Patient Centered Communication Training to Reduce Antibiotic Use in Acute Respiratory Tract Infections - Article Informed Consent; Ombudsman Programs; Patient's Rights
Clinical Trial: Patient Centered Communication Training to Reduce Antibiotic Use in Acute Respiratory Tract Infections
This study has been completed.
The purpose of this study is to evaluate the effectiveness of a short training program for general practitioners in patient-centered communication to reduce antibiotic prescription for acute respiratory tract infections (ARTI).
|Condition||Treatment or Intervention|
|Respiratory Tract Infections || Behavior: patient-centered communication training |
MedlinePlus related topics: Respiratory Diseases
Study Type: Interventional
Study Design: Educational/Counseling/Training, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Secondary Outcomes: Patient satisfaction with consultation (on validated scale); patient enablement (on validated scale); days with restriction from ARTI within 14 days initial consultation; side effects from medication; re-consultation rates; days off from work
Expected Total Enrollment: 900
Study start: January 2004; Study completion: November 2004
Last follow-up: June 2004; Data entry closure: August 2004
Acute respiratory tract infections (ARTI) constitute the most frequent reason for seeking ambulatory care and for the prescription of antibiotics, despite the mostly viral origin of ARTI. Antibiotic prescriptions for ARTI increase unnecessary drug expenditures and are the main reason for increasing drug resistance of common bacteria. Evidence from intervention studies shows that merely providing physicians with guidelines and educational material for the management of acute respiratory tract infections is not enough to reduce antibiotic prescriptions for these conditions. The main reasons for antibiotic prescription in ARTI are non-medical and related to the physician patient relationship, patients’ expectations and beliefs about the benefit of antibiotics. Therefore patient-centered communication could be a promising approach to reduce the rate of antibiotic prescription in ambulatory care.
Comparison: General practitioners (GPs) trained in patient-centered communication in addition to evidence-based guidelines for diagnosis and treatment of ARTI compared to GPs just introduced to evidence-based guidelines.
Ages Eligible for Study: 18 Years and above, Genders Eligible for Study: Both
- Patients without informed consent
- Not fluent in German
- Patients with a psychiatric disorder
- Patients with a recurrent respiratory system infection with antibiotic treatment in the previous 4 weeks
Basel institute for clinical epidemiology, Basel, 4031, Switzerland
Record last reviewed: March 2005
Last Updated: March 10, 2005
Record first received: March 10, 2005
ClinicalTrials.gov Identifier: NCT00105248
Health Authority: Switzerland: Swissmedic (Awaiting confirmation)
ClinicalTrials.gov processed this record on 2005-04-08
Cache Date: April 9, 2005
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