Shared Decision-making and Antimicrobial Stewardship in Secondary Care

Recruiting

• Conditions: Antibiotic Prescribing
• Interventions: Other: None - Interview Only

• Registration Number: NCT06605820
• Lead Sponsor: Royal Cornwall Hospitals Trust

Brief Summary

To identify opportunities for antibiotic prescribing shared decision making between patients and prescribers in secondary care.

Detailed Description

This is a qualitative study with patients and clinicians in secondary care.

We will use semi-structured interviews with patients and clinicians to address the research question. Patients that have received antibiotics during a recent inpatient stay will be identified using the hospital electronic prescribing system and a letter inviting study participation will be included in their discharge medication pack. Senior prescribing decision makers will be recruited from participating hospitals. In total, we hope to carry out up to 50 interviews with patients and clinicians.

Study Timeline

• Status Verified: 2024-09
• Study Start: 2024-09-03
• Study First Submitted: 2024-09-18
• Study First Submitted QC: 2024-09-18
• Last Update Submitted: 2024-09-18
• Study First Posted: 2024-09-20
• Last Update Posted: 2024-09-20
• Primary Completion: 2025-07
• Study Completion: 2025-07

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

For clinicians:

• Participant is willing and able to give informed consent for participation in the study.
• Senior registrar or consultant medical or surgical doctor working at participating hospitals and caring for inpatients.
• Fluent in English.

For patients:

• Participant is willing and able to give informed consent for participation in the study.
• Male or Female, aged 16 years or above (no upper age limit).
• Good standard of speaking English and able to read and understand study materials.
• Received antibiotic for treatment of suspected or confirmed bacterial infection during inpatient stay.

Exclusion Criteria

• For clinicians:

  • Prescribers not currently caring for inpatients

For patients:

• Patient who received prophylaxis antibiotics only

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients	None - Interview Only	-
Healthcare workers	None - Interview Only	-

Primary Outcome Measures

Name	Time	Method
To explore patient and prescriber views and experiences with shared decision making around antibiotic prescribing in secondary care and to identify further opportunities for SDM.	1 year	Data will be analysed using thematic analysis

Trial Locations

Locations (2)

Royal Cornwall Hospital; 🇬🇧 Truro, Cornwall, United Kingdom

Chelsea and Westminster Hospital; 🇬🇧 Truro, United Kingdom