Improving Communication During Pediatric Visits for Acute Respiratory Illness

NCT01168778 | Completed

• 2 other identifiers: 32542-A61-5957
• Study Type: interventional
• Target: 1,313
• Locations: 0 countries
• Sites: N/A

Brief Summary

The excessive use of outpatient antibiotics in the pediatric population has contributed to the rapid development of resistance in many strains of Streptococcus pneumoniae. Research has shown that community-based interventions may have a modest impact on reducing the injudicious use of antibiotics in children. However, since the actual prescribing of antibiotics is done by physicians and research has shown that physician-parent communication patterns during pediatric visits for acute respiratory tract infections (ARTI) strongly influence antibiotic prescription rate, it is crucial to develop effective interventions aimed specifically at them. The overall goal of this study is to improve physician-parent communication patterns during visits for pediatric ARTI and, ultimately, to decrease rates of antibiotic prescribing for these illnesses in children.

Conditions

Upper Respiratory Infection

Outcome Measures

Primary Outcomes (1)

• Effectiveness of intervention in changing physician communication behaviors

  To evaluate the effectiveness of the proposed intervention in achieving its stated goals of changing physician communication behavoirs

  12 months

Secondary Outcomes (4)

• Antibiotic prescribing rates as a function of the intervention

  12 months

• Satisfaction levels for parents as a function of the intervention

  12 months

• Factor identification

  12 months

• Validation study of the PCBI

  12 months

Study Arms (2)

Control

NO INTERVENTION

Intervention

EXPERIMENTAL

Behavioral: Physician Workshop

Interventions

Physician Workshop BEHAVIORAL

Physicians that were assigned to the intervention group attended a 3.5 hour intervention workshop where they were trained in skills to communicate information about physical examination findings, treatment, and follow-up that will ultimately facilitate appropriate antibiotic prescribing and increase parent satisfaction with care.

Intervention

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Parents: the parent must present with a child between the ages of 6 months and 10 years old, who has not received antibiotics for any reason in the prior two weeks and who has any of the following symptoms: cough, runny nose/congestion, sore throat, ear pain, or ear tugging. Parents must be able to read English or Spanish; the visit must occur during one of the three data collection periods for the participating physician; and parents must have not previously participated in teh study.
• Physicians: physician must be a member of Puget Sound Pediatric research Network (PSPRN).

You may not qualify if:

• Parents: parents who are 18 years of age or less
• Physicians: physicians who are not members of PSPRN

Sponsors & Collaborators

• University of Washington: lead

MeSH Terms

Conditions

Respiratory Tract Infections

Condition Hierarchy (Ancestors)

Infections; Respiratory Tract Diseases

Study Officials

• Rita Mangione-Smith, MD, MPH

  University of Washington/ Seattle Children's Hospital

  PRINCIPAL INVESTIGATOR

• James A Taylor, MD, MPH

  University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: July 21, 2010
• First Posted: July 23, 2010
• Study Start: September 1, 2007
• Primary Completion: April 1, 2009
• Study Completion: April 1, 2009
• Last Updated: July 23, 2010

Record last verified: 2010-07