Improving Antibiotic Use for ARIs in Urgent Care Clinics
Randomized-controlled Trial to Assess Whether Feedback on a New Stewardship Metric Can Improve Antibiotic-prescribing for Acute Respiratory Tract Infections in Urgent Care Clinics
1 other identifier
interventional
90
1 country
1
Brief Summary
Many clinicians prescribe antibiotics for patients with acute respiratory infections even when antibiotics will not benefit the patient because the infection is due to a virus. To discourage this type of unnecessary antibiotic use, the investigators will assess whether it is helpful to give clinicians feedback on how often they prescribe antibiotics for respiratory infections in comparison to their peers. The investigators will perform this study across Urgent Care and QuickCare clinics within a single healthcare system.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2024
Typical duration 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
First Submitted
Initial submission to the registry
November 16, 2023
CompletedFirst Posted
Study publicly available on registry
November 22, 2023
CompletedStudy Start
First participant enrolled
January 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 31, 2026
ExpectedDecember 24, 2025
December 1, 2025
1.5 years
November 16, 2023
December 17, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Frequency of antibiotic-prescribing for RTD visits
Percentage of all qualifying respiratory tract diagnosis (RTD) visits prescribed an antibiotic
24 hours of visit
Secondary Outcomes (3)
Frequency of antibiotic-prescribing for all visits
24 hours of visit
Follow-up visit to Urgent Care or QuickCare
30 days
Follow-up Emergency Department visit and/or acute-care hospitalization
30 days
Study Arms (2)
Feedback on RTD metric
EXPERIMENTALAn e-mail will be sent to the clinicians in the experimental arm every two months describing their performance on the RTD metric and making a comparison to how their peers have performed. The e-mail will also direct clinicians to visit a dashboard to review their practice in greater depth.
No feedback on RTD metric
NO INTERVENTIONAny clinician assigned to the control arm will not receive the above-mentioned e-mails.
Interventions
Clinicians in the experimental arm will receive feedback on the RTD metric while clinicians in the No intervention arm will not.
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
- Daniel Livorsilead
Study Sites (1)
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242, United States
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
- Associate Professor
Study Record Dates
First Submitted
November 16, 2023
First Posted
November 22, 2023
Study Start
January 1, 2024
Primary Completion
June 30, 2025
Study Completion (Estimated)
May 31, 2026
Last Updated
December 24, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share