Helping primary care teams use standing orders to improve care conversations for children ages 9–12
IMPACT Project 1 – The impact of standing orders support on clinical communication and health care use
This project trains and supports doctors, nurses, and medical assistants to use standing orders and clearer communication so children ages 9–12 get recommended preventive care more consistently.
Quick facts
| Grant type | P01 program project |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Univ of North Carolina Chapel Hill NIH-funded |
| Lab location | 1 site (Chapel Hill, United States) |
| Project ID | NIH-11184365 on NIH RePORTER |
What this research studies
From a parent’s point of view, the team will talk with nurses and medical assistants to learn how they currently help with care decisions and barriers. They will run a national survey of primary care staff (about 2,500 responses) and do detailed interviews with about 20 team members to guide improvements. The project adds standing orders—pre-authorized actions nurses or medical assistants can take—to a short Announcement Approach Training used by providers to recommend care. They will work with clinics in both rural and nonrural health systems to put these changes into practice and see how the whole care team can support preventive services for kids.
Who could benefit from this research
Good fit: Families with children aged 9–12 who get care at participating primary care clinics, and clinics willing to implement standing orders and the Announcement Approach Training, are the ideal participants.
Not a fit: Children outside the 9–12 age range or families whose clinics do not adopt the standing orders or communication training are unlikely to see direct benefit from this project.
Why it matters
Potential benefit: If successful, this work could make provider recommendations more consistent and increase use of preventive care for children ages 9–12.
How similar studies have performed: Earlier work with the Announcement Approach Training has increased health care use and is recognized by NCI, but combining it with standing orders to expand the role of nurses and medical assistants is a new enhancement.
Where this research is happening
Chapel Hill, United States
- Univ of North Carolina Chapel Hill — Chapel Hill, United States (Active)
Researchers
- Principal investigator: Brewer, Noel Todd — Univ of North Carolina Chapel Hill
- Study coordinator: Brewer, Noel Todd
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.