Reducing Expectations for Antibiotics in Patients With Upper Respiratory Tract Infections: A Primary Care Randomized Controlled Trial
| Autor: | Janet Frater, Mark G. Thomas, Anna I. Perera, Kiralee Schache, Keith J. Petrie, Stephen R Ritchie, Amelia Akroyd, Daniel Dang |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Antibiotics Pharmacy Primary care law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Internal medicine Humans Medicine In patient 030212 general & internal medicine Practice Patterns Physicians' Adverse effect Respiratory Tract Infections Original Research Motivation Primary Health Care Respiratory tract infections business.industry Anti-Bacterial Agents Family Practice business New Zealand |
| Zdroj: | Ann Fam Med |
| ISSN: | 1544-1717 1544-1709 |
| Popis: | PURPOSE: Many family practitioners prescribe antibiotics for patients with upper respiratory tract infections (URTIs) to meet patients’ expectations. We evaluated the impact of providing brief tablet-based information about antibiotic treatment of URTIs on patients’ expectations for antibiotics and on family practitioners’ antibiotic-prescribing behavior. METHODS: We performed a 3-arm randomized controlled trial among patients presenting with URTIs at 2 urban family practices in Auckland, New Zealand, during winter 2018. Participants were randomly allocated to view a presentation about the futility of antibiotic treatment of URTIs, the adverse effects associated with antibiotics, or the benefits of healthy diet and exercise (active control), immediately before their consultation. Before and after viewing the presentations, participants used a Likert scale to rate the strength of their belief that antibiotics are effective for treating URTIs and of their desire to be prescribed an antibiotic. Patients reported whether an antibiotic had been prescribed, and pharmacy dispensing records were reviewed to determine whether an antibiotic was dispensed. RESULTS: Participants who viewed either the futility or the adverse effects presentation had greater reductions in their expectations to receive antibiotics than the control group. The mean reduction (95% CI) was 1.1 (0.8-1.3) for the futility group, 0.7 (0.4-0.9) for the adverse effects group, and 0.1 (0-0.3) for the control group (Cohen d = 0.7; P |
| Databáze: | OpenAIRE |
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