Evaluating the effectiveness of behaviour change theory-based training for reducing antibiotic prescribing by NHS dentists working in NHS primary care dental practices
- Conditions
- Antibiotic prescribing in dental primary careOral Health
- Registration Number
- ISRCTN16294743
- Lead Sponsor
- HS Education for Scotland
- Brief Summary
2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/33781284/ (added 18/06/2021)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Ongoing
- Sex
- All
- Target Recruitment
- 228
Dental practices:
NHS General Dental Practices across the 14 Health Boards in Scotland booked to receive QIiPT infection control training
Dentists:
Dentists working in a practice which has booked QIiPT infection control training and has agreed to take part in TiPTAP
Dentists in eligible and participating practices with an ordinary list number recorded in MIDAS
Current participant exclusion criteria as of 18/06/2021:
Dental practices:
1. Practices which have not received QIiPT IC training in the past 5 years
2. Practices in mainland Health Boards in which any dentists are salaried. Salaried dentists are used as a proxy to identify community and emergency dental services). Predominantly due to geography, the majority of dental services in the Island Health Boards are provided by the NHS salaried service. For this reason, practices with salaried dentists in the Island Health Boards are not excluded
3. Practices where no ordinary list claims are made in more than 6 months out of the most recently available 24 months of MIDAS data at the time of baseline
4. Practices where no antibiotic items have been prescribed in more than 6 months out of the most recently available 24 months of PRISMS data at the time of baseline
Dentists:
1. Dentists not working in a practice which has booked QIiPT IC training and has agreed to take part in TiPTAP
2. Dentists in eligible and participating practices who do not have an ordinary list number recorded in MIDAS
Previous participant exclusion criteria:
Dental practices:
1. Practices which have not received QIiPT IC training in the past 4 years
2. Practices which participated in TiPTAP feasibility and acceptability work
3. Practices which have previously received TiPTAP training
4. Practices in mainland Health Boards in which any dentists are salaried. Salaried dentists are used as a proxy to identify community and emergency dental services). Predominantly due to geography, the majority of dental services in the Island Health Boards are provided by the NHS salaried service. For this reason, practices with salaried dentists in the Island Health Boards are not excluded
5. Practices where no ordinary list claims are made in more than 6 months out of the most recently available 12 months of MIDAS data at the time of baseline
6. Practices where no antibiotic items have been prescribed in more than 6 months out of the most recently available 12 months of PRISMS data at the time of baseline
Dentists:
1. Dentists not working in a practice which has booked QIiPT IC training and has agreed to take part in TiPTAP
2. Dentists in eligible and participating practices who do not have an ordinary list number recorded in MIDAS
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The number of antibiotic items per 100 NHS treatment claims: PRISMS prescribing data and MIDAS treatment claim data will be linked via the Prescriber reference in PRISMS and the List Number in MIDAS. This linked database will be used to measure both the primary and secondary outcomes. The calculation used to generate monthly individual prescribing rates is (total number of antibiotic items prescribed / total number of treatment claims)*100. Measured over a 1-year period post-randomisation per dentist (with specific timepoints of interest being 6- and 12-months post-randomisation).
- Secondary Outcome Measures
Name Time Method