Effect of Evidence-based Reminders on Use of Antibiotics
Effect of Continuous Evidence-based Feed Back to Increase Appropriate Use of Antibiotics
1 other identifier
interventional
8,053
1 country
1
Brief Summary
Inappropriate use of antibiotics in primary care is associated with Development of antibiotic resistant strains. As part of a quality improvement program carried out in primary care in Uruguay, Argentina, Paraguay and Bolivia, a cluster randomized control trial was performed. The aim of the study was to assess whether the use of continuous evidence-based feedback about management of respiratory tract infections could decrease use of antibiotics in Acute bronchitis, common cold and acute otitis media.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2015
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 5, 2016
CompletedFirst Posted
Study publicly available on registry
October 7, 2016
CompletedOctober 7, 2016
October 1, 2016
2 months
October 5, 2016
October 6, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
20% difference in use of antibiotics in patients with suspected Acute bronchitis
3 months
Secondary Outcomes (1)
20% difference in the use of antibiotics in suspected acute otitis media
3 months
Study Arms (2)
evidence-based online feedback
ACTIVE COMPARATORDuring three months GPs will receive weekly feedback about evidence-based management of respiratory tract infections. In order to control that they read the material, there is a questionnaire, they have to fill in every week
control
NO INTERVENTIONGPs will register data without receiving online feed-back
Interventions
GPs received during three months weekly mails about evidence-based practice and a small questionnaire to reflect about their practice and the new knowledge
Eligibility Criteria
You may qualify if:
- General practitioners working in primary care
- Patients with suspected respiratory tract infection
You may not qualify if:
- Patients that have already started an antibiotic
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gloria Cristina Cordobalead
- Society of Family Medicin La Paz-Boliviacollaborator
- University of Itapua, Paraguaycollaborator
- University of the Republic, Uruguaycollaborator
- Society of General and Family practice, Misiones- Argentinacollaborator
Study Sites (1)
University of Copenhagen
Copenhagen, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- MD-MPH
Study Record Dates
First Submitted
October 5, 2016
First Posted
October 7, 2016
Study Start
June 1, 2015
Primary Completion
August 1, 2015
Study Completion
August 1, 2015
Last Updated
October 7, 2016
Record last verified: 2016-10