Reducing Parental Demand for Antibiotics by Promoting Communication Skills

Alder, Stephen C.; Trunnell, Eric P.; White, George L.; Lyon, Joseph L.; Reading, James; Samore, Matthew H.; Magill, Michael K.

doi:10.1080/19325037.2005.10608174

Cited by 15 publications

(10 citation statements)

References 12 publications

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“…This may be due to similar consultation times (11 (SD 5.3) minutes and 10.5 (SD 5.85) in the control and intervention groups, respectively), and similar consultation costs. Promoting communication behaviours has been shown to reduce parental demand for antibiotics . The development of communication skills was a key component of the training content , and we have shown that persuading caregivers not to use antibiotics will not necessarily increase consultation time.…”

Section: Discussionmentioning

confidence: 84%

Cost‐effectiveness analysis of a multi‐dimensional intervention to reduce inappropriate antibiotic prescribing for children with upper respiratory tract infections in China

Zhang¹,

Dawkins

Hicks

et al. 2018

Tropical Med Int Health

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Section: Discussionmentioning

confidence: 84%

Cost‐effectiveness analysis of a multi‐dimensional intervention to reduce inappropriate antibiotic prescribing for children with upper respiratory tract infections in China

Zhang¹,

Dawkins

Hicks

et al. 2018

Tropical Med Int Health

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“…[15,18,19,25,26,29,31,36,37] or video or web-based information [13,16,21,32,35]. The remaining six studies were patient education interventions [12,23,24,28,30,34]. These varied greatly in content from video and electronic based education or training [23,28,34], to in-person communication or coaching interventions [12,24], to a multi session nurse-led patient education intervention [30].…”

Section: Resultsmentioning

confidence: 99%

Patient-mediated interventions to improve professional practice: A summary of a Cochrane systematic review

Fønhus

Dalsbø

Johansen

et al. 2019

Patient Education and Counseling

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To assess the effectiveness of patient-mediated interventions on healthcare professionals' performance. Methods We conducted a systematic Cochrane review according to established guidelines. We searched predefined databases in 2016 and 2017. Two review authors independently assessing studies for inclusion, extracted data, assessed risk of bias, performed meta-analyses, and used GRADE to assess the certainty of the evidence. Results We included 26 studies with a total of 12 552 patients. We found that patient-reported health information interventions probably improve healthcare professionals' adherence to recommended clinical practice (moderate certainty evidence). We also found that patient information interventions and patient education interventions may improve healthcare professionals' adherence to recommended clinical practice (low certainty evidence). Conclusion Our findings strengthen the belief that patient-mediated interventions have the potential to improve professional practice, especially patient-reported health information interventions. The impact of these interventions on patient health and satisfaction, adverse events and resource use, is more uncertain. Practice implications Our findings show that patient-mediated interventions are relevant approaches to improve professional practice. It seems fair to imply that patient-mediated interventions, and especially those where the patient herself provides information about own health, concerns or needs, demonstrate the importance of reciprocity when communicating with, and involving patients. We defined patient-mediated interventions according to Légaré 2014: "any intervention aimed at changing the performance of healthcare professionals through interactions with patients, or information provided by or to patients" [10]. Methods Our protocol was published in December 2016 [11]. More information on methods, such as detailed inclusion criteria can be found in the Cochrane review (ref).

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“…Eight other educational interventions performed outside the PED have shown promising results that did not seem to occur at the expense of parent satisfaction [45]. One of them involved interaction between the parents and an educator [46]. Educational interventions to improve medication adherence for ARTIs can be categorized as educational, behavioral, organizational, or a mix of these components [31].…”

Section: Discussionmentioning

confidence: 99%

Randomized Controlled Trial of Parent Therapeutic Education on Antibiotics to Improve Parent Satisfaction and Attitudes in a Pediatric Emergency Department

et al. 2013

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ObjectiveTo evaluate therapeutic education delivered in a pediatric emergency department to improve parents’ satisfaction and attitudes about judicious antibiotic use.MethodsIn an emergency department of a tertiary pediatric hospital, children aged 1 month to 6 years and discharged with an oral antibiotic prescription for an acute respiratory or urinary tract infection were randomized to a patient therapeutic education on antibiotic use (intervention group) or fever control (control group) delivered to the parents (in the presence of the children) by a pharmacist trained in therapeutic education. Education consisted in a 30-minute face-to-face session with four components: educational diagnosis, educational contract, education, and evaluation. The main outcome measure was parent satisfaction about information on antibiotics received at the hospital, as assessed by a telephone interview on day 14. The secondary outcome was attitudes about antibiotic use evaluated on day 14 and at month 6.ResultsOf the 300 randomized children, 150 per arm, 259 were evaluated on day 14. Parent satisfaction with information on antibiotics was higher in the intervention group (125/129, 96.9%, versus 108/130, 83.0%; P=0.002, exact Fisher test). InterventionGroup parents had higher proportions of correct answers on day 14 to questions on attitudes about judicious antibiotic use than did control-group parents (P=0.017, Mann-Whitney U test).ConclusionTherapeutic education delivered by a clinical pharmacist in the pediatric emergency department holds promise for improving the use of antibiotics prescribed to pediatric outpatients.Trial Registration ClinicalTrials.gov NCT00948779 http://clinicaltrials.gov/show/NCT00948779

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Reducing Parental Demand for Antibiotics by Promoting Communication Skills

Cited by 15 publications

References 12 publications

Cost‐effectiveness analysis of a multi‐dimensional intervention to reduce inappropriate antibiotic prescribing for children with upper respiratory tract infections in China

Cost‐effectiveness analysis of a multi‐dimensional intervention to reduce inappropriate antibiotic prescribing for children with upper respiratory tract infections in China

Patient-mediated interventions to improve professional practice: A summary of a Cochrane systematic review

Randomized Controlled Trial of Parent Therapeutic Education on Antibiotics to Improve Parent Satisfaction and Attitudes in a Pediatric Emergency Department

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