NCT00989482

Brief Summary

The purpose of this study is to improve antibiotic prescribing practices of Mexican primary care physicians for patients seeking care for acute respiratory tract infections (ARIs). The investigators will employ a combination of qualitative and quantitative methods to develop and evaluate a patient education and physician decision-support intervention. Hypothesis 1: The investigators will identify barriers and facilitators of appropriate antibiotic use for ARIs that can be addressed through patient education and physician decision-support. Hypothesis 2: The proportion of patients who report desire for antibiotics as a "very important" reason for seeking care will decrease from 50% to 30% following exposure to the educational intervention; and 90% (95% confidence interval: 80% to 100%) of patients will report that they trust the information provided by the computer. Hypothesis 3: Antibiotic prescribing for adults with uncomplicated acute bronchitis will decrease from 80 percent to 40 percent following the introduction of a real-time clinical decision support tool.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
847

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2010

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 24, 2009

Completed
2 months until next milestone

First Posted

Study publicly available on registry

October 5, 2009

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2010

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2010

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2010

Completed
Last Updated

May 16, 2011

Status Verified

May 1, 2011

Enrollment Period

5 months

First QC Date

July 24, 2009

Last Update Submit

May 12, 2011

Conditions

Acute Respiratory Tract Infections

Outcome Measures

Primary Outcomes (1)

  • antibiotic prescription rate

    4 months

Study Arms (1)

Computer Kiosk Eduction

EXPERIMENTAL
Behavioral: Computer kiosk Education

Interventions

Computer kiosk EducationBEHAVIORAL

computerized patient education; guidelines for physicians

Computer Kiosk Eduction

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adults age 18 years or greater

You may not qualify if:

  • mental disability; severe illness

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

IMSS Family Practice Clinic #1

Cuernavaca, Morelos, Mexico

Location

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

July 24, 2009

First Posted

October 5, 2009

Study Start

January 1, 2010

Primary Completion

June 1, 2010

Study Completion

September 1, 2010

Last Updated

May 16, 2011

Record last verified: 2011-05

Locations

ME(1)