Improving Patient-centered Communication and Antibiotic Use With Information Sheets for Acute Respiratory Tract Infections: Study Protocol for a Pragmatic Cluster Randomized Trial in Danish General Practice (INFO-ARTI).
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 1,144
- 试验地点
- 1
- 主要终点
- Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections prescribed antibiotics at initial consultation.
研究概览
简要总结
The goal of this trial is to investigate if the use of information sheets regarding acute respiratory tract infections will lead to more rational antibiotic prescribing and increase patient-centered communication i Danish general practice.
The main questions to be answered:
- Will the use of information sheets lower antibiotic prescribing.
- Will the use of information sheets increase patient-centered communication.
We will compare use of information sheets in the consultation with patients with symptoms of acute respiratory tract infections to usual care (control) to find out if information sheets lower antibiotic prescribing.
Participants will be presented to the information sheets during the consultation regarding symptoms of acute respiratory tract infection.
Participants will fill in a short questionaire regarding patient-centered communication shortly after the consultation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligible patients must contact the general practice clinic with symptoms of either acute pharyngotonsillitis, acute rhinosinusitis or acute bronchitis and should be above 18 years of age.
排除标准
- •Prior antibiotic treatment for the current episode of acute respiratory tract infections.
- •Urgent need of hospitalization.
- •Patients who do not understand Danish.
- •Patients not listed within the general practice clinic.
研究组 & 干预措施
Usual care arm
ARTI Info-sheets
干预措施: ARTI Info-sheets (Other)
结局指标
主要结局
Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections prescribed antibiotics at initial consultation.
时间窗: At Initial consultation (day 0)
次要结局
- Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with redeemed antibiotic prescriptions within 14 days after the initial consultation.(Additional contact from day 0 until day 14.)
- Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with retrieval of prescribed antibiotics from the pharmacy within 14 days after the initial consultation.(Retrieval of prescribed antibiotic from day 0 until day 14)
- Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections reconsultation within 14 days after the initial consultation.(Reconsultation from day 0 until day 14.)
- Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with "out of hours"-consultations within 14 days after the initial consultation.(Out of hours consultation from day 0 until day 14.)
- Proportion of patients contacting the general practice clinic with symptoms of acute respiratory tract infections with hospital admissions within 14 after the initial consultation.(Hospital admissions from day 0 until day 14.)
- Proportion of patients experiencing high level of Patient-centered communication measured by CollaboRATE.(Day 0.)