-based alerts, and audit and(More)
OBJECTIVE To determine whether racial differences exist in antibiotic prescribing among children treated by the same clinician. METHODS Retrospective cohort study of 1,296,517 encounters by 208,015 children to 222 clinicians in 25 practices in 2009. Clinical, antibiotic prescribing, and demographic data were obtained from a shared electronic health(More)
OBJECTIVE To assess the effects of electronic health record-based clinical decision support (CDS) and physician performance feedback on adherence to guidelines for acute otitis media (AOM) and otitis media with effusion (OME). METHODS We conducted a factorial-design cluster randomized trial with primary care practices (n = 24) as the unit of randomization(More)
Although the intent of the federal Meaningful Use (MU) program is to improve the health of children and adults through adoption and use of electronic health records (EHRs), pediatricians face unique obstacles to participation in this program. 1 In addition to known problems with EHR functionality to support pediatric care and the alignment of MU incentives(More)
We developed an electronic medical record (EMR)-based HPV vaccine decision support intervention targeting clinicians, (immunization alerts, education, and feedback) and families (phone reminders and referral to an educational website). Through telephone surveys completed by 162 parents of adolescent girls, we assessed the acceptability of the family-focused(More)