Patient Centered Communication Training to Reduce Antibiotic Use in Acute Respiratory Tract Infections

This study has been completed.
Sponsor:
Collaborators:
Basel Institute of Clinical Epidemiology (BICE)
Swiss National Science Foundation
Novartis
Information provided by:
University Hospital, Basel, Switzerland
ClinicalTrials.gov Identifier:
NCT00105248
First received: March 10, 2005
Last updated: December 7, 2005
Last verified: March 2005

March 10, 2005
December 7, 2005
January 2004
Not Provided
Up-take of antibiotic prescription confirmed by pharmacists within 2 weeks following the initial consultation
Same as current
Complete list of historical versions of study NCT00105248 on ClinicalTrials.gov Archive Site
  • 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
Same as current
Not Provided
Not Provided
 
Patient Centered Communication Training to Reduce Antibiotic Use in Acute Respiratory Tract Infections
Multidimensional Intervention Program to Reduce Antibiotic Prescriptions for Acute Respiratory Tract Infections in Adults: a Randomized Controlled Trial in Primary Care

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).

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.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Educational/Counseling/Training
Respiratory Tract Infections
Behavioral: patient-centered communication training
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
900
June 2004
Not Provided

Inclusion Criteria:

  • 18 years or older
  • Symptoms of an acute respiratory tract infection for >1 and <28 days

Exclusion Criteria:

  • 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
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Switzerland
 
NCT00105248
3200B0-102137, 04B29, 2003/051, 242/03
Not Provided
Not Provided
University Hospital, Basel, Switzerland
  • Basel Institute of Clinical Epidemiology (BICE)
  • Swiss National Science Foundation
  • Novartis
Principal Investigator: Heiner Bucher, Prof. University Hospital, Basel, Switzerland
University Hospital, Basel, Switzerland
March 2005

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP